HomeMy Public PortalAbout8842 - 8842 1/2 ELM AVE_Building__ •I6A638A-CE*80p 8-64 A PUCATI®N FOR BUIL NG PERMIT .
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY r" .
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST _.
COLEMAN W. JENKINS,SUP'T,OF BUILDING - CROSS ST.
DISTRICT N0. GROUPI
TYPE.t PR.OG•FSSED BY
FOR APPLICANT TO FILL IN coNsr,' (� 1 : ' 2
BUILDING STATISTICAL CLASSIFICATION. - SEWItR MAP.
ADDRESS 71 o CLASS NO. DWELL UNITS BK PG0.
%
LOI��h10` 67 t7 'BLOCK USE ZONE .MAP
TRACT V Z SPECIAL
NO. OF SLOGS. JJJ i CONDITIONS
SIZE OF LOT NOW ON LOT
USE O-F
E IS G B 1.Q G. IPC S ijO O BLDG. SETBACK FROM
TEL FRONT PROP. LINE OF. - 1 (STREET)
OWNER (/` C,.Bt NO. S TYPE OF EXISTING SETBACK'' HIGHWAYS' YARD`• _ -TOTAL
ADDRESS D S - HIGHWAY W 'FROM C.L.
3
CITY BLDG. SETBACK_FROM. _
ARCHITECT OR' TEL.
ENGINEER NO. SIDE PROP. LINE OF (STREET)
-
TYPE OF' EXISTING SETBACK` I HIGHWAY- + YARD = ,"TOTAL >.
ADDRESS HIGHWAY WIDTH FROM C.L. C_
TEL. + = 0
CONTRACTOR- NO
- LIC. 'CORNER CUTOFFYES NO
ADDRESS NO 0
• f-
cl r
CLAAASEE REVERSE SIDE FOR SPECIAL APPROVALS uV,
DESCRIPTION OF WORKZ
s / 20 _
NEW ADD ALTER REPAIR - DEMOLISH gg�y
SQ.FT. NO. OF
SIZE STORIES FAMILIES - -
USE OF
STRUCTURE
SIGNATURE OF ,
APPLICANT
VALUATION$
.oG APPROVALS DATE .INSPECTOR'S SIGNATURE
P.C. - PMT. FOUNDATION, LOCATION ,
FEE.$ FEE$ -ems F.ORMS,-.MATERIALS__
'FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE-READ THIS APPLICATION BRACING BOLT -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION _
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS '
9UILOING CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK ,
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH: INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN' COMPENSATION INSURANCE.
LATH.EXT.
SIGNATURE O //•..� �f'- HOUSE NUMBER COR-
PEftM.ITTEE ` 08
, �I_—_ZRECT AND POSTED
ADDRESS
FINAL
6,
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA DATION CK. M.O1 CASH
L,"�o8 9 3 3 FES ?b 1 A 4,0*0
76;t38-A'CEu8G3 8�4., APPLICATION ION FOR BUILDING PERMF .
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS %T- '►'��
BUILDING AND SAFETY DIVISION LOC.A LIT Y
JOHN A. LAMBIE', COUNTY ENGINEER NEAREST - - -
COLEMAN W. JEN.KINS,SUP'T.OF BUILDING CROSS ST.
DISTRIyNO. GRO TYPE.. . - PR'GY
FOR APPLICANT TO-FILL IN � CONST.
BUILDING STATISTICAL ASSIFICATION SEWER MAP
ADDRESS 'S BK PG
CLASS NO. DWELL UNI TS ,
LOT NO. ' BLOCK USE ZONE MAP
D
N O.
TRACT � ~ - o& � �2. SPECIAL
p'O 4 `Z/ N0. OF BLDGS.. S. CONDITION -F �-
SIZE OF LOT (p &J/+ NO_WY.ON LOT
USE OF
EXISTING B j G. !1 /�•r>� �y ` y BLDG. SETBACK FROM
OWNER GVJI-' d�/1/`��� TOL ' �%~ l• TYPE OF FRONT PROP.
EXISTINGNE SETBACK SETBACK HIGHWAY + YARD = (STREET)
ADDRESS D ,a/ ,4 `-'J HIGHWAY WIDTH 'FROM C.L.
CITY 6A 16 Ili /1 -�'Zi0_ �/ +
ARCHITECT OR TEL. BLDG. SETBACK FROM -
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY '+ YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. d
6WpV
p TEL / ?'77 `� + - 0
CONTRACTOR t+V /.= NO
ADDRESS NO CORNER CUTOFF YES NO 0
IC
CITY C!. SEE REVERSE SIDE FOR SPECIAL APPROVALS w
DESCRIPTION OF WORK h
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT• LINO. OF NO. OF -' -"y•'� "'�`
SIZE STORIES FAMILI.E
USE , .l- Gam' - d e .
STRUCC TURE I y/ ..`1�.r� 'L `
SIGNATURE OF i -
APPLICANT -
VALUATION$„ ® .-o APPROVALS DATE INSPECTOR'S SIGNATURE
P:C. PMT. /� ' FOUNDATION, LOCATION
FEE$• j j.,. FEE$ T' '3:`� FORMS,_.MATERIAL$.__. /s 6 'r -�" _ "•(;`.�•'Y�•..r .
'FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I 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
9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THEWORK -
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE. LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TOW ORKMEN' C MPEN SATIONN INSURANCE. LATH. EXT. ,' �1 (J
SIGNATURE OF. v HOUSE NUMBER COR-
PER
OR- y `'
PERMIT. z_ RECT AND POSTED �� A A
ADDRESS PRZ _ FINAL
3
JOHN F. LEWIS. PRACIPA�L ST •'6 URAL ENGINEER
PLAN CHECK VALIDATION C M.O. CASH PERMIT VALIDATION CK. M.O. CASH
€_IiL� 4 8 4 7 fiLG 2 3 2 3 3 7.25A
n
— = r�`I c 5 �` 6 0 SLP 14 1 A 74.50—