HomeMy Public PortalAbout4846 DOREEN AVE_Building__ c-� ® FPLC
76A836A'CE#BOp 8-64APPLICATION FOR BUILDING PERMIT
--
COUNTY OF LOS ANGELES BUILDIN
GR / ✓�
DEPARTMENT OF COUNTY ENGINEER ADDRESS (O ✓
BUILDING AND SAFETY DIVISION LOCALITY / O/CV CLT
JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE - PROCESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 'y A. ,� e NO.-IN—DWELL eCLASS NO. DWELL UNITS B P
LOT NO. BLOCK USE ZONE MAP D
TRACT /16 SPECAL
�f 1
SIZE OF LOT ✓C�5-f7pp NOW ONBLOTH CONDITIONS
USE OF
EXISTING >e G r BLDG. SETBACK FROM nen i
OWNER C•t '�a° eQ NOL -a�-�9 FRONT TYPE OF PROP.EMSTINOR SETBACK HIGHWAY + YARD = (STOTAL)
ADDRESS HIS pTH 'F M C.L.
CITY T CI'44 Q O '6-Ln I
ARCHITECT BLDG. SETBACK FROM
ENG NEERQ T ELEJJJ BYO SIOE PROP. LINE OF (STREET)
/ /J TYPE OF EM ISTING SETBACK HIGHWAY + YARD = TOTAL }
ADDRESS r - QA..y HIGHWAY WIOTH FROM C.L. y
_ .O
CONTRACTOR o t/N,R No` 9-a8a + v
ADDRESS LIC NO CORNER CUTOFF YES NO O
ID
H
CITY ` SEE REVERSE SIDE FOR SPECIAL APPROVALS w
DESCRIPTION OF WORK
_ Z_
NEW DO ALTER REPAIR DEMOLISH -
50.FT. /' �J�j N0. OF NO. OF
SIZE CO OCp STORIES FAMILIES/
USEUCC / Us ,
STRTURE TVo
SIGNATURE O
APPLICANT
VALUATIONS o
C/ /jam APPROVALS DATE INHPIC 8910NATDRE
PEE$ 7 FEE$.q 4:0-PMT. FOUNDATION, LOCATION -�
FRAME, FIRE STOPS, _ L
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT F/l 3 ' tiles
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS �I
9UILDING CONSTRUCTION. I CERTIFY THAT, IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. I�/�•`y
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT.
ING TO WORNMEN'Bi�COM
P
ENSATION INSURANCE. LATH. EXT. /��j+� /)� /•' - -
SIGNATURE OP%'�AC�C. _ HOUSE NUMBER COR-
PERMITTEE RE T AND POSTED
ADDRESS FINAL
\) JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CggECK VAIJDA I5N OK.I M.D. CASH PERMIT VALIDATION cK M.O. CASH
4 8 0 6`a SEP y 2 3—D 1 2.75-
4 8 0 7� SEP1 9 1 D 25.50-
CHI",
55O-CHI",
76A63BA CER8033-66 APPLICATION FOR BUILDING PERMITS LJ
COUNTY OF LOS ANGELES Su1LDING b7 �G �Q����
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY /F e�
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST. / ii } ` ,
COLEMAN W. JENKINS.SLF'T OF BUILDING CROSS ST. 4'V L-V
DIST ICT O. GR TY PE�%'� PROCESSED BY
FOR APPLICANT TO FILL IN co sr fC �-1�7
BUILDING j16STATISTICAL ASSIFICATION ! SEWER MAP
ADDRESS L' o!'e en - 1 0K ' P �
- CLAS$'NO. DWELL UNITS
LOT NO. // BLOCK USE ZONE MAP
TRACT 6 / - /v SPECIA IGO/NS
SIZE OF LOT 3Q � .� XO WOONBLOTS
USE OF
EXIqT.NG
BLOC. SETBACK FROM
T
TW . Q FRONT PROP. LINE OF (STREET)
OWNER E- 1 NO. S�/ t'LDG:
EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS /� en I FROM C. .
CITY T-e_ i 6e +
TBACK FROMARCHITECT O EL, P. LINEOF (STREET)
ENGINEER NO. EXISTING. SETBACK HIGHWAY } YARD = _ TOTAL
ADpRE55 �Q � WIDTH FROM C.L.
TEL. }
CONTRACTOR ✓ NO �..
LIC L
ADDRESSNO CORNER CUTOFF YES E] NO [jU
IC
CITY Gif bG C.6 SEE REVERSE SIDE FOR SPECIAL APPROVALS o
DESCRIPTION OF WORK W
a
h
NEW elEp ALTER REPAIR DEMOLISH � ?
SO.FT. //}}R/�� NO. OF NO. OF
SIZE OV STORIES FAMILIF-S
USE OF
STRUCTURE I /
SIGNATURE OF V / '
APPLICANT
VALUATIONS - i �! �;. Vj Q( , o
APPA VALS DATE INSPECTOR'SSIGNATURE
P.C. PMT. XXp� FOUNDATION, LOCATION
FEES - FEES FORMS, MATERIALS
FRAME, FIRE STOPS,'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT,THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY OROINANCES AND STATE LAWS REGULATING GAS VENT. DUCT$
BUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN5 COMPENSATION INSURANCE, LATH. EKT
SIGNATURE O OUSE NUMBER COR-
PERMITTEE (� RECT AND POSTED
ADDRESS d FI NAL
JOHN F. LEWIS. PRINCIPAL ST l RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. DASH PERMIT VALIDATION cK. M.o cAsH
` 5 ;e 2 0� MV 15 1 0 8:0.'0-
CANCELLED AT PERMITIt-