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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
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