HomeMy Public PortalAbout6161 ENCINITA AVE_Building__ -;v
J.;830A LE,RD33-° 'APPLICATION FOR BUILDI G PERMIT
COUNTY OF-LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADOREss
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
11
FOR APPLICANT TO FILL IN DIST CT NO. I G
`J�/ROJ1P TYPE �- PR D By
(Print Dr IVES only) CONST
BUILDING - \ STATISTICAL CLASSIFICATION SEW,FFI MAP
ADDRESS 9 CLASS NO._��DW ELL,UNITS 9KIir" PG '
LOT NO. ` �7h)e B Cft 81� USE ZONE NO.
TRACT ' SPECIAL
NO.OF BL DGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
OWNER NO. TVpE F E%)STING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS 6/ ///j/ .�e HIG AY WIDTH FROM C.L.
�y ;+ _
CITY e l..I '
BLDG.SETBACK FROM
ARCHITECT O TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO.
TYPE A EXISTING SETBACK HIGHWAY } YARD = TO L
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL.
+ - d
CONTRACTOR NO. �
ADDRESS NO. C- R CUTOFF YES ❑ NO ❑ U
Lr
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK i
> z_
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF
SIZE 6O STO IES FAMILIES
USE OF
STRUCTURE Y
SIGNATURE OF
APPLICANT
VALUATION 5 Q�
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. l 'FOUNDATION: LOCATION
FEE S FEE $ /J FORMS, MATERIALS
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 LAW. REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING T E WORN
AVTH0R6ED HEREBY I WILL NOT EMPLOY ANY PERSO I VIOLA,
TION OF THE LABOR COO F THE STATE OF CALIF A RELAT. LATH, INT.
INC TO WORKMEN'.COM NATIO IN.V RAN
LATH, EXT.
SIGNATURE OF Gw- HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS -C FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. GASH _ PERMIT VALIDATION CK. M.D. EA.H
Ltvo6 1 9 S2 AUG30 1 D 6.00- - Q
76A638A<E t$0e10.56APPLICATION FOR BUILDING- PERMIT �-
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 6161 Trio rth ir.nci nii•P Avn_�
'
Department of County Engineer .
County o4 Loa Angeles 'LOCALITY Temn1__n_City, Calif• �
JOHN A. LAMBIE,.COUNTY ENGINEER NEAREST, - - -
CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST.
OI$TRI T NO. G I •.I SEWER MAP.
FOR APPLICANT TO FILL IN U C� BK 'PG
BUILDING -
ADDRESS 6161 North Encinita Ave., STATISTICA LASSIFI CATION
c`,1 CLASS. NO. DWELL. UNITS
LOT,NO.S J V 5 10 BLOCK •�
_ Q
NUMBMAPER ` 0 "� Sj-TIWy YES NO
TRACT 6 I® USE ZONE SPECIAL
NO. OF BLDG$. i CONDITIONS -
SIZE OF LOT NOW ON LOT T�• I
USE OF
EXISTING BLDG. ReBidonca BUILDING EXIST.
SETBACK YARD HWY TREET NAME WIDTH.
OWNER HFMRICK FRONT
MAIL P.L. - -
ADDRESS 6161 No. Encinita Ave., SIDE
TEL. L. - -
CITY TnnD] D Cit,vl .Cali£. NO:A4LF1r9CA INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER
ADDRESS
co TRwcr—ING tt HEATIIvU TEL ..
an ri o v ., iifQArAG� /S
ADDRESS Sr�C.,, 9..'L r"l:.f T j;�; YfILLED -'•' /BUY ✓.✓E.P
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH ;
p
SO. FT. � NO. OF /YY1�1!n/1 70
SIZE STORIES
FAMILIES hAV op.fO iMeeAl�/i-t t//L L"
USE OF STRUCTURE '
1 a5 X000 aTrr rnIB1 /?AF ZIJESr /V.=—rO ri I/V-,-- rra%/J"
"a11 Flurnaco APPROVALS
SIGNATURE OF _
APPI,J('�.9.�,T .DATE INSPECTORS SIGNATURE
JG34 • an Garel, V .t - 'FOUNDATION(LOCATION
ADDR n
FORMS. MATERIALS '
$ . n p, D, g FRAME: FIRE ST OPS.
200'•00 FEE BRACING. BOLTS
FURNACE: LOCATION.
VALUATION FEE GAS VENT, DUCTS
I 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 LATH. EXT. -
STATE LAWS EGU LATI G��B{�-U�{IyyLJOI/PPIG (¢��JSTRU CTION. HOUSE NUMBER COR-
SIGNATURE OF HOUSE
D} �Y Il,��� RECT AND POSTED. /' � ,�/� .
I` ENTI ' an a r 7 vay] ✓�o/�d7 G //17�t�XX17
ADDRESS Cjn o r h11 CI �A]i-f. - FINAL
JOHN A. LAMSIE, COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. in.o.
LAC0 4'2 5.7� 40v 13 1
M
]6A 6384 LEA 003 9-67 VIM ` '
APPLICATION FOR BU'ILDI' E�
COUNTY OF'LOS S
ANGELE ^' `y M. J` w
BUILDING
DEPARTMENT -OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT DF BUILDING CROSS ST. .l r
FOR APPLICANT TO FILL IN DISTRICT NO. I GR --TYPE Pao SES D BY_/
(Print or type only) L-J `�� CONST.=� /
BUILDING // STATISTICAL CLJ�SIFICATION SEWER MAP L1�
ADDRESS (CJ �Q/�/ A CLASS NO. DWELL.UNITS SK PG
LOT NO. BLOCK USE ZONEI MAP
NO.
TRACT SPECIAL
NO.OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDt3.SETBACK FROM
TEL FRO TPROP.LINE OF (STREET),
OWNER p]Q(lp f4Q NO. rBLDG,
EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS
���/ N. �/•'L•/Rf/�/y WIOTH FROM C.L.
CITY /E�i"I }PF.
ETBACK OM
ARCHITECT OR TEL. OP.LINED (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBAC HIGHWAY iYARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. } c i
CONTRACTOR a NO.
O
ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ U
C
' LIC. O
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK N
z_
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF 41
STRUCTURE p
oe If
SIGNATURE OF
APPLICANT
VALUATION S,
V j At APPROVALS DATE INSPECTORS SIGNATURE
P.C. PMT. �jFOUNDATION: LOCATION
FEE S FEE S I C' L� FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
ANO 57ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTTHAT IN GOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON I VIOLA
TION OF THE LABOR COD F THE STATE OF C LIFO 1 RE AT LATH, INT,
ING TO WORKMEN'S COI N5ATI0 INSURA E
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT NO POSTED
ADDRESS FINAL 7I G jr
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION cK. M.D. CASH
LAAO 4 4 4 52 APR 2 6 1 D 9:
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES @ I� 0 n l.� D 0 N
WM. J. FOX. CHIEF ENGINEER LJ
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING J/• I 1/� - '
DISctmTRICT NO. ,PLAN CK.NO. PERMIT NO.
ADO RE9H t !�� IV.R• L ®� 33 / q J9
LOCALITY 4,� ///1+L�D(� �( I�1) J^/R'�E/CEIVED 8V DATE OF APPL. DATE ISSUED a
NEA
CROEST
R9 BTl` af.�✓sd /V S �A�' y?
OWNER \ ,MAIL (��•/I,.l�I/ 1y^'U''I�,C (/,j� �t J.11 ADDRESS .lp /Y/-ice N G/ IV, T4
ADDRESS ��l l III W /i671� LOCALITY /n��TI /mac w'
-7�' In/ /{y�./n/�, TEL Hyl, CROSS 9T. �Fl �" � Y /e-/"
CITY ./�./IfC IZiO L:f.(.[/ NEAREST
NO. � / FIRE /^ �- Type / GROUP
ARCHITECTORONE� TEL. PLANS 1/
ENGINEER NO. ORD.NO.
BLDG, . O
ADDRESS SETBACKLINE
APPROVED
CONTRACTOR NOL GATE
BY _
USE L APPROVED
ADDRESS ZONE BY. DATE
LEDAL �� /'1 �_ CORRECTIONS
DESCRIPTION q LOT HO, �/ BLOCK
TRACT // -
/� NO.OFSLOGS.
ON
SIZE OF LOT � // /x�l I NOW ON LOT C}�
119Etg }/��g`d FO OF
RODMF
EXI9TITIND SLDD.
DESCRIPTION OF WORK
NEW ALTERATION ADDITION � - D
A_
REPAIR MOVING DEMOLISH D
SI ET. V/I110 q4 ,[(/� ROOMS STORIES ' D
N'O (�vl1 nY r
WALL N {�� ROOF � /} � f2
COVERING ,f�1' I COVERING lire/l1�1{[l
BUILDING DI NEW
BUILDING QQ777\�U1AiA/ll/V/TTTN�NY
I HEREBY ACKNOWLEDGE 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 Ol' .. n 1 TBRACING, BOLTS
PERMITTEE �[K/L'{ .^./ FFF���IY LATH, INT.
AUTHORIZED AGT ///'''•••JJJ LATH, EXT.
96A638A-3 7'99 $ //O// P.C.$ . INT.
FEE PLASTER.EXT.
q/rG
VALUATION FEE _] �P FINAL vm ,_ (D•
76A638q'CE#803 9-67
APPLICATION OOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS K/.> i4
BUILDING AND SAFETY DIVISION Locnurr ��
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /J
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT No. `� TYPE PR ESSED BY
CONST.
(Print or type only) S -
BUILDING STATISTICAL CLASSIFICATION 'SEWER MAP
ADDRESS (�� •EN /n/�Tw CLASS NO. :�`L`3 DWELL.UNITS L BK _V
L
LOT NO. 4_Qp )y K T USE ZONE MAP
NO. 3
TRACT / SPECIAL
N O.OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF _
EXISTING BLDG, / BLDG.SETBACK FROM
/' TEL. FRONT PROP.LINE OF (STREET),
OWNER(9 , T� NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS 6/ Z-veliv}Tiq HIGHWAY WIDTH FROM C.L.
CITY
BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINEOF (STREET)
ENGINEER NO.
TYPE A EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR✓.y Ct•V�T N0.IVTf/57/� } o
ADDRESS/ JI/1•GC C-'Or Np CORNER CUTOFF YES ❑ NOLICU
K
CITY ASS SEE REVERSE SIDE FOR SPECIAL APPR VALS
DESCRIPTION OF WORKCURB, �,UlIt `W
KWAY REQUti
,� AND PARTREE IRED Z
NEW - ADD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO. OF
SIZE o STORIES FAMILIES lot a: Permits for cur , gu eq
USE OFGn a• - L_ +,Len out Bt 'IhD L.. A. CG- RDEd Depf., Alfadena
STRUCTURE '' "
Office, or T.C. Co. Engineer's OfFiccl imrye 1Ge yando
�� RAS is not started
Bn9 Y Bay. o
SIGNATURE OF mtil Permit has pencissued. pply for parkway tree pBrtn{t of T.
APPLICANT :ity Hall.
VALUATION -/
APPROVALS DA E Iles PECTOR's sleHAr E
P.C. PMT. :2_5 -FOUNDATION: LOCATION
FEE S FEE
$
—' FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I Ha VE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, V
AN. ALL cou Nry oHDINANCEs AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION, 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAr. LATH, INT,
ING TO WORKMEN'5 COMPENSATION NSUR A NCE.
LATH, EXT. /TL
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE' d ,
RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STWOIRAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION cK. M.D. CASH
L&O3 8 6 6�8 MAR 29 1 D 1 725'
fI8Afi30A <Ea00396
TAPPLICATI I� FOR Bb
ILDING PERMIT
COUNTY OF: LOS ANGELES 6uILDING
DEPARTMENT: OF COUNTY ENGINEER ADDRESS (
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, BUP T OF 9m LING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT N GROUP TYPE PR ESy BY
(Print or Oe only) �O, CONSne
) p
C Z
STATISTICAL C�LAA)SSIFICATION SEWE M P
ADDRESS p / rl��r p CLASS NO.�[`DW EfJL L.UNITS 1 �P
LOT NO. -K / [- O�j L J USE ZONE NOP I�w
TRACT SPECIAL
NO.OFBLDGS. - CONDITIONS
SIZE OF LO.T NOW ON LOT
USE OF
EXISTING BLDG. �C, BLDG.SETBACK FROM
/' ,N TEL. FRONT PROP,LINE OF - ISTR EE T)
OW NER 4a ./ 7Y�� NO TYPEOF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS
y6/�:a'�-�'a',��/YA HIGgWAY WIDTH FROMC.L. -Y
CITY /Qi p1 i '/ + X[/ _2
BLOG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP. LINEOF (STREET)
ENGINEER NO.
TYPE EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAA Y WIDTH FROM O.l.
TE _
CONTRACTOR Cj W/7./7, NO.L. } 0
F LIC, CORNER CUTOFF YES NO E"D
'ADDRESS 6�7� A��'C�/�'7 NO. ❑
LIC. C
CITva.d or;;deAerl, CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
z
NEW ADD ALTER REPAIRE� MOLIS
SQ. FT. NO. OF N OF
SIZE STORIES FAMILIES
USE OF �O
STRUCTURE
SIGNATURE OF
`APPLICANT
VALUATION IS D->J
VV APPROVALS DATE INSP TOR•e A RAroaE
P.C. PMT.
FOUNDATION LOCATION
LOCATION
FEE S FEE S C= FORMS, MATERIALS
FRAME: FIRE STOPS,
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES ANO 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-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S COMPENSATION INSURANCE,
LATH, EXT.
SIGNATURE D HOUSE NUMBER COR-
PERMITTEE' l RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CN. MG. CASH PERMIT VALIDATION EK. M.D. CASH
li'tGo 3 8 6'7:o I4;R29 D 6.00 w
J
,......=Ea,o,.B APPLICATION FOR BUILDING PERMIT
COUNTY OF LOSANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER FDORESS e�
BUILDING AND SAFETY DIVISION LOCALIT
JOHN A. LAMBIE• COUNTY ENGINEER NEAREST ")
WILLIAM A. JENSEN Suvi ov BUILDING CROSS ST.
OISTRI T NO I ROUP TYPE I P C ED BY 12
FOR APPLICANT TO FILL IN r
CONST.
BUSTATISTICAL CLASSIFICATION SEWER MAP
AD pR ESS ' }L - P
�f' _CLASS. NO.I�(�DW ELL. UNITS� I � I I
LOT NO. �-, � -S,S(J� F /J O K MAP - STATE
'/ NUMBER '� Q O3 .HWY. YES NO
TRACT S/ fO Y USEZONE SPECIAL
NO. OF BLDGS. ` CONDITIONS
SIZE OF LOT .L Ti X�C'� I NOW ON LOT R=/
USE OF /
EXISTING SLOG. ;SJ BUILDING EXIST.
YARD HWY STREET NAME
OWNER / - TEOCLC SETBACK WIDTH
FRONT I � ,f � I
ADDRESS SIOE
ARCHITECT OR TEL. P.L.
ENGINEER NO. INSPECTION_REII
ADDRESS /'x'O
CONTRALTO �' /TNO,EL. I I ;4/-3/ // y�/',U'"/I//,//.e- � 'R•.�i,L I V
ADDRESS /C/� � l-�'-�`��_��'-"•i 7,fm2reV , . SAI /VW K.V I•I D� D IJJ�•-� O
,DESCRIPTION OF WORK �` s v
NEW ADD ALT$R REPAIR OEMOLISHt
SO. FT. �/ j NO.OF NO.OF -
SIZE JIJ STORIES FAMILIES
USE OF
STRUCTURE
SIGN RE
APPLICANT �<" S
VALUATIONS
M/ �� APPROVALS . DATE / INSPECTOR'S SIGNATURE
P.C. - / 1 ., P FEE $ d FO FORMS, MATERIALS
FEE $
FRAMCING,ESTOPS, J/ '
HEREBY ACKNOWLEDGE THAT I HAVE READ ATHISGREE
APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORq ECT ATE AGREE EG COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT THE PERFORMANCE.
OF TME WORK FOR WHICH THIS PERMIT ISSUED I SHALL NOT LATH,
EMPLOY ANY PERSON It ANY MANNER 5 TO BECOME SUBJECT
TO THE WORKME 'S COMPENSATION L WS OF CALIFORNIA.
LATH;EXT.
SIGN F HOUSE NUMBER COR- / _V7
7 �//
PERMI I RECT AND POSTED 411 /. LL,, ��p�l��//V�`/
ADDRESS 'CL / / , FINAL /a I0/ //`Y- 4
CLYDE N. DIRLAM, RINOIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATIONCK. M.C. CASH PERMIT VAILIDATION CK. M.O. CASH
100 8 1 81 FE81 3 2 3 D 3.75
r_AGCD 0 8 1 9' FFD 1 3 1 D 1 5.0 U
01373 21- 3 um s¢Ts APPLICATION FOR PER?MIIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX, CHIEF ENGINEER
PLANS \ I B BLDG. ORD,NO. DISTRICT NO. PLAN GK. NO. PERMIT NO.
SETBACK LIN "ord�.s9
\
FIRE APPROVED
ZONE R BY DATE (2,RECEIVEDBY DATE OF rA11PPL. DATE ISSUED
USE1 , I BYPROVEO \ DATE ` M
ZONE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY 1
6 BUILDING
O NAME' ADDRESS �/^/ 1 �VWL�/L•LLl.6A
F W
W 2 ADDRESS / LOCALITY �/KJ✓`✓O'' a�`U-{ -V �.y
O NEAREST
= CITY 1 / CRO 99 ST. 4a
U W _
Q
6 STATE J TEL. J
LICENSE NO. I NO. y. NAME !1h - �q��� ,/e(-\_i yly/L�
MAIL
EO NAME ♦�v 3 ADDRESS
1-
✓ � r
1- 0 �"LA
�
U ADDRE9B�' NO:
K
Z CITY V I HEREBY ACKNOWLEDGE THAMI HAVE READ THIS
U APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE. TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO.'/)� NO. / AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
ZO LQT NO. /li !�`� I SIZE OF LOT�•� / KI.3SIGNA7URE OF F
OWNER �//�,y///( �g .(
NO. OF BLOGB. f IY Ansi^ A i -4,10_
< 6 BLOCK �� NOW ON LOT AUTHORIZED AGT.
W C
J G
W TRACT 41�/ U 41 CORRECTIONS �1
L� C� L1 c I� /���// �/I� ` A
D NOW ON LOTS 1 I'O1) JE
CCpDES^^CRIPtT�IrON O1F� WORK , T--J&
l}�1�r�n��_In,�
OF
BUILDING Frac;-r WF- FICO 7
MODEL VYARDTITdC, ! NTFPIQY �... ! v d
I Ills construction may be
A F i I I'/eEautioned to consiilt lvithy ,,. Lr,l
Production Board Office before comment- 0
mg tie wor authorized in this pernfi, A
�f_ GROUP
NEW TYPE r
NO.OPNO.OP
t. ALTERATION ROOMS FAMILIES
V ADDITION SIX£ n A
REPAIR STORIES !
MOVING WALL COVERING.
DEMOLISH ROOPCOVERING
590 00
PEE 00 l I PER s 11 FINAL APPR�OV .N�.
6 s I INSPECTOR'S
VALUATIx.00 DATEI NAME !
76A638A CE9803 9-68
-APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING ��
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY -7.- e
JOHN A. LAMBIE; COUNTY ENGINEER NEAREST -
COLEMAN W. JENKINS, SUPT of SUILDIKG CROSS ST. /
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP PE PROCESSED BY
(Print or type only) CONST
�� ((.�� M
BUILDING STATISTICAL CL SSIFICATION EWER MAP
ADDRESS (p / f- N 6 ,(W" 7-� -JCL CLA 55 NO. DW ELL.UNITS BKPG
((�y /-
LOT NO'J' Y CBLOCK USE ZONE MAP
NO. .
TRACT 7/ SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
OWNER �pS _
TEL_ FRONT PROP.LINE OF (STREET)
�•//�i/�/ TH TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS (O V IG Aa �/�� /7,4"4 HIGHWAY WIIDTH FROM C.L.
CITY 7v�V.P�/h C_/ 'T LC.� lGQ ��� +
BLDG.5ETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINEOF _ (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. �f �t = 6
CONTRACTOR �� �V
CdJ 7" +
NO.-- J `//�
C
LIC
ADDRESS ;/ "Ir le-R/C'C'V A-r NO. WZ15'�' CORNER CUTOFF YES ❑ NO
CITY U4 X✓ Gsr .[3�'%�� CLASS ZO SEE REVERSE SIDE,FOR SPEC IAL'APPR OVALS
. c
CONSTRUCTION LENDER - p
NAME AND BRANCH C9 ✓AL.�• /q/� </
ADDRESS / G^ b IA
Sq. FT. NO. OF NO. OF NEW El'i ; J1I
SIZE STORIES FAMILIES
USE OF ADD
STRUCTURE
ALTER ❑ �n-3-��� G b/P/�!l/Ji Fl/l i>_ �t_O U's
p�y REPAIR
AIPPLICANT may/✓ ddTN` DEMOL ❑ �= //'1_ ��� D ST
n` 1 00-13 c
VALUA4S >ZJ Ud APPROVALS DAT5 NSP TON•5 sI uNE
FEE 5 FEES �� rOFORMS MATERCAA SIGN AFIRl /
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FR BRACING, BOLD S5 •-
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. G
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'5 COM NSATION INSURANCE. LATH, EXT. �('J
SIGNATURE OF / �� / HOUSE NUMBER COR-
PERMITTEE �✓ Y� �%'�_� RECT AND POSTED Al
ADDRESS , ld FINAL
JOHN F. LEWIS. PRINCIPAL STft RAL ENGINEER
PLAN CHECK VALIDATION CK. M.o. CASH _ PERMIT VALIDATION .K. M.o. CASH
tic 9 8 3 5�" ,Yuri 7 n. 0 2 2.5 0
_yam WORKERS' COMPENSATION DECLARATION I
" inseby affirm that havecertificate of consent to self
inuee; APFUCQTOON FOR o M� ONG PER NT
•- or o certificate of Workers' Compensation Insurance,
or a certified copy thereof (Sec. 3800, Lab. C.) -
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company BUILDING /
Certified copy is hereby furnished. FOR APPLICANT TO FILL INTI
❑ ADDRESS
Certified copy is filed with the county building inspec- BWLDING
tion department. ADDRESS (.
/_ /
Date Applicant - CITY � K ZIP Z LOCALITY 13
CERTIFICATE OF EXEMPTION FROM WORKERS' • _ NO.OF BLWS. &Z,i¢ NEAREST r
COMPENSATION INSURANCE SIZE OF LOT 13 0 NOW ON T CROSS ST.
(This section need not be completed if the permit is for one TRACT ((! BLOCK LOT NO. �8 Z - ; ASSESSOR
hundred dollars ($100)or less.). � - MAP BOOK t PAGE
pPARCEL
TEL,3- USE Z E MAP
I certify that in the performance of the work for which this OWNER •Esse/I NO.
ermit is issued, I shall not employ any person in any manner / . ��• SPECIAL
ADDRESS (C!
so as to become subject to the Worl ori Com nsat' p Laws. �J CONDITIONS O
(\ 1 CITY r ZIP (1J e U
Dote Applicant D'
ARCHITECT O '4k.X TEL.
NOTICE n, APPLICANT: If, after subject
f to Certificate of DISTRICT G UP TYPE FIRE PROCES BY O
Exemption, you should become subject to the Workers' ENGINEER �S-' C NO. ��r/ CONST. / ZONE V
Compensation provisions of the Labor Code, you must forth- TVV.• V
with comply. with such provisions or this permit shall be ADDRESS a,
deemed revoked. _ TEL 1 STATISTICAL CLA55jFKATION APT. GO N
CONTRACTOR NO. 3 D ") _ z
LICENSED CONTRACTORS DECLARATION , LIC CLASS NO. T DWELL. UNITS_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS (� r-� s NO.
(commencing with Section 7000)of Division 3 of the Business and - / LIC SEWER MAP
Professions Code, and my license is in full force and effect. CITY ll 4::1 A CLASSVALIDATION
II SO. FT. NO. OF �7 NO. OF CHK BK. PG
License Number - ` is class_ SIZE STORIES -:;Lf-� ECFAMILIES ONE
JJ ?!)L $ TION
Contractor - tf f• pate DESCRIPTION OF OAK NEW ® /
ADD ❑ 5 D
D I am exempt under Sec. ❑ .
�_ / ALTER
B.BP.C. for this reason %�cp DPM$ -� REPAIR ❑ $ '
USE OF 914, 1 A
Date: EXISTING BLDG. DEMOL ❑ qq
Signature - APPLICANT TEL 7/ FINAL
OWNER-BUILDER DECLARATION PRINT .rSSE' ,ee_c NO. S- DATE // " •� o 31 O;-8.8
1 hereby affirm that am exempt from the Contractor's License �,ti?.�7%1YrG61�' Le.
Law for the following reason (Section 7031.5, Business and ADDRESS FINA - '
Professions Code): - BUILDING R O 2j�,7 A
By / t,
aPRESENT
-
I, as owner of the property, or my employees with ADDRESS , j `� (`�, L, L
wages as their sola compensation,will do the work and - i t .v, 's' W# • • e e • �
the structure is not intended or offered for sale(Section LOCALITY , - ,_t. ,n t •- `
7044,'Business and Professions Code). MOVING - TEL. D 6 ��'`ly• a (.I * 30675
I, as owner of the property, am exclusively contracting CONTRACTOR NO,
With licensed contractors to construct the project (Sec- " ' '` \ta - 306 7 Ja 0
tion 7044, Business and Professions Code). ADDRESS
ti.
CONSTRUCTION LENDING AGENCY REQUIRED SET BACK YARD MWV TOTAL SETS
PROP. LINE WIDTH t
1 hereby affirm that there is a construction lending agency for FRONT l -
the performance of the work for which this permit is,issued P.L. — - � .. - � ` # _
(Sec. 3097, Civ, C:). SIDE e • • e e
P.L. I_e•3�
Lender's Name `
,n[ LD MA Ref:R x,
m P.C. Fee S r't rT Permit fee a�V -e'• 7 5C o'
Lender's Address a
I certify.that I have read this application and state that the tssvanca.Fae � LDMA P/C R D 9 b 1 8' '8
_ above information is correct. I agree to comply with all County Invesrgafion Fee 7�
orc4nances and State laws relating to building construction,6. TotaLFae (J .� LDMA Perm. M
and hereby uthorize representatives of this County to enter
up the a -m ned pr rty for i pection purposes.
asES SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature o Applicant or Agent Dote-