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Home My Public Portal About4929 BIRCHLAND PL_Building__ APPLICATION FOR BUILDING PERMIT *OR'APPLICANT TO FILL IN (Print or tyD• only) EfUILID INGCOUNTY OF LOS ANGELES ADDRE.-SS^SDEPARTMENT OF COUNTY ENGINEER CITY./ k /a ZIP 7YO BUILDING LOY SAFETY DIVISION y/ OF BLIDGS. BUILDING SIZE OF LOT it 1V•f� NOW ON LOT ADDRESS TRACT BLOCK LOT NO. LOCALITY TELf 0-h L. NEAREST OWNER /C N NO. CROSS ST. W O //�� 1 ASSESSOR ADDREss. /✓ �-- ` `- MAP BOOK PAGE ARCEL CITY / l C ZIP 4r/ DISTRICT GROUP TYPE FIRE ED Y CONST. ZONE ARCHITECT OR TEL 0 ENGINEER NO. STATISTICAL CLASSIFICATION EWER ADDRESS CLASS NO 0q DWELL.UNITS BK CONTRACTOR e TEL.0. lZ , �+I EMAP /y /• LIC. NO. d ADDR 2LO OO ee NO. O // SPECIAL LIC. CONDITIONS CITY , CLASS - ROAD DEPARTMENT APPROVAL REQUIRED YES� NO CONSTRUCTION LENDER t NAME AND BRANCH BLDG. ETBACK FROM FRONT ROP.LINE OF (STREET) ADDRESS CITY HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING SQ. F NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES 'ONE ❑ + 8 DESCRIPTION OF WORK NEW BLDG.SETBACK FROM (� 0 DD SIDE PROP.LINE OF (STREET) 0 LTER ElOTAL SETBACK F E OF EXISTING �j ' HIGHWAY + YARD = E PAIR SIDE PROP. LINE AY WIDTH a V! USE OF ENOL + - EXISTING BLDG. APPLICANT L, CORNER CUTOFF YLr3 NO . (PRINT) N BY (SIGNATU E) OPEN SPACE YES Ej NO E] ��rr11 IN COASTAL PERMIT ZONE YES NO VALUATION, V HERESY ACKN LEDS[ THAT I HAV[ READ THIS APPLICATION AND STAT[ THAT THE ASOVE It CORRECT AND ASREE TO COMPLY WITH ALL ORDINANCES AMD LAWS R[SULATINS SUILDI MS CON- STRUCTION. 1 CERTIFY THAT IM DOING THE WORK AUTHORIZED H[REDY I WILL NOT EMPLOY 011 IM VIOLATION OF THE LA SOR COD[ TAT 'CALI IM R S TO WORKMEN'SMPENSATI ANCE. SIGNATURE F PERMITTEE ADDRESS-5-0,2 FINAL BY TEL •7 If CITY 1 NO. �.'LJZ�/ D A T MAKE CHECKS PAYABLE EN FE'� E�i HARVEY T. BRANDY, COUNTY ENGINEER _ PLAN'CB= VALIDATION CK. Y.O. CAAH PERMIT VALIDATION CK. M.O. CASH 4481rn-OCT 30 f 48.75 • 7SAIMA CN*SOS 5/74 . .r APPLICATION FOR BUILDIN FOR APPLICANT TO FILL IN (Print or type only) :"X"' ;. ;, - ILDINGB) 'CO ADDRESS L- DEPAR rFH' CITY ZIP 1 D!/O B=ING ;I y O.OF BLDGS. DUILDINO SIZE OF LOT Xb/t I O NOW ON LOT ADDRE59 TRACTZ�ZZI BLOCK LOT NO. LOCALIT t� TEL. NEAREST OWNER IC '0— NO. CROSS ST. 't ASSESSOR ADDRESS' MAP BOOK PAGE PARCEL U DISTRICT 1,G7ROUPITYPE FIRE ED BY CITY I ZIP S 'j . COQ ON ARCHITECT OR TEL ��UO ENGINEER NO. STATISTICAL CLASSIFICATION ER P ADDRESS CLASS NO.��DWELL,UNITS G Seem CONTRACTOR �. T L. ONE MAP D NO. ADDR •Q O /1 SPECIALNS 0 LIC. 7 CONDITIO CIT CLA 35 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG. ETBACK FROM FRON PROP.LINEOF (STREET) ADDRESS CITY NIGHWA + YARD TOTAL SETBACK FROUI TYPE OF EXISTING ' SQ. FTL[--`` NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE /7Y STORIES FAMILIES ONE DESCRIPTION OF WORK NEW O DD ❑ BLDG.SETBA (g SET) CC SIDE PROP.LINE OF '00 w LTER ❑ HIGHWAY } YARD = OTAL SETBACK FROM TYPE OF IXIDTINO EPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH LLI USE EXIISOT NG BLDG. EMOL + Z APPLICANT TEL CORNER CUTOFF YES ElNO ❑ . (PRINT) BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ i IN COASTAL RM ZONE YES ❑ NO ❑ VALUATION. 1,40e, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STAT[ THAT THE ABOVE Il CORRECT AND AGREE TO COMPLY _ WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I C[RTI FY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL No EMPLOY AN I ON IX VIOLATION OF THE LABOR CODE OF TH! TE OF A IN R[LATI G TO WOR.MEWS COMP[ 10 E. SIGNATURE OF IF PERMITTEE ADDRESS "t -� FINAL B CITY F C NO. DATE t AIA KE CHECKS PAYABLE TO: FEE � FEE1 HARVEY T. BRANDT, COUNTY ENGINEER Aa— PLAYCHECK VALIDATION CK. M.o. CASH VAMATION CK. M.O. cwsrl -71 76AG34A CK#002 5/74 1 5.4 0 �`N y.. iAPPLICATION FOR BUILDING PERMIT FOR APPL T TO FILL IN (Print or"only) COUNTY OF LOS ANGELES ADDR�ENSG DEPARi'�A OF COUNTY ENGINEER QTYIP d BUILDING AND SAFETY DIVISION F BUILDING / SIZE OF LOT � �� NOW ON LOT ADDRESS �,.cL. TRACT 7/-7U / BLOCK LOT NO. LOLrrY / TEL /w, OWN 5T. I'1' ASSESSOR ADDRESS JChl— MAP BOOK PAGE PARCEL QTY DISTRICT GROUP TYPE FIRE ED BY CONST, ZONE ARCHITECT OR TEL 7, �l EWANEER NO. STATISTICAL CLASSIIFFICATIIONSEW P ADDRESS CLASS NO.S�DWELL UNITS BK PG TEL CONTRACTOR '— NO. ZONE tMAP O, ADDRESS NO. SPECIAL uc °J CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG. CK FROM PROP.UNEOF (STREET) ADDRESS QTY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT.&L/_& NO.OF /J NO.OF C}{� HI AY + YARD FRONT PROP.LINE HIGFIWAY WIDTH SI TE Y� STORI ES OC FAMI U ES ONE DESCRIPTION OF WORK NEW J O ADO ❑ BLDG.SETBACK FROM cc Qb SIDE PROP.LINE OF (STREET) O ig , ALTER ❑ TOTAL SETBACK FROM TY EXISTING e d HIGHWAY + YARD SIDE PROP.LINE HIGHWA WIDTH N USE OF - REPAIR ❑ Z EYJSTING BLDG. t0 DEMOL ❑ + APPLICANTTEL CORNER CUTOFF YES ❑ NO ❑ (PRINTI No..y/af Lf IN OP EN SPACE YES ❑ NO ❑ BY CSIGNATURE] IN COASTAL PERMIT ZONE YES ElNO Q VALUATION$ IS.J I HEREBY AOQJOWED LG-E THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH All ORDINANB q AND LAWS RE3l1.ATTNG BUILDING CCttSTZKr ON.I CEMFY THAT IN DOING THE - WORK AlLffl- ZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VKXATKJN Of THE LABOR CODE OF THE STATE OF CAL FORK IA IN RELATING TO WORKMEN'S COM- .+ _ PENSATION INSURANCEZ51 - SIGNATURE OF PERMITTEE ADDRESS 2 TEL FINAL BY DATE CITY NO. MAKE CHKy§lrAYABLE TO. FEE $ .. PMT.$ HARVEY T.BRAN ,COUNTY ENGINEER FEE FEE V PLAN CHECK VALIDATION C L Il o. CASH PERMIT VALIDATION 4 OBE-717 l:�;` l L) -11 6.z 5 a (5l 76A6WA CE RB03 3-75 . � r p- f APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or"I only) COUNTY OF LOS ANGELS BIJILDING ADDRESS DEPARTN&W OF COUNTY ENGINEER arYT� /� zip �� 7 ;5'0 BUILDING AND SAFETY DMSION NO.OF BLDGS. BUILDING SIZEOF LOT X /U NOW ON LOT ADDRESS - n TRACT B-LOCK LOT NO. LOCALITY TEL N EA REST OWNER (' 5 NO. CROSS ST. ADDRESS MAP BOORKPAGE PARCEL DISTRICT GROUP TYPE FIRE ED -QTY /� ZIP CONST Z ARCHI ECT OR TEL ENGI N EER NO. STAT IST I CAL CLASSIFICATION SEWER DDRESS CESS NO. DWELL-UNITS B-K PG CONTRACTOR ZONE MAP ADD Cf LIC, NO w /ry ' SPECIAL O / CONDITIONS CLASSROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CON STRUCTI 004 LENDER NAME AND BRANCH BL .SETBACK FROM PROP.LINE OF (STREFT)ADD CITY TOTAL SETBACK FROM TYPE R EXISTING SQ.Ff NO.OF NO.OF a1� HI AY + YARD FRONT PROP UNE HIGHWAY WIDTH SIZE STORIES FAMIUB ONE DESCRIPTOON OF WORK NEW ❑ + O V ADD KDG.SETBACK cc SIDE PROP.UNE OF (STREET) O 7 -1 ALTER ❑ TOTAL SfMArK.WM TYPE OF EXISTING F-ErhREPAIR ❑ HIGHWAY + YARD - SIDE PROP.UN HIGHWAY WIDTH USE OF �� + Z EXISTING BLDG. DEMCK ED _ - APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT NO. IN OPEN SPACE YES ❑ NO ❑ BY ISIGNATU IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION d Q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL)CAT}ON AND STATE Q THAT THE A20VE IS CORRECT AND AGREE TO COMPLY WITH All OR04NANM AND LAWS REGULATING BUILDING OONSTRLCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION Of WA THE LA80R CODE OF THE STATE IN RELATTNG TO WORKMEN'S COM- / PENSM r SJGNATU Of PERMITTEE ADDRESSRNAL m, e- Ta- 337 7 DATE BY MAKE CHECKS P ABLE TO, IFFEE $ � SBL HARVEY T.ERANDT,COUNTY ENGINEER 232. SCI PLAN CHECK V A110Nc,c cwsH PERM«V ATION cx r.o. cwsH ay _ 1 907Lr1-1Ftp► 19. 23 -D 69.75b 155r_7c 5 1 0 232.500 76A63aA CE X80-3 3-75' _ _ .