HomeMy Public PortalAbout10629 FREER ST_Building__ 76A69$A CE 603,9. BUILDING P
6D APPLICATION FOR BUIL® G RMI T
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COUNTY OF LOS ANGELES BUILDING
ADDRESS /6 C 2 Q i_7a_LQ_�/
DEPARTMENT OF COUNTY ENGINEER ,
BUILDING AND SAFETY DIVISION LOCALIT
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT7. GROUP TYPE P CESSED BY
FOR APPLICANT TO FILL IN Q CONS :�LQ-
BUILDING STATISTICAL CLASSIFICATION SEWER MAP _
ADD ESS xfl.'/� `% i 1+ 50(x' Tea BK qq PG
/ y� CLASS. NO. DWELL. UNITS o�-
LOT NO. ` BLOCK_.D MAP• STATE YES NO
{ _ NUMBER �O HWY.
TRACT /� USE ZONE SPECIAL
NO.OF SLOGS. 'h CONDITIONS "
SIZE OF LOT [�,` J / I NOW ON LOT
USE OF 1�G
EXISTING BLDG. �l lG-LC �/`/•(E Y BUILDING EXIST.
f�/� � YARD HWY STREET AME
OWNER 5Y`4!� vL'• NO. SETBACK
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ARCHITECT OR TEL. P*L. .
ENGINEER NO. INSPECTION RECORD
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DESCRIPTION OF WORK w
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SO FT. 5.4• NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF
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SIGNATURE OF ' �-
APPLICANT-
VALUATIONS
PPLICANT • [rr
VALUATION$ G60
APPROVALS DATE INSPEC 'S SIGNATURE
P.C. _ PMT. FOUNDATION: LOCATION :7-/
, -
FEE $ FEE $ FORMS, MATERIALS �/
FRAME. FIRE STOPS,
I HEREBYAC �
KNOWLEDGE THAT I 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
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE -
OF THE WORK FOR WHICH ,THIS PERMIT IS ISSUED I SHALL NOT LATH, INT.
EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SU BU ECT
TO THE WORKMEN'S'COM PEN SATION LAWS OF CALIFO IA ♦�j o
li �• LATH.EXT. r�..
SIGNATURE OF a(L HOUSE NUMBER COR-' --,�: - � •
PERMITTEERECT AND POSTED /
ADDRESSFINAL
-CLYDE N. DIRLAM, PRINCIPAL STRU RAL ENGINEER '
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
r� L VOUNTY OF LOS ANGELES g
WM.J. FOX. CHIEF ENGINEER �+ LDING
NO. OF BLDG. ORD.NO. -DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE ��
FIRE , APPROVED 3 7[�
ZONE BY DATE RECEIVED BY DATE ,O1F.�APPL.- DATE ISSUED
USE 9-/ APPROVED �` �' ll/�y� ./U
ZONE BY DATE 'T
APPLICANT FILL IN HEAVILY OUTLINED PORTION�/ ONLY
0 BUILDING
OE NAME ADDRESS
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W Z ADDRESS LOCALITY
2 Z NEAREST
UW CITY CROSS ST.
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Q STATE TEL.
LICENSE NO. wi O. C NAME 24
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m NAME 'Fi ,. 3 ADDRESS „ n
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F J L/ �
U ADDRESS ( ! CITY �r NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
O CITY APPLICATION-AND STATE THAT THE ABOVE IS CORRECT
U STATE• TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. �j NO. � AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
JO LOT NO. �/ SIZE OF LOT e�Iy /��J� SIGOWNERE OF !'`1L(
NO. OF BLDGS. y
<& BLOCK NOW ON LOT j/ AUTHORIZED AGT.
W� 7
1m TRACT /CORREC'I�1�ONS�
D USE OF BLDGS:NOW ON ON LOT
DESCRIPTION OF WORK �] 1u A;
USE OF
BUILDING V
Z
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NEW
/_ TYPE � I GROUP /l A l
NO. OF NO. OF
ALTERATION � ROOMS FAMILIES
/ l'
ADDITION /.SIZE 0 Xj Log'�
REPAIR STORIES
MOVING WALL COVERING
DEMOLISH ROOF COVERING '
$ P.C.i FINAL APPROVAL
FEE
_ 5 INSPECTOR'S _
VALUATION /OO FEE DATE NAME