HomeMy Public PortalAbout9215 FLAHERTY ST_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type Only)
BUILING BUILDING v
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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
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76A638ACE#803263 APPLICATION FOR' BUILDING PER f IT y '
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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
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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
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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
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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
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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-
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+ 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
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