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Home My Public Portal About4905 GLICKMAN AVE_Building__ —r LE CITY. 79AS70A CE hO9- 16+ APPLICATION FOR BUILDING /PERMIT COUNTY OF LOS ANGELES ADD EISS IY/ 4 U t DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST `` d WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. 1 Q W ^ L4 S f} DISTRICT Ng�_ GROUP TYPE P SSED BY FOR APPLICANT TO FILL IN (Jfl TYPE BUILDING STATISTICAL CLASSIFICATION SE ER MAP ADDRESS 1 BK PG y0 y- C I= CLASS. N DWELL.UNITS LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIREDQf RECEIVED TRACT Z 6 MAP / HIGHWAY STATE MAJOR SECOND, OCT NO.OFBLDGS. NO. tuR:L., SIZE OF LOT NOW ON LOT USF ZONE SPECIAL USE OF Jy CONDITIONS EXISTING BLDG. OWNER r NO ?,C �� BUIL SETBACK A(/$ YARD HWY E AME NG EXIST. H ADDRESS �d,1 Cil/ N/$✓E to. FRONT ARCHITECT OR TEL. P.L. ENGINEER s NO. SIDE P.L. a ADDRESS INSPECTION RECORD O TEL. CONTRACTOR NO. im ADDRESS /` 0 O DESCRIPTION OF WORK w a N EW) ADD ALTER REPAIR DEMOLISH Z S FT. NO.OF NO.OF SIZE O STORIES FAMILIES USE OF �L STRUCTURE b ' f SIGNATURE OF- .�cJiGi�s-sKoo APPLICANT - - VALUATION$ �� APPROVALS DATE INSPECTOR'S SIGNATURE 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. _ LATH,EXT. SIGNATURE QF HOUSE NUMBER COR- PERMITTEE _ RECT AND POSTED - ADDREO? FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION Cr_ M.O. CASH PERMIT VALIDATION cK. M.O. CASH ' y7738 F' 9.00 p -04__t4� r5A638A'CE u803 ""APPLICATION FOR BUILDING PERMIT 'COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING tK JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS = COLEMAN W. JENKINS, SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST �s /� Print or type only) CROSS ST. r1�^ 7- ��• / .0. BUILDING _ DISTRICT NO. GROUP TYPE �� PROCESSED BY r CONST•, a ADDRESS STATISTICAL CLASSIFICATION SEWER MAP LOT NO. BLOCK CLASS NO.-,2d—DWELL.UNITS BK PG TRACT 1 2 e USE ZONE MAP NO.OF BLDGS NO. SIZE OF LOT NOW ON LOT `� SPEC AL USE OF ` CONDITIONS - EXISTING BLDG, TEL. . OWNER a,41 �n NO. -/q BLDG.SETBACK FROM ADDRESS u 0 ✓ FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY—WIDTH FROM C.L. ARCHITECT OR TEL + _ ENGINEER NQ. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING1 SETBACK HIGHWAY + = TOTAL CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. y, LIC. _ °•- ADDRESS NO. + - CD LIC. CITY CLASS CORNER CUTOFF YES ❑ NO p CONSTRUCTION LENDER t; NAME AND BRANCH SEE REVERS SIDE FOR SPECIAL APPROVALS ADDRESS Z SQ. FT. NO. OF NO. OF ❑ SIZE STORIES FAMILIES NEW USE OF ADD � L STRUCTURE JL �(J ° . op ALTER ❑ "U v C" , I R-PAIR❑ s SIGNATURE OF GG` APPLICANT DEMOL ❑ d� VALUATION $ APPROVALS ATE INSPE TOR'S S cN TU RE P.C. PMT. C• �G+ 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 Co RRECT 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. LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCELATH, EX . T. SIGNATURE OF HOUSE�� HOUSE NUMBER COR- PERMITTEE RECT D POST ADDRESS `'^?e t F I N AL jh �{ l/ JOHN IF LEWIS. P INCIPAL STRU TURAL ENGINEER PLAN CHECK VALIDATION CK. M.o. CASH _ PERMIT VALIDATION CK. M.O. CASH 1D 9.00- 7.IA638ACE.p8036.62APPLICATION FOR BUILDING PERMIT V COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS (�S BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DIUXICT G P TYPE N PR 'BY FOR APPLICANT TO FILL IN ,� 1 0 CONST. BUILDING �• w STATISTICAL CLAS ICATION SE MAP ADDRESS lP SJ B` / CLASS. NO. DWELL. UNITS--] J LOT NO. � BLOCK WATER NOT REQUIRED RECEIVED ❑ CERTIFICATE: TRACT MAP /'� HIGHWAY STATE MAJOR SECO LOCAL NO.OF BLDGS. NO. C�� IaRCLE> SIZE OF LOT ,X NOW ON LOT USE ZONE SPECIAL USE //T� / CONDITIONS EXISTING BLDG. C/I. ' TELN . ;`,7n OWNER O. J 1 BUILDING EXIST. YARD HWY STREET NAME .� SETBACK WIDTH ADDRESS FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. a ADDRESS O TEL. V CONTRACTOR NO. N ADDRESS O DESCRIPTION OF WORK u W NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE U STORIES FAMILIES /� _ USE OF �j 0 „¢A •i -"rIU I `f STRUCTURE 1-21 SIGNATURE OF APPLICANT -r 2 .-6 -3 ^ VALUATION $ - APPROVA DATE INSPECTOR'S SIGNATURE C. PMT. FOUND NDATION: L CATIO FEE $ FEE $ �VU FORMS, MATERIALS ( - ` FRAME: FIRE STOPS, DI HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. 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- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. J �>�,,i SIGNATURE OF �O-f � HOUSE NUMBER COR- - PERMITTEE ^ RECT AND POSTED ADDRESS /L"S // -�-r' ��aL FINAL JOHN F. LEWIS, PRINCIPAL STRAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION :.K.7M.O. CASH