HomeMy Public PortalAbout10657 FREER ST_Building__ 76A638A CE#803 B-63 APPLICATION FOR BUILDING PERM"
COUNTY OF LOS ArqGELES BUILDING —
DEPARTMENT OF COUNTY ENGINEER ADDRESS -57
BUILDING,AND SAFETY DIVISION LOCALITIPJ
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /l
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST li(.j(
DISTRICT NO. GROUP TYPE ,PR CESSE Y
FOR. APPLICANT TO FILL IN g' . _ - CONST 1
BUILDING /j STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS �.L�1 a K PGf
CLASS NO _ / DWELL -UNITS (�}
At
LOT NO LOCK WATER
CERTIFICATE:/^�N NOT REQUIRED; R
FECEIVED
TRACT / c� `�'' MAPNO � ( Cl HI HWA
SIZE OF LOT NOW ON LOT
STATE MAJOR SECOND, OCAL
NO-OF S
I USE;ZONESPECIAL
'
1 USE OF COND
/ ITIO
EXISTING BLDG. v 5,.•'\
OWNER ?� BUILDINGEXIST.
` SETBACK YARD HWY STREET•NAME. WIDTH
ADDRESS_ / tl/ �+r7 ,,1L'4'Y�Oaq �. FRONT (
ARCHITECT-OR TEL
ENGINEER NO SIDE
P L
ADDRESS
d
T /`, 0
CONTRACTOR �}N- �O 7d + ( V
ADDRESS Z.
0
DESCRIPTION OF WORK 4F'
Lu
NEW ADD ALTER REPAIR DEMOLISH
SQ- FT. NO OF NO OF
SIZE STORIES FAMILIES
SSE O F, R E L.01 CLRU M-rte !� �g wr i+ e Aga lf'%t
SIGNATURE p�
APPLICANTOF t(!!
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION. LOCATIONPC
FEE $� ll FEE $ `) FORMS, MATERIALS
_ FRAME FIRE STOPS. `/'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS .l W`>""rd`
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION. GQ
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS tP
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK a !
AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT :.7` �a° y /�It..(..iJf )
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- - ,e
ING TO WORKMEN'S (•APE ATION INS U AN CE
LATH, EXT
SIGNATURE OF HOUSE NUMBER COR- V
PERMITTEE RECT AND POSTED
ADDRESS ��+ FINAL
J
JOHN F. LEWIS PR NC PAL,e) ST URAL ENGINEER
PLAN CHECK VALIDATIO CK y�M D CASH PERMIT VALIDATION CK. . M O CASH
Ll��a 3 2 7 4 1 AUG 2 8 2 3 D 2 6.7 5
4 b 8 7:D, OCT 8 1 D 5 3.5 U .
I
A,P P L I C/4T 10 N F 0 R COUNTY OF LOS ANGELES
OF COUNTY
`BUILDING •P E R M-IT DEPARTMENT BUILDING AND SAFETY DIVISION ENGINEER
BUILDING
FOR APPLICANT TO FILL IN ADDRESS
BUILDING '
ADDRESS LOCALITY '
NEAREST
CITY ZIP' CROSS ST.
OF BLDGS ASSESSOR.
SIZE OF LOT S NOW ON LOT MAP BOOK PAGE PARCEL
`-DISTRICT, UP T E FIRE SED
-TRACT BLOCK LO N .Q NS _Z "
TEL C/
OWNER- NO _
STATISTICALCLASSIFF'ICA,TTI SEWER P
ADDRESS YCLASSNO DWELL UNITS BK PG
CITY �� ZIP US ZONE MAP
NO
ARCHITECTOR', TEL
ENGINEEp �Xss NO J SPECIAL
CONDITIONS
ADDRESS 2 BLDG SETBACK-FROM
t ROAD DEPARTMENT APPROVAL REQUIRED- YES-[:]- NO❑•.
TEL /-7Jl /
CONTRACTOR Q.�1��r : NO QI,L
LIC FRONT PROP LINE OF (STREET)
ADDRESS'' S -NO HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC �[ FRONT PROP LINE-- HIGHWAY WIDTH
CITY CLASS `
CONSTRUCTION LENDER + 'CL
NAME AND.BRANCH , .• - BLDG SETBACK FROM U
ADDRESSCITY SIDE PROP LINE OF (STREET)
SQ FT 4 NO OF NO OF CHECK, HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIZE 2 STORIES ,eFAMILnIEyS� ONE SIDE PROP LINE HIGHWAY WIDTH , N
DESCRIPTION OF WORK L, �\ 1'aT�l NEW +
ADD % • CORNER CUTOFF YES ❑ NO ❑
�• �� {r+ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
9VC REPAIR ❑
EXISTING BLDG DEMOL .❑ IN COASTAL PERMIT ZONE YES
EX S .❑ NO ❑
APPLICANT TEL "."I
(PRINT)
(PRINT) NO 'd Ajt - A ,1
8Y(SIGNATURE( `- 7
`W-45--79 �� ��l Cw 1✓/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION AND STATE - 3!zo• ,� 8—zo- 9 a A& —OMP- mC,-
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION 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 COM-
PENSATION INSURANCE
SIGNATURE OF ��. FINAL 9 BY
PERMITTEE v DATE
ADDRESS
TEL PC Fee$ C� c 6 G Permit Fee c;27"
CITY NO
Issuance Fee 7
VALUATION�' .
Total Fee 3-1
.PLAN-CHECK VALIDATION CK. .0.: CASH _ PERMIT VALIDATION, cK. M. CASH
- - .k..`nC_-
__ • )d03 �PLDERo 1 5 0 i�ni� 20 ,1 D -3 4.�1 0 v
�f 76A638A C€A8C3A 6 6 '
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