HomeMy Public PortalAbout10604 FREER ST_Building__ M APPLICATION FOR 'BUILDING PERMIT
' FOR PPL•ICANT,TO"FILL'IN. (Print or tYoq only) -
BUILDING COUNTY OF LOS, ANGELES,
ADDRESS O�n C E DEPARTMENT OF COUNTY ENGINEER-
city LG- 'C T V ZIP TF-0 BUILDING AND SAFETY DIVISION
+' O'OF BLOGS. BUILDING' /�
SIZE OF LOT NOW ON LOT = ADDRESS O Gc?
TRACT • BLOCK' LOT NO '- � LOCALITY,Tp—;14x,0- Q-. '
TEL NEAREST ;
OWNER, E J Q – NO.L. CROSS ST.oj� Pew
ASSESSOR
ADDRESS C MAP BOOK 'PAGE' PARCEL.
' - DISTRICT GROUP TYPE FIRE [;jRCESSE BYCITY L . ZIP � : CONS EARCHITECT,OR - T L. ' `
ENGINEER NO. - „
_ STATISTICAL CLASSIFICATION S ER MAP ;
ADDRESS _ (1 /q ! - CLASS NO. �+ _ DWELL,UNITS ' 'BK2G
CONTRACTOR - NO USE-ZONE MAP
LIC. /� NO. •V '
ADDRESS NO.-- �` I SPECIAL
CITY - - LIC. CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO❑ -
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY HIGHWAY } YARD 'TOTAL SETBACK F M TYPE OF EXISTING
SQ. FT. NO.'OF - NO. OF CHECK FRONT PUP. L E HIGHWAY 'WIDTH
'SIZE •� STORIES FAMILIES 'ONE - _
DESCRIPTION OF WORK Wye' NEW ❑ U
1 1 I ADD BLDG.SETBACK,
LIN FROM
hAk �C„► 4-1 SIDE•PROP.LINE OF I I A (STREET)
' - ALTER ❑ TOT-AL+SE BAC ROM TYPE OF EXISTING C)
r / HIGHWAY } YARD SIDEAP* P. E HIGHWAY WIDTH• W
REPAIR❑ p.,
_
G7
USE F - .� } _ .,� _ - Z
,EXISTING BLDG: DEMOL• OF
❑ -
APPLICANTTEL CORN R CUTOFF YES ❑ NO
(PRINT) F_) e •" ' -
BY (SIGNATURE) _
IN OPEN S ACE „-YES El. NO ❑
IN COASTAL PERMIT ZONE YES NO
• 00
'.VALUATION_, -n• ''- /�/.�1 /� �•- / /'/^"� (' /�/�'/�'{'�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS,APPL ICAT ION A• m® // �1� la'�I •� /tLs�� G,.=/�iC!•--y Ji/ �T/�C
AND STATE-THAT• THE•ABOVE IS CORRECT AND AGREE TO COMPLY-
WITH ALL- ORDINANCES AND LAWS REGULATING BUILDING CON- ',�. j-�-•S 1.71
"STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY' I WILL NOT'EMPLOY ANY'PERSON IN VIOLATION OF THE
LABOR C.
OF THE STATE OF CAL IFO NIA IN RELATING TO
WORKMEN'S COMPENSATION INSURA E. -
SIGNATURE OF
PERMITTEE
ADDRESS
TEL. FINAL ?A 717
A BY !!i
CITY NO• a DATE
AIAKE'CHECKS P,AYABI:E 7'0: P.C. $ PMT.,$
FEE
HARVEY T.,BRANDT, COUNTY ENGINEER -P.C., ` FEE P
PLAN'CHECK VALIDATION CK M O CA PERMIT VALIDATION � CK M.O CASH
23 7."rFg 18 ..1
76A638A CE#803 5/74 '
76A ft 6A' CE4JO03 9-67 -
APPLICATION FOR BUILDIN ]PERMIT7� IILJII
1= s„ i;OYOF LOS ANGELES ?N;.BUILDING
s' DEPARTMENT `,6V COUNTY -ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LocALITv
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKI NS, SUP T-OF BUILDING' NEAREST
CROSS ST.
rEF
OR APPLICANT TO FILL IN DISTRICT NO CRt7 TYPE P o e
CONST,
(Print or+type',only)
ING JJ��// r S TISTICAL CLAS •FICATION SEWS P
ESS �(J(O O -+ f:, E s �• CLASS NO. DWELL,UNITS BK PG
O. / - BLOCK 'D USE ZONE MAP D
NO.
•a O SPECIAL
` NO.OF•,BLOGS. CONDITIONS
F LOTl J+ .NOW ON�LOT �'FCT -ING,-BLDG. R FS'Z (. C.G BLDG.SETBACK FROM
NTP
TEL. TYPOS OF EROPi LGINSEOTBACK HIGHWAY } YARD -(STROTAL)nt—m ••,OD � HIGHWAY WIDTH FROM C.L.ESS—' M'f�LE F BLDG.SETBACKFROM
ITECT OR TEL. SIDE PROP.LINE OF (STREET)
EER NO.
TYPE OF EXISTING1 SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. + _
CONTRACTOR NO.
LIC. O
ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ U
1 CITY CLASS SEE REVERSE SIDE FOR SPECIAL,•APPROVAL-S
•DESCRIPTION OF WORK Lu
4, �a z
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES ` FAMILIES
USE OF �.i.n/ r} �C?7®.1'iI .-�7,&Iv Ale-A, .�ll,v,r l'2
ST UCT E CES F C — -
�:
SIGNATURE OF C .�:!.. rI/•i±..
APPLICANT
V A L U A T I O
� /
C� APPROVALS` ATE IHs CTOR'S SIGNATURE
P.C. ), �O PMT. dp& 'FOUNDATION:-LOC
[ . •;i \
EES FEE $ 7+ - '-FORMS, MATERIALS' •�' ( �/ , , �� + �,,;
FRAME: FIRE STOPS, q ,t• �1^,. �,,,p`�.rr" !�'•.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY t`
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING .FURNACE: LOCATION,_,
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK GAS VENT, DUCTS"' • .) - 1• iv �+ �- , e
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- `
TION OF THE LABOR CODE OF THE STATE'OF CALIFORNIA RELAT- � Jq LATH, INT. ,J l\ /D �,j� / A.✓�"9 .���
ING TO WORKMEN'S COM SATION URA CE ����//�� y
LATH, EXT. I!&3,,,/- `T
SIGNATURE OF .�• -
PERMITTEE G HOUSE NUMBER COR- ,� J
' r� - RECT AND POSTED•- � .
ADDRESS F -� 1 A �l✓ i,r.t 4r
FINAL
JOHN F. LEWIS PRINCIPAL STR URAL ENGINEER-_ s
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATIO cK M OCASH
Lji .4 L�-_4.9�2�_tIIR1-1 2 3- D 2 9..63k
C,.5, 0, 1 7 .JLW.11 7,3...0 _ ?:8 7N
�. ��5 0.1 810 JUN 11 1 D ; 7 5.0-0 N z°