HomeMy Public PortalAbout6262 BURTON AVE_Building__ � 1
7BA638A CE 9 803 6-62APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 114
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST.
- DISTRI NO. GROUP PE P ESSED BY
FOR APPLICANT TO FILL IN ONST.
BUILDING / ST TISTICAL CLASSIFICATION B WER MAP
ADDRESS (7, K
CLASS. NO. DWELL. UNITS --/
LOT NO. S Q/ -dJ7am BLOCK WATER sa -V
J,"
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT Jj MAP HIGHWAv
NO.OF SLOGS. NO.pL[JV� (CIRCLE) STATE MAJOR SECOND, OC
SIZE OF LOT- NOW ON LOT USE ZONE SPECIAL '
USE OF CONDITIONS
EXISTING B G.
Y TEL6L// p
OWNER N (��G BU LCIING EXIST:
SETBACK YARD HWY STREET ME WIDTH
ADDRESS FRONT Q,i�
ARCHITECT OR TEL P. L. �"C/
ENGINEER NO. . SIDE -- -
P. L. O
ADDRESS GRADING PERMIT RE Ou
TE q.
mzz
CONTRACT N O-7 ROUGH GRADING APPROVWi
ADDRES I - 0
DESCRIOTIOfq Oe WORK
_ w
o_
NEW ADD ALTERAIR DEMOLISH
SQ.-FT. - NO. NO. OF ?
SIZE_ STORIES FAMILIES -
USE OF
STRUCTU
eV
SIGNATURE OF
APPGCANT
VALUATION $ �~b
APPROVALS DATE INSPECTOR-5 SIGNATURE
FEC.E $ / FEE $ d G FOUNDATION: LOCATION
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 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 COO HE STATE OF CALIFORNIA RELAT-
I NG TO WORKMEN'S COM P ATI IN RANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE / / RECT AND POSTED
ADDRESS
FINAL
JOHN F. LEWIS, PRINCIPAL ST_Pj.)CTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH I_ PERMIT VALIDATION( c - M.G. CASH
LA06 i 9.7 a G OCT 2 9 1 A 6.00—
a
75A638A SCE 0803 1/71
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
2COLEBUILDING AND SAFETY DIVISION nu'LD'N .2—
COLEMAN
MAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST ONd�rY
Print or type only) CROSS ST.
BUILDING .T �( DISTRICT NO. GR TYPE O
ADDRESS CONST.
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. S- '- 5 2- BLOCK
CLASS NO �DWELL UNITS_ BK PG
TRACT j'inp 3 USE ZONE MAP /11
NO.OF SLOGS. NO, l/
SIZE OF LOT 0 NOW ' LOT SPECIAL
USE OF - CONDITIONS
EXISTING BLDG. -
EL.
OWNER NTO. -ISP
BLDG.SETBACK FROM
A ODR ESS FRONT PROP,LINE OF - - (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITYHIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL_. } _
ItlENGINEER NO. '
BLDG.SETSACKM
ADDRESS SIDE PROP. LINE OF (STREET)
Y
TEL. TYPE OF EXISTING SETBACK [PlltWAY } YARD = TOTAL O
CONTRACTOR Wee NO. HIGHWAY WIDTH FROM C.L.
U
LIC.
ADDRESS NO = CD
LIC.
CITY CLASS '
CORNER CUTOFF YES ❑ NO ❑ 1
CONSTRUCTION LENDER y
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ?
ADDRESS
SIZE
NO. OF NO. OF NEW ❑ 71 / `'
SIZE STORIES FAMILIES
USE OF AOD GI/ G
STRUCTURE
ALTER ❑
SI NATU E OF p REPAIR❑
PLIC NT 77" [ DEMOL ❑
VALUATION S APPROVALS ATE INSPECj0N'$ SIGNATURE
P.C. PMT, FOUNDATION: LOCATION y
FEE S FEE SL3 /I FORMS, MATERIALS ! ��
FRAME: FIRSTOPS,
I HEREBY ACKNOWLE0GE THAT 1 HAVE READ THIS APPLICATION BRACINGE BDLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, F
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS '
ST RUC TI ON. I'CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. '
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE OF �17i>� L HOUSE NUMBER COR-
PERMITTEE / L 111 Q2L/�C RECT AND POSTED
ADDRESS FINAL 9
r
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK, N.O. CASH _ PERMIT VALIDATION «. M.D. CASH
r� 1 5 3 5� jUL21 1 A 3 7.00~ `Z