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HomeMy Public PortalAbout9538 BLACKLEY ST_Building__ 1� Db ARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY-OF •%OS ANGELES f ` mum-WM. J. FOX, CHIEF ENGINEER / ly� � - r FOR APPLICANT'TO FILL IN FOR OFFICE'USE.ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING +• �`y ' / / O. ADDRESS _ �f LOCALIT „ RECEIVED BY •DATE OF APPL. DATE ISSUED NEAREST , CROSS ST. -++ BUILDING � ADDRESS OWNERaAt: Q � MAIL LOCALITY ADDRESS ♦ NEAREST TEL ���♦��. CROSS ST. - CIT 4�•/��'J NO ♦ a/y FIREANO. OF �/I j YPE �r - I GROUP + ARCHITECT OR' - TEL: ZONE PLANS ENGINEER NO. BLDG. G / ' /ORD NO SETBACK LINE '✓ / �h `7 ADDRESS _ APPROVED �- - •- TE BY DATE CONTRALTO _ NO. USE /� r APPROVED • 33 ��` ZONE !�' BY DATE i ADDRESS �^]�J HOUSE NUMBERING 1 LEGAL DESCRIPTION I LOT NO. / BLOCK MAP NUMBER— 6 / 6 FIELD CHECK BY- TRACT / NO. ASSIGNED BY SATE i NO. OF BLDGS�iR..A r CORRECTIONS . SIZE OF LOT_R SD' 3 O6I NOW ON LOT �t.J., _- USK OF NO OF EXISTING ELDG. - I,FAMI LIES / y ' ' DIR •DESCRIPTION OF WORE NEW I X I ALTERATION I ADDITION REPAIR I I DEMOLITION I I I _- _ _ -- _p .' - Z �S SQ FT. NOOF / �4�♦4' 6 0 - ,t7 SIZE l/ V ROOMS STORIES J /j � Z EXT WALLROOF _ > COVERINGCOVERING e;'/ � 4"0 USE OF STRUCTURE For— � - - A 24 7, T �6Gr//6 41e 19 APPROVPXS INSPECTjOR•S SIGNATURE !DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION- LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS � i..na.•(�✓"�,�. 7���,70 ••(..i� CORRECT. _ IAGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, / HHR60N AND•WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING,-aUIL.DING CONSTRUCTION. _ FURNACE: LOCATION,00' '� e GAS VENT, DUCTS ra SIGNATURE TE ./� �I�.+ � ' PHRMITTE6 - - LATH, INT. � ��— '-�-•y�a ADDRESS z. LATH, EXT. AUTHORIZED AGT. • A PLASTER, INT.,, • ©Acsaw• DesiIfo=ao, $ !/ FEE $ l� l _ ♦7 �7 PLASTER, EXT. VALUATION $ FEE [. ! "`�• FINAL®'0 a 76A638A CE#803 2-63APPLICATION FOR BUILDING. PERMIT:., COUNTY OF LOS ANGELES BUILDING j DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITr'I`l� JOHN A.'LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS S DISTRICT' O. I GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN ; D�}? CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ' ADDRESS CLASS. NO. � DWELL. UNITS— CTBK LOT NO. / BLOCK WATER NOT REQUIRED RECEIVED ❑ a CERTIFICATE:: _ TRACT /77/ 2 Z NO. (CIRCLE HIGHWAY STATE MAJOR SECOND, CAL p _I / NO.OF BLDGS, SIZE OF LOT 'Qj Q,S J2 3 NOW ON LOT / USE ZONE - 'SPECIAL - -USE OF n. CONDITIONS EXISTING BLDG. - �{[/ q " OWNER // BUILDING EXLST. f, SETBACK YARD HWY. STREET,NAME WIDTH ADDRESS . - / ARCHITECT OR TEL, P. L. ENGINEER NO. SIDE - - P. L. ' ADDRESS d TEL. ,• O CO NO. AD `?. O DESCRIPTION OF WORK w CL NEW HADD ALTER REPAIR DEMOLISH Z SQ. FT. - NO. OF NO. OF SIZE. STORIES - FAMILIES USE OF _' - `�, STRUCTURE rlf SIGNATURE OF '+ " APPLICANT + VALUATIONI L9 APPROVALS DATE INSPECTOR'S SIGNATURE 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 15 CORRECT AND-AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATELAWS REGULATING GAS VENT, DUCTS I f BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK ,, I AUTHORIZED HEREBY I WILL NOT EMPLOY ANY,PERSON IN VIOLA- If LATH. INT. - TION OF THE LABOR CODE OF T E STATE OF CALIFORNI RELAT- - I ING•TO WORKMEN'S COMPENS T N INSU RAN._E.' - LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- �I d \ _ PERMITTEE RECT AND POSTED V ADDRESS ' FINAL r C _JOHN F. L.EWIS. PRINCIPAL STR RAL ENGINEER\ ' c PLAN CHECK VALIDATION. cK. M.o. CASH _ PERMIT VALIDATION cK. M.O. , .CASH' 14,a'1 5 4 4 JUL%l 8 1 -D 4..C)0cqKr