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..� �.. APPLICATION FOR BUILDING PERMIT ' . . 1
COUNTY 'OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGIINM ADDRESS
BUILDING AND SAFETY.DIVISION LOCALITY.
JOHN A. LAMB16,-Courcy ENaIMlxt NEAREST
CROSS HT. I (.v Q, -
DI 1�NO,, GROUP TYPE Y .;
I1JJ FO/H__APPLICANT TO FII.I.IN S CONDT.
ADDRF36 1�2 �,
STATISTICAL. IFICATION ER MAP
4 �
CLASS.NO_ m rT T UN
LAT NO. I=tft 49 BLOCK MAP �L D / STATE t Q
NUMBER oL
TRACT USE ZONE SPECIAL
NO.OF BLDGB. I CONDITIONS
SIZE OF LAT SH NOON
USH OF
E?USTINa BLDG. E BUILDING EXIST.
L SETBACK YARD HWY ETRE T NAME. WI
OWNER-Cl! L O. FPRONT
ADDRESS 6� l7I D ST. C, HIDE
ARCHITECT OR TEL_ P.
ENGINEER NO.
INSPV=ON BECOED.
D
TEL A.
CONTRACTOR NO.
3 �
O
ADDRKW
DESCRUMON OF WORK 0
NEWD TBR REPAIR DRMOLISH
BQ.FT. - NO.OF f NO.OF
SIZE d STORIES 1 FAMILIE6
USE OF '
STR U CTU RA
DIGNATURE
APPLICANT
VALUATION;
AbPROVALS DA INLPE Ll'9 914NA'IVRE
p C. p� FOUNDATION: LOCATION
FEE FE FORMS MATERIALS
HEREBY ACKNOWLBD6E THAT I HAVE READ THIN AP- FRAME:FIRE PH,
BRACING BO LTH
PLICATION AND STATE THAT THE ABOVE IH CORRECT AND FURNACE:LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS
RT'ATR LAWS REGULATING BUILDING CONSTRUCTION.
1
CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH INT.
WILL NOT EMPLOY ANY PERSON IN VLQLATION OF THE
WORKk1EN-S COMPENSATION OF QRNLA LATH, I
HIONATURHOUSE NUMBER COR-
PHMITT
RRHCT AND POqTED
ADDR
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ALIDN
E
PLAN CHCS VALIDATION ,.a CA>t}L PEEmrr
V TION � .•
7BA533A CE YSOS 1/71
APPLICATION FOR BUILDING PE IT
COUNTY OF LOS ANGEL FS ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRE59
COLISMAN W. JENKINB, SUPT OF BUILDING LOCALITY
0 APPLICANT T LIN NEAREST
CRO35 ST.(PrInt gr type only 1
BUILDING /J DI �pLQ GROUP COONPSE ED BY
ADDRESS G 1 �7
STATISTICAL C ASSIFICATION SEWER MAP
LOT NO. B K ry
2 CLASS NO4 DWELL.UNIT9 BK[�,PGg
TRACT USE ZONE MAP'
NO.OF BLDGS. / NO.
SIZE OF LOT NOW ON LOT I SPECIAL
USE OF r CONDITIONS
EXISTING BLDG. 11-
TEL
OWNER NO. BLDG. BACK FROM
ADDRESS / FRONT INEOF (STREET)
TYPE OF IST! HIGHWAY + YARD = TOTAL
CITY HIGHWAYWIDTH FROM
ri
ARCHITECT OR TEL. + _
ENGINEER NO.
BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
CONTRACTOR / NO ='Z HIGHWAY WIDTH FROM C.L' OU
LIC ADDRESS / NO.,.2 3 SJ/ G + _ C=
O
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO
CONSTRUCTION LENDER Cn
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS
SQ. FT. NO. OF NO. OF JER
SIZE STORIES FAMILIES
USE OF STRUCTURE .l/71SIGNATURE OF
APPLICANT
VALUATION S APPROVALS DATE INSPECTOR'■ ■IONATLRE
P.C. PMT. FOUNDATION: LOCATION
FEE S FEE FORMS MATERIALS
FRAME: FIRE STOPS,
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STAT[ THAT THE ANDY[ IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS R[GULATIMG BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DINS THE WORK AUTHORIZED
H[R[SY CI WILL NOT EMPLOY ANY PER8OIN IN VIOLATION OF THE LATH, INT.
LASOR OD[ OF THE STATE OF 'CALIFORNIA IN RELATING TO
WORKMEN'[ CO MPl NEAT I ON INSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE ' RECT AND POSTED
ADDRESS ( FINAL Z.
JOHN F.PERMIT VALIDATION
PT�NCIPAL ST R RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CATH _ rLLLl I VALIDATION CK. M.O. CASH
. ; 0. 4 3;Z3 i o 6.00-
78AABA CE SBOD 1/71
• -APPLICATION FOR BUILDING PERMIT
r COUNTY OF LOS ANGELES ASSESSOR �/_
DEPARTMENT OF COUNTY ENGINEER MAP BOOK aro 4' PAGE 2 r PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W. JENKINS, DUP'T OF BUILDING LOCALITY
R APPLICANT TO FILL IN NEAREST
CROSS ST.
N (t r
tBUILDING DISTRICT NO. GROUP TYPE PR ESSE`D BY
ADDRESS T e—^,
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. BLOCK CLASS NO DWELL.UNITS BK& PG /1
TRACT USE ZONE MAP �j
NO..OF BLDGS. NO. GOf S
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG,
TEL
OWNER NO. BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
TYPE OF ISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIOHWA WIDTH FROM C.L.
ARCHITECT TEL. Q + _
ENGINEER NO. — a BLDG.SETBACKFROM
ADDRESS 31DE PROP.LINE OF (STREET)
` EL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CONTRACTO NO. + H HWAY WIDTH FROM C.L
ADDRESS G �� f NO + _
CITY CIL-A SS
I CORNER CUTOFF YES ❑ NO ❑ y�
CONSTRUCTION LEWDER G.
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS
SQ. FT. NO. OF NO. OF - 7L
SIZE STORIES FAMIL NEW
USE OF / ADD ❑
STRUCTURE Hr& 4Cr
ALTER ❑
REPAIR❑
SIGNATURE O
APPLICANT - DEMOL ❑
VALUATION
APPROVALS DATE INSP OR'■ SION RE
P.C. PMT. FOUNDATION: LOCATION
FEE S FEES 2, �`f< FORMS MATERIALS
FRAME: FIRE STOPS,
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 12 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFYTHAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL MOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPEN ION INSURANCE. LATH, EXT,
SIGNATURE OFHOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION C . w.o. ueR PERMIT VALIDATION CK. M.O. CASH
LAGo ^ � 73� AW17 � 0 12.00- Q