HomeMy Public PortalAbout4802 FIESTA AVE_Building__ � e
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76A636A CE#60'3263 APPLICATION FOR BUILDING PERMIT 4
COUNTY OF LOS ANGELES BUILDING /p J
DEPARTMENT OF COUNTY ENGINEER ADDRESS
I
BUILDING AND SAFETY DIVISION LOCALITY t
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
ICO DISTRICT NO GR CESSED BY/
'
FOR 'APPLICANTTO'FILL IN ' r coNs
BUILDING '4U N. Fiesta ,�t• STATISTICAL CLASSIFICATION EWER MAP
"AD S
CLASS NO DWELL UNITS
LOT NO ort• of lot 3 BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT
53!+2 MAP HIGHWAY
SIZE OF LOT 136x65 NO OF BLDG '� NO (CIRCLE) STATE MAJOR SECOND OCAL
NOW ON LOTUSE ZONE SPECIAL
USE OF -resldenc� and garage CONDITIONS
EXISTING BLDG O O -
OWNER, W• Waller TENoLAT-7456
1 BUILDINGEXIST
SETBACK YARD HWY' STREET N<7 WIDTH
ADDRESS same- I (FRONT
ARCHITECT OR �- TEL P L
ENGINEER ill NO SIDE
e P L d
ADDRESS a
_ A.R. �4�,, p r
a CONTRACTOR RWittigW-75U94
ADDRESS 4707 N. Edra Ave. ,B.Pk.
DESCRIPTION OF WORK J/ �C/,'v� ��.y�,/ a
+ 9/151 1Y'�O
NEW ' ADD ALTER REPAIR DEMOLISH, -wi/6, ;z , al' °"�,,,,�, ?
SOS FT ) r
Ir �+ 7� NO OF NO OF `, t��-�,r ,I,�/�
}SIZE STORIES FAMILIESUSE
OF 4 ° '
'fam•room bath & bedroom
, STRUCTURE A x
811h.3 vu
IVSIGNATURE OF ' V
APPLICANT
' � a
VALUATION4$
APPROVALS JDATEA INSPECTORS SIGN�ATU REQ
P C ,T— r PMT FOUNDATION"'LOCATION r +
FEE $ °� FEE $ FORMS MATERIALS f(B 1
_r✓ ^r n FRAME FIRE STOPS
1 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 LAWS REGULATING GAS VENT DUCTS /!!
BUILDING CONSTRUCTION 110ERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY(}I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT ,/)
TION OF THE LABOR DC OF THE STATE OF CALIFORNIA RELAT 1 4 `
ING TO WORKMEN S M ENSATION INSURANCE
,. LATH EXT s
SIGNATURE OF, HOUSE NUMBER COR
'
PERMITTEE RECT AND POSTED +
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} ADDRESS -4207 _ Edra ve'--V:Pk. FINAL
JOHN F LEWIS PRINCIPAL syrut RALE ENGINEER
PLAN CHECK VALIDATION CK MO CASH _ PERMIT VALIDATIOlf CK MO CASH
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Lt4 0 7 1 �4y S JUL` V L D
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76-A6638A CE'4#803 3-69
APPLICATION FOR BUILDIG PERMI UI
COUNTY ,OF LOS ANGELES BUILDING
ADDRESfJ•Lo
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DI TR TGrf. p GROUP ]TYPE.CT6'VR r
(PRINT OR TYPE ONLY) Q
BUILDING STATISTICAL CLA IFICAT N SE MAP
ADDRESS CLASS NO. DWELL.UNITS BK PG y
LOT NO. BLOCK USE ZONE MAP
I NO.
TRACT y<5 -3 2. ISPECAL
NO. OF BLOGS. COND TIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. C BLDG. SETBACK FROM
L,L T TE� FRONT PROP. LINE OF (STREET)
OWNER G NO TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRES HIGHWAY WIDTH FROM C.L.
CITY / lGL G'�r
D + _
ARCHITECT OR TEL. BLDG. TRACK FROM
ENGINEER `��S NOji�� SIDE PROP. LINE OF (STREET)
J_ I / TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
CL
ADDRESS CJ�Q !��o$t� �0,t, f� a A, HIGHWAY WIDTH FROM C.L. h
C0NTRACTO p � v�C�Q/�NO� -�� + O = �v CL
_ p '/ // Y CORNER CUTOFF YES ❑ NO F] L
ADDRES `Q j �G�+!/f�7 CLAlrkOIC.•aS-
CITY ,�L /��N/7� CLASS CS 'SEE REVERSE SIDE FOR SPECIAL APPROVALS C
CONSTRUCTION LENDER
NAME AND BRANCH B`/�F, 7CI P•6tac •• •
� V
ADDRESS SCJ O L
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES NEW
USE OF -/ ADD ❑
STRUCTURE //V6 0 0L ALTER ❑
REPAIR ❑
SIGNATURE OF DEMOL
APPLICANT
VALUATION $ / CROO 00 APPROVALS TE, INSP R'S IGNATURE
FEE $ ♦ (fcJ FPMT EE $ p > FOUNDATION: LOCATION
FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT, DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF ALIFOR IN RELAT 0 WORKMEN'S COM-_
PENSATION INSURA C LATH, EXT.
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTE SCJ AND POSTED
ADDRES �'` ! �' FINAL
JOHN F. LEWIS, PRINCIPAL ST
URAL ENGINEER
PLAN CHECK VALIDATION '(01M.0. CASH - PERMIT VALIDATION M.O. CASH
4.6 2 H9 11 2 3 � 1 6.6 5 Nj
_ ... � of'�4873R VM 11 1 2 7.7 5