HomeMy Public PortalAbout5336 BUTTONS AVE_Building__ - APPLICATION FOR BUILDING PERMIT Il
FOR APPLICANT.TO FI N (Print or type only)
BUf[DING COUNTY OF LOS ANGELES
ADDRESS t DEPARTMENT OF COUNTY ENGINEER
CITY ZIP
BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING //
SIZE OF LOT NOW ON LOT ADDRESS `7 1' LGr�P�
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TRACTO OR77 BLOCK 'LOT NO. LOCALIT _ �L
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owN NEAREST
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ADDRESS p;�(LY//�[ MAP BOOK PAGE PARCEL
CITY yQ./ ZIP
DISTRICT
Q G P TVP ST FIRE R SSED BY
ARCHIT TEL
ENGINEER NO. STATISTICAL CLASSIFICATION SEWS Al
ADDRESS L. CLASS NO. 3/ . DWELL.UNITS BK PG
CONTN�
`Y' USE ZONE N'6 _'/
LIC. n �x-CJ
ADDR Q�µ' SPECIAL
LIC. CONDITIONS
CITY l CLASS
CONSTR TIO LENDER ROAD DEPARTMENT APPROVAL REQUIRED VES ❑ NO ❑
NAME AND BRANCH BLDG.SETBACK FROM
ADDRESS _ CITY FRONT PROP.LINE OF (STREET)
_ HIGHWAY + YARD _ TOTAL SETBACK FROM TYPEOF EXISTING
so FT NI N ALLIES
CHECK FRONT PROP.LINE HIGHWAY WIDTH
SIZE STORIES (LIES ONE
DESCRIPTION WORK NEW +
O
ADD ❑ BLDG.SETBACK FROM
SIDE PROP.LINE OF (STREET) O
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING U
HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH N
USE OF REPAIR ❑ Z
EXISTING BLDG. DEMOL ❑ +
APPLICANT - TEL CORNER CUTOFF VES ❑ NO ❑
IPRINTI NO.
IN OPEN SPACE YES ❑ NO ❑
BY ISIGNATUREI
C� IN COASTAL PERMIT ZONE YES C3 NO C:]VALUATION Q — P2_75'5-
HEREBY!NN'URA
ACKNOWLEDGEOPHAVEA MP PITH ALLN AND STATE �•/THAT THE AVE 6 CORK OMP LTH ALL ORDINANCES
ANOLAWS GULATING B N. R FY THAT IN DOING THE WORK AUTHRIZED HER I Y P N IN VIOLATIONOFCDE OF i TATELATI G TO WORKMEN'S COM
PENSATION -
PERMITTEE _
ADDRESS
FINALBY
TEL.CITY NO. DATE //
MAKE CHECKS PAYABLE TO: F E $ '� / F Ei $
HARVEYT.BRANDT•COUNTY ENGINEER y�, 3�.
79
"VII'ANCHECIC /At1�ATlON a.o. cnsH _ / PERMIT VALIDATION j �.o. CASH
I IO ERl9T"-1 m
2A5
— 5 ,0-4�, IAY 16 1 U `] 9.0 0 e'ss
�LICY HOLDER;�`L`_ � +,:i.-o G, - - • - '
76A636A CeBB7t8-61� APPLICATION FOR BUILDING PERMIT _
COUNTY OF LOS ANGELES BUILDING 3 , 1. OA/S Ye.
DEPARTMENT OF COUNTY ENGINEER ADDRESS I
BUILDING AND SAFETY DIVISION LOCA LJ Tr L'�¢
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST - -
COLEMAN W. JENKINS,SUP T.OP BUILDING CROSS ST.
DWI
NO. G TYPE
, PRO 95EO
FOR APPLICANT_TO'FIL_ L IND
t . WI 01 CONST.
STATIBUILDING 53 "'Z., S 1�VC. CLASSSNO.AL C DWEILL UI
NITS SOWER MAP
PG
ADDRESS SJ
LOT NO. C� S BLOCK USES ONE MAP ,
�! V
N
TRACT SPECIAL
1 N0. OF GLOSS: U CONDITIONS
SIZE OF LOT I 5 NOw ON LOT -
USE OF - - -
'XISTING 1 O BLOB. SETBACK FROM
TEL, {U� FRONT PROP. LINE OF (STREET)
OWNER t LAI, NO. dD TYPE OF EXISTING .SETBACK HIGHWAY } YARD = TOTAL
'ADDRESS 3 N 1 HIGHWAY WIDTH FROM C.L.
CITY GJVII ^J,C. ♦�� ' ✓!`�'. + Q /
ARCHITEC OR 1�
ELI. BLDG. SETBACK FROM _
ENGINEER y'� hO. �1 b1 SIDE PROP. LINE OF (STREET)
l TYPE-OF EXISTING SETBACK HIGHWAY -+ YARD = TOTAL
ADDRESS yam, S IA' HIGHWAY WIDTH FROM C.L.
TEL. + _ .0
CONTRACTOR NO I I u
LICCORNER CUTOFF YES NO E] CC
ADDRESS NO. O
clTr Lac -SEE REVERSE SIDE FOR SPECIAL APPROVALS U
DESCRIPTION OF WORK t �n �/� Dile rD ���� �t�2ar `a
) Z_
NEW ADD .ALTER REPAIR DEMOLISH
SO.FT. c� NO. OF NO. OF
SIZE .J 6TO RIES FAMILIES %� - AA4 -
USE OF • .,L CA 7
STRUCTURE
7 t4
SIGNATURE OF-_
APPLICANT . _ �F�.1 L�, �1.� dr (a - - - F / '
VALUATION$ o OO♦ \ /
APPROVALS 9ATE, INSPECTOR'S SIGNATURE
Q. r�s� FOUNDATION, LOCATION
F E$ FIE$ . (/ IJI/ FORMS, MATERIALS
FRAME, FIRE STOPS,
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT '2 S�
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR COOC OF THE STATE OF CALIFORNIA RELAT-
INGTO WORK M EN'S COMPENSATION INSURANCE. LATH, EXL I
SIGNATUREOF Q .HOUSE NUMBER COR- _
PERMITTEE - =U ^� 0.'w �"� RECT AND POSTED A
ADDRESS �311r t�IKAL - hs Jn FINAL A
JOHN F. LEWIS. PRINCIPAL STRU RAL ENGINEER
. PLAN CHECK.VALIDATION N. M o. CASH _ PERMIT VALIDATIONcK. M.D. CASH
L�i�.,o 0 2 3 9G AeR 2 1, D '1 8.5 0—
I
ZJ
76A6SPA DDS-3 5-66
APPLICATION FOR BUILDING PERMIT[__ �.
DIVISION OF BUILDING AND SAFETY BUILDING
Department of County Engineer ADDRESS ✓✓ ✓✓ '✓
County of Los Angeles LOCALITY
WM.J. FOX. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN. SUWT OF BUILDING CROSS ST.
DISTRICT N0. GftOUP TYPE 9E BK MA PG .
FOR APPLICANT TO FILL IN .a✓JJ/��� 1
.BUILDING r / � � / LCON9T. ��
ADDRESSV��(t l�V�v�- t NUMBER � �p STATE YBi NO
HWY
LOT NO. BLOCK USNE SPECIAL
usCONDITIONS
TRACT �0
NO. OF SLOGS. BUILDING MST.OF LOT �G�- NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
USE _ FONT
EXISTITI R
NG BLDG. FRONT
4
OWNER q /f P. L.MAIL
^_
ADDRESS 5-0 iC Q^fi�N P O TRACT DWELL. I UNIT 5 INDUSTRIAL
'.0714 /pqF TEL: 1 WELL. I UNIT
CITY y,F 6/ A NO. B PUBLICBLDG.'/
e 2 DUPLIX I UNIT
ARCHITECT OR TEL. 7 ADDN., ALT:'ETC.
ENGINEER NO. 3 APT. _UNITS `
8 MISCEL.
ADDRESS- 4 COMMERCIAL
/v/•�
TEL. INSPECTION RECORD
CONTRACTOR/9 / L
No.
1 �
ADDRESS !2;1= 2- - �i�'�L./V 1 - 'M I % Gr •K
AdOpkp
DESCRIPTION OF WORE
NEW ADD kLTER REPAIR DEMOLISH
so. FT. - NO. OF NO. OF
SIZE STORIES FAMILIES
SIGNATURE
APPLICANT APPROVALS
ADDRESS DATE INSPE TOR'SSIGNATURS
FOUNDATION: LOCATION t
FORM,. MATERIALS
CR FEE / FRAME: FIRE STOPS.
BRACING'
.BOLTB
VALUATION
FEE / FURNACE: LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT,DUCTS S f I ,1
.APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND ,TATE LAWS REGULATING BUILDING CONSTRUC-- I
TION. LATH. EXT. 1
SIGNATURE OFHOU BENUMBER COR-
PERI t� I RECT AND POSTED
ADDRESS FINAL to '$ce LA T
®WM.J.FOX,COUNTY ENGINEER VALIDATION C.N. DI LAM.CHIEF BLDG. INSPECTOR
! ,,A&;3,,7' 9 4u ,MAR 6 16
1 9.0 0 k;Co 3 7 95 MR 6 1 3. 8.0.0 i