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HomeMy Public PortalAbout10909 FREER ST_Building__ 09 78A83a.% a[ :REV.6/78)Sw e i T APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING A AFETY FOk ADDRES APPLICANT TO FILL IN BUILDINS G -�Z " BUILDING ADDRESS O LOCALITY — N EA REST CITY ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW OfJ LOT I MAP BOOK PAGE PARCEL / DISTRICTPE A PROCESSED BY TRACT Q BLOI`K LOT CZON NO. / TEL. 0 OWNER STATISTICAL CLASS IFICAT ION SEWER M04- ADDRESS CLASS NO. DWELL.{JNFS BK -PG CITY ZIP ARCHITECT O TEL VALUATION EN GI N EE3t — ADDRESS FROM TEL. FRONT PROP.LINE OF TSTREE-n CONTRACTOR HIGHWAY + YARD. TOTAL SETBACK FROM TYPE OF EXISTING ICFRONT PROP.LINE HIGHWAY WIDTH ADDRESS C uc. + CITY ass f CONSTRUCTION LENDER BLDG. � SIDE PROOP.P.LINE CK FROM E OF ISTREETI NAME AND BRANCH.. TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH 0 SO.FT. NO.OF NO.OF ..,�}— CHECK + V SI ZE `A ST ORI ES I FAMILIES ✓ ONE ) Q� dES10 CR1PTN OF WORK NEW P.C. Fre S / — Permft Fee S o ADD . _ IsauaTRce Fee � y� ALTERUSE OF REPAIR Total Fee Z EX STING BLDG. L,1 DEMOL APPUCANT(MINT) � �c�ll 6 -2 2 5 5 8 A BY(SIGNATURE) ; I HIEREB AOO�OY& THAT I HAVE READ THIS APPLICATK>N AND STATE - ,2,° ° �' 2 0 0 - THAT THE VABb E t5 COST AND AGREE TO COMPLY WITH All ORDi N,4}CS - u o 0 1 .2 0 0 AND LAWS REGIAATI NG BU LNNG OOftSTROCTION.I CERTTI FY THAT N DOING C1 is WORK AUTHORIZED HERBY I WILL NOT EMPLOY ANY PERSON IN VFOLATTON THE LABOR CODE OF THE STATE OF CALL KXN LA IN RELATWG TO PENSAT"4 I NSURANCE o H 0'21— / 9 SIGNATUR>r_ f 2 5 a.9 A J>ERWTTEE OF ADDRESS Z # 0 0 0 0 0 1 ' TEL 2A ° 2200 r' 7 NO. AP e 0 0220065 O. p ' oH02'-79 ON D TTI ONS, � BYEQ ' /��/ zxrUE Z_ A APPLICATION FOR BUILDING PERMIT IZAPPLICANT TO FILL IN (Print or"only) COUNT?OF LOS ANGELS BUILDIN ADDRESS , � 'C DEPARTMENT OF COUNTY ENGINEER crry f7 ZIP BUILDING AND SAFETY DMSION OF BLDGS. BUILDING SIZE OF LOT. NOW ON LOT ADDRESS (/ �'' TRACT O BLOCK LOT NO. LO(AUTY t_ OWNER �J LL�+fS l N D CROSS ST. ASSESSOR ` ADDRESS o 9s �• /� MAP BOOK PAGE PARCH CITY F -� Jam/ �/ DISTR]Ci �,tQYou TYPE FIRE ED BENGINEER Tp OR i' �i / C /G/i(/s NO. E' c� ! Z� �] STATISTICAL CLPSSIFfCAT10N SEWER ADDRESS Cv 17 P,/dAIE- C �lN CLASS NO.S� DWEL1-UNITS BK PG CONTRAcTC'R �/F 'q/(d S4{ [ / NE O ��----u ADDRESS / s� NO. }� O SPECIAL ��ee// CONDMONS CITY Cl/.�i D R CC1ASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH &-DG.5 FROM FRONT UNE OF (STREEn '4DDRIESS CITY LCIP K FROM TYPE OF EXISTING HIGHWAY + YARD 5(1 FT. Lid NO.OF NO.OF CHECK .LINE HIGHWAY WIDTH SIZE 1 STORIES FAMILIES CMIE L DESCRIPTION OF WORK NEW ❑ + O Td l d FROM ADD ❑ SIDE PROP. OF (STREET) O ALTER ❑ ALS FROM TY )STIN USE OFG REPAIR ❑ HIGHWAY + YARD SIDE PROP.LINE HIGHWAY EXISTING BLDG. I DEMOL ❑ + _ APPLICANT /T� CORN ER CUTOFF YES ❑ NO ❑ (PRINT) [°/JNO. IN OPEN SPACE YES ❑ NO ❑ BY I.SIGNATURB J�} IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATI $ I WL HEREBY AOQ4OIDGf THAT I HAVE READ THIS APPDCATK)N AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDf1ANM AND LAWS REO"TTNG UXDING COf6TRUC)DK I C EIMFY THAT IN DOM THE WORK ALITHOOZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VKXA70N OF THE LABOR ODDE OF THE STATE OF CAL PORN IA IN RELATWG TO WORKh"S COM- PENSATK)NINSURANCE. SIGNATURE PERMITTEE ADDRESS J a ' / 42 RNAL N!4 CITYTEL- 7I �7�7 DAtE1"0 MAKE CHECKS PAYABLE TO, F $ FEE $ LHARVEY T.BRANDT,COUNTY ENGINEER - 70 PLAN CHECK VALIDATION C!C Y.O. CASH r PERMIT VALIDATION cK wo. CASH 3 1 4 1DA.PR 13 d 1 D 2.7 0 ' - 3 1 0 tiPR 13 1 D 9.0 0 a es 7eAe3BA CE NO03 3-75' %APPI (CATION FOR COUNTY OF LOS ANGELES EER BUILDING PERMIT D BI LDT'ING TANODF SAFETY DUNTY MSIONN BUILDING fl y FOR APPLICANT TO FILL IN ADDREs9 (/ BUILDING /1 ADDRESS �/ v S LOCALITY ss NEAREST /� r CITY C ZIP CROSS ST. /`+9 NO.OF BLDGS. ASSESSOR \ SIZE OF LOT NOW ON LOT MAP BOOK PAGE- PARCEL STRICT GROUP TYPE FIRE P OCESS_ED BY TRACT O YBLOCK �! LOT NO TEL � CONST. ZON - OWNE 'r• 6!0 t7/Q NSTATISTICAL CLASSIFICATION n q � . SEWER MAP ADDRESS C .3 CUSS NQAf-DWELL,UNITS BK PG E ZONE MAP �1 CITY ZIP NO, zv ARCHITECT OR TEL SPECIAL ENGINEER O. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR TEL. BLDG,SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS NO. HIGHWAY + Y"D _ TOTAL SETBACK FROM TYPE OF EXISTING CITY LIC, FRONT PROP. LINE HIGHWAY WIDTH cuss _ CONSTRUCTION LENDER + y NAME AND BRANCH h. BLDG.SETBACK FROM ADDRESS CITY SIDE PROP.LINE OF (STREET) 8 SQ. FT NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH (� + = W DESCRIPTION OF WORK NEW x Vy�� / DD CORNER CUTOFF YES ❑ NO ❑ �C LTER ❑ EPAIR IN OPEN SPACE YES ❑ NO ❑ USE OF ENOL 1N COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. APPLICANT TEL - (PRINT) NO. BY (SIGNATUFJE) I HEREBY ACKNOWLEDGE TH*T I HAV! READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT ARP AGREE TO COMPLY _ WITH ALL ORDINANCES AND LAWB REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED - HEREBY I WILL NOT EMPLOY ANY TERDON IN VIOLATION OF THE - LA5OR CODE OF THE STATE OF CALIFORNIA IN RELATING T WORKMEN'S CO MPE KSATION INSURANCE. " SIGNATURE O _ FINALS}f`. BY PERMITTEE DATE ADDRESS P TEL P a Fee$ Permit Fee 0 CIT NO. v Iwvance Fee VALUATION$ � Total Fee Q PLAN CB= VALIDATION CK. M.O. CASH PERMIT VALIDATION 76AS314A CS:#10731 ,37E - v l/JJ C COUNTY OF LOS ANGELES APPLICATION FOR DEPARTMENT OF COUNTY I�IGINEER BUILDING PERMIT BUILDING AND SAF'):"PY DIVISION BUILDING FOR APPLICANT TO FILL IN ADbRESS Q BUILDING /� /� /^' ADDRESS O / r-/ LOCALITY CITY / cI I NEAREST CRCSS ST. NO.OF BLOGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL / - DISTRICT GROIONST Y P E FIRE -c4-;D BY TRACT BLOCK LOT �NO. j �l i �� • ZON OWNER / ► NO. •� of STATIST ICAL CL IFICATI N �n 3 ER MAA ADDRESS r CLASS NODWELL,UNITS BK//Z•-PG 'USE ZONE MAP0 � CITY ZIP NO. 6 - 5 L/ ARCHITECT OR TEL- -2_ ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR TEL. BLDG,S YBACK FROM r f FRONT ROP.LINE OF (STREET) ADDR L'./ rl NO u HIOHWA + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ` CI�� �y FRONT PROP. LINE HIGHWAY WIDTH CITY `F p� G. CONSTRUCTION LENDER + - }. NA AND BRANCH BLDG.SETBACK FR OM ADDRESS CITY SIDE PROP.LINE OF (STREET) 8 SQ. FT, NO. OF NO. OF CHECK HIGHWAY + YARD _ OTAL SETBACK FROM TYP EXISTING GC SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWA IDTH DESCRIPTION OF WORK NEW + _ . I / DD ❑ CORNER CUTOFF YES ❑ NO ❑ L- ALTER ❑ 1 EPAIRE3 IN OPEN SPACE YES ❑ NO ❑ USE OFIN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG, EMOL ❑ APPLICANT TEL (PRINT) NO. BY (SIGNATURE) I HEREGY ACKNCW1.[DGE THAT I HAVE HEAD THIS APPLICATION ANO STAT[ THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CKATIFY THAT IN DOING THE WORK AUTHORIZED HERR 5Y 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LAS011 CODE OF TH[ STAT[ OF CALIFORNIA IN RELATING TO WORKMEN'S COMP[ TIOM INSURANCE. / SIGNATURE OF FINAL `_ BY PERMITTE DATE [� r� ADDRESS TEf P,C, Fee$ Permit Feb21 CITY NO.. J Issuance Foe VALUATION$ ) %36-(2 cc/ Total Fee J PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. wH 3,2 0q:" 4$,1 1 .0 2 1.7 5 � 76AS38A C<0803115 12/75 0) v APPLICATION FOR BUILDING PERMIT �1 FOR AP"LICANT TO FILL IN (Print or type only) LJ BUI ING y COUNTY OF LOS ANGELES ADD ESS d eC/L./ DEPARTMENT OF COUNTY ENGINEER CITY (L—> 1 ZIP BUILDING AND SAFETY DIVISION O.OF BLDGS. BUILDING SIZE OF LOT NOW ON LOT ADbRE55 ' TRACT BLOCK LOT NO LOCALITY T TEL NEAREST OWNER NO. - CROSS ST. ASSESSOR ADDRESS Q Q /L,L'�r` MAP BOOK PAGE PARCEL / DISTRICT TYPE FIRE ESSED BY CITY [ � L ZIP OC] NST• ZONE � ARCHITECT t TE -11 '.igg ENGINEER NO. STATISTICAL CLASSIFICATION SEWER P ADDRESS CLASS NO�DWELL,UNITS BK I�G -erCONTRACTOR EL _( USE ZONE MAP LIC. t�/ NO. ADDRESSS7r� NO. aYTV �v SPECIAL LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER `- NAME AND BRANCHBLD ,SETBACK FROM ADDRESS CITY _ FRO T PROP.LINE OF (STREET) HI AY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SQ, FT. //'' NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE VI STORIES FAMILIES ONE ❑ t = DE9"C RIPTION OF WORK NEW DD BLDG.SETBACK F SIDE PROP.LINE OF (STREET) ALTER ❑ = OTAL SETBA M TYPE OF EXISTING REPAIR HIGHWAY } YARD SIDE PROP. LINE GHWAY WIDTH USE _ ❑ O + EXISTING 9LIlDG, �..r! .� nc-e EMOL ❑ AP PR PL�CAN ) N/C!, _ �0 � �+v�-("� CORNER CUTOFF YES ❑ NONT) ❑ BY (SIGNATURE) IN OPEN SPACE YES ❑ NO E] IN COASTAL ZONE YES ❑ NO ❑ VALUATION i ^ �L/ CATrGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAV[ READ THIS APPLICATION ENVIRONMENTAL AND 3TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORD HANCE/ AND LAWS REGULATING BUILDING CON- STRUCTION. CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S Com P[N1AT1 N I URANCE. SIGNATURE OF-34 PERMITTEE ADD: - FINAL BY CIT NO L�..i�^O ZJ F DATE �-' y�)6 /�'j�LD------- MAKE CHECKS PAYABLE TO: FEI- � �, _� HEFEE HARVEY T. BRANDT, COUNTY ENGINEER '5 PLAN CCg VALIDATIONCI(. M.O. CADH `Jr 1-.i71�1i1 V A'TION CK. M.O. CA/11 0 3 2 s1 21 6.5 'm�;: 78AB38A CEN803 7/73 - - C 3 3ti`4AR J1 1 D 2 1.7 5 A-d APPLICATION FOR COUNTY OF LOS L ANG DEPARTMENT COUNTY EEiON$UILDING PERMIT DAD DIVISION ON BUILDING ` FOR APPLICANT TO FILL IN ADDRESS (� BUILDING 7,/ • LOCALITY NEAREST \ CITY ZIP CROSS ST. NO.OF BLOGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT G E FIRE ESSED BY TRACT BLOCK LOT NO. T ZONE TEL. OWNER NO. STATISTICAL CLASSIFICATION SEWEW<AP ADDRESS CI-ASS NQ.-? //LDWELL.UNITS BK PG E ZONE MAP CITY ZIP NO. ARCHITE TEL SPECrKL ENGINE NO. L CONDITIONS ADDR ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ TEL. BLDG.SETBACK FROM CO T0. LIC. FRON ROP.LINE OF (STREET) ADD NI Y + YARD = TOTAL SETBACK PROM TYPE OF EXISTING CITY LIC. FRONT PROP. LINE HIGHWAY WIDTH CLASS _ CONST UC T10 N L R + NAME AND BRANCH BLDG, BACK FROM A ADDRESS CITY SIDE PRO . F (STREET) NO. OF NO. OF CHECK HIGHWAY + YARD = O PROMJ TYPE OF EXISTING SIZ (d STORIES 1. MILIES ON .SIDE PROP. LIN HIGHWAY WIDTH p DE9C RIPTION OP WORK NEW + to DD CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDb. EMOL ❑ APPLICANT TEL (PRINT) NO. BY (SIGNATURE) I.HEREBY ACKNOWLKD[ AVE JI TH12 APPLICATION AND STAT[ THAT THE V[ IS CO R[CT A[R[[ TO COMPLY WITH ALL ORDIXAN [ KXD LAW R[[U "' ■UILDI No COX- DTRUCTION. I C[ IFY THAT I DOIN• WOR[ AUTHORIZED HEREDY I WILL OT [MPLO Y PER IM VIOLATION OF THE LABOR CODE F THE E OF CA NIA INRERELLAATI/INN6 TO WORNM[X'>! 0 URAN L%' /� J/ 7 SIGNATU FINAL jJ /�-/� BY PERMI '- DATE 7 ADDR TE L. P.C. Fee$ Permit Fee CITY NO. Q Issuance Fee VALUATIONvloo Total Fee PLAN.= VALIDATION w.o. cAirl _ PERMIT VALIDATION 5 7° 9-'OCT . 8 2.1 a 10).-58 . . .. - _ 58ACT 8 1 3 5.25 •s�