HomeMy Public PortalAbout9037 CALLITA ST_Building__ 76A..SA CE#809-8_57 APPLICATION FOR BUILDING PERMIT-
COUNTY OF LOS-ANGELES BUILDIN '
DEPARTMENT OF COUNTY ENGINEER nDDREss,
BUILDING AND SAFETY DIVISION LOCAUTv1
JOHN A. LAMBIE,COUNTY ENGINEER NEAREST T. I J.
^'
CASSATTD.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT GROUP TYPE SEWER AP
FOR APPLICANT O FILL 3N '
TICONS 6 �P_BUILD ;
.ADDREISS 9037 -Callita STATISTICAL SSIFICATION
CLASS.NO. DWELL.UNITS
LOT NO, BLOCK MAP ' STATE
NUMBER D(/ -� HWY. YES" NO
TRACT y USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. - BUILDING YEXIST.
Frank. qq 2fSETBACK ARD HWY STREET,NAME WIDTH
OWNER FranLt' . GrDss FRONT
MAIL P.L,
ADDRESS Same
CI San Gabriel• TEL. P.L,
NO,
INSPECTION RECORD
A RCH ITECT OR TEL.
ENGINEER NO.
ADDRESS - -
n C TEL.
CONTRACTOEtionarChfE. (N
ADDRESS 611 .STR. fair Oaks -
DESCRIPTION OF WORK
1
*NEW ADD ALTER REPAIR DEMOLISH
Sq.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
SE OF ST'l CTIRE -
r M pP a rl oT17\l< R++ !I
tapered shakes with 30# fait be ;
Vd?<aAVURFURridge back apply '1.Butt APPROVALS
APPLICANT - 4 DATE INSPECTOR'S SIGNATURE
ADDRESS UUNDATION: LOCATION
Q .•=FOR MS,MATERIALS
S �f rid �� _ P.C. $ FRAME: FIRE STOPS.
nn FEE - BRACING. BOLTS
VALUATION$ 99 $ FURNACE: LOCATION. _ -
- FEE �'�Q� GAS VENT.DUCTS
1 HEREBY.ACKNOWLEDGE THAT 1 HAVE READ T IS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWSREGUIL�ATING BU DING CONSTRUCTION. LATH. EXT.
SIGNATURE OF !//J � �'�o f/p HOUSE NUMBER COR.
PERMITTEE / / — RECT AND POSTED
ADDRESS FINAL 2 / "". I• YL+.tV.GGI
JOHN A. LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PIAN CHECK VALIDATION CK. M.O. CASH PERMIT.VALIDATION K. m.o. CASH
..J�,0 7 6 6 411; SEC. 8 1 6.0 D
APPLICATION FOR Il
BUILDING PERMIT
BUILDING
FOR�APPLICANT TO FILL IN ADDREss q03- _
BUILDING
ADDRESS ` LOCALITY - - -'
NEAREST
CITY - - j ZIP �.� �� CROSS ST.
NO.OF BLDG5. ASSESSOR Q
SIZEOF LOT L(� NOW ON LOT MAP BOOK .S �d I PAGE aS J PARCEL
DISTRICT GROUP TYPE �— FIRE PR ESSED BY
TRACT BLOCK Z LOT NO. =' CONST. v ZEE.
. .. ` TEL _
OWNER _ V c NO. 2 TJ TATISTICAL CLASSIFICATION SEWER MAP'
ADDRESS -' CLASS NO. DWELL.UNITS BK )dJPG
CITY - ZIP - USE ZONE I MAP
n NO.
ARCH IT ECT OR TEL /F!. /� SPECIAL
ENGINEER r NO. " % CONDITIONS .
ADDRESS - ROADDEPARTMENT APPROVAL REQUIRED YES ❑ NO❑
iEL.
CONTRACTOR - - O. - BLDG.SETBACK FROM
LIC FRONT PROP.LINE OF (STREET)
ADDRESS NO. TOTAL SETBACK FROM TYPE OF EXISTING
LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
CITY CLASS
CONSTRUCTION LENDER - + O
NAME AND BRANCH - BLDG.SETBACK FROMu
ADDRESS CITY SIDE PROP.LINEOF _ ISiREETI O•
50.FT NO.OF- NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING V
SIZE 1 STORIES FAMILIES ONE SIDE PROP,LINE JHIGHWAYJ WIDTH i
y
❑ + = Z
'DESCRIPTION OF WORK -
' ADD ❑ CORNER CUTOFF YES ❑ NO ❑
ALTER ' IN OPEN SPACE YES ❑' NO ❑
USE OF _ REPAIR ❑ IN COASTAL PERM.
i ZONE YES ❑ NO ❑
.EXISTING BLDG. DEMOL ❑ / )
APPLICANT
IPRINTI
. 'f vv //\ T•
BY ISIGNATUR
HEREBY ACK EDGE THAT HAVE READ iH15 APPUCATI TATE _ �/1 , ,Y / /! '.'11 /n
iHAi THE ABOV CORRECT AND AGREE TO COMPLY WITH A ANI V y
AND LAWS REGULATING BUILDING CONSTRUCTION. CERTIFY iHA DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF / 1 1 Y / N��F1//"
THELABORCODEOFTHESTATEOF CALIFORNIA iN RELATING TO WORKMEN'5 COM. �T -
PENSATIONINSURANCE. a
SIGNATURE OF FINAL IBy
PERMITTEE DATE
ADDRESS 27�a�
TEL. P.C. Fee'$ .Permit Fee
CITY NO.
j.'. Issuance Fee 0
VALUATION
Total Fee 0 n
"PLAN CHECK VALIDATION cK. m. CASH PERMIT VALIDATION • CK. M.O. ueH
302nfiR s3 ' 1 'D_,` . 34'.00 ;
(d5 76A638B CE/803B 6/77 `