The URL can be used to link to this page

Home My Public Portal About6047 CAMELLIA AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Frin,or type only) --AUMMMdlr BUILDING COUNTY OF LOS ANGELES A DDREls , DEPARTMENT OF COUNTY ENGIN'= CITY IP BUILDING AND SAFETY DIVISION Q��O. BLOGS. BUILDING � SIZE OF LOT /le NOW ON LOT J ADDRESS D K7 2e SLO TRACT " LOT ! / LOCALITY TE NEAREST OWNER N G�j CROSS ST. ADDRESS �•— ASSESSOR G ( MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE R SSED BY CITY ZIP CONST ZON ` ARCHITECT OR TE -:91 d ENGINEER N STATISTICAL CL�ASSIFICA TION SEWER4P ADDRESS V ( / CLASS NO.I/�:;? DWELL.LIN B Kp p CONTRACTO T Q O U ZONE NO. O ADDRESS LI �� SPECIAL LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION L t NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) Y• ADDRESS TY TOTAL SETBACK FROM TYPE OF EXISTING U HIGHWAY } YARD SQ, FT ,•V NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE [ { STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ �j ❑ BLDG,SETBACK FROM W DD SIDEPROP.LINEOF (STREET) V) z LTER HIGHWAY } YARD OTAL 9ET CK FROM TYPE OF EXISTING = EPAIR❑ SIDE PRO LINE HIGHWAY WIDTH USE OF } _ EXISTING BLDG. EMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) N0. IN OPEN SPACE YE9 ❑ NO ❑ DY (SIONATUR E) t IN COASTAL ZONE YES ❑ O ❑ VALUATION Y 1 CATEGORICAL EXEMPTION YES❑ NO ❑ 1 HEREBY ACKNOWL DGE THAT I KAYE READ NIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMELY ILpED ACT EXEMPTION DECLARATION SIGN1'DATQ) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY OF THE LABOR CODE OF THE ST ATING TO /d WORKMEN'S COMPENS (� SIGNATURE PERMITTEE ADDRESS it , FINAL 7 BY TEL DATE Ll CITY NO. Q ILIKE (.11L(.KS PAYA13LE T F E F FEE HARVEY T. BRANDY, COUNTY ENGINEER / -7 L)0 CJ 3z PLAN CHECK VALIDATION CK. M.O. CAIN _ PERMIT V ATION CK. M O. CASH ^ 3 7 ._ 7eA83eA CE-0803 IziTx � n APPLICATION FOR BUILDING PERMIT + FOR APPLICANT TO FILL IN (P'i.;0;TYp• only) FGI NG COUNTY OF LOS ANGELES SS OT - DEPARTMENT OF COUNTY ENGIII= BUILDING AND SAFETY DIVISION NO. BLDGS. BUILDING OF NOW ON L T ADDRESS D / L•'•� i V S fU BL K �` LO QIf LOCALITY , TE _ NEAREST / i NO CROSS ST. r ASSESSOR SS MAP BOOK PAGE PARCEL DISTRICT IGROUPITYPE FIRE �72SSED BY ZIP CONST, ZONE ECT TE s Q ER N STATISTICAL CLASSIFICATION SEWER P SS CLASS NO. Q OWQLL.UNIT'S BK G CTOR - TE NO. 'f USE ZONE MAP / LIC. NO. ADDRESS NO.LIC SPECIAL LIC, CONDITIONS CITY CLA35 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LEN � r NAME AND BRANCH BLDG- ETBACK FROM U` FRON PROP.LINEOF (STREET) ADORES � r4�L CITY _ TOTAL SETBACK PROM TYPE OF IJ(ISTING SQ. FT. U I�- NO. OF NO. OF CHECK HIGHwA } YARD - HIGHWAY WIDTH FRONT PROP. LINE OC SIZE j•• STORIES FAMILIES ONE �O DESC RIPTION CF WORK f - NEW ❑ W DD ❑ BLDG.SETBACK FROM N SIDE PROP.LINE OF (STREET) Z ALTER ❑ OTAL SETBACK FROM TYP EXISTING f; ,r HIGHWAY } YARD �. EPAIR❑ SIDE PROP. LINE HIGHWA WIDTH USE OF - } _ EXISTING BLDG. EMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. - BY (SIGNATURE) _ ._ _ IN OPEN SPACE - YES ❑ NO ❑ IN.COASTAL ZONE YE3 ❑ NO t ❑ - VALUATION Y v / CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREST ACR DSE THAT I HAVE READ T 12 APPLICATION ENVIRONMENTAL AHD /TATE THAT T NOW ABOVE 12 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSIED (D ATI) HEREBY 1 WILL NOT EMPLOY 1!n' PE NI VIOL K F TH LABOR CODE OF THE STP DF S 0 WORKMEN'S COMPENlAj W ULAN E SIGNATURE OF ! PERMITTEE -e-� ADDRESS TFINAL j Y EL. ` q CITY NO DATE /1 . 11.1KE (.IIL(.KS PAYABLE '10.- FEE $ FEE HARVEY T. BRANDT. COUNTY ENGINEER Y7 PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT V ATION rc.. ) M O. CASH 70A638ACE+BO3 12/72 •} -- - - - - .J --- APPLICATION FOR BUILDING PERMIT FOR APPLI ANT TO FILL IN (Print or' type onIY) BUILDIN f COUNTY OF LOS ANGELES ADDRE5 7 it ir DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFETY DIVISION Q�bF BLDGS. BUILDING )(♦ SIZE OF L�O^T/.5O NOW ON LOT ADDRESS TRAC J (� BLOCK L )%P" LOCALITYNEAREST ` OWNER CROSS ST. ' ASSESSOR ADDRESS MAP BOOK I PAGE PARCEL DISTRICT GROUP TYPE FIRE SED Y CITY ZIP ONST. ZONE N, ARCHITECT O T S(Q 3 ENGINEER STATISTICAL CLASSIFICATION SEWER MAP ADDRESS e5144rll CLASS NO��WELL,UNITS B CONTRACTOR TE 0 USE ZONE MAP G� f LIC. NO. O ADDRESS nol/ SPECIAL LIC. CONDITIONS CITY CILA SS ROAP DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LEN NAME AND BRANCH B DG.SETBACK FROM F ONT PROP,LINE OF (STREET) ADORES TOTAL SETBACK FROM TYPE OF O H GHWAY + YARD EXISTING HIGHWAY WIDTH SQ, F� NO. OF NO. OF CHECK FRONT PROP, LINE V SIZE STORIES FAMILIES ONE =14 44 DESCRIPTION OF WORK t4Ew DD ❑ BLDG.SETBACK FROM d SIDE PROP.LINE OF (STREET) i ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYP F EXISTING EPAIR❑ SIDE PROP. LINE HIGHW WIDTH USE OF + —_ EXISTING BLDG, DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PR NT) NO. BY (SIGNATURE) _ _ _ IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION� f CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Fi NYIRONMENTAL AND STATE THAT THE ASOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLATIdN OF THE LABOR CODE OF THE STATE,OF CALIFORNI,E ATINe TO WORKMEN'! COMPENSATIO TN f SIGNATURE OF PERMITTEE �~ ADDRESS FIN BY TEL. CITY NO. DATE 7 L �� %IAKE (.111-(.1v Pelf:)HL lo: FEE FEE $ _ HARVEY T. BRANDT. COUNTY ENGINEER SSV ) / 6I �} �h PLAN CHECK VALIDATION cK. CASH _ PERMITATIO CK. M O. CASH 75A838A CE 80 /11 APPLICATION FOR BUILDING PERMIT FOR AFSPLICANT TO FILL IN (Print Or ,,D@ .1y) BUILDINGCOUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY' ENGINEER CITYZ,P BUILDING AND SAFETY DIVISION ON F BLDGS. BUILDING �7 SIZE OF LOT _ N ON LOT C ADDRESS � / f Z� TRAC-6 t SSD BLOCK • LOCALITY T NEAREST OWNER Q CROSS ST. G ,y ASSESSOR ADDRESS MAP BOOK PAGE IPARCEL DISTRICT I GROUP JTYPE 4FRE OC ED BY CITY ZIP c CoNST' I Z RE ARCHITECT ORTE O �O g ENGINEER STATISTICAL CL ASSIFICATION SEWER MA ADDRESS CLASS NO_4.2 SI�ZDWELL.UNITS 13 KIC P CONTRACTOR �C EL 3 USE ZONE MAP ADDRESS LIC, NO• U NO, SPECIAL LIC. CONDITIONS CITY CONSTRUCTION LEN CLAS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ �" / NAME AND BRANCH X�fCf.� LD .SETBACK FROM FRO T PROP.LINE OF (STREET) iLr ADDRESS TY _ TOTAL SETBACK FROM TYPE OF EXISTING ` SQ, FT NO. OF NO. OF CHECK HI Y + YARD - HIGHWAY WIDTH SIZE STORIES FAMILIES ONE - FRONT PROP. LINE Cc DESCRIPTION OF WORK NEW ILw DD E] BLDG.SETBACKFROM SIDE PROP.LINE OF (STREET) Z LTL�R ❑ H 16FiWAY + YARD _ TOTAL SETBACK FROM OF EXISTING EPAIR❑ SIDE PROP. LINE HIY WIDTH USE OF __ EXISTING BLDG. EMOL +❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. - CY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ VALUATION it IN COASTAL ZONE YES ❑ NO ❑ ' ] � ❑ I HERESY ACKNOW [DSE THAT I HAVE READ THIS APPLICATION [NVIRONM[NTAL CATEGORICAL fJ([MPTION YES NO E]AMD $TAT[ THAT THE ABOVE IS CORRECT AND ASR[E TO COMPLY IMPACT EXEMPTION D[CLARATION SIGNED (DAT[) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HERESY I WILL MOT EMPLOY ANr PER ON 1 I N THE CODE THE 1TATf/O TO WORK VORI(M[N'$ COMM PS NSATI !� fV�/C•( 1 SIGNATURE OF PERMITTEE ADDRESS FIN TEL. BY CITY NO DATE ,� L %LlKhh' (.!(ELKS P:11'.-1/iLE 7'0: FEE $ FEE HARVEY T. BRANDT. COUNTY ENGINEER I, PLAN CHECg VALIDATION K. M O. CADH _ PERMIT VALIDTI. N cK.' M O. CASH =+ CG ,3 3 .M25 2 234 .45 n 4 76,A638A CE•S03 12/72 •J I .,_1 G'-� J .� APPLICATION FORBUILDINGPERMIT FOR APPLICANT TO FILL IN (Print or type "JyjQLD BUILDING "1••111 V• COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGIIVEER CITY ZIP + BUILDING AND SAFETY DMSION r NO.OF SLOGS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS I TRACT BLOCK LOT NO LOCALIT TEL NEAREST OWNER 0. CROSS ST. L l ADDRESSASSESSOR MAP BOOK PAGE PARCEL D STRICT GROUP TYPE FIRE P OCE59ED BY CITY ZIP 0 T CONST. ZONE ARCHITECT OR ENGINEERNO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO OWELL.UNITS TEL BK PG CONTRACTOR USE ZONE MAP Q . L ADDRESS NO ICNO. SPECIAL CITY LIC. CONDITIONS CONSTRUCTION LENDER CI_ASS ROAD DEPARTMENT APPROVAL REQUIRED YE NO 0 -NAME AND BRANCH BLDG.SETBACK FROM ADDRESScITY FRONT PROP.LINE OF (STREET) SQ. FT. NO. OF NO. OF CHECK HIGHWAY } YARD = TOT_A SACK FROM TYPE OF EXISTING O SIZE STORIES FAMILIES ONE ONT PROP. LINE HIGHWAY WIDTH CO DESCRIPTION OF WORK NEW ❑ } S DD ❑ ISLDO.SE CK FROM w SIDE LINE OF (STREET) ALTER ❑ H IGHWA } YARD TOTAL SETCACK FROM TYPE OF EXISTING i USE OF EPAIR❑ } SIDE PR !•. LINE HIGHWAY WIDTH _ O EXISTING BLO EMOL ❑ APPLICANT tlo EL CORNER CUTOF YES ❑ NO (PRINT! N0. BY (SIGNATUR IN OPEN 'SPACE YES � NO IN COASTAL ZONE YES NO VALUATION t� CATEGORICAL EXEMPTIONYES NO 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 12 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY ON I VI T E LABOR CODE OF THE STAT G TO WORKMEN'S COMPENSAT �C L SIGNATURE OF PERMITTEE �) + ADDRESS .C/ S1- �nJ FINAL BY CITY X__ NOL �1- �{ DATE Z! .%LiKE CHECKS I'.-l}A13LE To: R.C. � PMT. HARVEY T. BRANDT. COUNTY ENGINEER FEE FEE PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 426 ..^:. 22.3 a - 1 6.80 • aIi f 76A838A CE*807 12/72 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) 'fl B UILDING C COUNTY OF LOS ANGELES `t DEPARTMENT OF COUNTY ENGINEER e +---L � z BUILDING AND SAFETY DNISION NO.OF BL S. BUILDIN LOT NQW ON LOADDRESLOCK LOT NO LOCALITTEL. NEARESNO ) / CROSS ST, OeASSESSOR S MAP BOOK PAGE PARCEL (STRICT OR PE FIRE SED BY ZIP tSZONE ECT OR TEL.R NO. STATISTICAL CLAAS,�SIFICATION WER MAS CL4SS NO. LDWELL.UNITS fEK TEL,96,CTORAA w, I ^� / U USE ZO22NE OP S ADDRESS 3U N L.a /? .rte/ L /{c7 `,,,J CONDIIT ON3 CITY LIC. r CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONS RUCTION LE R NAME AND BRANCH BL G.SETBACK FROM FR NT PROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING GU HIGH AY + YARD HIGHWAY WIDTH SQ, F NO. OF NO. OF � CHECK FRONT PROP. LINE SIZE STORIES FAMILIES ONE C= _ — CD DESCRIPTION OF WORK NEW r5 DD 2 LOG.SETBACK FROM a- SIDE PROP. LINE OF) ? ( S �I TER ❑ HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE EXIDTIHG (� PAIR❑ SIDE PROP. LINE HIGHWAtlk WIDTH USE OF } _— EXISTING BLDG. CO EMOL ❑ APPLICA NOL ` �Fa! CORNER CUTOFF YES ❑ NO ❑ (PRINT) I BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ �VALUATION�C F (Zp 0 CATEGORICAL [J(EMPTIOM YES❑ NO ❑ I HERESY ACRNOWLEDSE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND ABREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATINS BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORN AUTHORIZED IMPACT REPORT PROCE55ED (DATE) HERESY I WILL NO E LOY AMY PERSON IN VIOLATION OF THE LA 50R CODE OF HE TATE OF CAL(FOR NIA R[LATIN TO WORKMEN'S COMP MSAT N I URAMC SIGNATURE OF PERMI TTE ADDRESS t, 30 TE L,�( FINAL BY CITY C N0. S/VDATE l K (.11ECKS 1':lY:lliLE '10 P.C. $ / PMT. HARVEY T. BRANDT. COUNTY ENGINEER FEE �/ FEE 7 PLAN CHECK VALIDATION CK. M 0.1 CASI) _ PERMIT VALIDATION CH. M.O. CABN 369�AW 523 5.40A ' - - 3 7 0 AUG 5 1 0 9.0 0 / TeAeaeA cE■eoa 12/72 APPLI-CATION FOR BUILDING PERMIT FOR APPLI�ANT TO FILL IN (Print or type only) BUILDIN r COUNTY OF LOS ANGELES ADDR DEPARTMENT OF COUN'T'Y ENGINEER CITY zIP BUILDING AND SAFETY DIVISION CfbF BLDGS. BUILDING A,/ / SIZE OF LOT sO NOW ON LOT ADDRESS �^` % ot AS-9TRAC J fD BLOCK 950re LOCALITY E NEAREST OWNER N CROSS ST. f ASSESSOR ADDRESS r MAP BOOK fPAGEPARCEL D STRICT GROUP TYPE ED Y CITY ZIP ONST ` ENG NIEERT O T _? d S STATISTICAL CLASSIFICATION SEWER MAP ADDRESS Lei✓ r CLASS NO��WELL,UNITS B CONTRACTOR TE b9 USE ZONE MAP NO. 2—,-g> O ADDRESS LIC, SPECIAL LIC. CONDITIONS CITY CLASS ROAp DEPARTMENT APPROVAL REQUIRED YES� NO ❑ CONSTRUCTION LEN NAME AND BRANCH B DG.SETBACK FROM jf F ONT PROP.LINE OF (STREET) ADDRES H GHWAY + YARD _- TOTAL SETBACK FROM TYPE OF EXISTING 8 SQ. F NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE + _ CD DETCRIPTION OF WORK _` NEW Lij DD ❑ BLDO.SETBACK FROM (STREET) vim) SIDE PROP.LINEOF z LTERHIGHWAY } YARD 0TAL SETBACK FROM TYP EXIBTING = EPA IR❑ SIDE PROP. LINE HIGHW WIDTH USE OF EMOL ❑ + EXISTING BLDG. APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) N0. IN OPEN SPACE YES ❑ NO BY (SIGNATURE) IN COASTAL ZONE YES ❑ NO ❑ VALUATION aPI 17— CATESORICAL EXEMPTION YES❑ NO ❑ I HERESY ACKNOWLEDO[ THATC1HAVE READ THIS APPLICATION ENVIROHM[NTAL AND STAT[ THAT THC ABOVE IS CORRECT AND ASR EE TO COMPLY I)PACT EXFiMPTION DECLARATION SIGHED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING COM- fTRUCTIO N. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DAIS) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STAT OF LIFORNIA E ATIMG TO WORKI.IEN'f COMPEMfATI; SIGNATURE OF O PERMITTEE ADDRESS FIN BY TEL. DATE CITY NO. %lAKE C:HE( KS P.-tYABLH 7'0: FEE $ FEE + HARVEY T. BRANDT, COUNTY ENGINEER 7� Orsd r �` PLAN CHECK VALIDATION CK. A.I.C — PEMb 1 AT1CK. M.O. CASH Ar— 2 4 0 9 " ,lute 2 5 2 4 9 .5 D ' '6 :i l- 'V28 2 ? D .05 7eAe3eA CE o i7 -_ 3n_ r 3 d 73 i:7U c h 1 D 8 9.2 59 J l • - APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Fr1nr_,tYa. only) BUILDING COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY BU[LDING AND SAFETY DIVISION NO.aWBLCGS. BUILDING �_7 SIZE OF LOT / r1NOOW ON L T ADDRESS TRACT/V S 6 BLOCK `• LO LOCALITY T E NEAREST OWNER - NO CROSS ST. r ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT 1GROUPITYPE FIRE ED BY CITY ZIP O CONST, ZONE ARCHITECT TE ENGINEER ` N STATISTICAL CLASSIFICATION SEWER 4P ADDRESS CLASS NO. Q DWELL,UN ITS BK G CONTRACTOR TE a USE ZONE MAP NQ / LIC. NO. ADDRESS NO. SPECIAL LIC. CONDI TIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LEN NAME AND BRANCH BLDG. ETBACK FROM y-j ��JJ1 FRON PROP.LINE OF (STREET) ADDRESP`f(C CITY S HIGHWA + YARD = TOTAL SETBACK FROM TYPE OF E7(13TIHG SQ. FT. 7CI NO. OF NO. OF CHECK FRONT PROP_ LINE HIGHWAY WIDTH 9 SIZE STORIES FAMILIES ONE O DESCRIPTION 9F WORK l~ p, NEW ❑ a55, DD ❑ BLDG.SETBACILLI K FROM N SIDE PROP.LINE OF (STREET) x ALTER ❑ HIGHWAY + YARD - TOTAL SETBACK FROM TYP EXISTING F EPAIR❑ SIDE PROP. LINE HIGHWA WIDTH USE OF EMOL ❑ + EXISTING BLDG. APPLICANT TEL CORNER CUTOFF YES ❑ NO Q (PRINT) NO. BY (SIGNATURE) IN OPEN SPACE YES ❑ NO q 1 IN COASTAL ZONE YES ❑ NO ❑ VALUATION i CATEGORICAL EXEMPTION YES❑ I NO ❑ I HEREBY ACKNOW D4F THAT I HAVE READ T I/ APPLICATION ENVIRONMENTAL AND !TATE THAT TA ABOVE 17 CORRECT AND ASREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED 17ATE0 HEREBY 1 WILL NOT EMPLOY /" P N I VIO N TH LABOR CODE OF THE ST WORKMEN'S COMPENIAJ E SIGNATURE OF / ! PERMITTEE ADDRESS FINALY TEL. DATE - 74ill"B1 CITY NO. { � .%1AKE C:HEC:KS PAYABLE To: FEE ✓ FEE HARVEY T. BRANDT. COUNTY ENGINEER "� Yj PLAN CHECK VALIDATION :lC. M.O. CA•H _ PERMIT V ATION CK. M.O. CASH 2 4 0 7a� ,1t� 5 D 3 3 7.2 DA ' .5 0 t 3 '3 i.0 �� 3, D 5 8 ,5 01 84';3 NUV 2 �- D 6 5 9 .50A 7BA838A CLWaO3 Iz/Tz { - V• '.5 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING c - COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFETY DIVISION N F BLDGS. BUILDING /],/ /} SIZE OF LOT S'N ON LOT ADDRESS �' /�C TRAC-6 BLOCK L 'LOCALITY T NEAREST OWNER Q 4 CRCSS ST. ASSESSOR ADDRESS GIf • MAP BOOK PAGE IPARCEL DISTRICT GROUP ITYPE,,-,JFIRE OC ED BY CITY ZIP CONSTZpp1L.E ARCHITECT OR TE �( •J ENGINEER STATISTICAL CLASSIFICATION SEWER M t /'f� � A ADDRESSqsy CLASS NO.JQaDWELL,UNIT9 BK P 14 0 2f CONTRACTORS TE yl USE ZONE MAP LIC. NO. ADDRESS O. SPECIAL LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES� NO CONSTRUCTION LEN NAME AND BRANCH C LD .SETBACK FROM FRO T PROP.LINE OF (STREET) ADDRESSC TY _ TOTAL SETBACK PROM TYPE OF EXISTING SQ. FT NO. OF NO. OF CHECK HI Y + YARD - FRONT PROP. LINE HIGHWAY WIDTH (� SIZE STORIES FAMILIES ONE _ CD DESCRIPTION OF WORK NEW a ❑ BLDG.SETBACK FROM GO DD SIDE PROP.LINE OF (STREET) Z LTER ❑ HIGHWAY } YARD OTAL SETBACK FROM T OF F,(ISTING = EPAIR❑ SIDE PROP. LINE HIO Y WIDTH USE OF ENOL ❑ + EXISTING BLDG. APPLICANT TEL CORNER CUTOFF YES ❑ NO (PRINT) NO. BY (SIGNATURE) IN OPEN SPACE YES NO ❑ IN COASTAL ZONE YES ❑ NO 9�7 VALUATION$ 7 CATEGORICAL EXEMPTION YES NO I HEREBY ACKNO EDGE THAT IHAVE READ THIS APPLICATION EKVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HERESY I WILL NOT EMPLOY A PER ON I I N THE LABOR CODE OF THE STAT TO �J/ WORKMEN'S COMPENSATI CC//"AA//YP SIGNATURE OF PERMITTEE ADDRESS FIN 7 BY ' TEL. DATE , CITY NO. - 11,1hE C:HE(KS PAYA13LE 'I'C): FEE $ FEE HARVEY T. BRANDT, COUNTY ENGINEER0l �� p v 2. �C4-5- PLAN CHECK VALIDATION K. M.O. CAI- _ PERMIT VALID N CK. M.O. CASH iiP_ 240 $13 Jul-252234 ,45 _ 3885;3 Kv2823 D 45 .35A r_ 3 0 8 5!3 I2V28 1 D 4 6 3.0(DA t 70A638A CE#503 12/72 APPLICATION FOR BUILDING PERMIT I� FOR APPLIGANT TO FILL IN (Print or tYP. only) BUILDING COUNTY OF LOS ANGELES ADDRESS c. DEPARTMENT OF COUNTY ENGINEER CITY IP BUILDING AND SAFETY.DIVISION p� �O. BLDGS. BUILDING 'SIZE OF LOT /J?SNOW ON LOT l ADDRESS 0 C ' TRACT S L LO ! LOCALITY TE NEAREST / OWNER .NC / CROSS STeoe� . ASSESSOR ADDRESS (. MAP BOOK PAGE PARCEL _ DISTRICT GROUP TYPE FIRE R ED BY CITYaAtd94-�� 21P. CONST ZON ARCHITECT O TE ENGINEER N STATISTICAL CLASSIFICATION SEWER P ADDRESS CLASS NOI -'? DWELL.UNITS B p CON7RACTO T p ZONE MAP LI NO. d ADDRESS �� SPECIAL LIC. CONDITIONS CITY CLAS ROAD DEPART-HENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION L -NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS C TY HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING S FRONT PROP. LINE SQ E T _^ NO. OF NO. OF CHECK HIGHWAY WIDTH (j(f STORIES FAMILIES ONE � _ O DES-C RIPTION OF WORK NEW ❑ DD ❑ BLDG.SETBACK FROM (STREET) cei) SIDE PROP.LINE OF Z ALTER ❑ HIGHWAY + YARD TOTAL SET CK FROM TYPE OF EXISTING = EPAIR❑ SIDE PRO LIN-E HIGHWAY WIDTH USE OF EMOL1:1 + EXISTING BLDG. APPLICANT TEL CORNER CUTOFF _ YES ❑ NO - (PRINT) NO. BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ O ❑ -VALUATION s CATEGORICAL U(EMPTION YES NQ ❑ I HEREBY ACKNOWL DS[.THAT I HAVE READ HIS APPLICATION ZNVIRONMENTAL AND STAT[ THAT THE ASOVE'.12 CORRECT AND.ASREE TO COMPLY IMPACT EX[MPTION DECLARATION SIGNED ATE) WITH ALL ORDINANCE[ AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (D ATH) HERESY 1 WILL NOT EMPLOY OF THE LA SOR CODE OF THE ! ATING TO WORKMEN'S COMPENI SIGNATURE PERMITTEE ADDRESS FINAL BY TEL. DATE CITY NO. SI;I hE CHECKS P.0 S'A L3 Y EN FEE / -7/. � � � FEE HARVEY T. BRANDY. COUNTY ENC3INEER Ub PLAN CHECg VALIDATION CK. M.O. CMH 77. ON CK. M.O. CASH Ar,; 2 4 1 073 .n�2 5 3 D 17 1,Q e �r_ -38873 NOV 28 ' 14 37 .9 7SA635A CE#803 IZ/72 i1 388873 NGV28 1 D 348. 5 APPLICATION FOR BUILDING PER T FOR APPLICANT TO FILL IN (Print ., typ. only) m49LT C c•— BUILDING COUNTY OF LS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFETY DIVISION p NO.OF BLDGS. BUILDING SIZE OF LOT p NOW ON LOT ADDRESS TRACT BLOCK LOT NO. LOCALIT �_•-r TEL NEAREST OWNER O. CROSS ST. L l ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE C P OESSED BY CITY ZIP ON, ZONE ARCHITECT OTEL e5, D6 Z– ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO, OWELL•UNITS BK PO CONTRACTOR TEL. USE ZONE MAP LIC. NO. ADDRESS NO SPECIAL LIC. CQ NDTIONS CITY Cu ROAD DEPARTMENT APPROVAL REQUIRED YH ❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG,SETBACK FROM FRONT PROP.LI NE OF ISTREET) ADDRESS CITY - TOTA BACK FROM TYPE OF EXISTING NO. OF NO. OF CHECK HIGHWAY t YARD - HIGHWAY WIDTH SQ, FT. ONT PROF, LINE SIZE STORIES PAM!LI ES ONE CC O DESCRIPTION OF WORK NEW ❑ t - DD BLDO,SE CKFROM a S ❑ SIDEPTYP.LINEOF (STREET) Z ALTER ❑ HIGHWA t YARD OTAL SETBACK FROM TYPE OF EXISTING REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF t EXISTING BL4J., DEMOL ❑ APPLICANT EL CORNER CUTOF YES ❑ NO ❑ (PRINT) kmso. N0. BY (SIGNATUR IN OPEN SPACE YES _ NO ❑ t IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION [NVIRONMENTAL AHD !TATE THAT THEABOYE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCE! AND LAWSREGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROLES RED (DATE) HEREBY I WILL NOT EMPLOY AN ON I VI T E LAEOR CODE OF THE STAT G TO �C 1 WORKMEN'S COMPENSAT !— SIGNATURE OF —_ PERMITTEE ADDRESS •J FINAL BY _"j 1, DATE CITY ��+•` NO. � 'l( MAKE CHECKS P.AYABLE 70: FEE FEE PMT.+ HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O.- CASH _ PERM VAI.IDATION CK. M.O. CADH 75A6218A CE#803 11/72 S ' APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY e +---� lam° BUILDING AND SAqTY DIVISION NO.OF BL) NG 3. BUILDI SIZE OF LOT ` NOW ON LO ADDRESS TRACT LOCK LOT NO. LOCALITY TEL t NEAREST OWNER NO. CROSS ST, ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT OR PE FIRE SED DY CITY ZIP ZONE t ARCHITECT OR TEL. �Q ENGINEER NO. STATISTICAL CCLAAyySSSIFICATION AJEWER MAP ADDRESS CL-,aS NO_L—DWELL,UNITE BK TEL. CONTRACTOR E ZONE MAP ! L 2 NO. d ADDRESS 30 (V ii-.O a Yl/ `3 SPECICONDAL ONS LIC, r CITYAT- CLASS `` ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONS RUCTION Lb5ER ' NAME AND BRANCH MI-13.SETBACK FROM FR NT PROP.LINEOF (STREET) t ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXIBTIHG SQ, F NO. OF iJ O. OF CHECK HI AY + YARD — FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE CC _ O DESCRIPTION OF WORK NEW LLI CL. PROP,LINE OF (STREET) i DD BLDG,3ETBACK FROM �`4PA TER ❑ HWAY } YARD HIGHWA= TOTAL SETBACK FROM TYPE EXISTING V HIGWIDTH IR❑ SIDE PROP. LINE USE OF t = EXISTING BLDG. CO IDEMOL ❑ APPLICAN6 TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) (� N0. G -1�(5� BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ ' IN COASTAL ZONE YES ❑ NO ❑ ( V--5VALUATION it' a\p G CATEGORICAL EXEMPTION YE9❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE I! CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIONED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I C[DNISAT�N HAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESB[D (DATE) HEREBY I WILL NLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OFTAT[ OF CALIFORNIA RELATI TO WORKMEN'S COMP I URANC SIGNATURE OF PERMITTE ADDRESS U FINAL BY TE CITY NO�16 r/O/ DATE J q- , -71 P.C. (�I✓/J P t (( ,i KE (.'HE•(,KS PAYABLE TO: FEE �� y FEE $ HARVEY T. BRANDT, COUNTY ENGINEER o17 PLAN CHECK VALIDATION CK. M.O CMH _ PEDUTT VALIDATION CK. M.O. CASH 369-M% 523 0 5.40 ' 3ZOZ" 5 1 0 78AS38A CE/SOS 12172 �l:•. i--I . + SCO4&PENSATI - IAereby af#lrm t I hove a certifica ment to self rr1ure,.or a tertrfita;•e of Wariren' Com mton Insurance, APPLICATION F O FBUILDING PERMIT- � eof 30, LabC)or a certfed copy thern-rzi62 COUNTY OF LOS ANGELES BUILDINGAND SAFETY Pollcy.Nmpany - 0 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS d ` Certified copy is filed with the county bull41ng l6spec- BUILDING e tloh deo6ftment.• 0 Q r . Date S'' 'P� Appll LP O IAGUITY r(� CERTIFKATE bF FROM WORKERS' NO.of BLD(;S �.y - I NSU RANCJ OF LOT O rlOw ON LOT / 5T. (This sectlon need not be comletdd if the permit Is for one. M hurKk*dollars,(;100)or leas. TRACT . BLOCK LOT NO. PAGE PARCH T� I15E zi I certify.that In the performance of the work for which this NO tp permit Is,Issued, I'ihall not employ'any person In any mdnner SP[ so as to bbcb'me subject to the Workers'Compenfation Laws ADORES/ CONDfflONS QTY Datb ' Applicant- TK pplicantTl( -'TO APPLICANT: ff;.after. maklnq this Certificate of ARCHITECT OR TEL _DtSTR1CT I` U'PE.. .. _ FIRE. BY emp"6, you should become' subject to the Wbckers' NEER NO �►/)[' COfJST. ZOfE LUG Comperisatlon provWons'of the Labor Code, you must.forth- ADDS U(xJ with comply iv ith` such rprovlslons or this,permit shall be - deemed.revark d., CTORZOza Az f STATISTICAL T10N APT. _ LICENSED CONTRACTORS DECLARATION - CLASS NO DM L UNITS' = I hereby gffirrh that I am Ilcertsed under provtslops of Chapter 9 ADDRESS ,9 S&dion 7000 of Division 3 of the Business and SEWER MAP Profi4slorn gdde, and my license is In full force and effect. CLASS -V�� S g t NO.01 �i✓ .OF FS iy - 1� 4e.Nylmber LIc.Clan. f/i#+ ' `�" VALUATION f ,V1 8l CYC Contractor DES CR L7��r� � �r pie _ Q2IPTION OF WORK_ i s`�= ADD � 198A I am.exempt under Sec. - oil,.� ,. ATTER # o o a 2 3- B.BP.C. for this reason e F rDEMOL REPAIR . . : - o - 89. 25 0 USt OF Date: EXISTING BLDG. .� � APPLICANT 8 2 5 Zf v - F1alA1, o OWNER-BUIODER DECLARATIONNT� _ _ _ .. DATE - r I hereby,affirm-thabl am exempt from the Contractor's License �_2 Law for the folloW(Fpg reason (Settlon 7031.5, Business anRE d ADDRESS A Frofbsslbft Code): ... r L P _ - ❑ I, as owner of the 'or m employees with �A_DDRESS - -- �L _. wages as their sole compensation,will do the wok and the structure Is not Intenssded or offered for sale(Section 2.1 2 T 9 A 7044, Busineand Professions Code): - MOVING -- - TEL I, as owner of the prop , am exclusLvely contracting OR tJO. ' ' # 4 0 o e e.1- erty with licensed contractor to construct the project (Sec- ADDRESS - I ° 1 1 a 5 Q tion 7044, Business and Professions Code). . - CONSTRUCTION LENDING AGP4CY B,ep� YARD EIMrI TOTALPROP. UNE WIDTFI �SETBACKPITro 'O 1 1 'a 5 Q 2T5 I hereby affirm that there Is a constFRONTruction lending agency for T i the-perforrnance of the-work for which this permit is issued P.L. 3 Q 8.5 - (Sec. 3097, ay. C.). SIDE _ J 7. Lenders Name $ - _ LAMA Ref. # - Lender's Address P.0 Fee$ n Fee Poo I cprttfy that I have read this-application and state that the Isvx.Fye CDMA P/C 4 ' .. above Infon-na lon b correct. I opree to corhply with all County I"Wt4crt4w Fee o(�Inances and State jgwa�plQtinp_to l7ulldlnfl nfhvGtlon, Total Fee V LDMA Perm. # and hereby authorize representaflves o_#this County to.enter u n the above-mention for Inspection purposes. f»1IZVRN FOR EXPLANATORY LAl1WAGE Signature of App t a Aper Date _ _ . — • m