HomeMy Public PortalAbout4858 CLOVERLY AVE_Building__ r _
' DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ® O N `�`�
WM "J FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLYBUILD _
�...NG n.' DISTRICT PLANCK NO PERMIT NO
ADDRESS O 7(^ �. N v�/�M , ' ® L/7 O 4e
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OWNER U I4QVYMAIL
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TEL / „ BY ° ' DATE
CONTRACTORS'��'�,�„� jyyyyy.�NOle J B / USE APPROVED—,
i �, � �� � � � �� ZONE BY DATE
ADDRESS Pa In t [...f.C-I'jl,. WLI.LV HOUSE NUMBERING '
LEGAL
DESCRIPTION LOT NO BLOCK MAP NUMBER —FIELD CHECK BY
` DATE
TRACT 4 NO ASSIGNED BY
F I NO OF BLDGS CORRECTIONS
SIZE OF LOT NOW ON LOT '
USE OF I NO OF _
EXISTING BLDG - FAMILIES
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DESCRIPTION OF WORN
NEW h l I ALTERATION I I ADDITION I ,
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SQ FT NO OF
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APPROVALS
I �O4+13"� .W+� U.(l7iYLlLt.Q/ INSPECTOR'S SIGNATURE DATE
1 HLEREMY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION LOCATION
PLICATION AND .STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT I + I
I AGREIS TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE, BRACING, BOLTS
LAWS,REGULATING BUILDING CONSTRUCTION
FURNACE LOCATION,
SIGNATURE OF /� (��� GAS VENT, DUCTS
PERMITTER a-P.YB/7/ �".^L"�iNUL�
LATH, INT
ADDRESf
LATH, EXT
AUTHORIZED'AGT
PLASTER, INT
7SAGSSA DBsa ti f0,-so ; 5 460 P C
U ` FEE ,"�,Q Q PLASTER, EXT
VALUATION $
FEE - FINAL
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ® �
WM. J. FOX. CHIEF ENGINEER
NG -
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING A
/ DISTRICT NO PLN CK NO PERMIT NO
ADD E
SS
I
LOCALITY ; T/(�/,vLf RECEIVED BY I yJDATE OF A`PPP,fL DATE ISSUED
NEAREST
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ADDRESS
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FIRE GTYPE GROUP .Z:j-
ARCHITECTOR TEL ZONE I PLANS
ANENS
ENGINEER NO
BLDG ,/C/,ORD NO
ADDRESS BETBACKILINE A4/IU �li-' T ; I
APPROVED f
TEL BY DATE
CONTRACTOR NO
IF USE APPROVED
ADDRESS ZONE —� BY) DATE
LEGAL
DESCRIPTION `LOTt N,O Z 2_ 1 BLOCK Q �I n CORRECTIONS
TRACT J may'
�( NOF BLDS
SIZE OF LOT (J I O GNOW ON LOT
USE OF , 1`4 NO OF NO OF I i
EXISTING D FAMILIES ROOMS
DESSCRIPTION OF WORK
NEW it ALTERATION ADDITION
, O
REPAIR MOVING DEMOLISH 0
Al80 FT NO OF
/ Z
SIZE / ROOMS STORIES ! D
WALL / ROOF �7 '� r
COVERING I COVERING
UBE OF NEW '
BUILDING
o OtiwL- �i - V
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDAIOW LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,TMATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION ,/y�
♦ FRAME FIRE STOPS. 4 !-/f y y 1/
SIGNATURE OF 6/' BRACING,BOLTS `s � - (1 /
PERMITTE�I,I LATH, INT I I
AUTHORIZED AGT LATH, EXT
76A638A 9-48 e-O ` PLASTER,INT
DBS-3 SOM SETS � P C
FEE PLASTER,EXT
VALUATION FEE /� �� FINAL ��
089-3 25M-BLTB 6-46
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS'ANGELES
WM J. FOX, CHIEF ENGINEER
f FOR APPLICANT TO FILL. IN FOR OFFICE USE ONLY
/I BUILDING ,��ee�� �j DISTRICT NO PLAN CK NO PERMIT NO../I
ADDRESS ey oo s."2•
LOCALITY �//�JJy ( ZREIVED
�Y DATE OF APPL DATEISSUED
NEARE
CROSSSST. �'r.1•i -���
�?�� BUILDING r
OWNERQ++nD_�t-� �' `�,f m ADDRESSMAIL
ADDRESSd6O D // % LOCALITY
/ NEAREST
CITY �.,,,� vCROSS ST,
rU
FIRE NO OF ( TfS' E i GROUP
ARCHITE T OR TEL ZONE �� PLANS r
ENGINEER NO
\ BLDG ORD. NO.
ADDRESS • ` '! SETBACK LINE
TEL APPROVED
CONTRACTOR �"�z NO BY DATE
USE APPROVED
ADDRESS • y ZONE / BY DATE
LEGAL ' CORRECTIONS '
DEACRIPTION LOT NO y BLOCK q p
TRACT
SIZE OF LOT 3'� I NO OF SLOGS
NOW ON LOT .i r 9 .+/'6 06;A
USE OF ^ _ _ -n__ , I AM O9 / I ND OP /' y J
EXISTING BLDG (�' J(�+ �t/y1 FAM L198 ROOMS J `
DESCRIPTION OF WORT{
NEW I ALTERATION ADDITION ✓ O
A
REPAIR I I MOVING DEMOLISH O
I'llI'llFT i NO OF 2
/ D
SIZE J O ROOMS BTDRIES r
WALL ROOF y ,
COVERING ,/ I COVERING
USE OF NEW
BUILDING K/ ��•�•(
1 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, '
SIGNATURE OP BRACING, BOLTS
OWNER �(+/'J LATH, INT
AUTHORIZED AGT `�+'f'✓ �g-
LATH, EXT
i
$ ' P C III PLASTER, INT ^
FEE
PLASTER, EXT '
VALUATION / < < ,
FEE FINAL
�638A C 3 5 65 APPLICATION FOR BUILD �RMIT
,, COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY �✓ C� G
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST, • ;,L-
DISTRICT NO GROUPTYPE -i xPROC 'SED-BY
FOR APPLICANT TO FILL IN CONST
BUILDING / STATISTICAL ASSI FICA TION' ' y, SEWER MAP,, '
ADDRESS �LOY - _ _ _ _rd /Go
rr77�� CLASS NO DWELL UNITSJ'
LOT NO ' f '�iB L4FYCK USE ONE
N DIP
TRACT f - ✓'I SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT - t
�
USE OF / -
EXIST,
ST NG B BLDG SE BALK FROM }�
�A T L FRONT PROP LINE OF- ( ` �~ (STREET)
OWNER ~ O TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L' - y
CITY I } _ (
'BLDG- SETBACK FROM
ARCHITECT OR TEL
ENGINEER NO SIDE PROP LINE OF P ^� (STREET)
_
TYPE OF EXISTING SETBACK_ HIGHWAY- + YARD TOTAL`
ADDRESS ^ HIGHWAY WIDTH FROM C L�
TEL + a
CONTRACTOR NO O
LIC
ADDRESS NO CORNER CUTOFF YES NO V
CC
CITY .a CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS ' O
DESCRIP ON OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ FT NO OF NO OF Z
SIZE STORIES FAMI LI F_ _
USE C / }
STRUCTURE r (r >
SIGNATURE
APPLICANT - �1
V ALUATI N
VVV APPROVALS DATE INSPECTOR'S SIGNATURE _
P C PMT " FOI ON
FORMS MATERIALS
FEE$ FEE$��
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING'BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
SUILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA TH INT
TION OF THE LABOR CODC �FTTHINFJS
ING TO WORKMEN OMP ENAH EXTSIGNATUREOSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS , + • FINAL
PLAN CHECK VALIDATION CK M O CASH _
JOHN PERMIT VALIDATION STRUCTURAL TURE
M CN CASH
LACo 0 7 4 1- MAR 2 4 1- D 1 5,0 0- I
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