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Home My Public Portal About9642 GIDLEY ST_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES AeooRess — DEPARTMENT OF COUNTY ENGINEER clry '>` ZIP BUILDING AND SAFETY DIVISION NO.OF BLOCS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS TRACT BLOCK LOT NO LOCALITY- TEL. NEAREST - OWNER NO. - - CROSS ST, ASSESSOR ADDRESS -' - --- - MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE OCESSED BY CITY S - ZIP CONST,... - ZONE:' ARCHITECT QR _. ... TEL.... •""� ..i Ar SEWER MAP -. ENGINEER NO. STATISTICAL CLASSIFICATION EWE ADDRESS �- r CLASS N RrELL.UNITS BK PG ' EL. T CONTRACTOR > NO USE ZONE MAP , NO. I ADDRESS`- I NO SPECIAL 0ONS CITY - �. .J( LI SS i ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM V I FRONT PROP,LINE OF (STREET) ADDRESS CITY HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING ILLJ SQ. FT, NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH � SIZE STORIES t FAMILIES " ONE DESCRIPTION OF WORK NEW- NEW ADD BLDG.SETBACK FROM i CD _ __ _ - `ya.,-,t--,•^^ _ ❑ SIDE PROP. LINE OF (STREET) O-. ALTER ❑ _ TOTAL SETBACK FROM TYPE OF EXISTING w _ HIGHWAY } YARD — F— SIDE PROP. LINE HIGHWAY WIDTH REPAIR[I USE OF ` } EXISTING BLDG. . DEMOL [IAPPLICANT `TELCORNER CUTOFF YES ❑ NO ❑ (PRINT) .. - NO. .. c; BY (SIGNATURE) IN OPEN SPACE YES ❑ - NO ❑ IN COASTAL ZONE YES ❑ NO ❑ 7 VALUATION ='�` ��'` CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THISJE TION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BCON- STRUCTION. I CERTIFY THAT IN DOING THE WORIZED IMPACT REPORT PROCESSED (DATE) HEREBY 1 WILL NOT..EMPLOY ANY PERSON IN VIOLTHE LABOR CODE OF THE STATE OF CALIFORNIA IN G TO , WORKMEN'S CO MPBNSATION INSURANCE. .�._ SIGNATURE OF �, 4PERMITTEE; r,,ADDRESS 'FINAL BYTEL.CITY S.'4 } 1^•_E,.E'4....\ N O. 1 .~ DATE 11.1hE CIILLhS P.1}'.1/il.F 7U: P.C. $ PMT,QFEE +' FEE `I'HARVEY T. BRANDT. COUNTY ENR N CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION CK M O CASH A CE 9803 12/72 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) E�ILCItiG 42 COUNTY OF LOS ANGELES ADDRESS • DEPARTMENT OF COUNTY ENGINEER CITY N/OLE C/rY ZIP BUILDING AND SAFETY DIVISION 6. SLOGS. BUILDING ``+ ,J 4 SIZE OF LOT O , LOT ADDRESS �G TRACT B OC LOT NO LOCALITY NEAREST OWNER 41;gTTE,� •9/I/UFi '(/iP/�V� CROSS ST. `C ASSESSOR ADDRESS 990-'---,—e 451,PeEY 5"!": MAP BOOK PAGE PARCEL+ CITY iG�PL� C�/J�f"+ ZIP DISTRICT JGROLJ�]TYPE FIRE ESSED BY CONST. ZONE ARCHITECT OR A TEL `l• �� ( ( 4 ENGINEER ��G- �0� NO. 'Sw??s STATISTICAL CLASSIFICATION SEWER MAP y ADDRESS Z 32 S Lam+ SS-i�i7 5'1� CLASS NO.2- _DWELL.UNITS 77� BKS/PG CONTRACTOR 4_ZieEGvAIP9 NOL��O 77571' USE ZONE MAP ADDRESS 2?Z'5- E1 S,s'"fl/ LIC. / NO. NO. 95�� SPECIAL y' LIC. A CONDITIONS CITY `I��O��/ r C/g CLASS ` ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCHBLDG SETBACK FROM c- FRO T PROP.LINE OF ISTREETI V ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK HIGH AY + YARD - FRONT PROP. LINE HIGHWAY WIDTH O SIZE STORIES FAMILIES ONE U + = W DESCRIPTION OF WORK EW w O�/Sl/f�L�r7ff BLDG.SETBA ROM Z ,001- F�� .S�.e/�+��EE ADD ❑ SIDE PROP. LINE (STREET) ALTER ❑ TOTA CK FROM TYPE OF EXISTING REPAIRSIDE PROP. LI HIGHWAY + YARD = HIGHWAY WIDTH ❑ USE EXISTING NG BLDG. n�/,eE .5��i�GE�S DEMOL APPLICANT Ell + (PRINT) P'l KFiGJ ARD NO. CORNER CUTOFF YES NO SSCCS ZZ',S ❑ ❑ BY (SIGNATURE) IN IN OPEN SPACE YES ❑ NO ❑ _ IN COASTAL ZONE YES ❑ NO ❑ VALUATION ^ / CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. / SIGNATURE OF PERMITTEE ADDRESS G? S— -5 5 r- FINAL BY ��/ TEL. ATE A1- CITY 114 � �a" N O.�"�ZZ �. ; MA KF. CIIECKS PAYABLE TU: FEE �3.0o FEE HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK CASH _ RMIT VALIDATION CK. M O. CASH a 5 ic-_ AY 7 z b 6 3.0 0 Ao,- 76A 638A CE#803 /7 8 6 8 AY 8 1 0 105.00 •�� 76A638A CE #803 3-69 APPLICATION FOR BUILDING PERMIT g COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE CONST. PROCESSED BY (PRINT OR TYPE ONLY) I I I I 14� BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS N0. DWELL.UNITS BK PG [LOT NO. BLOCK USE ZONE MAP NO. TRACT SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM TEL.- FRONT PROP. LINE OF (STREET) OWNER o "i N0. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. � � � CITY + ARCHITECT OR • TEL. BLDG.SETBACK FROM ENGINEER - "-' N0. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS �► - -. s 4 HIGHWAY WIDTH FROM C.L. } a CONTRACTOR TEL.NO. + - ' V LIC.. O ADDRESS.'gin --- N0. CORNER CUTOFF YES ❑ NO ❑� NJ . I LIC. U- clry � CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS CONSTRUCTION LENDER ad NAME AND BRANCH _ Q ADDRESS 0 SQ. FT-..-, NO. OF NO. OF SIZE --+-} n STORIES FAMILIES NEW ❑ W 1— USE OF ',"t",.,' ADD STRUCTURE ALTER ❑ REPAIR "I SIGNATURE OF DEMOL F7 APPLICANT VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY BRACING BOLTS WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE: LOCATION, TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT DUCTS WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TV WORKMEN'S COM- PENSATION INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. CASH APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) ,jI_;:' COUNTY OF LOS ANGELES A DDR Ess - (.• / z` t - DEPARTMENT OF COUNTY ENGINEER clTv -/- = r! ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING _ LE OF LOT NOW ON LOT ADDRESS TRACT -' BLOCK LOT NO LOCALITY TEL. NEAREST - OWNER NO. CROSS ST. ' ASSESSOR ADDRESS r (,' n v MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY CITY - r ( ? ! ZIP CONST. ZONE ARCHITECT OR TEL. - ENGINEER / !.. NO. - STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 1� R" ` -? CLASS N0. -.-DWELL,UNITS BK ( PG TEL. CONTRACTOR �,r J �Cfi .•,4 NO. USE ZONE MAP LIC. )} NO. .. ADDRESS z r 3 No ,�� ( SPECIAL . LIC. ' 1 CONDITIONS CITY p: CLASS " - ROAD DEPARTMENT APPROVAL REQUIRED YES NO ❑ a CONSTRUCTION LENDER V NAME AND BRANCH BLDG.SETBACK FPOM FRONT PROP.LINE OF ISTREET LLJ ADDRESS CITYJ HIGHW -AY } YARD TOTAL SETBACK FROM TYPE OF EXISTING LL - SQ. Fl, NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH y. SIZE STORIES FAMILIES ONE } DESCRIPTION OF WORK NEW 1:1 ....._,_......... ,._..��-, O - ❑ BLDG.SETBACK FROM a ADD SIDE PROP. LINE OF -- ISTREETI W ALTER ❑ TOTAL SETBACK FROM T Y P OF EXISTING ~ r r - 'qHIGHWAY } YARD = SIDE PROP. LINE HIGHWAY WIDTH REPAIR❑ USE OF ❑ } _ EXISTING BLDG, , _ DEMOL APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO, BY (SIGNATURE) ✓ IN OPEN SPACE YES ❑ N0 Q IN COASTAL ZONE YES C] N0 ❑ VALUATION Y CATEGORICAL EXEMPTION YES❑ NO ❑ 1 HEREBY ACKN LEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) W17H ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OF PERMITTEE - ADDRESS FINAL BY CITY .I r NOL. .. +. s..,. DATE PMT. 10: FEE FEE HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK M 0 CASH _ ERMIT VALIDATION CK M 0 CASH 76A638A CE14803 7/73 io APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) E:jl_ ItiG ,-t , COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFETY DIVISION NO.OF SLOGS. BUILDING ZE OFLOT NOW ON LOT ADDRESS TRACT BLOCK LOT NO .LOCALITY z s TEL. NEAREST _> OWNER NO. CROSS ST. l ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT JGtO TYPE FIRE PROCESSED BY CONS' : ZONE CITY - ZIP - _�� - � ARCHITECT OR TEL. ""_ 0"� ! ENGINEER NO. - STATISTICAL CLASSIFICATION SEWER MAP ADDRESS - CLASS NO.='-<- .—_DWELL.UNIT$ BK PG CONTRACTOR .NOL USE ZONEFMALIC.ADDRESS NO. - CIAL CITY t LIC. DITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO CONSTRUCTION LENDER U NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) J ADDRESS CITY SQ. F1-. NO. OF NO. OF CHECK HIGHWAY + YARD - SETBACK TOTAL EXISTING FRONT LINE OHIGHWAY WAY FROM �.., SIZE STORIES F-AMILIES ONE DESCRIPTION OF WORK NEW ❑ +, = O - ADD ❑ BLDG.SETBACK FftM � SIDEPROP. LINEOF �'• (STREET W F- ALTER ❑ ETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = REPAIR❑ S�A'F�JE PROP. 'INE HIGHWAY WIDTH USE OF - DEMOL ❑ + - EXISTING BLDG. - APPLICANT TEL CORNER CUTOFF YES NO (PRINT) n NO. BY (SIGNATUR E) IN OPEN SPACE YES ❑ I`6�,❑ IN COASTAL ZONE YES NO + VALUATION$ CATEGORICAL EXEMPTION YES❑ O El I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED .(DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE.. SIGNATURE OF PERMITTEE ' ADDRESS �. FINAL BY TEL. DATE CITY - N0. M:1KE CHECKS f'AYABLI: 1-0: P.C. $ PMT, P FEE FEE HARVEY T. BRANOT. COUNTY ENGINEER PLAN CHECK VALIDATION CK M o. CASH _ PERMIT VALIDATION CK M O CASH 76A638A CE#803 7/73 FOR APPLICAN AoPPLIICATI(PrintoONtypeonFOR BUILDING PERMITFILL BUILDING _ COUNTY OF LOS ANGELES ADDRESS / L'_ DEPARTMENT OF COUNTY ENGINEER CITY / ZIP BUILDING AND SAFETY DIVISION N ,OF BLDGS. BUILDING SIZE OF LOT NOW ON,LOT ADDRESS TRACT LOCK LOT NO LOCALITY /f�f TEL. NEAREST— OWNER , C J^ NO. CROSS ST. ASSESSOR ADDRESS 2 P—tMAP,BOOK PAGE CEL DISTRICT GROUP ITYPE FIRE PROCESSED BY CITY (v'1 L� ! t ZIP �� C /✓v HONE ARCHITECT ORTEL.t ENGINEER L®.e 13 L NO' J 8a`Z� STATISTICAL CLASSI I ATION SEWER MA Fi � % P ADDRESS 2.325 -S , CLASS NO.;'_' 21—DWELL.UN ITS /_ BK /PG CONTRACTORT.- TEL. E �C.r1�D NEL'_ 68 2< U/ � NE NO. 21 �-� LIC. ADDRESS 232 _T- )a, �-^ NO• 6 CONDIIT ONS LIC. CITY �,L�/V CLASS C"/^� ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDSETBACK FROM a ` FRO .TPROP.LINEOF (STREET) V ADDRESS CITY HIGH AY } YARD TOTAL SETBACK FROM TYPE OF EXISTING LC SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH O SIZE STORIES FAMILIES ONE V t - W DESCRIPTION OF WORK !� L NEW � Z _ ADD SIDEACK M (STREET) SIDEPROP,LINE R C , ALTER ❑ i HIGHWAY } YARD - TOTAL SETBACK FROM TYP OF EXISTING REPAIR SIDE PROP, LINE HIGH AY WIDTH ❑ USE DEMOL [:] + EXISTING BLDG. � � V APPLICANT TEL CORNER CUTOFF YES ❑ NO (PRINT) 14�^ �(„ L� Zs' NO.S6 F—zzs- IN OPEN SPACE YES ❑ NO ❑ BY (SIGNATURE) IN COASTAL ZONE YES ❑ NO ❑ Q Gr VALUATION$ CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKN LEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABORCODE OF THE STATE. OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURAN A -^J SIGNATURE OF PERMITTEE p �, ADDRESS /L 1/E IL/� G. `` TEL. CITY f NO. DIA TE �NAL / BY �+�'._^L' r� ( 7,,, MAKE CHECKS PAYABLE TO: P,c. PMT, FEE FEE HARVEY T. BRANDT, COUNTY ENGINEER b (1 (✓ PLAN CHECK VALIDATION CK. M.O. CASH _ ERMIT VALIDATION CK. M O. CASH 6 7 4r'4-'JUN 24"2 3 0 5.40A rb 76A 638A CE#803 7/7 h_% I 9 1 8 -JUL 9 9.C) 0 i�� 76A638A CF- #803 3-69Yu J C; APPLICATION FOR BUILDING PERMIT �I COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALIR�� JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEARES• CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUZY TYPE CO 0 SED.Y (PRINT OR TYPE ONLY) .�UAt ABUILDINGDDRESS W� ''-'y STATISTICAL ClLAA]SSIFICATION SEWER AP G CLASS NO. DWELL U[NIITS BK PG�/ LOT N0. BLOCK USE ZONE NO. e /J TRACT C SPECIAL ° N0. OF BLOGS. COND TIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM /t TEL.686_0202 FRONT PROP. LINE OF _ (STREET) OWNERNATTER MFG. CO• NO. U V TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL L HIGHWAY WIDTH FROM C.L. ADDRESS9440 E. Gidle t _ CITY Temple City, California BLDG�.S 'rBACK FROM l ARCHITE e r e rt TEL. SIDE PROP. LINE OF � (STREET) ENGINEECR". C— N0. 2L-6 1 ADDRESS6252 E. Telegraph Rd. L. VGA EXISTING SETBACK HWAY + YARD = TOTAL WIDTH FROM C.L. TEL. _ } CONTRACTOR Commerce Const No. 72LL-671 In _ d ADDRESS y, NO.LIC C255129 CORNER CUTOFF YES ❑ NO ❑ 0 CITYLos Angeles.�Caf1_i . CLASS R-1 SEE REVERSE SIDE FOR SPECIAL APPROVALS 00 CONSTRUCTION LENDER None � � u NAME AND BRANCHuj ADDRESS LO N SIIZEF_ 20QT'ORIES 1 FOF A• OF IES NEW . ADD STRUCTURE Warehouse & MYT .YN ❑ ALTER ❑ REPAIR ❑ SIGNATURE OF DEMOL ❑ APPLICANT C2 00 VALUATION $ pV J APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. O'v FOUNDATION: LOCATION r_,7.r �• . FEE UG FEE $ FORMS MATERIALS `- f) -'7V /•' t `. a...--s, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RE�NGTOMEN'S COM- PENSATION INSURANCE.SIGNATURE°OF �'� i LATH, EXT.PERMITTEE / i �/ L HOUSE NUMBER CORRECT AND POSTED AD DR ES -AFINAL FINAL ��• JOHN F. LEWI 1JPRINCIPAL ST tbRAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VA I�ATION CK. M.O. CASH 3 8 1 tiJAR 1$ 2 3 0 6 3.0 Q A`,8 3 8 2 N JAR a.s 1 U 1,0 1 1.0 0 0 0 -- - _ FOR IXPPLICANAOPPLIICArTI(PintoONr typeonFOR BUILDING PERMITFILL EUI LDING a. _ , COUNTY OF LOS ANGELES g ADRESS ,� r', _ _ r P� J{'�r^ _'>' DEPARTMENT OF COUNTY ENGINEER, BUILDING AND SAFETY DIVISION CITY y �.' ZIP NO.OF BLDGS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS L TRACT 17 BLOCK LOT NO LOCALITY �fJ. f Ie TEL NEAREST _ OWNER — / NO. {} Q CROSS ST. ASSESSOR ADDRESS C )• e MAP BOOK PAGE PARCEL DISTRICT GRO�� TYPE FIRE PROCESSED BY CITY a ZIP CONST- ZONE �_ ),n'�f},:✓moi+'' i i' /. ARCHITECT O i TEL. •.,J !/;, .�!' ,�% ),� J _� �o J,�Grt� ENGINEER _,tom 4,9 NO. 7/0 f STATISTICAL CLASSIFICATION SEWER MAP ADDRESS A j �+ / CLASS NO. ,/DWELL,UNITS BK PG CONTRACTOR TEL. �^ r USE ZONE MAP ��77 IC. NO. ADDRESS ' y ' �� O. 2..4; , SPECIAL / C. CONDITIONS CLASS aJ Il ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CON TRUCTION L NDER } NAME AND BRANCH BLDG.SETBACK FROM 0 FRONT PROP.LINE OF (STREET) CD ADDRESS CITY HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE U + — W a. DESCRIPTION OF WORK NEW ❑ Z .� BLDG.SETBACK FR (STREET( ADD ❑ SIDE PROP. LINE OF ,� ALTER T SETBACt FROM TYPE OF EXISTING HIGHWAY } YARD = t REPAIR❑ S E,PROP7.�-- INE HIGHWAY WIDTH USE TI �' DEMOL ❑ + = EXISTING BLDG. � :•� ❑ APPLICANT'v TEL CORNER CUTOFF YES NO (PRINT) SJ NO. v BY (SIGNATURE) IN OPEN SPACE YES ❑ N IN COASTAL ZONE YES ❑ NO VALUATION cy T� CATEGORICAL EXEMPTION YES❑ O ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATI INSURANCE r SIGNATURE OF PERMITTEE ADDRESS n f'`1 TE L.`� C,/ FINAL / BY ) CITY NO. / K/(� DATE J ,!� V MAKE_ CHECKS PAYABLE TO: FEE ✓ FEE j HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M O. CASH 2 0 �P �6 1 D 9.0 0 iks8 76A638A CE#803 7/73 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) IN p, COUNTY OF LOS ANGELES rER SS /C,4Z C �l..C' I, DEPARTMENT OF COUNTY ENGINEER T�_t�t�'i�. z I P BUILDING AND SAFETY DIVISION NO.OF BLOGS. BUILDING �1 a F LOT NOW ON LOT ADDRESS !-/C} BLOCK LOT NO Pte"""� r (,1i LOCALITY - rAd TEL... NEAREST ��/ N NO. CROSS ST, l ASSESSOR SS �4Q-{J I'(^1.: �'i', MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE CEGSEO BY � AA�I� C�'S_� ZIP }�.�y CONST ZONECTNEOL. j�C~ �C./ lJr �LER Ri .(1,� "'� . ZA STATISTICAL CLASSIFICATION SEWER MAP SS L,�? a� Q1��"1 @-�, /!-t L� UNITS I—/.K9jPG ACTOR `L ct-,yY�,Z1J�'�(LJ � NOL ?�� 1tUSE ZONE MAPr- _ a oA� NO.SS�jZ�Z�. �C—AIPA K-NO �J54 �v ` SPECIAL LIC. I CONDITIONS CITY [-� C LASS Y ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER t NAME AND BRANCHBLDG,SETBACK FROM FRONT PROP.LINE OF (STREET) >_ ADDRESS CITY0- HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING U SQ. F`jT NO. OF�" - STORIES 1 NO OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE �;� c„c�C' l + O - C3 DESCRIPTION OF WORK.,�c�-`gyp NEW = V e .- l W ❑ BLDG,SETBACKFRO a AA h ,ADD SIDE PROP. LINE OF (STREET) In ALTER ❑ _ TO L SETBACK FROM TYPE OF EXISTING Z �' HIGHWAY + YARD - �, '^ REPAIR❑ SIDE PROP, LINE HIGHWAY WIDTH EXISTING BLD `��' pq r�''�,�U�Y., DEMOL ❑ + APPRICAN!NT) J -V.�7 k.��[�1lY�t�C.% NO.-Zr{.,.�-,'°lV CORNER CUTOFF YES ❑ NO ❑ / IN OPEN SPACE YES ❑ NO ❑ BY (SIGNATURE) ` Yin/' a,�. (�•� Q IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT MPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF STATE OF CALIF NIA IN RELATING TO WORKMEN'S COMP NS TION INSURANCE. SPERMITT IGNATURE OF �. �t/6'�.Z v ADDRESS ,,�A.Jn� /� INAL 'BY CITY �� Q. �-t'1.:a NOL d.r`Y 'l I f+- DATE l�1• /- f ,,`/l �� P.C. �'-•.f PMT.' 11;1 RE (.11L( KS PA}'ABLE 7'0 r FEE � � JO FEE"' HARVEY T. BRANDT, COUNTY ENGINEER ' 0 PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 6 '7 1PFEB 13 1 0 4 2.0 0 6 7�OrFEB 13 2 3 0 2 5.2 G �z;0 - - 76A638A CE#803 12/72 76A638A CE #803 1/71 -tkPPLICATION FOR BUIL ING PER IT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL 11 BUILDING AND SAFETY DIVISION BUILDING ADDRESS L e Z COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS ST. Print or type onl F6 15 BUILDING Jj _ ( �' DISSTf�I'CT NO ¢�7►,$O ITYPE CONST.. BY ADDRESS �� t.J 0 ,• STATISTICAL CL S FICATION S WER MAP LOT NO. BL K CLASS NO. DWELL,UNITS BK PG TRACT 2- USE ZONE MAP NO.OF 'LOGS. / NO. SIZE OF LOT 2f }C NOW ON LOT A SPECIAL USE OF CONDITIONS EXISTING BLDG. w TEL.. T/J OWNER 1, NO..)V(f�7�'J'�' BLDG.SETBACK FROM ADDRESS ` �• FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY �✓. ,-/�•1 HIGHWAY WISZH FROM C.L. ARCHITECT OR TELI } _ ENGINEER /,� r'I_ NO. . BLDG.SETBACK FROM ADDRESS V1 PEA �/. 'A SIDE PROP.LINE OF (STREET) TEL. TYPE OF 1EXISTING SETBACK HI AY } YARD = TOTAL Q_ HIGHWAY WIDTH FROM C.L. CD CONTRACTOR NO. C1 LIC. _ ADDRESS NO, - o LIC. F- CITY CLASS CORNER CUTOFF YES ❑ NO ❑ W CONSTRUCTION LENDER aj NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS i; ADDRESS _ SQ. FT. �J�/ NO. OF NO. OF NEN, r��^ � _n J � 0 SIZE g✓f/ STORIES FAMILIES � v �� f •7 USE OF ADD ElfL.�U STRUCTURE ,� w_ - ALTER ❑ SIGNATURE OF -" - REPAIR❑ !O APPLICANT '•y {DEMOL.❑ VALUATION S Oro APPROVALS DATE, INS CTOR'S niG ATU RE P.C. PMT. FOUNDATION: LOCATION G3 FEE S FEE S ,� .. FORMS, MATERIALS - - FRAME: FIRE STOPS, / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ,BRACING, BOLTS 4 AND STATE THAT THE ABOVE_IS CORRECT AND AGREE.TO `COMPLY' FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-, -.GAS VENT, DUCTS, STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED. HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABORCODE OF THE STATE OF -CALIFORNIA IN RELATING TO ` WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. Ie '-^v SIGNATURE OF �� PERMITTEE HOUSE NUMBER COR- RECT AND POSTED ADDRESS 1 [FINAL JOHN F. LEWIS. PRINCIPAL ST DeT,)j RAL ENGINEER PLAN CHECK VALIDATION CK. M. ( J SH _ PERMIT VALIDATION CK. CASH .Lr Lo n fi ;t a � .FEB 15 3 D 1 0.,2 0 h � � LH6o 4 7 EPm 6' 2 3 D 1 0.20- l.AL'o47a6 , MR 6 1 D 49.00N