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HomeMy Public PortalAbout9955 DUFFY ST_Building__ 76A638A CE ItS03-f0.58APPLICATION FOR ®i NG PER MIT BUILDING AND SAFETY DIVISION BUIL°'NG n - SS F-;;577- ✓ y Department of County Engineer,` ADDRE /I /7 County of Los Angeles - LOCALITY •�'�.7 Ply, `-1 i JOHN A._LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS.ST. - t . - DISTRICT NO. GROUPSEWER MAP FOR APPLICANT TO FILL IN TYPE K c /�v/�� CONST: JB BUILDING ADDRESS �7 J F,L'�Lv �.� 4 . J � STATISTICAL CLASSIFICATION - • 0 LOT NO. BLOCK ' CLASS. NO: DWELL. UNITS" MAP ;STATE / �a - 2 NUMBER - -'HWY -_ YES• 0= TRACT USE ZONE SPECIAL ] ¢,-jJ CONDITIONS SIZE,OF LOT J,271 !301,11 NO:OF SLOGS. NOW ON LOT USE OF - 'EXISTING-BLDG. � BUILDING YARD HWY. STREET-NAME EXIST. SETBACK WIDTH OWNER -e FRONT ' s, MAIL /f l P. L. ADDRESS' ���lJ ]p Y �f. SIDE - ,J/ P. L. �. _.- - ARCHITECT OR TEL. INSPECTION-RECORD. ENGINEER ©Uj Ie Y NO. ADDRESS TEL. -- - - CONTRACTOR ® �'e_✓ NO. - ADDRESS' .. .. DESCRIPTION OF WORK NEW- ADD, ALTER •REPAIR_ DEMOLISH ' . - SQ, FT. �'/ � NO. OF NO. OF _ SIZE ? STORIES FAMILIES - - USE OF STRUCTURE - eY%Nce APPROVALS - SIGNATURE OF u _ APPLICANT DATE INSVECTOR'S SIGNATURE i ADDRESS FOUNDATION: LOCATION1!6 nn A i FORMS. MATERIALS a.A...---'��.. -- S U P. C. $ - FRAME: FIRE STOPS.BRACING, BOLTS `1 /5-7 y A - ': 3�0 FEEG ' VALUATION -g .S Q" FURNACE: LOCATION. FEE GAS VENT. DUCTS ^� 1 HEREBY ACKNOWLEDGE THAT I HAVE REA THIS AP- LATH. INT. - PLICATION AND ST E THAT T BOVE CORRECT AND - -- - AGREE TO COMP ITH ALLO NTY R INANCE AND LATH. EXT. STATE LAWS R LATIN G U DI NSTRU ION. - _ SIGNATURE OFHOUSE NUMBER COR- Ad , PERMITTE RECT AND POSTED - '' ADDRESS FINAL JOHN A. LAM IE, COUNTY ENGINE CLYDE N. DIRLAM. PRIN IPAL STRU RAL`EWG`rNNEER PLAN CHECK VALIDATION CK: M.O. CASH PERMIT VALIDATION K. m.o., CASH d 76A638A CE #803 3-69 APPLICATION FOR BUILDING PER 0T COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND'SAFETY DIVISION LOCALITY s JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GRO TYPE. PR BY (PRINT OR TYPE ONLY) --3 , BUILDING STATISTICAL CLASSIFICATION SE ER P. ADDRESSCLASS NO. �� DWELL.UNITS BK PG LOT N0. BLOCK USE ZONE MAP N0. (/ TRACT SPECIAL N0. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOTUSE O - - EX STING BLDG. DWELLING BLDG. SETBACK FROM - OWNER JAMES J. HUMPHREY NO. FRONT PROP. LINE OF - (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL HIGHWAY WIDTH FROM C.L. ADDRESS 9 .BUFFY CITY TEMPLE CITY ARCHITECT OR TEL. D PROP. I P (STREET) ENGINEER N0. SDE PROP. LINE OF TYPE OF I EXISTING SETBACK HIGHWA - + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + _ _ } CONTRACTOR N0. - - - CL L'CADDRESS 600 S. SAN GABREIL NO '6Q� CORNER CUTOFF .YES _❑,__ NO E] LIC. p� CITY SAN GABRIEL k CLASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS C CONSTRUCTION LENDER ~ NAME AND BRANCH LL CL ADDRESS CC SQ. FT. NO. OF NO. OF ❑ SIZE STORIES FAMILIES NEW USE OF ADD ❑ STRUCTURE REROOF HOUSE GARAGE ❑ ALTER WITH MED. SHAKFS REPAIR SIGNATURE OF DEMOL ❑ APPLICANT VALUATION $ 1672.00 I APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ 17;255 FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, " BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS • TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE. OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. r_ �� LATH, EXT. SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRESS VIRGIN R S.SAN GABRIEL l �l FINAL JOHN F. LEWIS, PRINCIPAL STRU TURAL ENGINEER PLAN CHECK VALIDATION CK. M.O--CASH PERMIT VALIDATION CK.- M.0. CASH ' d 1 9° 21R. _AUG 5 1 D 1 7.2 5;x. a/c DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR.PERMIT COUNTY OF LOS ANGELES 41-115 WM. J. FOX, CHIEF ENGINEER ILDINU FOR APPLICANT TO FILL IN I FOR".OFFICE USE ONLY. NG DISTRICT� /PLAN CK. N0.�/ PERMIT NO. r` ADD EUILDISS .S/ -. 3- D®�` o . . �/� d a LOCALITY 1 . RECEIVED BY DATE OF ADPL. DATE ISSUED ..!�1sLR/ NEAREST � � CROSS ST.., BUILDING - ADDRESS g OWNER " MAIL `LOCALITY v/. NEAREST ADDRESS F :TEL.- '.! CROSS ST. /..✓�( ���.�/A/l_._J CITY. / NO. V FIRE I PLANS I TMPD+ I GROUP_ ARCHITECT OR' TEL. ZONE ENGINEER. ' NO. BLDG. ORD. NO. , SETBACK LINE ADDRESS ,�� APPROVED - - SEL. BY . DATE CONTRACTOR - !.J NO. USE A`, ZONE < BY ED Pd— 'OL,/ DATE ADDRESS - HOUSE NUMBERING LEGAL • �jQJ) Q' DESCRIPTION I LOT'NO.. I BLOCK .MAP NUMBER �-+ —FIELD CHECK BY ' TRACT .• •• NO."ASSIGNED BY DATE /' / Ivo. of etncs: CORRECTIONS - SIZE OF LOT "s-(5' ` GI NOW ON LOT USH,OF NO. OF -- -' I c'All r EXISTING BLDG, I FAMiLI— �+ DESCRIPTION OF WORE NEW I� I-ALTERATION I � I ADDITION n REPAIR ,I. ..., • DEMOLITION SQ. FT.. ) NO: OF C Q SIZE / �' ROOMS .STORIES .D EXT. WXLL ROOF - I' COVERING ,,�,iy' I COVERING USE OF STR4TURF APPROVALS, - INSPECTOR'S SIGNATURE, .DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND.;STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALSj��,�_y� pX 7�j� CORRECT. - - - 1 AGREE TO.COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, - HEREON AND WITH ALL COUNTY�.1ORDINANCES AND STATE BRACING, BOLTS /F • LAWS REGULATING BUILDING C STRUCTION.. G/) FURNACE: LOCATION, ,y / SIGNATURE OF ° GAS VENT, DUCTS MITT � v•�� PER � - < LATH, INT. ADDRESS LATH, yw EXT. - L HORIZED AGT. ��,/'� • PLASTER, INT. 88A• DOGS 10=80�. . J V-L P. C. $ er t ^ q-7 -0FEE PLASTER, EXT.UATION Q i v FEE $ Z �� FINAL _ 7 ,p•'�