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HomeMy Public PortalAbout9215 FLAHERTY ST_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type Only) BUILING BUILDING v D ADDRESS ADDRESS CITY ZIP LOCALITY NO.OFBLDGS. NEAREST SIZE OF LOT NOW ON LOT CROSS ST. ASSESSOR TRACT .�P' BLOCK LOT NO ..- MAP BOOK PAGE PARCEL TEL. DISTRICT GROUP TYPE FIRE PR05ESSED BY OWNER ..NO. - CONST,,,.-. ZONE Y.r^'J ADDRESS STATISTICAL CLASSIFICATION ,SEWER MAP ARCHITECT OR TEL. CITY ZIP CLASS NO. ':7"° f _DWELL,UNITS t_„�. BK ENGINEER NO. USE ZONE MAP r NO. .%;.- ADDRESS J SPECIAL TEL. 111 CONDITIONS CONTRACTOR ✓'� NO ROAD DEPARTMENT APPROVAL REQUIRED YES NO LIC. ADDRESS NO. BLDG,SETBACK FROM CITY LIC. FRONT PROP.LINE OF (STREET) CLASS CONSTRUCTION LENDER HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING - FRONT PROP. LINE HIGHWAY WIDTH NAME AND BRANCH Cl— CD ADDRESS CITY + = U w SQ. FT. �'' NO. OF NO. OF CHECK BLDG.SETBACK FROM SIZE STORIES FAMILIES ONE SIDE PROP. LINE Of (STREET) L� !:-+ DESCRIPTION OF WORK NEW ❑ HIGHWAY + YARD _ TOT') 7E1"B^A4CK FROM TYPE OF EXISTING CLQ - QSIDE PROF. LINE -..HIGHWAY WIDTH C ADD + _ CD ALTER EPAIR^❑ CORNER CUTOFF YES ❑ NO w- [IDEMOL ❑ USE OF EXISTING BLDG. ❑ IN OPEN SPACE YES ❑ NO ❑ APPLICANT TEL IN COASTAL ZONE YES NO ❑ (PRINT) NO. CATEGORICAL EXEMPTION YES NO ❑ BY (SIGNATURE) „ ENVIRONMENTAL Q IMPACT EXEMPTION DECLARATION SIGNED (DATE) VALUATION$ - IMPACT REPORT PROCESSED (DATE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED 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 FINAL BY PERMITTEE DATE ADDRESS P.C. Q PMT.C FEE A FEE D TE L. CITY NO. PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH J 76A638B CE9803A 5/73 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFETY DIVISION NO.OF SLOGS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS TRACT BLOCK I LOT NO LOCALITY, Y TEL. NEAREST -j` OWNER NO. CROSS ST. f i ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE .PR6CIESSED BY CONST. ZONE t CITY ZIP ., � ' ARCHITECT OR TEL. 1` "% �• ,,."':a•saY-.•r. le't- .•''ate. ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. _DWELL.UNITS BK PC�'g~ CONTRACTOR TEL.NO USE ZONE MAP NO. Ki LIC. ;.'' ADDRESS j" NO. SPECIAL LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES Cj NO CONSTRUCTION LENDER a NAME AND BRANCH BLDG.SETBACK FROM CD FRONT PROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROLil HIGHWAY + YARD M TYPE OF EXISTING J SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH y, SIZE STORIES FAMILIES ONE DES-CRIPT10N OF WORK NEW ❑ �` " BL0G.S3t FRO - C) �' - .,;•ADD ❑ SIDE PROP.LIN (STREET) 0- as,w,w _ - ALTER _ T TA S TBA ' TYPE OF EXISTING W HIGHWAY + YARD - WAY WS ~ `,:'�. - '.i'.i .. ✓' SIDE PROP. LINE RLPAIR❑ O EXISTING BLDG. DEMOL .❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO (PRINT) S _ NO. - IN OPEN SPACE YES ❑ NO El BY (SIGNATURE) IN COASTAL ZONE YES NO VALUATION s ./� ` „/` CATEGORICAL EXEMPTION YES NO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS 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 (DATE) 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 N0. 11.11E CHEL<:S PAYA131- 70; P.C. Q PMT. FEE $ FEE HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M O. CASH _ PERMIT VALIDATION CK M.O. CASH 76A638A CE 0803 12/72 ' r 4 76A638ACE#803263 APPLICATION FOR' BUILDING PER f IT y ' r / COUNTY OF LOS ANGELES BUILDING DEPARTMENT, OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY;DIVISION LOCALITY z , JOHN A LAMBIE COUNTY ENGINEER _NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST FADDRESS eiDIST ICT 0GR UP TYPE P ESSED BYR APPLICANTTO FILLIN a CONST - �-� STATISTICAL,CLASSS]FICATION +7 >• S ER MAP/Si1 E L tie Rr P' r Y K.� CLASS NO_ DWELL UNITS BLOCK L -J` ATER t e ' p,g CERTIFICATE NOT REQUIRED RECEIVED ._ MAP t+e�HIGHWAY "NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND LOCA r NOW ON LOT USEZONE SPECIAL �s 4 /� t,(� t t CONDITIONSDG 11�� t „ c y� 9-'71 /ry V PP y OWNER t�/� � � / C TEL } �- // EXIST -. r O � BUILDING ">k Y EXIST '' SETBACK YARD HWY , ST EET NA Er % , WIDTH ADDRESS 9a/4, _F 6L T "��r FRONT' ARCHITECT OR r TEL ' P L ENGINEER �t NO IB, r, 'SIDE t n L� y t r P L �' a ADDRESS ' �+ R� O I �E,� ,� CONTRACTOR Qm jam-f /"n:5 f } 4 t ADDRESS j� t �'`z �' i ,, O DESCRIPTION OF, WORK I 1 a w -a , � NEW ,ADD ALTER REPAIR DEMOLISH^ lrs N 4 e t Z SO FT ��jj" r NO OF NO OF, SIZE V �r + STORIESt FAMILIES USE OF 6 STRUCTURE SIGNATURE OF APPLICANT VALUATION $ yze e cl „ /yip f } 1 APPROVALS DATE t., INSPECTORS SIGNATURE i ��' r $ G �+--. ' FO FORMS OMATERIALSON! FE ' FEE $ "" { FEE tFRAME FIRE STOPS I HEREBY ACKNOWLEDGE THATCI HAVE READt;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 I CERTIFY THAT IN DOING THE WORK, r AUTHORIZED HEREBY I'WILL NOTy EMPLOY ANY PERSON IN VIOLA r LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT [,5 ING,TO WORKMEN S COMPENSA ON INSURANCE D `EXT LATH EXT a 1 d 1 r +� SIGNATURE OF _SCJ v`"'��NN,—��/ HOUSE NUMBER COR y PERMITTEE RECT AND POSTED h ADDRESS ` o? / +� 5 ' FINAL - D JOHN F LEWIS PRINCIPALSTR RAL ENG EER_ PLAN CHECK VALIDATION ry CK MO (CASH' _ PERMIT-VALIDATION cK MM O CASH✓~ ti 12- SEP- , U rLATP 9rVi� x 8:0 0~ t 4 765k638A CE 1 3 69 APPLICATION FOR BUILDING PER IT r COUNTY OF LOS ANGELES BUILDING i DEPARTMENT OF COUNTY ENGINEER ADDRESS- BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUfLDING NEAREST - - CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYP T PR C S Y (PRINT OR TYPE ONLY) O I S BUILDING STATISTICAL CLASSIFI IS ( n SEWER MAP ADDRESS CLASS NO LL UNITS BK' G r _ LOT NO �.}� 3 BLOCK USE ZONE MAP /( NO 0 TRACT p„ k Q `C / SPECIAL z NO OF SLOGS I CONDITIONS _ SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG t BLDG SETBACK FROM TEL „ FRONT PROP LINE OFs (STREET) OWNER NO of TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS HIGHWAY WIDTH FROM C L CITY _ ARCHITECT OR TEL BLDG SETB FROM' ENGINEER NO SIDE PROP LIN (STREET) TYPE OF EXISTING SETB HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL + CONTRACTOR NO LIC CORNER CUTOFF__ _ YES t N 4 ADDRESS NO LIC t y y y L CITY CLASS SEE REVERSEiSIDE,FOR SPECIAL APPROVALS CONSCt Co NA METAND TBRANCH ION NDER //{I/� . o y G�'L11"Lcw_ /nT ADDRESS ` 1 lNa a�ftl /m U ) Z`~ Y to 46� u SQ FT NO OF NO OF B SIZE ,`pG STORIES FAMILIES NEW L 41-'1Of f111�.tIJC� / US E US i STRUOCTURE -'- C141% ADD ALTER R REPAIR SIGNATURE O DEMOL [� X APPLICANT VALUATION $ J APPROVALS DATE INSPECTOR 5 SIGNATURE P C PMT FOUNDATION LOCATION FEE $ FEE $ �J FORMS, ORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS �' U BRACING BOLTS AND STATE THAT THE ABOVE IS 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 5 LATH INT �! OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM p PENSATION INSURANCE SIGNATURE OF n /('�'� � __ ++_ LATH EXT PERMITTEE Iy �N� l7' mf o_ HOUSE NUMBER CORRECT 1y AND POSTED ADDRESS `7� I �� + - '`�' 5 r FINAL JOHN F LEWIS PRINCIPAL STR CTURAL ENGINEER PLAN CHECK VALIDATION CK M O CASH - PERMIT,VALIDATION (LK M 0 CASH x 3 3 3 6r-_ Atil 3 , Q 1 7.2 5- i 1 j + APPLICATION OR BU IL ING PERMIT .APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES BUILDING ADDRESS ` DEPARTMENT OF COUNTY ENGINEER CITY jZIP BUILDING AND SAFETY DIVISION OF BLDGS BUILDING SIZE OF LOT OW ON LOT ADDRESS 9 Ct Q TRACT BLOCK LOT NO LOCALITY C, TEL nn NEAREST T' OWNER NO CROSS ST ASSESSOR i ADDRESS 4,, MAP BOOK PAGE PARCEL n DISTRICT GROUP TYPE FIRE PR ED BY CITY �� Q P 1 e 10(9 ZONE ARCHITECT OR TEL �J ENGINEER NO STATISTICAL CLASSIFICATION SEWER M,�..AP�� ADDRESS _ r CLASS NO �U DWELL UNITS BK9,1PG TEL CONTRACTOR NO USE ZONE NOP �O ` LIC /C / (/ ADDRESS NO SPECIAL LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONTIPROP UNEOF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF XISTING SQ FT NO OF NO OF CHECK HIGHWAY + YARD = FRONT PROP LINE IHIGHV4KYJ WIDTH SIZE STORIES FAMILIES ONE- u2 y DESCRIPTION OF WORK NEW + OU / 1 ADD ❑ BLDG SETBACK FROM (STREET( Od O SIDE PROP LINE OF 0 ALTER ❑ l SET K FROM TYPE OF I EXISTING w HIGHWAY + YARD SJDOP LINE HWAYI WIDTH N USE OF REPAIR ❑ Z EXISTING BLDG DEMOL El + APPLICANT .. 1 TEL CORN UTOFF YES ❑ NO ❑ (PRINT) I°d W N �- IN OPEN SP E YES ❑ NO ❑ BY(SIGNATURE) Q IN CO AL PERMIT ZONE YES ❑ NO ❑ VALUATION p _YdNN A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLD STATE ,,,rrr,,,���,,,.., l THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITINANCES 7 �r gvA` pK� �yr AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFYING THE �G'�, p' WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSOTION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TS COM PENSATION INSURANCE -nSIGNATURE OF PERMITTEEkA ADDRESS CITYji� N DATEFINAL �/ BY MAKE C KS PAYABLE TOFEPC $ FETHARVEY T BRANDT COUNTY EN7s PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CASH 9 9 iEmrp 49 } 1 U 2 ,17 5 �J ®s 76A63BA CE#803 3 75 APPLICATION FOR BUILDING PERMIT I FOR APS#[ICA NT TO FI LL`IN (Print or type only) I a BUILDING _ i COUNTY OF LOS ANGELES ` ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ZIP G BUILDING AND SAFETY DIVISION "' N F BLDGS BUILDING SIZE OF LOT NO ON LOT ADDRESS TRACT 3 B LOT NO LOCALITY TEL NEAREST OWNER rl NO CROSS ST ASSESSOR ADDRESS 16L 2 3 MAP BOOK PAGE PARCEL DISTRICTGROUP PE FIRE PR ESSED BY CITY Q ZIP o CONST ZO ARCHITECT OR TEL ,v l ENGINEER NO STATISTICAL CLASSIF( TION SEWER AP ADDRESS TEL` CLASS NOa;?ee DWELL UNITS BK PG CONTRACTOR NO USE ZONE rPECI�L MOAP 0 LIC ADDRESS NO Y_I LIC NDITIONS CITY CLASS RO D DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH LDG SETBACK FROM q FRONT PROP LINE OF (STREET) ADDRESS T CITY — — TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF NO OF CHECK HIGHWAY t YARD = FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE >. + DESC ON OF WORK NEW ❑ p ADD ❑ BLDG SETS SIDE PROP LINE OF (STREET( O ALTER ❑ TOTAL SETBACK FROM E OF EXISTING HIGHWAY + YARD = SIDE PROP LINE IH12RNY WIDTH N USE OF REPAIR 11Z EXISTING BLDG + DEMOL ❑ APPLICANT EL S CORNER CUTOFF YES ❑ NO E—]IPRINTI T IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION $ IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE i < WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE SIGNATURE OF _ PERMITTEE �+ ADDRESS 90 TEL FINAL 17� � BY \ DATE CITY NO MAKE CHECKS PAYABLE TO FEE FEPC $ T HARVEY BRANDT COUNTY hl;;;R ] //6-- PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M c, CASH s 9,n SEP 28 1 D 15.0 0 ,&-% ®s 76A638A CE#803 3 75 y 1