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7QA999A CIE#809"1-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING '
DEPARTMENT OF COUNTY ENGINEER ADDRESS
M BUILDING AND SAFETY DMSION LOCALITY sL
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. {
DISTRICT GRP D BY
FOR APPLICANT TO FILL IN TYPE I /
O
CONST. �0
BUILDING a STATISTICALC SIFICATION ER MAP
ADDRESS K .S
CLASS.NO. DWELL. UNITS f
LOT NO. Ct, BLOC WATER NOT REQUIRED RECEIVED
CERTIFICATE: �J
TRACT MAP \ HIGHWAY STATE MAJOR SECON LOC
NO.OF BLDGS. NO. / (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF \ CONDITIONS
EXISTING BLDG.
E L.
OWNER NO. BU -DING EXIST.
SETBACK YARD HWY STREET ME WIDTH
ADDRESS x, FRONT `
ARCHITECT ORTI P. L.
ENGINEER 'd ASS O. IDE
P.L.
ADDRESS `/ Sefol INSPECTION REC4b }
L TTEL. O_
CONTRACTOR 61,L14 `�fl y-� NO. Tt77�Yd' g
ADDRESS K&-'Z 7 C ICC? ( C=..WIC C!Cd O
DESCRIPTION OF W RK u
W
C
NEW AD ALTER REPAIR DEMOLISH N
SQ.FT. NO.OF NO.OF Z
IZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF ,✓
APPLICANT '
VALUATION$ , ��
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. , FOUNDATION: LOCATION
FEE $ FEE $ (,�� FORMS,MATERIALS
FRAME: FIRE STOPS, -
I HEREBY ACKNOWLEDGE 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 DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. j
LATH,EXT.
SIGNATURE 6F/,? HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS .Z. G FINAL
CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION cK, M.O. ASH PERM VALIDATION cK
CM.O. CASH
0741 : A, R := U 600
pr,-
DEPARTMENTCOUNTY OF LOS ANGE ESAFETY BUILDING U t L D i H G
WM. J. FOX CHIEF ENGINEER V APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
ADDRESS fY �f
d DISTRICT NO. PLAN CK. OR REC.NO. PERMIT NO.
BUILDING 9,
RECEIVED BY DATE OF APPL. DATE ISSUED
LOCALITY �v� �.S ?— � 7
NEAREST �,`a /�Ia�� /ivµ �} //t S^.
CROSS L//� BUILDINQ `��/ ,�J /',`
���T ADDRESS 2✓ J d/� /�L- � ,�e.'
OWNER
MAIL �y� r LOCALITY �OJYnJ`C-N ef
ADDRESS ,y�3 �t�/�/� NEAREST /
�I°� f rrTEL. CROSS ST. T•%��
CITY 1 NO. , 9 ;J4 FIRE NOrOFI ,\Y/
TYPE i I GROUP
ARCHITECT ORO' TEL ZONE PLANS
ENGINEER NO. BLDG. ORD. NO.
SETBACK LINE
ADDRESS USE /�7"
' TEL AA,r/ ZONE/ ! ��BYP ROVED DATE
CONTRACTORlL4ArAd 1 Dld%A 0. /}J ���� HOUSE NUMBERING
ADDRESS JON MAP NUMBER NO. ASSIGNED BY
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
l!
TRACT`"y/`,' .r� ..r A
g/� NOW ON LOT /
SIZE OF LOT
USE OF ,(> NO. OF
EXISTIN BLDG./Jit f:,"r ��10,�' I FAMILIES
DESCRIPTION F WORK °�
0
NEW ALTERATION I I ADDITION Z
I�jl D
REPAIR DEMOLITION r
SQ.FT. No.OF
SIZE C ROOMS / STORIES /
EXT.WALL I RDDF
COVERING COVERING
USE OF STRUCTURE _ �'l
cec7 @�
INSPECTION FOR APPROVALS
OCCUPANCYAB INSPECTORIS SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS,
CORRECT. BRACING, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS RE13ULLJAATTIII NN.G BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF LATH. INT.
PERMITTEE__ /H ,/�
ADDRESS x713 /&j_e� � E/ P/ LATH, EXT.
PLASTER, INT.
AUTHORIZED AOT.
PLASTER, EXT.
J FEES-� HOUSE NUMBER COR-
RECT AND POSTED
VALUATION FEE �� FINAL
76A63BA DBS 3 7-51 .�._
DIVISION OF BUILDING AND SAFETY BUILDING
—
Department of County Engineer — 1
County of Los Angeles APPLICATION �_.�
' WM. J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
- DISTRICT NO. PLAN CK. OR REC.NO. PERMIT NO.
13131 LD I NIGADDRESS ....�i,�- (�- ,.c- L '� - .
RECEIVED BY- DATE OF APPL. DATE ISSUED
LOCALITY
N.EAREST
R0999T. 14T BUILDING
/1 ..,, , X'`�J ADDRESS
OWNER I iJ ���//J Vb/✓ C�" � i _7'
MAIL �(�i3'3 LOCALITY / - G
ADDRESS 14-,,,e NZAREST
TEL CROSS ST.
CITY NO. 1y� FIRE I NO.OF
ARCHITECT OR TYPE 01�QUP
S Q
TEL TONE PLAN
,y
ENGINEER NO. BLDG. ORD. NO.
ADDRESS SETBACK LINE
_ USE APPROVED
T ZONE: BY DATE
CONTRACTOR /
HOUSE NUMBERING
1 �
ADDRESS MAP NUMBER NO. ASSIGNED BY
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK ) T f
TRACT - ?
NO. OF BLOCS. ��1/y1 �j/ /a' b4 f-r
SIZE OF LOT I NOW ON,LOT A fl-
USE OF NO. OF
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK ,' f Uy..n
eF
A
NEW Y ALTERATIONADDITION ` - Z
/!" r
REPAIR J DEMOLITION 'r,�� '
ME , l�G'C! ROQMH STQRIEH / ' ,
�
EXT.WALL RDOF
COVERING �y�=[�Q I COVERING 'jy�
USE OF STRRUC/TURE
INSPECTION FOR APPROVALS
OCCUPANCY AS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
- fL-
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP-
FURMB, MATERIALS
PLICATION AND STATE THAT THE INFORMATION GIVEN 19 FRAME: FIRE STOPS,
CORRECT. _ BRACING, BOLTS ,
1 A®REE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAN VENT,DUCTS
SIGNATURE OF y LATH, INT.
PERMIURE [.� -��
LATH, EXT.
ADDRESS- 1
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
O FEE ,��� HOUSE NUMBER COR-
RECT AND POSTED
VALUATION F[[ ,� z �� FINAL
76A639A DBS 3 1-52