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HomeMy Public PortalAbout9114 BLACKLEY ST_Building__ 78A638A CE#803 B_63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER _ NEAREST y� WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DIS�T�ICT NO I G P TYPE PD BY FOR APPLICANT TO FILL IN , coNs BUILDINGFICATI STATISTICAL CLON SEWE AP ASS ADDRESS , L� BK PG CLASS NO DWELL UNITS LOT NO LOCK WATER NOT REQUIRED ❑ RECEIVED ❑ CERTIFICATE TRACT .O MAP HIGHWAY NO OF BLDGS NO (/, (CIRCLE) STATE MAJOR SECOND LOCAL SIZE OF LOT g,7 /' NOW ON LOT USE ZON PECIAL USE OF CONDITIONS EXISTING BLDG TEL OWNERAd a NO� BU LDING EXIST SE BACK YARD HWY STREET NAME WIDTH ADDRESS FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE P L ADDRESS a TEL O CONTRACTOR / az > NO V ADDRESS OC O DESCRIPTION OF WORK W d NE ADD ALTER REPAIR DEMOLISH Z SQ FT NO OF NO OF SIZE a STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ ®mp APPROVALS DATE INSPECT �r91(iNATURE PC PMT 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN 5 COMPENSAXION INSURANCE LATH EXT SIGNATUREHOUSE NUMBER COR OF PERMITTEE RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK MO CASH JOHN F LEWIS RINCIPAL STo RAL ENGINEER PERMIT VALIDATION GK M O CASH Lko 8 7 5 8 K426 1 D 1 2.0001, — I i DMSION OF BUILDING AND SAFETY ���®I � " ;-~-Depa. ent of County Engineer County of Los Angeles WM J FOX, COUNTY ENGINEER � -_�y APPLICATION FOR R tA{/.PP/LICANT TO FILL IN ADDRESS BUILDING /' / _LOCALITY ADDRESS NEAREST , LOCALITY CROSS ST NEAREST DISTRICT NO PLANCK OR REc No PERMIT NO CROSSST vG ��, �7/O r rJ Lf c�� OWNER S c- / O /'�'� R CEIVED BY 'DATE OF APPL DATE ISSUED MAIL ADDRESS 1� e. e.7% /L/ �.+ / NO , USE ZONE NPOAIOSF rYPI E «I G P I FIRE CITY / TEL A A ARCHITECT OR TEL [n A— ` ZONING- ///��� Dy/�T�E(D� ENGINEER NO APPROVED BYE- / / BUILDING ADDRESS SETBACK LINE TEL APPROVED —/­ 4 • DPT r CONTRACTOR NO BY, HOUSE NUMBERING ADDRESS LEGAL MAP NUMBE / NO ASSIGNED BY DESCRIPTION LOT NO BLOCK DATE I CORRECTIONS I INSPECTOR TRACT 51 2 D �pS p e V I NO OF BLDGS SIZE OF LOT NOW ON LOT J V V fill USE OF NO OF -��, -4: F�( x,91 y EXISTING BLDG 41 efFAMILIES V 7 Q� DESCRIPTION OF WORE z NEW ALTERATION ADDITION QI Sh T BL?GC 7d /�� ,�� r REPAIR DEMOLITION /// ./I SQ EA c 11 LL ROOMS STORIES C /�,��� !' tf� L(p Ia /.�a EXT WALL /^��'�(�/ ROOF COVERING J/ G/ , Q I COVERING �r� JJ CeQ r/� `1(i•�' ©0 USE OF STRUCT`U��E II A ,p .�, a� a A)egg 0 w a e� I I APPROVALS INSPECTOR,6 SIGNATURE ,,DAA FOUNDATION FORMS,TION MATERIALS S7� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS, / PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT BRACING, BOLTS C� 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT, DUCTS SIGNATURE OF " s�. LATH, INT PERMITTEE ADDRESS ��� E��C !/�l LATH. EXT PLASTER, INT AUTHORIZED AGT h O O 6Xy PLASTER, EXT /) $ „J V FEE (J HOUSE NUMBER COR- RECT AND POSTED / 4L $ 70 VALUATION FEE �. FINAL 76 638A DBS 8 2-D8 ` DIVISION OF BUILDING AND SAFETY wtz SIOU I L D UP41 " Deposhnent of County Engineer Coua�p of Los Angeles WM J FOX, COUNTY ENGINEER APPLICATION BUILDING FOR APPLICANT TO FILL IN ADDRESS T (oma t BUILDING LOCALITY p > ADDRE68 NEAREST LOCALITY - CROSS ST NEAREST DISTRICT NO PLANCK OR RR-,No PERMIT NO CRO898T 5- 0. OWNER RECEIVED BY2 DATE OF APPL.. - DATE ISSUED AMAIL DDRESS �� USE ZONE �IJO O JTYPE PLANS T GR FIS NE TEL. P CITY NO Y ARCHITECT OR TEL f7 !� I ZONING ka1p��,3 ENGINEER NO - , APPROVED BY- fdC. G T�/`J' BUILDING �j ;�'+ RpNo,_r,�.J ADDRESS � SETBACK LINE3�'- CONTRACTOR TEL APPROVED ���e TB�y • NO i OU'S/E� NUMBERING ADDRESS LEGAL MAP NUMBER 2 9/ �° S ,s►�r NO- ASSIGNED BY. DESCRIPTION LOT NO BLOCK ` DATE CORRECTIONS I INSPECTOR TRACT • NO OF SIZE OF LOT #3a7l NOW ON LOTS 6 �®0 Ad USE OF NO�S`f" P,l FAMIOLFES� I Vy./ j n* I O EXISTING BLDG DESCRIPTION OF WORE Z NEWALTERATION ADDITION D r REPAIR DEMOLITION SI FT /M NO OF ® / • SIZE � �7�" ROOMS 9TO��RIjjEB ' EROOFXT -j � 46�l COVERINQ!: � r I USE OF STRUCTURE APPROVAES INSPECTOR,B SIGNATURE DATE _ FOUNDATION LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- i PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME FIRE STOPS, ` /O CORRECT > BRACING, BOLTS AGREE TO COMPLY WITH ALL COUNTY ORDINANCE'S FURNACE LOCATION, AND STATE LAWS REGULATING BUIL,DIIINy`G� CONSTRUCTION GAS VENT, DUCTS SIGNATURE OF LATH, INT PERMITTEIr -------, ADDRESS 400X-0- LATH, EXT AUTHORIZED AGT �9 PLASTER, INTI _ PLASTER, EXT $ FEE � HOUSE NUMBER COR- RECT AND POSTED VALUATION FEE ffi+y� FINAL 76A698A DBS 3 4-58 r�