HomeMy Public PortalAbout5112 DALEVIEW AVE_Building__ C c�t
76A638A CEu803 5-65 APPLICATION FOR B ILDING P RMIT
COUNTY OF LOS ANGELES BUILDING P}, /I
ADDRESS- �C•••�f//UW e
DEPARTMENT OF COUNTY ENGINEER - 6
BUILDING-AND SAFETY DIVISION LOCALITY L
JOHN A. LAMB(E, COUNTY ENGINEER - NEAREST -����
COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST. - -
DISTRICT N GROUP TYPE; PR 5 B
FOR APPLICANT TO FILL IN S-6 CONST!
BUILDING ••�•a %�-� STATISTICAL SSI FI C A TI ON - SEWER MAP
ADDRESS /� C' CLASS NO. DWELL UNITS SK - PG
LOT NO. .3 , �Y BLOCK USE ZONE. NOP-�.0� ./
TRACT D r� SPECIAL O
SIZE OF LOT
�pO NO. OF BLOBS. �1 CONDITIONS
Ol. NOW ON LOT +-
USE OF �p
E%I TING LD SL' BLDG. SETBOCK FROM _
TEL. / FRONT PROP. LINE OF ✓�� 0 (STREET)
OWNE NO. tel' TYPE OF E%(STING SETBACK NIBH W_AY } YARD = TOTAL ,
ADDRESSES [) Q - �� ,E_✓V - HIGHWAY WIDTH ' F OM C.L.
CITY
ARCHITECT OR TEL. BLDG. SE ACK FROM
ENGINEER NO. SIDE PROP. LINE OF (S TREET)
TYPE OF E%ISTING BETBACK HIGHWAY } YARD - TOTAL
ADDRESS - HIGHWAY WIDTH FROM C.L.
- d
CONTRACTOR NO TEL. + O
ADDRESS
LIC COR NE R,CUTOFF YES O NO �' V.
O �
clrr CLASS SEE REV( fy $Il?1FTfF'®! n H �PH1{�
OVALS`� .O
DESCRIPTION OF WORK w
N ADD ALTER REPAIR DEMOLISH SIGG %K• aD-
efe: PBrmifs fpr curb, guHcr, f,l AI}nd iQ
SQ.FT. NO. OF NO. OF vn. ROtd Dap
SIZE STORIES FAMILIES S{011a{IORS Shm .n a Ka�f.. Gh CC ir,,CO�fO{Gy IR Ot Ir O O➢ 'a
USE OF ar 00
ITR UCTURE - ' DuSl T WOj rano+
a IBng{hy deloy. SurvDY & S41N Or rkway It" parmH of T1 rr
ud acro 5
SIGNATURE OF L
APPLICANT
VALUATION$
APPROVALS DATE INSPE DR'S SIGNATURE
P.C. PMT. .J(��� FOUNDATION, LOCATION
'F FEE$ `� — FORMS, MATERIALS � P� /'
,FRAME, FIRE STOPS, D� . a-ele
HEREBY ACKNOWLEDGE THAT 1 HAVE READ GRE ATO CO TION BRACING BOLT L! or
ANO STATE TROT THE RD1NA IS CORRECT•AND AGREE E COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCE$ AND STATE LAWS REGULATING GAS VENT. DUCTS
AUTHORN.IZED
CONSTRUCTION. CERTIFY THAT IN PORNO THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN LATH. INT.
RELAT
TION OF THE LABOR CODE OF THE STATE CALIFORNIA RELAT- pp
ING TO WORKMEN'S COMPENSATION INSURANCE, r� �'R=•,••
LATH. EXT. a JJy�
SIGNAITU E OF HOUSE
ORECT ANDER OR
D ST
ADDRESS FI NAL
JOHN F.•LEWIS PRINCIPAL ST RU RAL ENGINEER
PLAN CHECK VALIDATION cK. MG0.. CASH _ PERMIT VALIDATION cK. M.O.- CASH
A;Lo 3.2 4 5 JUS 1 1, D" 1 1 .5 0
f G �
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76A83E,°a�� APPMATION FOR BUILD PERMIT
II99 �.
bIVI$ION OF BUILDING AND SAFETY noo elss
Deportment of County Engineer -
County of'Los Angeles. LOCALITY - 'C—(-- IVI
JOHN A. LAMBIE. COUNTY ENGINEER y NEAREST i,=
CASSATT O.GRIFFIN. SUPT or BUILDING CROSS ST.
'APPLICANT TO FILL IN DISTrNO. G I TYPE '(T' SEWER„ AP
J-- .�L-.� PG
BUILDING /� / }�' /[�1' �-•� ,.. CONST
ADDRESS � 77 /U DN-h L. �� _AJ {'7(/(.V N MA ER /J./ I SHWY 'YES NO
SPECIAL
LOT NO. BLOCK I USE ZjONE CONDITIONS _
TRACTNO.OFLDG _
SIZE OF LOT h U ��Ot/{ NOW ON LOTS A,-
• BUILDING EXIST.
SETBACK YARD 'HWY STREET NAME WIDTH.
USE OF FRONT Q/I �� _I�fy_- t
EXISTING BLDG. - I/✓•tl.�E-Y`� CY'L/
OWNER.///V L-' /J �C,��"/XCX'V SIDE'
' MAIL ��t /.y�I� �/?I1v�., / P. L. •�"
ADDRESS..1 �pcO &1 4& �114111L � O_ TRACT DWELL. 'I UNIT - '
�/� cL TEL. �[ t DWELL. 1 LNIT. 5 INDUSTRIAL
CITY y�• J7"I/i�[�L Vr�'L� 1 NO.�O ��YO - Fi P.UBLICBLDG. '
ARCHITECT OR TEL. 2 DUPLEX 2UNITS -
7 ADDN.M.ISCE ALT., ETC,
ENGINEER V NO.
3, APT. —UNITS
8 MISCEL:
ADDRESS - COMMERCIAL -TE
L. 11 f7 " INSPECTION RECORD SAA/
CONTRACTOR
.ADDRESS DESCRIPTION OF ADD ALTER REP�. /�yy�� J � NO'. OFSIZEJ�W ( / TORIESUSE OF STRUCTURESIGNATURE OF 1 - APPROVALSAPPLICANT `ADORESS a DATE INSPECTORS SIGNATURE
OF
ION:,LOCATION/� . �� C. $ QO
—FORMS'
MATERIALS' f�
!/`�rJ}-`��/"r_T) q FEE �/!�_ FRAME: FIRE STOPS
VALUATIODf // ��L� FEE $/-"� FURNACEBRACIN:LOCATION.
I'.HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ..b VENT. DUCTS Y /// a i.-.,l///f./.e.•F
APPLICATION.AND'STATE THAT THE'ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH. EXT.•
.SIGNATURE OF !/ o HUUSE NUMBER COR-
,PERMITTEERECT ANp POSTED
ADDRESS a FINAL
JOHN A. LAMBIE. COUNTY ENGINEER ..VALIDATION -CLYDE N. DIRLAM. CHIEF BLDGtiINSPECTOR
J `C� Mo CASH' ,
I.,ACo 7 '8 2 Ei- JUS 6..1.6 1 7_0 Q .4 N 2 6 D v
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