HomeMy Public PortalAbout9138 EMPEROR AVE_Building__ D£PAI-,FMENT QF FiUILDING AND S Y APPLICATION FOR PERMIT
C(5tNTY OF LOS ANGELES V 2 61941
► H/M. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING / C DISTRICT NO. PLANCK NO. PERMIT NO.
ADD EBB b G 6 482497-6
827
LOCALITY RECEIVED BY DATE OF PPDATEISSUED
NEAREST /; e�7+ /ii61L 4� + /(�
CROSS 9T 41 '
BUILDING
OWNER A 1 [�/} 6
� ADDRESS }
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MAIL r /► LOCALITY 1 E
ADORE J Q
_ A c NEAREST aq
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FIRE NO. ..
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ARCHITECT OR- TEL ZONE PLANS
ENGINEER NO. I
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BLDG. Iy�� ORD.NO.
ADDRESS SETBACK LINE 20 / Sri
TEL r APPROVED
I CONTRACTOR / y" NO �J BY DATE
1( USE ADDRESH 7� ,� ZON By L)L)yA
LEGAL CORRECTIONS
DESCRIPTION I LOT/NO. 7 BLOCK
TRACT
/ �/ - NO OF BLDGH 1
SIZE OF LOT 60 I� 1 / 7 I NOW ON LOT
USEOF _� NO OF _I NO OF
EXISTING BLDG FAM,LIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
A
REPAIR I MOVING DEMOLISH �
SM FTO*, NO OF
t SIZE Q 2 p Q ROOMS Is- STORIES , D
WALL ROOF ��n/� �nn r
COVERING I COVERING�.jL1�.r0
UBE OF NEW
BUILDING
!0 ' ,. yD
7/ >- 2-- 0 11'' .2-I HEREBY ACKNOWLEOdW THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION, LOCATION INSPECTOR_ DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
OWNERC�+� LATH.INT.:
Q
AUTHORIZED AOT. � LATH,EXT : �
DBS-3 25M SETSI- P C !$ PLASTER.INT.
FEE 'T'0 0 PLASTER,EXT.
VALUATION ��O /
FEE I(pl A 0 FINAL
i
78A698A CErye09 a_=9 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 NO. GROUP_,] TYPE I PROCESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING SEWER MAP
ADDRESS STATISTIC•L CLASSIFICATION
'�K
LOT NO. BLOCK CLASS. N JZWELL. UNITS-1
MAP - STATE YES NO
NUMBER HWY.
TRACT USEZONE SPECIAL
NO.OF BLDGS. +' CONDITIONS
SIZE OF LOT I NOW ON LOT
USE OF
EXISTING BLDG. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT
MAIL P. L.
ADDRESS SIDE
TEL. P.L.
CI No.
INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS a
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
$ FORMS, MATERIALS
P.C. $ FRAME: FIRE STOPS.
n FEE BRACING. BOLTS
$ FURNACE: LOCATION.
FEE / 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 j ' f HOUSE NUMBER COR-
PERMITTE < RECT AND POSTED
ADDRES I FINAL
CLYDE N. DIRLAM.PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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