HomeMy Public PortalAbout5014 DOREEN AVE_Building__ DEPARTMENT OF UI COUNTY ENGR4EF
SION OF BUILDING AND-SAFETY � ILIA IIIWJJ��VVJJI '(v� ` " ' k
COUNTY OF LOS ANGELES E1
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION `
CASSATT D. GRIFFIN. SUPT OF BUILDING
FOR,
APP CANT TO FILL IN EOR OFFi LX
DISTRICT NO. Pun CX.OR Rec.No. PERMIT NO.
BUILDING [ {
ADDRESS ' 0 'I--- S' � �� / /S66 �!S
'� RECEIVED BY , DATE OF APPL. DATE ISSUED
LOCALITY y
NEAREST / )� ,til l 3 —
CROSS ST.
BUILDING /�
ADDRESS Q TN-
OWNER //� �1�
MAIL �l LOCALITY /_,./ /�'�L.7� C5 / %��
ADDRESS NEAREST
CITY TD' '�C.-O CR0985T. e �C i
ARCHITECTO TEL. FIRE . OF - TYPE GROUP'
�� ZONE PLANS-�'I r/' I I ��
ENGINEER NO. _
BLDG. I ORD NO /
ADORE SETBACK LINE G
_ TEL. J TT USE APPROVED
CONT AXI NO. • Q /v ZONE BY. DATE I
ADORE J L' qq�� HOUSE NUMBERING ,
LEGAL MAPNUMBER L��� D NO. ASSIGNED BY
DESCRIPTION I LOT NO. BLOCK
CORRECTION/S -
TRACT 746
,i..w NO. OF BLDGS.
n'
SIZE OF LOT ✓ p-• ( eL NOW ON LOT
USE OFNO. OF
EXISTING BLDG. FAMILIES I' ('� rs �S ,✓.os- La a $�/
- DESCRIPTION OF WORK o, D -
NEW ALTERATION ADDITION ��L2A/B eP .p6a L.Dc£s L0./Tlc's'�- D
REPAIR DEMOLITION ~F � 5 D
9D. FT. - NO. OF
jj IL/dr.0>/✓1�Q-
SIZE 7� ROOMS.:.,) SnTORIES
EXT. WALL t, I ROOF 4i�,�W s '��" Co v6 c 'v .o CdD I..iT•�
COVERING. COVERING
UBEOFS �U�CT�URE� 4 -
L-L�I.-�t..L/l -� t a o. /' �}.. /4 l L��X. �✓�r 7-6 .P. e..v G7 r s=T dI'�
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Vf
APPROVALS
INSPECTOR-SSIGNATURE DATE
FOUNDATION: LOCATION `�"--
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRESTOPS.
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT. FURNACE: LOCATION.
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS
AND STATE L /8 REGULAT{! BUILDIN NSTRUCTI N.. _
SIGNATURE / �� LATH, INT.
FERMI
_d LATH. EXT.
ADDR
PLASTER, INT.
AUTHORIZED AST.
y���/.�f�� PLASTER, EXT.
$ _p' y I✓� P. C' ® HOUSE NUMBER FEE AND NUMBER COR-
RECT /J
VALUATION FEE $ '_ FINAL `. (r o
76A890A DB8 8 8'82
APPLICATION FOR
BUILDING PERMIT
BUILDING
` FOR APPLICANT TO FILL'IN ADDRESS _O
DDRSSVAEa-
LOCALITY
NEAREST _ .
CITY Z P CROSS ST. t
IF Jd BLDGS. ASSESSOR
SIZE OF LOT -NOW ON LOT MAP BOOK PAGE .PARCEL
s DISTRICT GROUP TYPE FIRE ROCE�SED BY
TRACT �-- - -(� BLOCK. LOT NO.. lO Q CONST, Z s/Y/
OWNER
/!IJ T�L TA V
�: NO.
STATISTICAL CLASSIFICA ION: SEW ER MAP
'ADDRESS 1/ CLASS NO. ��� ;'hDYWELL.UNITS BK49PG
CITY ZIP SE Z E. NOP o� U
ARC ITE OR TEL. ECIAL
ENGINEER NO. NDITIONS
ADDRESS - ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO O-
CONTRACTOR NO. F ' I BLDG.SETBACK FROM
LIC FRONT PROP.LINE OF MJ ISTREETI
ADDRESS" Q NOT d lr� HIGHWAY + YARD. = TOTAL SETBACK FROM TYPE OF EXISTING
//�� �-• ,yam' LIC. . FRONT PROP.LINE HIGHWAY WIDTH
CITY-O L�' /�/Z CLASS
CONSTRUCTION LENDER `+ _(F o1.O ,'L/
NAME AND..BRANCH BLDG.SETBACK FROM V
SIDE PROP.LINE OF ISTREETI
ADDRESS - - CITY O
SOFT - NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL BEiBACK'FROM TYPE OF EXISTING w
SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGH WAV WIDTH a
z
DESCRI TION OF WORK � NEW 11 1
ADD ❑ CORNER CUTOFF YES ❑ NO ❑
` ALTER' ❑ '
❑.. IN OPEN SPACE � VES ❑ NO ❑
USE OF BLDG . REPAIR EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
APPLICANT TEL
(PRINT) NO.
BY ISIGNATUREI,
-I HEREBY.ACKNOWLEDGE THAT I HAVE READ'THIS APPLICATION AND STATE Y
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 CODEOFTHESTATEOFCALIFORNIAINRELATING TORKMEN'S CO 'M
PENSATION INSURANCE.
SIGNATUREAOF - -FINAL �O By
'PERMITTEE" _ DATE
ADDRESS
TEL. P.C.Fee$ Permit Fee 7S
GITY-- - NO.
Issuance Fee
VALUATION S Q Q {
Y Totol Fee
PLAN CHECK VALIDATIONS ., . CK.r<.M.o.ti CASH _ PERMIT VALIDATION cK. M.0. CASH
1 D .`7 5 ess
6 4 22 1
�uCT c0 _ .
®f'YGA6388 CE#8036 6/76 - -
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DEPARTMENT OF COUNTY ENGINM WRONG .
DIVISION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT 0. GRIFFIN, SUPT OF BUIU]ING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PUN CK.OR REC.No. PERMIT O.
BUILDING 2 37
ADDRESS
LOCALITYIY,9 REC IVED BY DATE OFF AP'PLL.. DATEISS�fUED
NEAREST �] �y� �u �nj uc
CROSS ST
BUILDING ` Q
OWNE ` ADDRESS .0Al
/T
MAILAA LOCALITY
ADDRE 4
TEL. NEAREST .
CITY O — CROS96T. �.
ARCHITECT TEL FIRE NO. OF ./I TYP�'—I GROU y_
ENGINEER NO. ZONE PLANS _
BLDG, /� ORD. NO.
ADDRES a SETBACKLINE l'
TEL, USE.- APPROVED
CONTR O. y ZONE BY DATE
�I. �dix .� HOUSE NUMBERING
ADDRE
LEG L ' MAP NUMBER—.--LO—NO. ASSIGNED BY
DESCRIPTION TNO, - LOCK CORRECTIONS
TRACT n �-
I
SIZE OF LOT v 'I NO. OF BLOT
NOW ON LOT -
USE OF NO. -
EXISTING BLDG. I•F9.4.
DESCRIPTION OF WOR] D -
i
NEWALTERATION ADDITION G
2
R DEMOLITION D
r
NC
ROOMS - STORIES /ALL p \ I ROOF
ING'S<< COVERIF B RUCTURE„ APPROVALS
INSPECTOR'S SIGNATURE DATE
52 FOUNDATION: LOCATIONs,FORMS. MATERIALS /�F/EREBY ACKNOWLEDGE THAT 1HAVEREAD THI AP- FRAME: FIRE STOPS,TION AND STATE THAT THE INFORMATION GI .N IS BRACING, BOLTSGR FURNACE: LOCATION,
GREE T COMPLY WITH ALL COUNTY ORDINANCES GAB VENT. DUCT9
TATE REGULA G BUILDING CONBTRUC,TION.�ALATH. INT, rs G C,
TUR6ITTELATH. EXT.
PLASTER, INT.
LVALUATION:
D AGT.
PLASTER, EXT.
F E SNRECTNUMBERCOR-
FEE RECT AND PoS7ED FEE S FQO FINAL XC+�`•Vv'ry' �� !P�
TBA”" DBD D D 511I j �
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