Loading...
HomeMy Public PortalAbout9408 EMPEROR AVE_Building__ APPLICATION FOR ; COUNTY OF LOS ANGELES OF COUNTY BUILDING PERMIT DEPARTMENT BUILDING AND SAFETY DIVISION ENGINEER BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING Q ` ADDRESS /�O �• LOCALITY L_NEAREST Z. _ CITY LE ZIP O CROSS ST � NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL �/�{j ^ DISTRICT GROUP TYPE FIRE PROCESSED BY TRACT V v BL CF—et LOT NO CONST /,...`-`U� � CONST _.;ONE O1 E OWNER N ��/CCL No 47_ 7 �STATISTICAL CLASSIFICATIONJ ll /SEWER MAP ADDRESS nOJ • / �/. 'lE. CLASS N0C-21 002- ARCHITECT UNITS BK PG CITY_' /V A-F_ T ZIP / MO USE ZONE NOP o_7 00 ARCHITECT OR „ / /� TEL SPECIAL ENGINEER JI%/, / NO CONDITIONS f ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ / NEOL BLDG SETBACK FROM CONTRACTOR ( LIC FRONT PROP LI NE OF (STREET) ADDRESS A)V NO HIGHW + YARD TOTAL SETBACK FROM TYPE OF EXISTING CITY / LIC FRONT PROP LINE HIGHWAY WIDTH , CLASS _ CONSTRUCTI 1L'ENDER + NAME AND BRANCH BLDG SETBACK FROM a ADDRESS CITY SIDEPROP CINE,OF (STREET) SQ FT NO OF NO OF CHECK HIGHWAY + YARD _ TOTFCL SE-T-BACK�,M TYPE OF EXISTING 1= SIZE 8 STORIES FAMILIES ONE SIDE PROP LINE �H'1GHWAV WIDTH CDCD DESCRIPTION OF WORK NEW + \_ ADD CORNER CUTOFF YES ❑� NO ❑ Z �L ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ ! REPAIR❑ t USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG - EMOL ❑ APPLICANT / TEL '� (PRINT) /� �” NO 5 BY (SIGNATURE) • Flo 0P •®IL I HEREBY ACKNOWLEDGE AT I HAVE READ THI APPLICATION 'IZ617, r-leAJ ( IN D AND STATE THAT THE AB IS CORRECT AND AG EE TO COMPLY ✓ WITH ALL ORDINANCES D LAWS REGULATING BUILOING/CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED o... HEREBY I WILL HOT EMPLOY ANY PERSON IN VIO LATION/OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S CO MPE VSAT INSURANC / J - SIGNATURE OF FINAL �,��6�7 BY PERMITTEE Q DATE / ADDRES E I,f TEL PC Fee$ Permit Fee CITY NO d Issuance Fee VALUATION �10 -� Tota) Fee .� PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK mo CASH 6 l n►� �a i m 2 1.7 5 ,&96 s 78A838A C60803B 12/75 - 76A688A IF*803.738 Al PLOP A E ION FOR `BUIL®INC 9 ERMIT BUILDING AND SAF&Y DIVISION BUILDING ��} �t Department of County Engineer ADDRESS County of Los Angeles LOCALITY 0 ✓?� 4'C>'{l JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN,`SUP'T OF BUILDING CROSS ST '" DISTRICT NO GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN BK PG CONST BUILDING ADDRESS �/ Q Q � �j ,��C" '�jL /►(�� STATISTICAL CLASSIFICATION I LOT NO �� TD7AP _.!d BLOCK CLASS NO DWELL UNITS ,MAP STATE NUMBER 1 " HWY YES � Z NO TRACT USE ZONE SPECIAL "h CONDITIONS NO OF BLDGS SIZE OF LOT I NOW ON LOT 10 1 USE OF _ EXISTING BLDG BUILDING YARD HWY STREET NAME EXIST �I SETBACK WIDTH OWNER ! jn=E��` h/�E3Fw, %RONT MAIL L ADDRESS �ow l.k SIDE ,F TEL aq. 11 L CITY �A" NO d6/ INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO /771� As�R Y�F ADDRESS C �o CONTRACTOR ��p9t r_ NQ TH r 7'Ei�'L Til P� / R(�/'•/ /C'/ L S7' X5- I,fE7-lfqcA:f/T 6- ADDRESS DESCRIPTION OF WORK - NEW e' ADD ALTER REPAIR DEMOLISH SQ FTr NO OF NO OF SIZE 147,f5 STORIES FAMILIES/ USE OF STRUCT U REAle SIGNATURE OF APPROVALS APPLICANT_ ` DATE INSPECTOR S SIGNATURE ADDRESS "f/!lfiisI D.a st+Ra' FOUNDATION LOCATION FORMS MATERIALS _�� FRAME FIRE STOPS P C S F ?oo, FEE BRACING BOLTS VALUATION / f S gp-Ce FURNACE LOCATION ..�► FEE GAS VENT DUCTS �K"1�t,/�dYJJP/f - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT 1-•7 PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND i STATE LAWS REGULATING BUILDING CONSTRUCTION LATH EXT SIGNATURE OFK_..cS HOUSE NUMBER COR- -1 OR- PERMITTEE r J RECT AND POSTED ` ADDRESS n=iQ r'e�' �- FINAL JOHN A LAMBIE, COUNTY ENGINEER CLYDE N DIRLAM, PRINCIPAL'STRU URAL ENGINEER PLAN CHECK VALIDATION m o CASH PERMIT VALIDATION cK m o CASH L,fl& 7 70U_) JUN 3 1 6 1 3,0 0 � LhC.ol392 Lr--1 211 2800 APPLICATION FOR BUILDING PERMIT L� FOR APPLICANT TO FILL IN (Print or type only) BUILED]NGCOUNTY OF LOS ANGELES ADDRESS /• i -? `�� - DEPARTMENT OF COUNTY ENGINEER CITU / r : y : zip j"; t BUILDING AND SAFETY DIVISION NO.OF SLOGS. BUILDING ADDRESS . SIZE OF LOT 7 NOW ON LOT ADDRESS !' 1 �r OIL ^'1/,�r (.� /T TRACTL-r r-Ak I OT NO LOCALITY 4 c. . TEL. NEAREST ; L OWNER`/ NO. CROSS ST. A ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY CITY ZIP t� CONST�.� ZONE � ARCHITECT OR TEL. d� y //� 6•. J ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.-kj—_DWELL,UNITS BK PG CONTRACTOR TEL. U$,E ZpNE MAP (I 9 Gi n ej N LIC. N O. r� w�'v ADDRESS NO _ �1.) 0 SPECIIAL LIC. CONDTIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES[] NO� CONSTRUCTION LENDER AAA----YMMYYY NAME AND BRANCH BLDG.SETBACK FROM O U FRONT PROP.LINE OF (STREET) uJ ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH W_ SIZE STORIES FAMILIES ONE r DESCRIPTION OF WORK NEW ❑ + ADD CD E] BLDG,SETBACK FROM d SIDE PROP. LINE OF (STREET) ALTER ❑ HIGHWAY + YARD _ TOTAL SET K FROM TYPE OF EXISTING IW- - REPAIRED] SIDE PROP. L HIGHWAY WIDTH USE OF DEMOL 1:1 + EXISTING BLDG. _ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. BY (SIGNATURE) IN OPEN_5PACE YES ❑ NO ❑ IN COASTAL Z YES ❑ NO ❑ VALUATIONY {�? 4r` CATEGORICAL EXEMPTI YES❑ NO ❑ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED ATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OF PERMITTEE ADDRESS FINAL BY TEL. DATE CITY NO. P.C. $ PMT. 1IAKF CI11 CK. PA .181.1: 10: FEE + FEE HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK. M O. CASH 76A638A CE P803 12/72