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77-
DEPARTMENT OF BUILD hAG AND SAFETY APPLICA FOR PERMIT
COUNTY OF LOS ANGELES fd1 ® 0
WM. J. FOX. CHIEF ENGINEER I�
FOR APPLICANT TO FILL IN } FOR OFFICE USE ONLY
/` ry/' /y/�),) n LL DIBTRIOT NO. .PLAN CK. NO. r, 'PERMIT NO,,'.
BUILD
' ADDEISH I�/GJ� CN
LOCALITY 1�;`Jl p` ` Gi T Y, ' /RE�CEIVVED BY �IOAT,E,OOF APPL- (O DATE ISSUED
NEAREST - -C..GG.�IO JV /
CROSS ST. F.4e E'FTC .SIrT. -
OWNER L / I / / BUILDING -
�J � /1 / .{n/ - ADDRESS
MAIL JD YJI 9l +,A',q - A '/ / ' •,L!(��,.�C./. �.. Gf
ADDRESS LOCALITY
/ NEAREST
CITY �G A �, TEL J CROSS ST.,
NO. FIRE .< I NO.OF - I ,TYPE \ it GROUP/
ARCHITECT_ OR TEL. ZONE
ENGINEER `� NO.
- BLDG. _ .�.•, ^✓ _ - ORD. NO.
ADD PESO /X` SETBACK LINE
APPROVED, a° /
... TEL. I
CONTRACTOR NO: BY ; DATE
• �` USE /�JJ APPROVED'
ADDRESS ZONES(,/ BY - DATE '
LE°AL. - - 'CORRECTIONS
' DESCRIPTION I LOT NO. �I BLOCK � - -
TRACT II 90 GV✓+t.�GL-'TL C•U.f^T//1i r_,. I /?i .
NO. OF BLDGH. r ��/�, 1 t
SIZE OF lOT NOW ON LOT ,Y I✓ - AT!/V G T -•'� -� 7 �'•
USE OF NO:Or NO. OF.1 _
EXISTING BLDG. I FAMIu[s ROOMS
DES RIPTION OF WORK i
NEW ALTERATIONS I ADDITION
A_
REPAIR MOVING ' DEMOLISH G
64• FT. OF iI 1. e _
SIZE ,ZOk qo by yROOMS vSTORIES / D
/ r
WALL ROF
COVERING '5.l�D/LV -I CCOVERINGVB
VEERING [A.�M/ JO _`.•
USEOF NEW
-BUILDING
BUILDING
APPROVALS' -
I HEREBY ACKNOWLEDGE THAT;FEE
READ THIS
APPLICATION AND STATE THAT THIS CORRECT FOUNDATIONI LOCATION,' �ASPEC W- DATE
AND AGREE TO COMPLY WITH ALL RDINANCES FORMS. MATERIALS ' rte/
AND STATE LAWS REGULATING BUILSTRUCTION. 'FRAME:' FIRE STOPS, pp /
SPACING, BOLTS -
SIGNATURE OF / ///��� - s
OWNER �� � � LATH,•INT.I - •.
AUTHORIZED AOT % /J .LATH, EXT.1
B PLABTER,,!NT. Y r'
\" // I PLASTER, EXT.
VALUATION �� i FI NAI:-
/7,
t ENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER � - ,•- ���� v ® �-
- FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
' DISTRICT NO. � �---PLAN-CK.•N O.-- ---PERMIT-N O.,
ADD EI99 D ND'J7o2EE.v sr �",
A.� i j��J
LOCALITY rC /-/ �L E' CJ, T f RECEIVED BY DATE OF A�P/PL " -.I>DATE ISSUEE/D
NEAREST c t J` /J-/,/
CROBB ST. �G �� V • ' p
^ Q
ADDRESBUILDINS
DQ NOi
OWNER G �/, (I�j�� EJ� ` ADD RE59 J /1^'C e� I
MAIL .TyoR Na. .//OJf tiF� I ' LOCALITY 1 t
ADDRESS N^ /w T 9NEAREBTi I 1
CITY / NOL 'CRO99T.
- 'FIRE 1 NO.OF TYPE GROUPI
ARCHITECT GR TEL ZONE f PLANS y
ENGINEER NO.
BLDG. O�R+D'./NO.
ADDRESS I SETSAC K'LINE �1J
S16-Al
APPROVED !_ _-__=`ol - ,I
CONTRACTOR �J EAl � TEL B� f 1I i`DATE 1
NO.
_ - USE *J APPROVED
ADDRESSZ4 m
C ZONE BY. I (DATE I
LEAL
DESCRGPTI ON L`OT NO..D ' BLOCK I ' CORRECTIONS }
TRACT /Z2 '!1/ o
!
/ • NO. OF BLDGS. t U
912E OF LOT Q NOW ON LOT
USE OF I NO. OF NO. GF
EXISTING BIDS. FLMI UEg ROOMS 1
DESCRIPTION OF WORK
NEW ALTERATION ADDITION -
.
REPAIR MOVING DEMOLISH "I
39.FT. NO. OF
S11i r. ROOMS STORIES / D
N
WALL ROOF yS A �- ... .
r� 008105;l'L 3 F
COVERING �(�1iZ*)_ I COV E//R��INO -A// t,
USE OF NEW BUILDING
A-0 s'/
Dz-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR
FOUNDATION: LOCATION GATE 111
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATIN���GDDD BUILDING CONSTRUCTION. `� Oii1YJ�L7
/ - Y/ pn� FRAME:
SIGNATURE OF (A/D (,/('/{/,(,',{fn BRACINGG., BOLTS
- O
PERMITTEE_ LATH, INT. 5 Jam.
AUTHORIZED AGT. LATH, EXT. '
96g639q-s t0-50 $ /C� P.C.B 65� PLASTER, INT.
O / FEE �O
� PLASTER, EXT.
VALUATION FEE ��• FINAL ✓�w� IO �V
TEMPLE CRTY
.•r �j
>unee cE geoe +-el APPLICATION FOR BUILDING PERMIT
MIT `cul
COUNTY OF LOS ANGELES pD"LDING y Lr �•
DEPARTMENT OF. COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST \
WILLIAM A. JENSEN. SUPT OP BUILDING CROSS ST.
.DISTRICT NO. GROUP TYPE PR SED BY
FOR APPLICANT TO FILL IN •<// CONST.
BUILDING STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS s��� N•. ORG�r1 �J l/< / K L'RG
c CLASS.NO,'2---3 DWELL. UNITS
LO (� /'L 0/- �Q I BLOCK ,WATER NOT REQUIRED RECEIVED
IO CERTIFICATE:
TRA `i r
SIZE OF LOT LJ X 13S' NO.OF BL'DGS. f NOP, I IIOGgCWLE) STATE MAJOR SECOND, LOCAL
NOW ON LOT USE ZONE SPECIAL rh 71
USE OF o CONDITIONS
EXISTING BLDG. �`� �Ne� -
C AL✓,o : LYJ�/ nnyrEL S4 71 . /W
OWNER �Q US Q�'+� q�/NOD. BUILDING EXIST.
ADDRESS V P A . Y!F wH//F�J/ON SFRONTK YARD HWY ST EET NAME WIDTH'
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P.L. }
ADDRESS TEL. ( e INSPECTION RECORD � O
CONTRACTOR NO. /./n�� _' �1. � —// ��
ADDRESS �` � . YR `�I I A� O
DESCRIPTION OF WORK
' w
a
NEW ADD ALTER REPAIR DEMOLISH h
SO.FT. NO.OF / NO.OF I
IZE STORIMMES FAMILIES
STRUCTURE V,� `e1NA -
CAR
SIGNATURE OF
APPLICANT nn '
VALUATION �y0
APPROVALS DATE INSP ECT OR S SISNA71JRE
FOUNDATION: LOCATION
F E S FEE $ ti_ FORMS.MATERIALS
FRAME: FIRE STOPS,
HEfl EBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK /
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON iN VIOLA- LATH.INT.
TION OF THE LAB CODE OF THE STAT OF CALIFORNIA RELAT-
ING TO WORKME 'S OMPENSAy'bN I URAyyyGGG��E
// ,��p LATH,EXT.
SIGNATURE OF Lr (•/{75Y/ HOUSE NUMBER COR-
PERMITTEE 1 Z RECT AND POSTED y I ADD S-1 F ��Y FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION CK. M.O. DASH PERMIT VALIDATION CN, M.o.' CASH
LAN iI:3 5 F> 5 -8 JUi! `7 1 U c� :v :•' i`
• w DD `
......J=a........ APPLICATION FOR BUILDING PE IT,
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOLALITY
JOHN A. LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT N GROUP` TYPE P Y '
FOR APPLICANT TO FILL IN j I coNST.�/I'
ADBUIDRESSLOING STATISTICAL SSI FICATION I, SEWKR MAPA
�+ / CLASS NO. DWELL. UNITS
LOT NO. i' / y� . �L(JT BLOCK NUMAP MBER - '�:_Q
STATE,-.. YES NO
HWY.
TRACT �(J USEZONE :SPECIAL
'GA ✓ ^ D I NO.OF BLDGS. JJJ��' CONDITIONS
SIZE OF LOT / /C .i NOW.ON LOT / /4 -
USE OF / '
EXISTING BLDG, BUILDING EXIST.
.SETBACK YARD STREET NAME WIDTH'
OWNER / FRONT
MAIL P. L. (/
ADDRESS i 'SIDE
TEL. P.L
CI NO ' INSPECTION RECORD
ARCH ITECT O TEL _
ENGINEER NO: -
ADDRESS / /J
TEL. I
CONTRACTOR NO.'
ADDRESS.
DESCRIPTION OF WOR%
/a_�.� Cs,��• %� oma:. � .
NEW • ADD. ALTER REPAIR DEMOLISH' t.
SO.FT. -V NO.OF NO.OF '
SIZE ST RIES - FAMILIES ,
OFSTTU
I
SIGNATURE OF APPROVALSr',�
APPLICANT
�Al ' DATE' INSP "SfU NATURE
ADDRESS FOUNDATION: LOCATION
FORMS.MATERIALS
P, C. $ FRAME: FIRE STOPS. .v
FEE BRACING. BOLTS ✓�T� "I r ' - L r
VALUATION, S FURNACE: LOCATION.
FEE GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATELAWS R GATING BUILD G CONST CTION. LATH,EXT.
.�SIGNATURE OF HOUSE NUMBER COR
PERMITTE RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM. PRINCIPAL'STRUCTURAL E- R
PLAN CNECB VALIDATION CK. M.O. C H PERMIT VALIDATION CK. M,O.' .cAb '
L'Cob 4 71 4 'jUL 30 1' p 9.0 V ® ,
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