HomeMy Public PortalAbout6228 BURTON AVE_Building__ `• A ROAD DEPT. PER100T IS REQUIRED
FOR ANT` MATERIAL STCRAG� W V:ORY,
DONE IN THE ROAD RIGHT OF WAY.
APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY 64
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN. Sur'T OF BUILDING CROSS ST. _ �-
DISTRICT NO, GROUP TYEW P O FBSED
FOR APPLICANT TO FILL IN CONST. n
BUILDING STATISTICAL CL_FWSIFICATION I SEWER �AP
ADDR E55 7 7 {Q/ 9IC_j` P�'
CLA55.+N�O.__q OW ELL. UNITS �,� ,
LOT NO, �/:S�2 / t7 /� BLOCK NUMAPMBER Ol-Q V HWYE
}� VES O
TRACT c.J USE ZONE SPECIAL
V BLDGS. CONDITIONS
SIZE OF LOT /� NO.OF NOW ON LOT �-
USE OF
EXISTING DG BUILDING EXIST.
SETBACK YARD STREET NAME WIDTH
OWNERMAIL C /Ge�ff FRONT
ADDRESS f`+ vEP- SIDE / `w
TEL. P.L
CITY NO. INSPECTION RECORD,
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESSz AlaJN ENOL
CdNTRACT
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. NO, OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION q,,
1-111-5. MATERIALS �/-R 7��0 lk
VALUATION $ SL�--d FRAME: FIRE STOPS,
BRACING,BOLTS
a...C) FURNACE: LOCATION,
F E S FEE $ �-I GAS VENT, DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT.
PLICATION AND S1.4 TE THAT THE ABOVE IS CORRECT AND
AGREE TO CO 1 COUNTY O bINANCES AND
STATE LA .BUILDING ONSTRUCTION. LATH, EXT.
SIGNATUR 1 r HOUSE NUMBER COR-
PERMITTE i RECT AND POSTED ,( O /� /J
ADDRESS FINAL _4 a-I l /Y
71
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN8rxBER
PLAN CHECK VALIDATION CK M.G. DAs" PERMIT VALIDATION c" m:0. AAs"
LUr9790 APR25 1 A 3.00 0 ®,
I ♦ / T
76A633A CEA5033-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY \
JOHN A. LAM BI E. COUNTY ENGINEER NEAREST e
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYP SEED BY
FOR APPLICANT TO FILL IN cON
BUILDING G 8 , N• ,8l1RTON• 5'• GAQRiE S ATISTICAL CLASSIFICATION S WER MAP
ADDRES BK „PG'
CLASS. NO. DWELL. UNITS oL�
LOT NO. (] ' BLOCK WATER ly.
CERTIFICATE: NOT REQUIRED I ld RECEIVED
TRACT N. S a3 PA 6E S NOP I& I 11CIRAWAI CLEI I Yw
NO. OF SLOGS, q STATE MAJOR SECOND, LOCAL
SIZE OF LOT - z 3 NOW ON LOT AG USE ZONE SPECIAL
USE OF
EXISTING BLDG. T� r• RENTALS• o?
/ CONDITIONS
OWNER m• C• Q� NO S OL BUILDING EXIST.
6/6 aGn�olc� 'S. GA,6R/El- SETBACK YARD HWY STREETNAME WIDTH
ADDRESS FRONT 1�/jl
ARCHITECT OR TEL. P. L. �J V
ENGINEER NO. SIDE
P. L. T
ADDRESS _ //� // y
CONTRACTOR WNE NO. I , `Y N
1
ADDRESS ` 6 0
DESC PTION OF WORK �iA-"
Za a
MmIJ. ADD Ati6R
SQ. FT. NO. OF NO. OF ?
SIZE STORIES f FAMILIES
USE OF
STRUCTURE Q
SIGNATURE OF /iJ/1� Q
APPLICANT_= L-CL Ue^
VALUATION $ / QQ.6" /
APPROVALS / A EE-' INSPECTOR 5 SIGNATURE
P.C. PMT. S� FOUNDATFORMSLONMATERIALSIO/�
FEE $ FEE $
`^ FRAME: FIRE STOPS.
HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE E COMPLY FURNACE: LOCATION,
WITH ALL COUNTY TION INCE5 AND STATE LAWS REGULATING EATING GAS VENT. DUCTS
ABULETIJTH.NG CONSTRUCTION. CERTIFY THAT IN DOING THE WORK '
TION
THE
HLABOREBY WILL NOT EMPLOY ANV PERSON IN VIOLARELAT. LATH. INT. // �/ /��/I
TION OF THE LABOR CODE SA THE STATE NC CALIFORNIA RELAL IJ
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
SIGNATURE OF n a HOUSE NUMBER COR-
PERMITTEE C RECT AND POSTED y
A DDR ESS FINAL �/
JOHN F. LEWIS.�PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATIONcK. M.O. CASH
L,II>oe18 7'� APR28 1 h 11 .50
t��
• I
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING-
FOR
�
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL INA FOR OFFICE USE ONLY
BUILDING DISTRI NO. PLANCK. NO. PERM IT NO.
ADDRESS n A 1 __ ,
RECEIVED BY GATE OF APPL. DATE ISSUED
LOCALITY
NEAREST _ `T
CROSS 6T, i� AI �e- N b'96� ADDRESS 6 -1-
OWNER � -kms
"
MAIL LOCALITY
ADDRESB NEAREST
TEL. r CROSS ST.
CITY -- NO. ZFIRE NO. OF ONE I PLANS I TY� GFI_tR
ARCHITECT OR TEL. 1
ENGINEER NO. BLDG. � t
v1pt .
-SET.
ETBACK LINE / /- C
ADDRESS APPROVED /
BY DATE
CONTRACTOR ( i�1�� //� J NO. L' ,(Y R USE APPROVED
ZONE BY DATE
ADDRESS 1h i I_•> F'/I1IG''' /I/ //'� I HOUSE NUMBERING
LEGAL
DESCRIPTION I LdTfl I BLOCK MAP NUMSE �o FIELD CHECK BY
TRACT <5itr 4-57 D 3 NO. ASSIGNED BY DATE
rvO. OF BLDGS. _ CORRECTIONS
SIZE OF LOT A,- Z I NOW ON LOT
USEOF nr NO.
- EXISTING BLDG.
DESCRIPTION OF WOAX
NEW •,I ALTERATION I I ADDITION1
y
O
REPAIR I I DEMOLITION I I D
SO. FT. NO. OF
SIZE 130
ROOMS STORIES / Z
EXT. WALL /pJ ROOF /• P
COVERING CSI �p/ COVERING
USE OF STRUCTUR
71,
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATEBRACING, BOLTS 3 �Z
LAWS REGULATING BUIL CO ISTRUCTION. FURNACE: LOCATION,
SIGNATURE OFGAS VENT, DUCTS
P6RMITTEE,�
_ f S9e_— LATH, INT.
ADDRESS ,
AUTHORIZED AGT, !! I& /I// C 'I LATH, EXT.
PLASTER, INT.
18A838A• 0004 10-80 .Q P. C. $
® o-p FEE PLASTER, EXT.
1
VALUATION FEE $ Sa FINAL
I