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—APPLICA°I"ION FOR BUILDING PERMIT
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- COUNTY OF LOS`ANGELESEUILDING
DEPARTMENT OF COUNTY.ENGINEER ADDRESS
BUILDING ASAFETY DIVISION LOCALITY -tet
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JOHN A LAMBIE COUNTY ENGINEER NEAREST
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CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP TYPE < SSED BY
FOR APPLICANT TO FILL IN _ CONS
BUILDING, STATISTICAL CLASSIFICATIONxl P SE ER MAP
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ADDRESS CLASS NO` DWELL UNITS ��
LOT NO - BLOCK NUMAP ' ` S�..ITyAVTYE YES NO
TRACT - USE ZONE SPECIAL
NO OF LDGS CONDITIONS
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SIZE OF LOT ,3`�' a/-O I NOW ON LOT ..'
USE OF r r
EXISTING BLDGBUILDING YARDHWY STREET NAME EXIST
SETBACK WIDTH
OWNER ' ,� _ FRONT
MAIL P L `
ADDRESS ASIDE
TEL P L f
CITY / NO
ARCHITECT OR TEL INSPECTION RECORD
ENGINEER NO
ADDRESS
TEL
CONTRACTOR NO
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DESCRIPTION OF WORK r
NEW ADD ALTER REPAIR EMOLISH _
SQ FT NO OF
SIZE STORIES FAMILIES
USE OF -
STRUCTURE _
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SIGNATURE OF
APPLICANT APPROVALS DATE 'INSPECTOR SSIGNATURE
ADDRESS FOUNDATION LOCATION r
FORMS MATERIALS -
VALUATION$ FRAME FIRE STOPS `
Tc BRACING BOLTS
PC, _ PMT FURNACE LOCATION -
FEE $ I FEE -` GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND s
STATE LAWS 9xK;UIATING BUIL ING CONST CTION LATH EXT r x x s
SIGNATURE �'- HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
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ADDRESS - 4 FINAL
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CK m o CASH CLYDE N DIRLAM PRINCIPAL STRUCTURAL o CASH
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PLAN CHECK VALIDATION PERMIT VALIDATION c
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DB 3 9 43 Bra BETS APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
COUNTY OF LOS ANGELES
WM J FOX, CHIEF ENGINEER
NO OF BLDG ORD NO! DISTRICT NO PLAN CK NO PERMIT NO
PLANS SETBACK LINE` —�'^+� / C
FIRE APPROVED —
ZONE BY DATE RECEIVED BY DATE OF APPL DATE ISMS
USE APPROVED ' a
ZONE BY DATE 3
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY -
BUILDING ��_&06� i1 ,.1I' ty
p NAME � ADDRESS � (^ (�� �fiss
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W Z ADDRESO LOCALITY
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MAIL ^ ��
NAME 3 ADDRESS
1- _ 0 TEL
ADDRESS ,�/ CITY NO
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F
ZCITY �/ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
U ...-- APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL j AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO NO AND STATE LAWS REGULATING BUILDING CONSTRUCTION
Z LQT NO 7
� 8 E OF LOT � SIGNATURE OF
O OWNER
'I F NO OF BLDGS �' A
O a AUTHORIZED AGTlln
BLOCK- NOW ON LOT _
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NOW ON LOT ��J
DESCRIPTION OF WORK
USE OF
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War Production Board orders You are
ca tionea to consult wim your local VV ar
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Ing the work authorized in this permit I /J a
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NO OF NO OF ro
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ADDITIONy SIZE
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MOVING WALL COVERING
DEMOLISH ROOF COVERING i
s P C $
FEE FINAL APPROVAL
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iINSPECTOR S
VALUATION FEES/ { DATE NAME
OB J 9 43 SM SETe I APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY I
`COUNTY OF LOS ANGELES BUILDING
WM J FOX"CHIEF ENGINEER
NO OFBLDG ORD NO DISTRICT NO PLAN CK NO PERMIT NO
PLANS SETBACK LINE �S/ I 2
FIRE APPROVED I
ZONE BY DATE RECEIVED BY DATE OF APPL DATE ISSUED
USE APPROVED �rj�O rte,/ ..
ZONE
BY DATE �s G 9 _
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
BUILDING --- �
ENAME ADDRESS
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Z ADDRESS LOCALITY 1C. t, 't
~ O NEAREST
U W CITY CRO88 ST
STATE TEL NAME
LICENSE NO NO � dd '�
MAIL 'T� �G.J1 4LaA l(/1,dr�..
O NAME ADDRESS rrF`
i O (� TELQ
ADDRESS /J/ /{/wr CITY X 1 Q NO
C
a CITY I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
J STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO NO AND STATE LAWS REGULATING BUILDING CONSTRUCTION
Z LOT NO SIZE OF LOT r� �v� SIGNATURE OF
O OWNER
< BLOCK A NOW ON LOTS �-... AUTHORIZED AGT.NA
-' u �- QTRACT CORRECTIONS
e USE OF BLDGS /�
NOW ON LOT iP3� VL <X S
DESCRIPTION OF WORK
USE OF
BUILDING
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WARNIkic7i II
44u0 wii5u UL110n may be in violation of
War Production Rnarrl n,4-,-
cautioned
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cautioned to consult w.th your local War
-- "• �a+uvluc a Before commena �•� r IAu ��i �!
4Work authorl7Pr_ in +1,1. ---1, 1 Jl 1
NEW TYPE GROUP � '� -4 „ JAI O
NO OFNO OF !�/
ALTERATION ROOMS � FAMILIES
ADDITION SIZE Q 1
REPAIR STORIES I ~
MOVING WALL COVERING,1.16/17
DEMOLISH ROOF COVERING
P c S FINAL APPROVAL
FEE.,.
INSPECTOR S
VALUATION PEE DATE NAME
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING L WM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDINGDISTRICT, PLANCK NO /////PERMIIT//N��O
ADDRESS 0 ( , 9, / 3
LOCALITY O RECEIV D DATE OF APPL I DATE ISSUED
NEAREST
CROSS ST
ww BUILDING /
OWNER ��'v pY!'�®� �,,yj�(j //// ADDRESS,
MAIL
ADDRESS 6�/ /J Q�4i�(,7� Vy'gyj'// LOCALITY
,�epgp NEAREST
TEL CROSSST
C I Ty., , NO O
FIRE NO OF _TYPE GROUP
ARCHITECT OR ` TEL ZONE —PLANS
ENGINEER NO
BLDG ORD NO
ADDRESS SETBACK LINE
APPROVED
TEL BY DATE
CONTRACTOR NO
USE APPROVED
ADDRESS ZONE BY DATE
r -
LEGAL / / I� CORRECTIONS
DESCRIPTION LOT NO BLOCK
G irr /
TRACT / �C L—V PL,r3 p L Rm zr-
NO OF BLDGS
SIZE OF LOT ` NOW ON LOT ,-,=
USE OF O //�� NO OF NO OF
EXISTING BLDG �O ` FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
A
REPAIR /- MOVING DEMOLISH 0
SIS FT / Y a NO OF / Z
SIZE ,(J �,/ ROOMS STORIES �
WALL ROOF r
COVERING �^^^�/V �--CCOOVE-RUING 019
USE OF NEW
BUILDING
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONI LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS
k AND STATE LAWS REGULATING BUILDING CONSTRUCTION
FRAME FIRE STOPS,
SIGNATURE OF BRACING BOLTS
PERMITTEE
LATH IN
AUTHORIZED AST-�/I� I
Ta' LATH EXT
76A63BA 9 48
OBS 3 50M SETS $ P C $ PLASTER INT - w
FEE PLASTER EXT /
VALUATION FEE /� "' FINAL /v