HomeMy Public PortalAbout9920 DUFFY ST_Building__ "'7DI`TISION OF BUILDING AND SAFETY
Department of County Engineer SUMUNNA
County of Los Angeles APPLICATION
WM. J. FOX, COUNTY ENGINEER '
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
D113TRIC ,NO. PLAN CK.0 REc.No. PERMIT NO.
BUILDING J A
ADDRESS
R EIV BY DATE OFAPPI.. DATE IBSUIED
LOCALITY V �/
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! ADDRESS
OWNER
MAIL LOCALITY
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CITY NO. FIRE ( I I G J
ARCHITECT OR TEL PL ZONE PLANS
ENGINEER NCL - BLDG.
SETBACK LINE / G
ADDRESS UBE1 APPROVED '
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BY DATE
CONTRALTO NO. 00 00 HOUSE NUMBERING
ADDRESS MAP NUMBER_. NO. ASSIGNED
LEGAL CORRECTIONS
DESCRIPTION LOT N[X BLOCK
TRACT
NO. OP SLOGS. /
SIZE.OF LOT' I NOW ON LOT /
USE OF NO. OF
EXISTING BLDG. FAMI LIB®
DESCRIPTION OF WORK A
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-� NEW ALTERATION ADDITION Z
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REPAIR DEMOLITION
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USE OF STRUCTURE`- !
D N S ' A.
f/ ' �T/�Otin/� trJ !Y
INSPECTION FOR APPROVALS
OCCUPANCYAS I NSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION _
FCMMS, MATERIALS 7-1
—J •L
1 HEREBY ACKNOWE DGMTHAT
THAT I HAVE READ THISGIVE AR- FRAME: FIRESTOPS,�
PLICATION AND STATE THAT THE INFORMATION GIVEN IB
CORRECT. BRACING, BOLTS
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE FLATH, INT. -
PERMITTEdeed
! - LATH, EXT.
ADDRESS
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
$ P.C.!B HOUSE NUMBER COR-
RECgb T AND POSTED
VALUATION L f/ �D ® FINAL a, a`•l
,�. FEE �--.
76A638A DGS 3 1-52
TEMPLE CITY
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7 omi CE#B09•t-61 AIS PLRCA J� �ON FOR BURLDNG PER HT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER AD°REss
BUILDING.AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. �--'
DISTRICT NO. GROUP +ypE P C SSED BY
FOR APPLICANT TO FILL IN 1—r CONST.Y— ,
BUILDINGx,20j� STATISTICAL CLASSIFICATION SEWER MAP
`
ADDRESS 7 ,, // l
CLASS. NO.--e—DWELL.UNITS K �
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE: ,.�/
TRACT / 4 MAP �. v HWAY
C IGRC LEI STATE MAJOR SECOND, AL
SIZE OF LOT /Oy x 5 I NO.OF BLDGS. ./ NO.
NOW ON LOT ! USE ZONE SPECIAL
USE OF - j CONDITIONS
' EXISTING BLDG. 44
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OWNER V -t rI a I,G'ARl.S TMLAT 7476 BUILDING EXIST.
_ YARD HWY STREE AME
67,
y� SETBACK s WIDTH
ADDRESS g ZO C e DLL �F� cS�r FRONT ; .
ARCHITECT OR TEL. P. L. caw
ENGINEER NO. SIDE
P.L. C
ADDRESS TEL. INSPECTION RECORD Ov
CONTRACTOR NO.
o' ADDRESS /�/C7'/Gr. rSCt?1�.�1, !'.� /�'v�1.V l ✓�. Jti"G//, ..-z� O
e 0 v 0
DESCRIPTION OF WORK A ol 'n W
IL
NEW Q D ALTER REPAIR DEMOLISH i' - Z'
SQ FT. O I NO.OF NO.OF _ La,";� r/��� _
O STORIES FAMILIES
USE OF
2 r
r
SIGNA URE
APPLICANT
VALUATION$ , �
FOUNDATION:
APPROVALS DATE INSPECTOR'S SIGNATURE
SIGNATURE
FEE $ �— FEE PIMT.$ !� ` FORMS.MATERIIALSON
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS 'G A!,oA.
�` SPT✓
.AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, y�
WITH ALL COUNTY ORDINANCES AND STATE -LAWS.REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION'. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STA OF CALIFORNIA RELAT- \
ING TO WORKMEN'S CO' ENSATION I RAyE; LATH,EXT.
SIGNATURE O- HOUSE NUMBER COR-
PERMITTEE-
OR-PERMITTEE r RECT AND POSTED �.-�-
ADDRESS- f r FINAL �i2'��(+/ PI✓
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN ER
PLAN CHECK VALIDATION cK. M.O. c"H PERMIT VALIDATION cK. M.O. CASH
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