HomeMy Public PortalAbout5319 CLOVERLY AVE_Building__ DIPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES0
WM J FOX, CHIEF'ENGINEER -NG
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FOR APPLICANT TO FILL IN FOR OFFICE USE` ONLY
BUILDING ° ��r'f"' DISTR(I� PLAN/CK No PERMIT
PERMIT N/Oyn
ADDRESS ! NM�'1.6l.atsM .� f V -17 4, ,F(o l�J �t
LOCALITY _ „}� � � RECEIVED�BY, DATE OF/APPL DATEISSUED `
NEAREST _ `l ,o' ,�"/ p� y"'m- �fj� • r'
CROSS 8T (f{j-sFrje�cOJyG� �G+ / r/ BUILDING
ADDRESS
OWNER
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CITY �.�+I_ems, NO "IT�Gvs FIRE NO OF TYP " GROU
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ARCHITECT OR ., TEL ✓ ZONE I PLANS ,
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ENGINEER "r NO BLDGeSETBACK LINE 7�O_�- / � NO
ADDRESS - APPROVED
�t USE
TELBY DATE '
CONTRACTOR �A,�yyYNO � USE � PROVED
�„ ZONE BY i DATE
90 � ' l - .
ADDRESS �•/14ik�l.Ss,.dAi6-, ! / 1 HOUSE NUMBERING
LEGAL / {
DESCRIPTION LOT NO y BLOCK MAP NUMBER --FIELD CHECK BY---------! i
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TRACT NO ASSIGNED BY ATF _
NO OF BLDGS CO/B'RECTIONS - .y
SIZE OF LOT (,� ,� NOW ON LOT
USE OF ' NO OFy�`,7 CG.--GG���� ✓!9
EXISTING BLDG, I�FAMrues
- DESCRIPTION OF WORK _
NEW I �,` I ALTERATION I I ADDITION
O'
REPAIR I I DEMOLITION
SQ FT (f NO OF
SIZE � ► 7 ROOMS STORIES ,, Z,
b
EXT WALL ROOF 'r
COVERING e-40 COVERING ^
USE OF STRUCTURE,
R
s APPROVALS
INSPECTOR'S SIGNATURE DATE-
1 HEREBY, ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION
PLICATION AND I STATE THAT THE INFORMATION GIVEN IS FORMS, MA'T'ERIALS jG Z^37
CORRECT '
1 AGREE,TO COMPLY WITH THE CORRECTIONS 'LISTED FRAME FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS /
LAWS REGULATING BUIL'DIN�yGCONSTRUCCTT,IION FURNACE LOCATION, . /�✓ �L�
SIGNATURE OF li.,/ `40,/�... GAS VENT, DUCTS f-dY'eAv `
PERMITTEE d��°�✓Ji/t i f M1F+' l� — r
V �w " LATH, INT ' f
ADDRESS WA4 �c•�S �1�M
- f LATH, EXT
AUTHORIZED AGT
PLASTER, INT
A A DBaI 1 -ao �/��� F7E /1 �� PLASTER, EXTVALUATION 1, FINAL
3 • i' • f , 1
76A63BACEx6031058 APPLICATION FOR BUILDING PERMIT' '
COUNTY OF LOS ANGELES BUILDING .
DEPARTMENT OF COUNTY ENGINEER AD°KESS
BUILDING'AND SAFETY-DIVISION LOCALITY
JOHNA LAMBIE.COUNTY ENGINEER NEAREST x
ICASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT GRO P' -HYPE PR ESS
FOR APPLICANT TO FILL IN CONST ,
BUILDING gg pp,, EW TR MAP
'ADDRESS rs73lWpYrd// ✓� STATISTICAL C SSI FI CATION, , If 1r, ,B G
` �� 'v, o�� • CLASS NO DWELL UNITS—
MAP
LOT NO �y MAP .41—'
M /�pp NUMBER HWY ,' YES
TRACT/7/$3/01✓ VIIEW C' r" USE ZONE SPECIAL-0—
NO
PECIAL 0-•�-.•rte�-�.
NO OF SLOGS �,'� CONDITIONS
SIZE OF LOT/a4 �� `� NOW ON LOT /_/� I , �a9�1�1
USEOF _ IN
EXISTING BLDG 0✓ Q r w� .I'1.EX'IST .
SETBACK
YARD HWY STREET NAME
' SETBACK y� WIDTH
OWNER L F FRONT
MAIL, P L
ADDRESS - C dr V 3 SIDE`TEL ,
CITY � NO - 7 P L INSPECTION RECORD
ARCHITECT R TEL ' " L
-ENGINEER f I NO //! �,....,Mar_..�.. G.._; ..am^.�w.n�r.+c•.,e+mb�A `
ADDRESS
Gl✓/Y �� TEL r ,
CONTRACTOR NO
ADDRESS
DESCRIPTION OF WORK ' Yr
NEW AD ALTER REPAIR DEMOLISH
SQ FT + NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE 10.4 o
SIGNATURE OF APPROVALS"'
APPLICANT DATE` hNSPECTOR S SIG IATURE
ADDRESS X,3 FOUNDATION LOCATION
FEE FORMS MATERIALS V LLs[
$ is-<-) ff-P C S FRAME FIRE STOPS o >
FEE BRACING BOLTS ri
VALUATION S Q'6 FURNACE LOCATION
FEE / GAS VENT DUCTS t
' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT r
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND `
STATE LAWS REGULATING BUILDI "CONS RUCTION"' LATH EXT a
SIGNATURE OF `� r HOUSE NUMBER COR-'+
- PERMITTE RECT AND POSTED r
ADDRESS-." FINAL '
1, ' CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECE,�VALIDATION CK M O CASH PEEb = VALIDATION CK M O '"CASH `
7���3'�g I�'A �� �1 A � 3�:C 0 H �
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74AG38A CE#SOS 9�60, APPLICATION FOR BUILDING PER IT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER, ADDRESS
BUILDING AND SAFETY,DIVISION LOCALITY
.JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP -TYPE O ED BY
FOR APPLICANT TO FILL IN �'U I — CONST–V
BUILDING' � STATISTICAL CLASSIFICATION
�/
eJ
ADDRESS Cf✓-OVL L.�� /-Ty E K G
DoT 60 CLASS NO ` DWELL (UNITS`—
+ LOT NO W 2 o O aac S'X73 ovcr- BLOCK MAP / " r STATE ` YES NO
NUMBER HWY
TRACT MJSS)OIV VII; cg t S USEZONE SPECIAL k _ `x` '
NO OF BLDGS CONDITIONS
SIZE OF LOT ,�X /�- I NOW ON LOT
USE OF p
EXISTING BLDG KCS BUILDING ,
SETBACK YARD �HWY r STREET NAME', EXIST
t y
TEL
OWNER DRNLE _ No _7'�y7 FRROLT
ADDRESS FIDE �� y
ARCHITECT OR TEL
ENGINEER NO INSPECTION RECORD
ADDRESS I ..
n1` T O
CONTR ACTOR A J M q 7t"I ry S O N NO �- i-�i � � t r J V
L5 ZY -w` C
ADDRESS"_S�Z7GLOVE L_ Acle- C- - - /� O `
DESCRIPTION O WORK ' � - A—
uj
CL
NEW r ADD ALTERS REPAIR DEMOLISH r N
SQ FTO NO OF NO OF
SIZE STORIES FAMILIES
USE OF `" a _,
STRUCTURE /(f_y.SO D T `
SIGNATURE OF •lJ '
APPLICANT '
_ r
VALUATION S-
-APPROVALS DATE- NSPE TARS 5IGNATURE
_ FOUNDATION LOCATION
FEE S -� FEE $ FORMS MATERIALS
FRAME FIRE STOPS .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT'AND,AGREE TO.COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS"PERMIT IS ISSUED I SHALL NOT LATH INT +
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT i �
ATO THE WORKMEN S C4
OMPENSATION LAWS OF CALIFORNIA - I
r LATH EXT - i
SIGNATURE OF i* r , HOUSE NUMBER COR-1 a `
'PERMITTEE
t + RECT AND POSTED
ADDRESS FINAL
DIRLAMN
PLAN`CHECK VAATION CK -M O CASH CLYDE PERMIT VALIDATIONTRu�RAm o ENCGArHER,
LID
�r;u�7 G 5 � ir,Y U, 1 G 12 .0 0
76AE38A CE 100] 9 6D APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING 17
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST Alk
DISTRICT NO G UP -HYPE ESSED BY
FOR APPLICANT TO FILL IN CONST,
BUILDING q STATISTICALCLA S IGATION WERMAP
ADDRESS 3 K G
CLASS NO WELL UNITS
LOT NO ' `{'07 •E3L C MAP
NUMBER HWYE YES O
TRACT , j j),.l.+Q.u.r' a� USE ZONE SPECIAL
—� a!) CONDITIONS
SIZE OF LOT �' ,. �t�X O I NOW ON LOTS
USE OF
EXISTING BLDG 'ot-' BUILDING ' EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER' `E' FRONT
P Lee
ADDRESS,�+ SIDE
ARCHITECT OR TEL P L
ENGINEER NO INSPECTION RECORD
ADDRESS TEL / �ii�� �u d
CONTRACTOR NO _ ) O
ADDRESS
DESCRIPTION OF WORK
CL
h
NEW DD ALTER REPAIR DEMOLISH
Z
SQ FT NO OF NO OF
SIZE Q STORIES FAMILIES
USE OF
STRUCTURE s
SIGNATURE OF ,
APPLICANT
VALUATION$ I
APPROVALS DATE N ORS IGNATURE
P C _ _ PMT d- FOUNDATION LOCATION
FEE $ FEE FORMS MATERIALS
_ FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS `
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH INT
EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBUECT
TO THE WORKMEN S COMPENSATION LAWS OF CALIFORNIA
LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS 46 FINAL
PLAN CHECK VALIDATION aK M O H CLYDE PERMIT VALIDATIONCK O STRUCTURALM M M E
CABH
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