HomeMy Public PortalAbout5224 DOREEN AVE_Building__ Rt
16A63BA CE BDB6.B' APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER
noDREss
BUILDING AND SAFETY DMSION
LOCALITY
JOHN A. LAMBIE, COUNT' ENGINEER NEAREST
WILLIAM A. JENSEN SOFT OF BUILDING CROSSST.
DISIfl GROUP TYPE O ES B '
FOR APPLICANT TO FILL IN L 6ONST
BUILDING STATIST]CAL CLASSI FI CATION - SEWER MAP
ADDRESS P
CLASS.NO.--/-DWELL. UNITS-_/_[
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
TRACT / (� CERTIFICATE:
jai
NO.OF BLDGS. NOP O/D IICGgCLAI STATE MAJOR SECOND, CAL
SIZE OF LOT I NOW ON LOT USE ZONE SPECIAL q
USE OF CONDITI0 OCA
EXISTING BLDG.
OWNER 11h -�� BUILDINGEXIST.
SETBACK YARD I HWY STREETNAME WIDTH
ADDRESS %�(/J �'�G ^'�`- FRONT —7' /'�/
ARCHITECT OR TEL. P. L. I�D1L¢�✓ L/
ENGINEER NO. SIDE
P. L. U
ADDRESS TE INSPECTION RECORD_
CONTRALTOcl
1 O
DESCRIPTION OF WORN
^7 /4
EWJ ADD ALTER REPAIR DEMOLISH ^,' q
_14
_ Al
.FT. NO.OF NO.OF HU ". l U//T �M ..
IZE ZS-O STORIES - FAMILIES
USE of
STRUCTURE
v
� Ar.
. y
SIGNATURE OF
APPLICANT
VALUATION$
APPROVALS DATE INSPECTORS SIGNATURE
$�S PMT' . 2 FOUNDA
FEE —FIRMS,
LOCATION
FEE $ S, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. �/ �.�✓JiT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS / (jj//IICC``�/1�T '%
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN v A" FF
H, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNI T-
ING TO WORKMEN'6<OM EN6AT1 NSURANC£,
H,EXT.SIGNATURE N7.
COR-
PERMITTEE OF CT AND POSTED I/ Z
ADORE AL )I 17 �
CLYDE N. DIRLAM', PRINCIPALSTRUC URAL ENGINEER
MIT
PLAN CHECK VALIDATION M.O. CASH PERVALIDATION M.o. CASH
V p1376% JUL 11 23 D 25.00' o
LACO2 4 2"1—� AUG 1 1 D 5 0.00"
01EPARTMENT
«tea 96'APPLICA(TIOgFOR BUIL ING PERCOUNTY OF LOS ANGELES BU' Gr OF COUNTY_ ENGINEER ADDRESSC .2 A
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT DF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. Gt9U TYPE P Ess BY
CONST.
Print or type only) I
BUILDING _ STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS t CLASS NO.___z4DWELL.UNITS BK PG
LOT NO. BLOCK USE ZONE MAP �/O
/ NO.
TRACT / SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
TEL FRONT PROP.LINEOF -(STREET) '
OWNE NO TYPE DF EXISTING SETBACK HIGHWAY } YARD TOTAL
HI WAV WIDTH FROM C.L.
ADDRES
} _
CI RC OR B LOG.SETBACK
(STREET)
Ey
ACHITETEL. SIDE PROP. LINE O F
ENGINEER NO.
TYPE OF EXISTING SETBACK I HIGHD = NOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL } _
CON NO. 7eZ744 I I O
ADDRESS O. CORNER CUTOFF YES ❑ NO ❑ U
C
LIC. O
CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS E~
DESCRIPTillN OF WORK a
- /- 70 G LL F/J rtlQ i�5 Fc TiJn/ z
NEW ADD ALTER REPAIR OF
SQ. FT. NO. OF NO. OF /V�"e.)l
v O '/� c Tr) G,A•[ L fr'O R
SIZE S DRIES FAMILIES
USE OF �ni�Dl.d✓q'.f9�f✓n!t �/i o�..+J
TRUCTUR 7 -2o-70
C./,}yLi// �.✓s� 'GT/l7 �/✓�e�Vv/�ly-AJ
IGNATURE OF �F�D4G/�i � 1;qFF=0/il lO. 00 A.�7
APPLICANT
o
vnwnnoN $
APPROVALS DATE � INSPECTOR'S slcxAn aE
P.C. PMT. FOUNDATION: LOCATION
FEE $ FEES FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THI 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 WORN
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAY_ LATH, INT.
ING TO WORKMEN'$CQMP SAT( INSURANCE.
FFF////✓J LATH, EXT.
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS J _ FINAL
JOHN F. LEWIS. PRIM IPA ST TURAL ENGINEER
PLAN CHECK VALIDATION Cl. M D GASH _ PERMIT VALIDATION GK. M.O._ CASH
i . 5 6. 00IR J)I,az9 2D 9.0 0,