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