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7GA638A CE#803 266 APPLICATIONFOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY v
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP'T OF BUILDING CROSS ST
DISTRICT NOGROUP TMpE E'SED BY
FOR APPLICANT TO FILL INS,p 5� CONST ,
BUILDING STATISTICAL CLASSIFICATION WER MAP
ADDRESS -BK PG/
CLASS NO DWELL UNITS—
LOT
NITS LOT NO BLO KI MAP STATE YES O
NUMBER HWY
TRACT 7/ US ZONE SPECIAL
NO OF SLOGS / CONDITIONS
SIZE OF LOT 6jO &3, NOW ON LOT r
USE OF
EXISTING11LDG BUILDING EXIST
YARD HWY STREET N E
TEL SETBACK � WIDTH
OWNER c NO 6 FRONT
P L
ADDRESS _ SIDE -
ARCHITEC OR TEL P L
ENGINEER NO INSPECTION RECORD
//
ADDRESS /»'side
G 1;
TEL _ C.v^' Al
CONTRACTOR NO O
`�-ADDRESS V
I DESCRIPTION OF WORE 0
f \
W
NEW ADD J- ALTER REPAIR DEMOLISH r
SQ FT NO OF NO OF a
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT-
VALUATION
PPLICANT VALUATION$ 3P4101- 11�
APPROVALS DATE INSPEC OR S SIGNATUREPCPMT '
FOUNDATION LOCATION
FEE $ FEE FORMS MATERIALS
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING, BOLTS i
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS
STATE LAWSi'REGULATING BUILDING CONSTRUCTION
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN S COMPENSATION LAWS OF CALIFORNIA LATH,EXT
SIGNATURE OF HOUSE NUMBER RCCT AND POSTED � ' ,/F
COR-
PERMITTEE- {
ADDRESS' FINAL
CLYDE N DIRLAM, PRINCIPAL STR RAL ENGINEER
PERMIT CHECK VALIDATION CK M o CASH PERT VALIDATION cK M o CASH
LA' 2 7 3 8 -0-4 FEB 'D 1 0 1 2 .0 0 , e ®r
DSS-3 25M SETS B-45 f
DF.RARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
7
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT7,l TO FILL IN FOR OFFICE USE ONLY
BUILDING /��--! /��[ �� Vis! DISTRICT NO. PLAN CK. NO. PERMIT NO.
ISG /'E;dl, I
ADDRESS �.�
LOCALITY y✓' J*16 �y (-! f/ , RECEIVED
lQJBY DATE OF APP/L.L GIS DATE ISSUED /
NEAREST ry b / .�L ✓ VL il'! P\ �� `� T V Com` �l F' ft�
CROSS ST. it d �.v/�i�A A/` �'f
BUILDING / S
OWNER ADDRESS
A
fY 6 �,cd
A � /� ///�_ (�J�
MAIL ` / //� LOCALITY n�/'�,gs��Y/ibK..-C \ 1
ADDRESS �.7 / 1 �7 l/qC !0l� AJ /�f/l 'I _
TEL. �/�y' L // NEAREST y
CITY t'f r7 �.Yl. ! I/ NO. r�b�l� CROSS ST.• ejA-(1
FIRE I NO Or TYPEgy GROUP
ARCHITECT OR TEL. ZONE a� I PLANE /
ENGINEER NO.
BLDG J ORD. NO.
ADDRESS SETBACK LINE
APPROVED !-
TEL. BY - DATE
CONTRACTOR NO.
USE APPROVED
ADDRESS ZONE+ BY DATE
LEGAL `
DESCRIPTION I LOT NO. I � I BLOCK -- CORRECTIONS
TRAC / �< !NO OF BLD13
SIZE OF LOT J /ACI NOW ON LOTSUSE OF NODF NOOF
EXISTING BLDG. I FAM,
IES / I ROOMS
DESCRIPTION OF WORK
FALTERATION
NEW ADDITION O
REPAIR VING DEMOLISH O_`
9q FT. / /( Z
SIZE O ( / NO.OF
n ROOMS STORIES / D
r
WALL ��� /}� I ROOF
COVERING �^C, ( yd /� COVERING 3
USE OF NEW��
BUILDING
APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
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, -
BRACING, BOLTS
SIGNATURE OF
OWNER �� ,�:(�� LATH, INT.:
AUTHORIZED AGT � _ ll[ _ LATH, EXT.:
$ ® P C # PLASTER, INT.
FEE PLASTER, EXT.
3 9®
VALUATION FEE /D/ FINAL
, DEPARTMENT OF COUNTY ENGINEER � L � '
DIVISION OF BUILDING AND SAFETY'
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D' GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING / DISTRICT NO PLANCK OR REC No PERMIT NO
ADDRESSF
LOCALITY f A /`,d./ �, ► RE EIV B DATE OF APPL AT SUEpp
NEAREST
CROSSST BUILDING $
OWNER ✓ �-,,� A ADDRESS
MAIL aa — LOCALITY Gam. ►
ADDRESS NEAREST `P
� pp66 TEL CROSSST eff'y`�����
CITY L .f.C."LlJ� / NO D3
ARCHITECT OR Y TEL FIRE NO OF TY I GROUP^
ENGINEER NO ZONE PLANS
BLDG O
ADDRESS SETBACK LINE j
TEL USEAPPROVED nn
CONTRACTOR NO. ZONE BY DATE C a
HOUSE NUMEFRING
ADDRESS 0/ A �,�,►'r
LEGAL MAP NUMBER NO A8816NED BY 7
DESCRIPTION LOT N � I BLOCK "
CORRECTIONS
.4i
OF SLOGS
SIZE OF LOT V '� NOW ON LOT
USE OF !� � f NO OF
EXISTING BLDG .P IIJ�4/�"' FAMILIE
DESCRIPTION OF WORK o —
RALTERATION
EPAIR I � DEMOLITION j_+
ADDITION I �
r
SQ FT' 0 NO OF /
-SIZE ROOMS � STORIES
EXT WALLROOF
COVERING J COVERING•L�49-*#-O'A ,
USE OF STRUCTURE
A .
v
, Y
APPROVALS
INSPECTOR'S SIGNATURE DATE
r FOUNDATION LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT
1 AGREETO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT, DUCTS
SIGNATURE OF LATH, INT
PERMITTB 12VdV4, '-- /Z. ^'➢
LATH EXT
ADDRESS
PLASTER, INT
AUTHORIZED AGT
®® PLASTER, EXT
$ ®� IF
C $
E HOUSE NUMBER COR-
RECT AND POSTED
VALUATION E FINAL
76A896A OB9 9 9-58 _
I
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM J. FOX, CHIEF ENGINEER
FOR APPLICANT T_Q FELL IN FOR OFFICE USE ONLY
BUILDING DISTRICT I�Q PLAN_ CK NO PERMIT�pNO/
ADDRESS 1 ��3 V
' RECEIVED BY DATE OF APPL DATE ISSUED
LOCALITY 4i:1:20
� � I�
NEAREST
[CROSS ST. BUILDING /?/k
ADDRESS 4�
OWNER
MAIL LOCALITY �r
ADDRESS 31V NEAREST
TEL CROSS ST-
CITY NO FIRE NO OF TYP I GROUP
ARCHITECT R TEL ZONE PLANS If
ENGINEER NO BLDG /� / /� ORD NO
SETBACK LINE /aSETBACK LINE�l�/
ADDRESS APPROVED
TEL BY DATE
CONTRACTOR NO USE APPROVED -
ZONE P BY DATE
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION I'LOT NO BLOCK MAP NUMBER FIELD CHECK BY
- 7
TRACT V NO ASSIGNED BY❑DATE
NO OF BLDGS CORRECTIONS
SIZE OF LOT 6 40 r, NOW ON LOT
USE OF I NO OF
EXISTING BLDG, FAMILIES `
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION I t a
REPAIR I I DEMOLITION
gq FT NO OF
G1
SIZE ,t,� �/ ROOMS STORIES Z
a
EXT WALL ROOF r
COVERING _C0 ERING
USE OF STRUCTURE .
IFd
APPROVALS
INSPECTO S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS 4e
CORRECT
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FFIAME FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS / .�� ''X/
LAWS REGULATING BUILDING CONSTRUCTION FURNACE LOCATION,
SIGNATURE OF GAS VENT, DUCTS
PERMITTE
LATH, INT
ADDRESS &2r=
LATH, EXT
AUTHORIZED AGT a
PLASTER, INT
\ 7EA676A DBlfi 10-60 .$ /�� P C ffi
FEE PLASTER, EXT
VALUATION FEE � FINAL