HomeMy Public PortalAbout5222 DALEVIEW AVE_Building__ +76A636A CER803 9-68
APPLICATION FOR BUILDING PERYIT IlLlll
COUNTY OF LOS ANGELES BUILDING }}�/
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE; COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, BUP'T OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PR Ess o B
'O i' CONS'T� t
(Print or ty PE, only)
BUILDING STATISTICAL CIL SSIFICATION SEWER MAP
ADDRESS 5222 Daleview f �
CLASS NO DW ELL,UNITS K
LOTNO. BLOCK USE ZONE MAP
NO.
TRACTQ / SPEC AL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE Residence
EXISTING BLDG. BLDG SETBACK FROM
TEL. FRON PROP.LINEOF (STREET)
OWNER Lenora Hoopes NO.
TYPE 0 EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS 5220. Dalevlew - HIGHWAY (DTH FROM C.L.
+ _
CITY Temple City
BLDG.SETBACK FROM
ARCHITECT OR TEL.. SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING1 SETBACKHIGHWAY + D = TOTAL
ADDRESS- HIGHWAY WIDTH FROM C.L.
CoTEL
Rigid Mfg, DCONTRACTOR . + _ >
c
ADDRESS 337 S W NO.C. CORNER CUTOFF YES ❑ N ❑
LIC. C
CITY Los Angeles CLASS C-19 SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER LL
CIL
NAME AND BRANCH - Z
ADDRESS
SQ. FT. NO. OF NO. OF NEW
SIZE STORIES FAMILIES
USE
OD El
STRUCTURE Re-roof with ALTER ❑
composition REPAIR❑
SIGNATURE OF
APPLICANT OEMOL ❑
VALUATIONS 750.00 APPROVALS DATE INSPECTOR'S SIGNATURE
FEE 5 FEE S1S.00 rOUNDATON:FORMS, MATERCAA�ON
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT. DUCTS
STR UC TION. I CERTIFY THAT IN-DOING THE WOflK AUTHORISED
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 COMPENSATI O,Nj1IgIj -mk COMPANY LATH, EXT.
SIGNATURE OF 1LCCl LLIIII CIC 'At- HOUSE NUMBER COR-
PERMITTEE _ _ RECT AND POSTED .
ADDRESS 337 S. Woods 'A ue L.- A FINAL
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION iK M.o DASH
U '� 8�uo ,may 1 U U U sYb
76A998A CE#aos-E-9T APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING L5'Z Z Z
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDI JG CROSS ST.
DISTRICT O. 1 GROUP TYPE 5 EcR MAP
II L
FOR APPLICANT TO FIN _ ZPG�
BUILDING .�T CONST.
ADDRESS - STATISTICAL CLASSIFICATION
LOT NO. BLOCK CLASS. NO.-I—DWELL. UNITS
NUMBER Q SI.{TVA.�yE YES O
TRACT O SEZONE SPECIAL
-� // NO.OF BLDGS. I CONDITIONS
SIZEOFLOT60 x 2-7Z NOWT LOT oOV
USE OF
EXISTING BLDG. BUILDING EXIST.
YARD HWY STREET NAME
A SETBACK WIDTH
L
OWNER E G`- FRONT / _ �-
MAIL ''f P,L: (� ce
ADDRESS ��!� Q, j�.�y SIDE
TO
CITY NO INSPECTION RECORD G r ==
ARCHITECT O �/,� TEL. _ I
ENGINEER Fi'� NO.
I
ADDRESS -
/,n TEL.
CONTRACTOR `' NO. •// p
ADDRESS 7
DESCRIPTION OF WORK �rl � b"rfJ !-Ga1
50 ADD ALTER O.OF No
NO.O DEMOLISH
SIZE AP //7-7 STORIES FAMILIES
USE OF STRUCTURE 77
- I
SIGNATURE OF APPROVALS,�w
APPLICANT r
G/ r DATE -INSPECTOR S SIGNATURE
ADDRESS e-O FOUNDATION: LOCATION
FORMS.MATERIALS 9 jwJl•� ^vLGGI�✓�
FEE.
f S6 FRAME:
BRACINGRBOLTS S /'I�.%/I llt�• /
VALUATION S, O_O FURNACE: LOCATION. .
FEE ✓! GAS VENT.DUCTS
.I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP. LATH, INT. x- / �I9�i IwLC.f/YI.C4✓✓
PLICATION AND STAT THAT AND
STATE LAWS
AGREE TOMREALL AND
- L*I BU LDTYG RDINANCES NSTRUCTI N LATH.EXT.
SIGNATURE O HOUSE NUMBER COR-
PERMITTE F RECTANDPOSTEO L /pF��
ADDRESS FINAL /� r /
JOHN A. LAMBIE. COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRU,6TU RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
!.�Co 2 1. 6 0 f PAR 19 1 6 A 1 5.50 a
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