HomeMy Public PortalAbout9120 EMPEROR AVE_Building__ 76A638A CE 803162 APPLICATION FOR BUILDING PERMIT �T
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS Q
BUILDING AND SAFETY DIVISION LOCALITY \
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST
DISTRI NO GRO�1P TYPE PR BY
FOR APPLICANT TO FILL IN /T coNsr
BUILDING /' �a J� 17�'�� 4� STATISTICAL CL ICATION SEBWER MAP
ADDRESS • I C r/"
CLASS NO DWELL UNITS
LOT NO BLOCK WATER
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RECEIVED
TRACT MAP HIGHWAY
NO OF BLDGS NO pL. (CIRCLE) STATE MAJOR SECOND CAL
SIZE OF LOT (pV J 33 NOW ON LOT 'USE ZONE SPECIAL
USE OF (w� CONDITIONS
XISTING BLDG �!
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SETBACK YARD HWY STREET NAME WIDTH
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ARCHITECT OR TEL P L
ENGINEER 211`-►-��'-" NO SIDE
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ADDRESS O
DESCRIPTION OF WORK ` , W
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NEW AD ALTER REPAIR DEMOLISH I / _ z
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SIGNATURE OF
APPLICANT
VALUATION %UV /
QQQr'rr' APPROVALS /PATE INSPECTOR S,5 SIGNATURE
P C PMT �v FOUNDATION LOCATION q�y ,_, ��
F FEE $ 1 FORMS MATERIALS
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS
BRACING BOLTS F V"
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 LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE '
LATH EXT
SIGNATURE OF b� HOUSE NUMBER COR /
PERMITTEE_ I RECT AND POSTED
ADDRESS FINAL 1�7��
F LEWIS PRINCIPAL
PLAN CHECK VALIDATION CK MO CASH _ JOH PERMIT VALIDATION STRUCTURAL TURM O ELCA
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78A888A CE#8088-E8 APPLICATION FOR BUILDING PERMIT 5
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT GR OyD I TYPEP
/� ROCESSED.BY!
FOR APPLICANT TO FILL IN ��77!! CONST. I
BUILDING STATISTICALSSIFICATION I SEWER MAP
ADDRESS - BK PG/
CLASS. NO. DWELL. UNITS f"'. ' `y
LOT NO. ' BLOCK MAP - STATE YES f NO
NUMBER ( ( , HWY. f
TRACT 1 USE ZONE SPECIAL ^k-
NO.OF SLOGS.
CONDITIONS
SIZE OF LOT NOW ON LOT �.
USE OF
EXISTING BLDG. BUILDING EXIST.
I! SETBACK YARD HWY STREET NAME yyIDTH
OWNER FRONT
MAIL P.L. -2
ADDRESS - SIDE
TEL. P.L.
clTv No. r.. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE 7^7,
i
SIGNATURE OF r APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS - FOUNDATION: LOCATION
$ FORMS,MATERIALS
P.C. s FRAME: FIRE STOPS.
FEE BRACING, BOLTS
VALUATION s '"5 �!,% FURNACE: LOCATION.
GAS VENT. DUCTS ,.
1 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
STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS / FINAL
' CLYDE N. DIRLAM, PRINCIPAL STR'U RAL EKelR
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.o. cnsH
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