HomeMy Public PortalAbout9432 CAMINO REAL AVE_Building__ -76Ae3eA, cE se03 1/71
APPLICATION FOR B ILDING PORMIT
I �
COUNTY OF LOS ANGELES AasEssoR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE p RCEL
BUILDING AND SAFETY DMSION BUILDING
ADDRESS
COLEMAN W. JENKINS, •UP•T OF BUILDIHa LOCALITY
170R ,8,PIDLICANT TO FILL IN NEAREST
(Print or tyoe only) CROSS ST.
BUILDING
DISTRICT GR CONST TYPE
T P ESSED BY
ADDRESS O
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. BLOCK ��
CLASS NO._LL!DWELL,UNIT3 �— BK MPGZ6
TRACT ONE MAP
NO,OF BLDGS, NO. O
SIZE OF LOT NOW ON LOT j SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TE
OWNER 4. 511A P N-4602:21BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF TREET)
TYPE OF ISTING SFTI&ACK HIGHWAY + YARD = TOTAL
CITY e JAIGHWA WIDTH PROM C.L.
ARCHITECT OR TEL. + _
ENGINEER NO, L G,SETBACKFROM
ADDRESS SIDE PROP.LINE OF (STREET) yy
TEL. TYPE OF ISTIHG SETBACK HIGHWAY + YARD = TOTAL h.
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L /� 8
ADDRESS NO. +
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO y�
CONSTRUCTION LENDER a.
NAME AND BRANCH � SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SC). FT. NO. OF NO. OF NEI
SIZE STORIES FAMILIES
USE OF AD
STRUCTURE
AL
SIGNATURE O REAPPLICANT E
VALUATION i APPROVALS D TE XSP TOR'■ S GNATURE
i. FOUNDATIONI LOCATION
F E f FEE f ��/D O FORMS MATIERIALS L
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE Il CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING COX- GAS VENT, DUCTS
STRUCTION. I CERTIFYTHAT 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 HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRIN IPAL"-';TRUVU AL LN ER
PLAN CHECK VALIDATION CIC. M.O. CASH _ PERMIT VALIDATION M.o.
Leo 7 4 9 2 AU614 1 D 1.2. .O
76A638A CE 4803 12/69
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING l:/'� c
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS /
COLEMAN W. JENKINS, SUPT of BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tVDe onl CROSS ST.
DISTRICT t�q, GROUP CTYPE ONST. RO SSO BY
BUILDING _ ` `�..J75_ OY
ADDRESS /?I
A > STATISTICAL CLASSIFICATION SEW R MAP
LOT NO. I �� BLOCK
°� CLASS NO. DWELL.UNITS B G
TRACT / �J USE ZONE MAP 0
NO.OF BLDGS. NO. 0.21
SIZE OF LOT NOW ON LOT SPECIAL
USE OF . CONDITIONS
EXISTING BLDG.
TEI_y
OWNER S V No. 7745k BLDG.SETBACK FROM
ADDRESS CJ /,V FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY -P HIGHYCAYI WIDTH FROM C.L.
ARCHITECT OR TEL. +
ENGINEER NO.
BLDG FROM
ADDRESS - SIDE PROP.LINEOF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWAY + RD = TOTAL
CONTRACTOR NO, HIGHWAY WIDTH FROM C.L.
ADDRESS NO + _ �
LIC. p
U
CITY CLASS CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER p
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS C_')
LIJ
ADDRESS N
SQ. FT, NO. OF NO. OF Z
SIZE STORIES FAMILIES NEW
USE OF // ADD ❑
STRUCTURE Vc vs
ALTER ❑
SIGNATURE OF41 p REPAIR❑
APPLICANT DEMOL ❑
VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. /�j FOUNDATION: LOCATION
FEE S FEE S (j" (/' FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. 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 INSURAN E.
LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE
�j RECT AND POSTED
ADDRESS T 'y �--Cafe./A/D �.(7�.12 L FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGI
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
a SR AUG19 1 D 9.0 0-
�L
I
DEPARTMENTNEER
DIVISION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELESBUILDING
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING '1 /1� ��o C"`� L DISTRICT NO. PLAN CK.OR REC.No.l PERMIT NO.
ADDRESS e }J�/� �` A `{;�
LOCALITY /�'� I�ay�ll�I int RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST � C►�yV ICW.!:�
CROSS ST, i
�
j `� BUILDING
OWNER LQ l i Vec-icbd A ADDRESS `�ij✓ L jli 0i/%I f��'7
MAIL LOCALITY /-
ADDRESS G a-�
ENEAREST ,I
CITY TOL. kit
CROSS ST.
ARCHITECT OR7•EL. FIRE NO. OF I TYP I GROUP
ENGINEER NO. ZONE PLANS
ADDRESS BLDG. w ,� I ORD, e{Q.
SETBACK LINE
TEL- USE e APPROVED
CONTRACTORotdoi No.
ZONE A-i BY DATE
HOUSE NUMBERING
ADDRESS
LEGAL i D MAP NUMBER 2-00 7-0 NO. ASSIGNED BY
DESCRIPTION I OT NO. BLOCK
�
�Q � CORRECTIONS
TRACT 1 C% ,3--� y�
SIZE OF LOT � F OFv�n✓� I NOW ON LOTUSEBLDGS _
EX SITING BLDG. - S I i-F VC PAM INO. ue
DESCRIPTION OF W RK 0 -
RE AIR DEMOLITION I ADDITION I z
ALTERATIONZ
r
SQ. FT. NO. OF
SIZE ROOMS STORIES _
EXT. WALL- ROOF ^ c L
COVERING OA s I COVERING^W Shit,
USE OF STRUCTURE
IFAm
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT.
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF LATH, INT.
PERMITTEE
t rs LATH. EXT.
ADDRESS {�
T-
d4 /�� _( PLASTER, INT.
AUTHORIZED AGT. �(
�+ PLASTER, EXT.
/4 � �0 FEE ffi HOUSE NUMBER RECT AND POSTEDR
VALUATION`✓ FEE $ �""" FINAL
76A638A DES 3 9-52
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER BUILDING 1
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT,NO. PLAN CK.NO. PERMIT NO.
ADDRESS "I
LOCALITY
LOCALITY t' RECEIV(D BY DATE OF APPL. DATE ISSUED
NEAREST _ .�„ e-` /� i i `�
CRASS BT.
/1 BUILDING
OWNER ��� � ,. ��. _ ADDRESS
MAIL LOCALITY /'Ga
ADDRESS _7 0
NEAREST O C
TEL. CROSS ST. �7
CITY NO.
FIRE NO.OF TYPE GROUP
ARCHITECTOR TEL. ZONE PLANS
ENGINEER NO.
BLDG. a ORD.NO.
ADDRESS SETBACK LiNE
APPROVED
TEL BY DATE
CONTRACTOR NO.
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL �/ CORRECTIONS
DESCRIPTION LLOOTNO. 1
BLOCK
TRACT (,_ V • / 2
-
`/ NO.OF BLD S.
SIZE OF LOT ,/ I NOW ON LO Qr S
USE OF NO.OFNO.OF
EXISTING BLDG, FAMILIES ROOMS f
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A
REPAIR I MOVING DEMOLISH p
Sq.FT. NO.OF Z
SIZE ROOMS STORIES D
r
WALL ROOF
COVERING COVERT"
USE NEW
-BUILDING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS _
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS. �f'�
SIGNATURE OF BRACING,BOLTS
^� d
PERMITTEE.�' .� ---- LATH, INT.
AUTHORIZED AOT LATH, EXT. F f 1
?&A63BA-3 2-SO $ P.C,f PLASTER,INT.
-72-0, FEE _PLASTER,EXT.
VALUATION (�FEE f �.. FI NAL
DF3S-3 25M SETS B-45
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
BU I LD IN G
WM. J. FOX, CHIEF ENGINEER
-- l-
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST
CROSS ST.'(n.iT"2: .�rI SCC'
BUILDING
OWNER ADDRESS / 4J/^'!Y" C�-CL7 /�t•....t l" �•
MAIL
ADDRESS LOCALITY
NEAREST
TEL. CROSS ST.
CITY NO.
FIRE I NO.OF I TYPE .,.,.y��l GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO.
BLDG. ORD. NO.
ADDRESS SETBACK LINE
APPROVED
TEL.
CONTRACTOR NO. BY DATE 1
USE APPROVED
ADDRESS ZONE BY DATE
LEGALCORRECTIONS
DESCRIPTION LOT NO BLOCK
TRACT ` ' '
aaA. NO. OF SLOGS.
SIZE OF LOT-/IFJ q I NOW ON LOT-�
USE OF •1 I NO.OF I NO. OF f
EXISTING BLDG. FAMILIES ROOMS `
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
REPAIR MOVING DEMOLISH I O
SQ. FT. NO.OF D
SIZE ROOMSSTORIES r
WALL ROOF
COVERING I COVERING
USE OF NEW
BUILDING
APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,
SIGNATURE OF ,.i^'"" BRACING, BOLTS
OWNER f '. ,/ )/tl LATH, INT.:
AUTHORIZED AGT LATH, EXT.:
MEMO
P. C. $ PLASTER, INT. ,
FEE $ PLASTER, EXT.
VALUATION .. FEE C>4, FINAL Y 0'
OIZI JZS l.OMPElV TION DEC.LARAFIC ! 1. F1`
he� fWs �ocortire'aork ' Co ��ia APPLICATION FOR' BUILDING PEWMIT �.
or a certffted copy thereof(Sec 3900, Lab. C_)".. COUNTY OF LOS ANGELES. BUILDING AND SAFETY
Policy No. Company BUILDING j
lL—�) Certtfied copy Is hereby furnished. FOR APPLICANT TO F LL IN A
Is filed wit-Fr the county bulldlno Inrpeo- i/ ltiondvNrtsnt. AD � LbG
Date Applloanf .
LR CROSS SE.
C82TIFIG°T7.OF. NO.bF B�DGS A SES'b
EXEWT"FROM WC�12S' t�F LOT N01N CttJ �. MAP•�OOK P PAR($
CO{1APENSATlON INSURANCE.
(chis section need-not bWcom feted.tf the Twi-mIt.I&for one 1JSE
hundred cedars leau�
l' Y thof IR tkte'tr#omwRce of the work for which this OVv(t NOs 7 7.1 y f CO
permit Is Ibubd•,7 steal not employ anyperson in aay manner r GROUP T1 PE FIRE PROCESSa�;BY
so as to become subject to the Workers C pehxaflgn CONST• Z U
Appllcan OR / _ 71P �/b O
$TA , _ 10
TN _
Non CE JO'APPLICANT. #1 qfw.pwk a ,�'jtrrECF
',th4 Certificate of 1—
Etiemptioh, you should.become subject to the Workers" p2'__ tvo: ares NO. DWLIL UNfrs_,_
LU
CL
Compertsdtlon provWorA of the labor Cbde, you must forth- SEWER
with''comply with such provisions or•:tb s pgrmlt,shall-be
deemed revoked: TELVALIDATFON
CON�t 01R NO. L22
UGMSiD CONTRACTOIRS'D�TK>N Lc
(hereby affirm that I am licensed-urk*provisions bf Chgpter q ADDRESS +041y AT10N
NO. V
(commms6clnowith Section 7000)of Nyb4on 3 of the Bu�loea and itG .:.J
Professions Code; and my Ilcense Is IR full force'and effect_. CITY CLAM _
SQ.F r. /� f NO:OF ?
License Number Llc�CIa•s Sig /.7'7" STORfES FAMLIM ONE
Date
' DEk%Pt10N C1=WCtkic NEW-
Contractor
ADDI am exempt under Sec - -
Ad-ER. FINAL
B..&p.C. for'thu reabn . RIEPNR :'t] DATE p 9 0 1.3 AUSE
s. .
Date: Fxisrl�No BLOc�: oEntioL 14 ' -
# O;o ;50 UCANT �3.
5101atu}e ; (PRIINT')// , r o. ' Y7- 1.r t.
4DER QEC7�.RAT1 N a'8 Z5
I herby affirm that lam•xeritptfrdrn the Contractors LJcens! - ^ 'Z,° ° 4
Law fpr•the following reason (S.e{tlon 7031.5,-B6sIneM and ADDkM
Ft.J"W
I;Ias bwrxw of the property; or rn'y:s mployeps with ADS - _ ' -'0 1,.1 2—L83
wbges as thelrikgle gompenodtion,Will do fire work and .
the structure Is rpt-Intended or offered fot sale-(Section' ' �. D Or 0 1,'4
7041, Business and Pro esslCode). MOVTNG TEL, ai,
NO... o o 'o .0 0 1Y
I,m owner of tote prop" ami &Xclullvefy contr Ong '' -.ADDREW r // 12 -
wlth Ilunsed contractors to conmvcl the project (Sec- ° 2 T 9,100.
'tlgn 7041, "Ina"and Professions Cglie� \
GONSTRCTI¢N LI7Jl51NG.ACUNCY I YARD arvvd PROP. u fly wIDT1b(CLST� . `\ ° s'
I hereby-affirm that there is a oortstnxIlor}IbndInq pgertcy for Fitgt{i
2 1 �, 0,0 u
�he p+rforctance of the work for which this permlth issued L'� - �,, I° �'1, 1 2'—83.
S*c 3007, OV: c) se-
'P.L `
L.e.nders Name
Lendee-s' " L Fee '/� 0 Permit Fee U(J
I that I this application end :tote that the boiancs Fe L 'fv y `
�ffY Rave rebel
above Is cbrYect. L agree to_comply with.all CRUnh Irlvwtlyatlon Fee Q
ordinances and Mate laws relating to building construction, Toial.F«
and hereby authorize lop Vag of County to enter _
apo the Bove-menti for I Ion
fi
1RV=111 I�pO'LANATORY LANGUA04
'31p of Applkant orJlQent 1 �.