HomeMy Public PortalAbout6353 BARELA AVE_Building__ (15f 76ASWA
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�` APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGaPS ° BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
BUILDING
ADDRESS CJ+
LOLITY /� L
REST
CITY ZIP`?/�/7 fe �OS . C--.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT V NOW ON LOT MAP BOOK eACrE PARCEL
TRACT L T NO. ZONE
DISTRICT UP TYPE FIRE BY
TEL
OWN NO
7d .508 3
STATCAL CLASSIFICATION SEWER
Aad,,.
ISTICASSNO. DWELL UNFTS BK
CITY ZIP
ARCHITECTOR TEL VALUATION $ OQI� h
ENGINEER NO. (/
ADDRESS BLDG.SETSACK FROM
EL FRONT PROP.LINE OF ISTREETI
CONTRACTOR NO y
HIGHWAY + YARTOTAL SETBACK FROM TYPE OF EXISTING
LIC D FRONT PROP.LINE HIGHWAY WIDTH
ADDR NO
LIG Q + 0 ��
CITY CLASS
CON TRUCFION LENDER BLDG.SETBA(1C Wm
NAME AND BRANCH 07 Sd SID�PROP.LINEOF (JSTIN)
HIGHWAY + YARD TOTAL SETBACK FROM TYPE EXISTING
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH
SO.FT. NO.OF NO.OF CHECK + V
SIZE LSTORIES FAMILIES ONE cd
a-ApD PTI OF WO NEW P.C.Fee$ Perm Fre O
f
ADD I
Issuance Fee
ALTER _
REPAIR Total Fee
USE OF DEMOL
EXISTING BLDG. .
APPLICANT TEL
(PRINT) NO.
BY ISIGNATU
I HEREi'JY ACKNOWLEDGE THAT I HAVE READ APPLK-ATKJN AND STATE
THAT THE ABOVE 6 CORRECT AND AGREE TO Y WITH ALL ORDINANCE
AND LAWS REGULATING BUILDING CONSTRUCTION. CERTIFY THAT IN DOING THE ' 1 5 'Y�4 C(1.h A
r1
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF 1-1
THE LABOR CODE OF THE STATE OF CALIFOfNIA IN RELATING TO WORKMEN'S COM-
PENSATION I # 0 0 0 0 0 1
SIGNATURE
PERMITTEE
ADDRESS o o.o 7,,Q Q Q�
TEL ;`;.. J b 1 7 8
CITY NO.
USE ZONE MAP
NO. O
Q� SPECIAL
CON DI T I ONS
FINAL BY 4
DATE . _� 9. / I �•dJ�� ,
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 2 ® '
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDRESS 7y3. . ,8a -�/ .. �,�,. � o„
LOCALITY RECEIVED BY DATE OFAPPL. DATE ISSUED
NEAREST 17 C— --13 0
CROSS ST.
BUILDING
7 30E
OWNER _ ADDRESS r/t/.2 4v
MAIL LOCALITY / I ♦ I �..`
ADDRESS__
,. NEAREST ��
TEL. - CROSS ST.
CITY NO.
FIRE NO.OF TYPE_. GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO.
BLDG, t/ ORD.NO.
ADDRESS _SETBACK LINE /YQ 7
I APPROVED TT
TEL. Sir DATE
CONTRACTOR NO.
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT .SGf S
NO.OF SLOGS. /
SIZE OF LOT NOW ON LOT
USE OF NO.OF NO.OF
EXISTING BLDG. I FAMILIES I ROOMS J,
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH a�
Sq.FT. / NO.OF
SIZE ROOMB - STORIES D
r
COVERING N WALL I CDVOERING *ill Q l iP i"At Ns T
USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION!: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
PERMITTEE
, LATH, INT.
AUTHORIZED AOT LATH, EXT.
76A63BA-3 7-49y 7 ZQ 40 P.C I$ PLASTER,INT.
0FEE PLASTER,EXT.
VALUATION f y D FEE S, lv O FINAL