HomeMy Public PortalAbout4948 DOREEN AVE_Building__ ' V
_�. APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN IPrint ortype onlyl COUNTY OF LOS ANGELES
BUIADDRESS 4 DEPARTMENT OF COUNTY ENGINEER
CITY ZIP BUILDIN D SAFETY DIVISION
NO.OF BLDGS. BUILDING
SIZE OF LOT NOW ON LOT f ADDRESS
TRACT BLOCK LOT I, LOCALITY
TEL, NEAREST
OWNER. NO. 3-Q CRO55 ST.
A'14 ildl L.�f �. 'ASSESSOR
ADDRESS APBOOK PAGE PARCEL
DISTRICT GROUP I.TYPE FIRE SSED BY
-CITY ZIP L, CONST. ZP.
ARCHITECT OR TEL. �r Da - s
ENGINEER NO. STATISTICAL CLASSIFICATION / SEWER
EL.
ADDRESS ' CLASS NO. �/ DWELL UNITS z PG
CONTRACTOR NO. US ZONE I NOP
LIOOECIAL
ADDRESS N .. SP
1111..//���� CONDITIONS
CITY - LI
+ G
CLASS ROAD DEPARTMENT APPROVAL REOUIRED YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
ADDRESS CITY
FRONT PROP,LINE OF - ISTREETI
- TOTAL SETBACK FROM TYPE OF EXISTING
SO.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORKNEW ❑ + O
ADD Q BLDG.SETBACK FROM
SIDE PROP,LINE OF STREET) O
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w
yst ,•yT. , _ REPAIR ❑ HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH Z
USE OF G(BUD *-�Lv..—/'—
EXISTIN BIDG. � o7& DEMOL ❑ +
APPLICANT TEL CORN ER CUTOFF YES ❑ NO:❑
(PRINT) �� NO.
IN OPEN SPACE - YES ❑ NO ❑
BY ISIGNATUREI
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$ 1,Q (J O -
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMENS COW
PENSATION INSURANCE.
SIGNATURE OF
PERMITTEE •` ' /�
ADDRESS - / /
CITY NO. FINADATE
917�� BY
MAKE CHECKS'PAYABLE TO: FEE. $ ! / , /////• FET $
HARVEY T.BRANDT,COUNTY ENGINEER 4
PLAN CHECK VALIDATION— CK. M.O. CASH' PERMIT VALIDATION C . M.O. CASH
= 5 1�Juu 18 1 0 1 5.0 0 A50
®s 76A638ACE48033J5'
76A63tA CER803 3.60
APPLICATION FOR BUILDING PERMIT U
COUNTY OF LOS ANGELES BUILDING p^ O _(I
DEPARTMENT OF COUNTY ENGINEER ADDREss 7A I
BUILDING AND SAFETY DIVISION LOCALITY eqy� IQ C�
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPNEAREST
�TOF BUILDING NEARCROSS ST. Ke4 WG$
FOR APPLICANT TO FILL IN DISTRICT NO.. I GR UP TYPE �• PR=O BY
Print Gr type only) .57,08 `r CONST. /.
BUILDING STATISTICAL C ASSIFFICATION •1� SEWER P
ADDRESS Z
CLASS NO. DWEL , SK/_ PG`f9
LOT NO. p` BLOCK USE ZONE NADP 2
TRACT �_ SPECICONDAL
ONS
��QQ! NO.OF BLDGS.
SIZE OF LOT r�CJ NOW ON LOT ,
USE OF
EXISTING BLDG. BLDG.SETBACK FROM �Or GeM —(STREET)
EL. FRONT PROP.L INEOF��
OWNER Y L NO. 2- TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
ADDRESS ( /
CITY r 'taC 4 } _
BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY } YARD TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. _
CONTRACTOR N NO. } a
LIC. _ CI
ADDRESS NO. CORNER CUTOFF YES ❑- NO ❑ U
LIC. =
CITY CLASS • SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK U
NEW ADD ALTER REPAIR DEMOLISH
�Fil'o'G
SO. FT. gj NO. OF NO. OF
SIZE STORIES FAMILIES L
USE OFla—
STRUCTURE
i
SIGNATURE OF
APPLICANT112C 4
VALUATIONS v C�
v b APPROVALS DATE I,Is aEcron•s slcNn ru RE
P.C. PMT. _ 'FOUNDATION: LOCATION E
F I/• S FEES FORMS, MATERIALS /
FRAME: FIRE STOPS, /
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
ANDWIT STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES ♦NO STATE LAWS REGULATING GAS VENT, DUCTS J V'
BUILDING CON5TRUCTION, I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELATLATH, INT.
ING TO WORKMEN'5MgCF{'AIl LATH, EXT.
SIGNATURE YV -
04
PERMITTE 10 NSURAN- QUQ EPL HOUSE NUMBER COR-
RECT AND POSTED [� ems,,
ADDRESS FINAL 14—XX-740 //, 21IL"./
JOHN F. LEWIS. PRINCIPAL.STRU TURAL ENGINEER
cK.
PLAN CHECK VALIDATION CX. M.D. CASH _ PERMIT VALIDATION M.G. DASH
trr � 36617.25 v
/]6A63Bq GE;P 8036-62APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS'ANGELES BUILDING Al
/
DEPARTMENT OF COUNTY ENGINEER ADDREss /
BUILDING AND SAFETY DIVISION. LOCALIT 7.
JOHN A. LAMBIE. COUNTY ENGINEER, NEAR EST
WILLIAM A. JENBEN, SU pT DF BUILDING CROSS ST.
DISTgJ CT NO GROP OC S B
TYPE
FOR APPLICANT TO FILL IN �� U CONST.
BUILDING wA STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS (OJ B PG
(� CLASS. NO. -DWELL UNITS
LOT NO.J BLOCK — WATER NOT REQUIRED RECEIVED
CERTIFICATE: , ❑ .
TRACT _ NO. _ /Lo RCLEI STATE'MAJOR SECON LOCAL
NO.OF BLOGS./
KOR
T NWAY
NOW ON LOT USE ZONE SPECIAL
CONDITIONS
BLDG. �Q,,4� /_ Q y S - NOBU DING EXSETBACK YARD HWY STREET NAME WIDTH
FRONT 7 yT OR TEL. P. L.' `CJ ;A.�.i-./" NO. SIDE' /1P. L./. � //lTEL. ' IIa7
CONTRACTORIQ IV. No;4
ADDRESS ,`.i�'2:�I, C �ji_rYnl��' / .f�!"N',!✓ C
DESCRIPTION OF WORK
/='/���tv _GtilretP/I �vLs_Y�1.N Se 1J,
NEW ADD ALTER REPAIR DEMOLISH � H
SO, FT. NO. OF NO. OF ' f f1 EI ?
U SESIZOF
STORIES FAMILIES / "f1. G
STRUCTURE ii./
SIGNATURE OF
APPLICANT y
VALUATION S f Off. �Gfl
J APPROVALS DATE INSPECTORS SIG_NAiyRE
PO ��/� FEE $ FOUNDATION: LOCATION
FEE FORMS, MATERIALS 1? 4J
FRAME: FIRE STOPS. If L
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING: BOLTS
ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS 1 BUILD NO 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- _ _
ING TO WORKMEN'SCO PENSATION INSURANCE. .T/
LATH. EXT. r
"V T--
SIGNATURE OF,, L T �/S HOUSE NUMBER COR-
D PERMITTEE Vy/......fGG�✓ Z7 RECT AND POSTED
ADDRESS � J(j�/I ��yL1I �j! FINAL
JOHN F. LEWIS. PRINCIPALST TUFAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CKML M.U. CASH
LACo & 3 4 0 0 DEC 12 1 D 1 8.50-
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT f�y
COUNTY OF LOS ANGELES pts p p 9 LDO VA 0 //
WM. J. FOX. CHIEF ENGINEER IE?� C#� I� Lll�t�t�t
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING' �] `y 1y�, DISTRICT NO. PLAN CK.NO. PERMIT
NO.
1; ADDRESS /`� Z� 1 J{:#. �
1 b 3
LOCALITY /RECEIVED BY DATE OF APPL. DATEISSSSUED
NEAREST 0 y 9�..� p
CROSS ST, ✓7
BUILDING
OWNER _ I / ADDRESS
MAIL iu 4 l ` LOCALITY
ADDRESS 1-'7 /�`� 9 iw
NEAREST
CITY 0 TEL. CROSS ST. '� a57
NO.
_
ARCHITECTOR FIRE NO.OF TYPE Gy, J P —
TEL. ZONE PLANS ,y
ENGINEER ./ NO.
BLDG. I,ORO.NO.
ADDRESS .^SETBACK LINE P. I�
APPROVED
tAAA TEL. ♦ / BY //.� ' DATE
CONTRACTOR NO. 1 USE
oy
ADDRESS Lo/{ ' �� ZONE 'I•BYPRO EA OATS/0/4; /3
LEGAL CORRECTIONS'
DESCRIPT ION 1� /L(O�T NO. BLOCK 0
TRACT / 290
NO.OF SLOGS.
SIZE OF LOT O NOW ON LOT
USE OF NO.OF '�+\ NO.OF I`
EXISTING BLDG. Il PA. LIE 91 I ROOMS A
DESCRIPTION OF WORK
NEW ADDITION - a
C
REPAIR MOVING DEMOLISH - m
r_
SO.FT. p NO.OF ❑
SIZE /J(/ ROOMS STORIES J D
WALL ROOF' �T— li•I
h c
COVERING. - I COVERING
USE OF NEW
BUILDING A 1,0
cap
1 HEREBY ACKNOWLEDGE THAT I .HAVE,READ THIS APPROVALS"
APPLICATION AND STATE ,THAT THE'ABOVE,IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE`.'.
ANNAGREE TO COMPLY�WITH-ALLCOUNTY'ORDINANCES FORMS,MATERIALS
AND-STATE LAWS REGULATING BUILDING,CONSTRUCTION. Y
77e 7j_: { I' ' FRAME: FIRE STOPS,
SIGNATURE OF
Y { SPACING,BOLTS
.
�il��•Y1 �
PERMITTEE �"
;Aly .• d � LATH, INT. '
AUTHORI2ED AGT i ++}' '
LATH, EXT.
oes-] som SETS $ SJ L 0 p C $ 1 h-_- CASTER, INT.
V oato PLASTER,EXT. -
S 00
VALUATION FINAL -
FEE
APPLICATION FOR COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER I I
aIJILDING PERMIT BUILDING AND SAFETY DIVISION LLLIII
BUILDING
�.' FOR APPLICANT TO FILL IN ADDRESS L V il 0
BUILDING - -
ADDRESS LOCALITY
CITY ZIP i NEAREST kq
CROSS ST.
O.OF BL GS: ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
63- DISTRICT I GROUP I TYPE FIRE SSED'BY
TRACT BLOCK LOT NO ICONST ZONE
_ TEL. n �Y(/ 1::T—
OWNER - NO. �t-� STATISTICAL CLASSIFICATION
2--
j /SEWE P
ADDRESS �L CLASS NO. OWELL.UNITS /-� B PG
�) U ZONE MAP
CITU ZIP "' NO'.
ARCHITECT OW TEL. C SPECIAL
ENGINEER NO, VVV��� CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR NOL. I DG.SETBACK FROM
LIC. ONT PROP. LINE OF (STREET)
ADDRESS NO. HI HWAV } YARD - TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP. LINE HIGHWAY WIDTH
CITY CLASS -
CONSTRUCTION LENDER } - -
NAME AND BRANCH
BLDG.SETBAC
CD
ADDRESS CITY SIDE PROP. LINE OF (STREET) U
SFTNO'. OF NO. OF CHECK HIGHWAY } YARD =
TOTAL SETBACK FROM TYP EXISTING C
SIZE
..E STORIES FAMILIES ONE - SIDE PROP. LINE HIGHWA WIDTH O
DESCRIPTION OFWORKNEW } CL.
y
ADD ❑ CORNER CUTOFF YES ❑, NO ❑ Z
LTER ❑
- IN OPEN SPACE YES ❑ NOUSE ❑
REPAIR❑
EXIISOT NG BLDG. - DEMOL ❑ IN COASTAL PERMIT ZONE YES C]REPAIR
❑
APPLICANT TEL
(PRINT) " NO.
'BY (SIGNATURE) P
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON-
ST RUC TION. I CERTIFY THAT IN DOING .THE WORK AUTHORIZED t '�
HEREBY I' WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE.
SIGNATURE OF �A ' / FINAL /�-I�/S/�7(J BY �f.�'7�d�U -
PERMITTEE -G DATE (///
ADDRESS J
TEL' P.C. Fee$- Permit Fee O-
CITY NO. D
Issuance Fee
•VALUATION $ �OO Total Fee
PLAN.CHECE VALIDATION oK. MD. CASH _ PERMIT VALIDATION CH- M.o. CASH
,N:- 2:6 a MAR,22 1- o. 4 8.`7 Air
76A838A CE*803B 13/75
1.