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Home My Public Portal About4904 ARDSLEY DR_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING- COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY TRMPTly, ZIP BUILDING AND SAFETY DIVISION NO.OF SLOGS. BUILDING SIZE OF LOT J NOW ON LOT ADDRESS �� i TRACT BLOCK LOT NO. 1.2LOCALITY TEL. NEAREST OWNER ROSS ST:.. ASSESSOR ' ADDRESS - N. ARDMFyMAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY CITY TEMPLE CITZIP �� ,» CONST'./-. � ZONE ARCHITECT OR - TEL -lj �� ENGINEER. ROID .NO. STATISTICAL CLASSIFICATION jjjj SEWER AP ADDRESS CLASS NO. DWELL•UNITS BK PG CONTRACTOR NOLL. USE ZONE MAP LIC. NO. ADDRESS E - - O• SPECIAL CITY 'LIC. CON DI TIONS GLENDORA CLROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM • - FRONT PROP.LINE OF (STREET) ADDRESS CITY HIGHWAY } YARD — .TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT: NO. OF NO. OF CHECK X FRONT PROP. LINE HIGHWAY WIDTH SIZE 21LO 2 O } STORIES FAMILIES 'ONE t - DESCRIPTION.-OF WORK NEW ❑ 1 p vel BLDG.SETBACK FROM V ADD JI4J SIDE PROP. LINE OF (STREET) ALTER ❑ - TOTAL SETBACK FROM TYPE OF EXISTING SCREEN ` HIGHWAY + YARD — SIDE PROP. LINE HIGHWAY WIDTH V ilJ:+1:aLY �y v REPAIR 1:1 W USE OF cx��ya t = N .EXISTING BLDG. DEMOL ❑ Z APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) • °`', G&`.- NO. - BY (SIGNATURE)- - - IN OPEN SPACE YES ❑ - NO ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION5060,C)o - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM PENSA TIO INSURANCE SIGNATURE OF PERMITTEE. _ _ ADDRESS T ��1 _!� TE FINAL, BY CLL'lYlt ORA NO. 3 �/ CITY � '^� DATE �J ��' / 15I !� f✓� / ./l.�l'�P'T-2� =SNAKE CHECKS PAYABLE TO: F E'$ FEE $ HARVEY T. BRANDT, COUNTY ENGINEER PLAN'CHECK VALIDATI CK. .O. CASH _ P MIT VALIDATION CK. CASH 7 0•.6 FEB 5 2 4-5 () A_4 76A638A CE#803 5/74 - 7 0,7 TFE8 ,J .1 0 1 5..0 0A-"-' .i 000t:7�E @ i 76'A638A CE 9803.1/71 e FOR 7 G PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPXRTMENT OF COUNTY ENGINEER MAP BOOK PAGE 1 PARCEL BUILDING AND SAFETY DIVISION ADDRESS COLEMAN W. JENKINS', SUPT OF BUILDING LOCALITY• `F c_/ FOR APPLICANT TO FILL IN . NEAREST S'p�rF � /d"G � 77- Print or type only) CROSS ST. .BUILDING , DISTRICT NO. GROUP ITYPE CONS T. - PR ESSED. Y yp�,� ADDRESS, V �°r� J l `. �. Z STATISTICAL CLASSIFICATION - SE .ER MA ` LOT-NO. '' ,. •�� B OCK CLASS NO. DWELL•UNITS "EK �P TRACT T �%. / - / NO.OF BLDGS. - USE ZONE NOP SIZE OF LOT '�j !52 / "7 NOW:ON LOT- ./"�"�/ SPECIAL - - - .:USE OF _ CONDITIONS EXISTING EXISTING BLDG. �/�"•rr - „� j,� _ OWNER 1 . :aGtYes TEL. NO. BLDG.SETBACK FROM ADDRESS �i• FRONT PROP.LINE.OF (,STREET) ;w TYPE OF EXISTING SETBACK HIGHWAY } YARD' = TOTAL •CITY - - HIGHWAY .WIDTH• FROMG L. `4tr ARCHITECT"OR. _. TEL" ,�'QG 5 / L`.7. }-2C '7 ENGINEER - NO. BLOG.SET,BACK FROM ADDRESS — - SIDE PROP.LINE OF (STREET) TEL _ TYPE OF EXISTING :SETBACK: HIGHWAY- '•F YARD. = TOTAL,- a CONTRACTOR �, - NO. q / HIGHWAY..WIDTH FROM C.L: - - O ADDRESS ^ •�' S `j j. NO f }. - . . V yC LIC. = (qL O F— CITY - "LRO`" - �'+ CLASS. CORNER CUTOFF >:YES ❑ NO ❑" U CONST UCTION LENDER N NAME AND BRANCH SEE REVERSE'SIDE FOR SPECIAL APPROVALS ? ADDRESS - .,. - SQ. FT. - NO. OF NO. OF'; NEW.' - - SIZESTORIES FAMILIES USE OF - '. ADD ..,❑ .. STRUCTURE ALTER SIGNATURE REPAIR❑ - AP.P.LICANT w•� DEMOL ❑ - - - - VALUATION $ • .APPROVALS "DATE INSPECTOR'S SIGNA TUR_E P.C. PMT. f 7"• —7 PO UN DATION:.LOCATION_ ' FEE S ^---"' FEE$ G'�c ../: FORMS, MATERIALS - ' - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRESTOPS, BOLTS 'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS - � ' ••STRUCTION. 1 CERTIFY THAT .IN DOING -THE .WORK AUTHORIZED _ - HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE,'L LATH, INT, 'LABOR CODE OF THE STATE OF -CALIFORNIA IN. RELATING TO WORKMEN',S COMPENSATION INSURANCE. LATH, EXT, • ' ,- ' SIGNATURE O " .HOUSE NUMBER,COR- ' PERMITTEE RECT AND POSTED.. ADDRESS JOHN F. LEWIS. PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION K. M.O. CASH _ PERMIT• VALIDATION 'CK. "M.O. CASH LJ 2 .a. s .sem 2<2 1.7 5N 1 76A63t,A CE#8038.64 APPLICATION FOR BUILDING PERMIT �CC1JNTY OF LOS ANGELES BUILDING tt,• DEPARTMENT OF COUNTY ENGINZER ADDRESS DDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. -� DIS jfj.,,i yQ� ROUPTYPE P ESSED BY FOR APPLICANT TO FILL IN (f 7V JY�' CONST. i BUILDING n !1` STATISTICAL,CrL�ASSIFICATION S E P ADDRESS �C / �� j �! / y.� 8K PG CLASS NO �J--DWELL UNITS / LOT NO. � 7_ BLOCK USE ZONE MA.P NO TRACT / SPECIAL i N0. OF BL S. / / CONDITIONS SIZE OF LOT -7f1 NOW ON LOT USE OF1-11 EXISTING BLDG. �F �`f BLDG. SETBACK FROM FRONT PROP. LINE OF 11--Z -' ! ' (STREET) OWNER/14 ` ,ry -e-'T �F �-f 9' TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS/ A,;.,7/i' � i HIGhfWAY WIDTH FROM C.L. syJ CITY i z ARCHITECT OR TEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. Cl- TEL. / .} = 0 CONTRACTORC t' -C" //.j!-"/ /k= V ADDRESS ` - [_ (,"/ NO �7( 6 G 1�. CORNER CUTOFF YES NO O CITY LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS u W DESCRIPTION OF WORK N NEW ADD ALTER REPAIR DEMOLISH _ _ - SQ.FT. NO. OF f NO. OF SIZE �- �� STORIES / FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT i ��--�`-- VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. r- FOUNDATION, LOCATION FEE$ ``�— FEE$ FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILD ING CONSTRUCTION, I TIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WI NO EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR Co E0 TATE.O`F CALIFOR A RELAT- INGTO WORKMEN'SC PENS I NSURANCE. - �y6n`Fn LATH. EXT. t: SIGNATURE OF�1 ' � HOUSE NUMBER COR- PERM ITTEE OR-PERMITTEE ••�� RECT AND POSTED '- ADDRESS 7� Cj�7 �r cl FI NAL _ .f. JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK. M O. CASH _ PERMIT VALIDATION CK. M.G CASH