HomeMy Public PortalAbout9861 FLAHERTY ST_Building__ 76A638A CE4803 5-65APPLICATION, FOR BU ILD G PERMIT '
COUNTY OF LOS ANGELES BUILDING i
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING'AND SAFETY'DIVISION LOCALITY Lew
JOHN A. LAMBIE, COUNTY EN GINFER NEAREST -
COLEMAN W JENKINS,SUP•T OF BUILDING CROSS ST.
_ DIS.TRICT'N OUP•-- TYPE•' PR S
FOR APPLICANT TO FILL IN �oa CONST.'
BUILDING STATISTICAL CLASSIFICATION" SEWER MAP
ADDRESS -
CLASS_NO _DWELL UNITS E3K PG
LOT,NO BLOCK USE ZONE MAP - _
. 7 NOE o ..
TRACT `/ SPECIAL '
NO OF BLDGS CONDITIONS
SIZE OF'LOT NOW ON LOT -
USE OF -
EXISTING 1BLDG. BLDG. SETBACK FROM: /
TEL FRONT PROP. LINE OF' Q -'� _ (STREET)
OWNE TYPE OF= EXISTING SETBACK HIGHWAY j Y TOTAL
ADDRESS - HIGHWAY WIDTH
� -FRROlM C-L -
CITY r 7 7 / 0
ARC HITE TEL - BLDG SETBACK�FROM -
ENGINE R 4 NO. SIDE PROP LINE OF ' (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH. FROM C L
EL F =
CONTR O
LIC
A D D R CORNER CUTOFF YES NO OV
*ITY . LI ass — SEE REVS,ggRER.CMIWMO' AURgkP11OVALS
DESCRIPTION OF WORK VW
a
NEW ADD ALTER REPAIR DEMOLISH Note: Permits for curb, gul+cr, s e•,.r lc, and driveway approach nZ
SQ.FT. NO OF NO OFI-+' _- _. •I _. - I A
F_
SIZE STOR ES - - FAMI S Offire, or T. C. Co.lE,:_:.icn;'; i1:1,-,:.�;...:i"q in order to av id
USE OF
STRUCTURE a I^r•gr y delay. u-••�ry a:• :•r,�!' �.. �.�-.
<: Ll,s: -• and Is not start d
SI NA U E OF771�✓ �.�,y`I'IaII• -
APPLICANT_ 14-4 11:
e.
VALUATION$
APPROVALS ATS &I ECT SIGNATURE
P C. PMTf� FOUNDATION, LOCATION -
FEE$ FEE$
J FORMS,-MATERIALS --_
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS '
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDI NG CONSTRUCTION I CERTIFY THAT -IN DOING THE WORK -
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING•To WORKMEN'S COMPE SATION INSURANCE LATH EXT I - _j•
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED Y
ADDRESS a0 . 'I NAL - ✓Z ✓ e
PLAN CHECK VALIDATION CK MO CASH _ JOHN F. LEWIS. PRINCIPAL ST TURAL ENGINEER
PERMIT VALIDATION CK. M.C. CASH
2 5 8 3 JUN •• 8 2'3' D 7.50— c
l 11u0.2 5 4 �.UN 8 1 D 1 5.0 0, d
APPLICATIONf- FOR BUILDING PERMIT
FOR APPLICANT'TO FILL 'IN (P,,�t..i tvPa`;�Iyr
BUILDING - - COUNTY OF' LOS ANGELES
ADL7RESS — - S` _ DEPARTMENT OF'COUNTY ENGINEER
c I TY r . z I P BUILDING AND SAFETY DIVIS_ ION
'It.NO.OF BLOGS. BUILDING
SIZ'EIOF LOT " '�T NOW ON LOT ADDRESS'- `, �,� t' �• _•�J +
-TRACT 6 BLOCK. LOT NO LOCALITY
(' TE (,7 NEAREST
-OWNER r . I(;� NO CROSS ST
ASSESSOR-—."
(Q G MAP BOOK -PAGE '• PARCEL
DISTRICT GROUP TYPE FIRE= CE SED BY.
CITY
i'j �'.- CONST.•- ' ZONE
ZIP• j� �/ lX t
'ARCHI-TECT OR - TEL. •- '`J ,- ..J�
,ENGINEER, NO. - -
*STATISTICAL CLASSIFICATION - SEWER'MAP
"ADDRESS CLASS NO.�jjDWELL,UNITS .41 Pd
'CONTRACTOR- Atv/Vitg-,NOL' W'�J E ZONE MAP
M _ NO:
ADDRESS ,^.�Z^ •/ �� Ph:LNO CSPECIAL
ONDITIONS `
CI'TYi '� �' LIC: .
CLASS ROA ,DEPARTMENT-APPROVAL REQUIRED YES❑ NO'❑
:CONSTRUCTION LENDER
NAME AND'BRANCH ` + BLD .SETBACK•FROM - -
FRO T PROP.LINE'OF •(STREET) ;.
ADDRESS •• ,CITY - — NOTAL SETBACK FROM TYPE OF EXISTING
SQ: FT' NO. OF NO, OF CHECK NIGH Y } ,•YARD — i`F,RONT PROP. LINE HIGHWAY -WIDTH
SIZE STORIES FAMILIES''- -'ONE
% N
EW,DESCRIPTION OF WORK -NEW•
-
O + - o
'BLDG.SET K FROM
Q/LI) /,/' t4 �° -11( t'li1 ADD°- IG�J SIDE PROP.LI (STREET)- O
�//• / /.�I• V /' - ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK .OF EXISTING V
REPAIR❑ - SIDE PROP 'LINE HIGH WIDTH Lj
J
USE OF t = N
-EXISTING BLDG, ',� - DEMOL ❑ - Z
APPLICANT, - .,TEL• CORNER CUTOFF YES ❑• NO ❑ _
(PRINT)_ -NO. ,
IN OPEN SPACE - YES ❑ NO ❑ _
BY (SIGNATURE_ ) -
- / �{ IN COASTAL PERMIT ZONE YES ❑ ' NO ❑
V•ALUATIONy�-�U�U. a •• _ .. .. - ...
I-HEREBY'ACKNOWLEDGE-THAT'[ HAVE READ THIS APPLICATION
AND.STATE THAT THE ABOVE IS.'CORRECT AND-.AGREE TO COMPLY,
WITHALL' ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUC TION,' I CERTIFY THAT• IN DOING THE WORK AUTHORIZED
HEREBY I 'WILL NOT EMPLOY ANY' PERSONIN VIOLATION OF THE -
'LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING .TO' -
.WORKMEN'S COM NSA ION SURANCE.
.SIGNATURE
PERMITTEE
/j�-°-'-�J {� �) TE L.9y�y�T 'FINAL. _ BY
C ITY`L/1'..' ( .I!' �[�-'� NO. t � DATE �� '
AlAkE CHECkS PAYjBLE T0- ' P.C. $ - PMT.,
Q
FEE- FEE'41
ri�RVEY'T.EIRANDT, COUNTY.ENGINEER
PLAN'-.CHECK VALIDATION CK MO CASH PERMIT-VALIDATION'' -K )'-o- CASH
1 2 5g-JUL- ' l 1 D 3 5.2 5 m%
76A638A 6E#803'5/74