HomeMy Public PortalAbout10250 FREER ST_Building__ I TEMPLE CIT
79AG30AC9#8o3•,�r • APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADOREss �
BUILDING AND SAFETY DMSION LOCALITY /?-
JOHN
jJOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST..
FOR APPLICANT TO FILL IN DISTRI IT NO. GROUP TYPE PR SED B�Y,.�
CONST. [I
BUILDING r- STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS ILV � BK PG
- CLASS.NO. DWELL.UNI-fs-z-1
LOT NO. 17 BLOCK WATER NOT REQUIRED ❑ RECEIVED
CERTIFICATE
TRACT MAP HIGHW16
AY STATE.MAJOR-SECOND, LOCAL
NO.OF BLDGS. NOr (CIRCLEI
SIZE OF LOT IN ON LOT D USE ZONE SPECIAL
USE OF - CONDITIONS '
EXISTING BLDG. .
J� TEL �,+ 1
OWNER [ r�"1 + G. L�(J Pe. NO.M�- I-" BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS %r
�i/-/ /V�+ FRONT
ARCH ITECT OR EL. P.L.
ENGINEER NO. SIDE
P.L. }
ADDRESS ' INSPECTION RECOTEL. RD O_
CONTRACTOR
�� L//f—��•y'���J NO. O
ADDRESS V Od
DESCRIPTION OF WORK
W
P--All
� O_
NEW ADD ALTER REPAIR DEMOLISH N
SQ. FT. NO.OF NO OF / Z
IZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT -�
VALUATION 5
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. J6- FOUNDATION: LOCATIONFEE $- FEE $ yFORMS,MATERIALSAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICABRACING, BOLTSAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING- GAS VENT DUCTS y
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK -
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF IC..ALI ORNIA RELAT- o ��
ING TO-WORKMEN'S COMP NSA ON INS RA�l.E. y
LATH,EXT.
SIGNATURE OF � HOUSE NUMBER COR-
PERMITTEE r RECT AND POSTED A
ADDRESS'r 'e-vkI`*X e- FINAL /a
CLYDE N. DIRLAM, PRINCIPAL STC RAL ENGINEER
PLAN CHECK VALIDATIONcx M.O. CASH PERNIIT.VALIDATION cK M.O. CASH
LALo 2. t�fIR 12 2 3 0 3 C.2 5 b
Lilo 7 7 7 2 c> AIPR16 1 D 64,00-
27
76A638A CE#803 5-65 APPLICATION- FOR �U ILD_ I G -PERMIT -�I.•
COUNTY OF -LOS ANGELES' ' ' BUILDING
DEPARTMENT OF COUNTY.ENGINEER ADDRESS'
BUILDING AND -SAFETY 'DIVISION LooA LITY` ,
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W,JENKINS,SUP'T OF BUILDING' CROSS ST
F' 74 DISTR T- O. G - � TYPE PR FOR APPLICANT TO'FILL IN CONSTG r - STATISTICASI FICA TION SE ER MAP
• ' L Fig- CLASS-NO DWELL UNITS EK_ PG
BLOCK USE-ZONE MAPNO.'- - SPECIALNO OF BLDGS.,• ,. r CONDITIONSLOT NOW ON LOT G BLDG. O/ BLDG. SETBACK FROM
'TEL J FRONT PROP. LINE OF (STREET)
QS T- TYPE OF- EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY 'WIDTH 'FROM C L
ARCHITECT _ TEL(/ BLDG. SETBACK FROM,
O� -
N - L NO. l?, SIDE PROP. LINE OF (STREET)
TYPE,OF EXISTING• SETBACK HIGHWAY' +- YARD- = TOTAL
-ADDRESS. NIGH WAY- WIDTH FROM C L '
CONTRACTOR UC–itJ NOL �[.l / _ + 0
ADDRESS ' i NO _ O
CORNER'C UTOFF YES NO O U,
CITY L,}- CLASS ,— -SEE REVERSE SIDE_.FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK-
Lu
CL
NEW ADD ALTER REPAIR DEMOLISH N
SQ,FT. //�� ('�/ NO OF NO. OF
SIZE if STORIES FAMI LI F_S� -
USE OF
STRUCTURE
�.3cp
SIGNATURE OF - -
-APPLICANT--=
VALUATION$ „♦ .1 - _ _ APPROVALS DATE INSPECTOR'S SIG NATURE
P C - PMT ° FOUNDATION, LOCATION - - -
FEE$ FEE$- FORMS, MATERIALS
FRAME, FIRE STOPS, ,
I.HEREBY•ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -BRACING BOLTS '
AND STATE THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY' FURNACE:.LOCATION
WITH ALL COUNTY ORDINANCES AND' STATE' LAWS REGULATING- . ' 'GAS VENT DUCTS
91JILDING CONSTRUCTION I CERTIFY THAT IN-DOING' THE WORK 1 -
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-' LAST H. INT" - - -
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN'S COMPE ATION INSURANCE - '_LA -- - 1
TH. EXT
SIGNATURE OF - .HOUSE,NUMBER'COR- ,-
PERMITTEE "'RECT AND'PO STED '
ADDRESS _ _ FI NAL.
JOHN'F. LEWIS.-PRINCIPAL STRUCTURAL EN
PLAN CHECKVALIDATION CK M O CASH _ PERMIT -VALIDATION CK M e cns ' .
' 1 09. 5 :9°5: TE$ 11 1 D 6.00~ ::