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HomeMy Public PortalAbout5038 GLICKMAN AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES OF COUNTY BUILDING PERMIT DEPARTMENT BUILDING AND SAFETY DIVS ONER BUILDING ^ FOR APPLICANT TO FILL IN / ADDRESSBUILDING ADDRESS SO 3 /v� LOCALITY t NEAREST c CITY ZIP CROSS ST. S NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT ' MAP BOOK PAGE PARCEL Q 7 pji DISTRICT IGROUPITYPE FIRE �;' OCESSED BY CONST./) ZONE TRACT 2 `BL/OCK LOT NO 'eog < OWNER V�1 �.! NO.�j STATISTICAL CLASSIFICATION ,y- SEWER MAP ADDRESS 5 1.i CLASS NO._2__LDWELL,UNITS BK PG USE ZONE MAP }), CITY ZIP NO. V ARCH ITECT ...�-Ic�t TEL. // SPEC AL ENGINEER ��� > NO / CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR NOL BLD SETBACK FROM FRO OP.LINE OF (STREET) LIC. `` ADDRESS NO. 1 HIGHWAY } yARD c TOTAL SETBACK FROM HTYPE OF IGHWAY,EXIS WIDTH FRONT PROP. LINE CIT YC A- CLASS _ CONSTRUCTION LENDER } NAME AND BRANCH BLDG.SETBACK FROM r n' ADDRESS CITY SIDE PROP.LINE OF (STREET) V SQ. FT. NO. OF NO. OF CHECK HIGHWAY } YARD _ TOTAL TBACK FROM EG SIZE © STORIES FAMILIES��r ONE SIDE P HIGHWAY WIDTH P. LINE o } - LiJ DESCRIPTION OF WORK NEW ❑ C- N DDJ CORNER CUTOFF YES ❑ NO ❑ Z �t LTER L�JI IDEMOL IN OPEN SPACE YES ElNOEPAIR❑USE OF �— IN COASTAL PERMIT ZONE YES NOEXISTING BLDG. V )/ APPLICANT q � TEL (PRINT) w O. BY (SIGNATU E� I HEREBY ACKNOWLEDGE THAT I HAVE READ TMIS APPLI ION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM LY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZAD HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF LABOR CODE OF THE STATE 0 CALIF IA RELA TIN 0 WORKMEN'S COMP AT INSU N E. SIGNATURE OF FINAL BY PERMITTEE DATE LADORESSTE L. P.C. Fee$ �' Permit Fee NOIssuance Fee f�0� q t Total Fee d� PLAN CHECK VALIDATION CK. M O CASH _ PERMIT VALIDATION CK. M.O. CASH 0 2 8MAE 4 1 � a 1 3.G 5 •�3c 76A638A CE#8038 12/75 2 9-MAR 4 1 1.7 15 .1F,t 78A638A CE#80310-58 APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGELES BUILDING ? l DEPARTMENT OF COUNTY ENGINEER ADDRESS _J G i BUILDING AND SAFETY DIVISION LOCALITY L JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE P ESSED BY FOR APPLICANTT2 FILL ✓ � CONST. WnLl . BUILDING ,/� / STATISTICAL CLASSIFICATION SEWER MAP ADDRESS G I� LOT NO. 7!� CLASS.NO.---t--DWELL. UNITS H e2 �0 7/•J -�.CD T 17 BLOCK NUMAP MBER ,�.Q` STATE HWY. YES NO TRACTS USE ZONE SPECIAL SIZE OF LOT :71-s-X I NNO.OF BLDG OW ON LOTS / CONDITIONS USE OF ` EXISTING BLDG. (j / BUILDING EXIST. OWNER � `^ �`- SETBACK YARD HWY REET NAME WIDTH MAIL / PFRONT ADDRESS SIDE TEL. CITY NO' INSPECTION RECORD ARC ITECT O TEL. ENGINEER NO. Y ADDRESS TEL CONTRACTO S NO I3Q ADDRESS ZO A _ DESCRIPTION OF WORK ' ~ ' u - 4 NEW /--ADD ALTER REPAIR DEMOLISH SQ.FT. // NO.OF / NO.OF '�! �ti�}'(t L L P�Ajc- SIZE J!5"`/Q STORIES ` FAMILIES/ USE OF STRUCTURE �L L. F,x ` b pj-0 �"/y /cV o./c 71 co r1 y A: L o to-=�;,.: G lo / /vh/, Yc�NT ov IC, C,'' / ,raT, SIGNATURE OF APPROVALS c'✓C' APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION $ FORMS.MATERIALS P.C. S FRAME: FIRE STOPS. FEE / �Q BRACING. BOLTS -'-, 7'b ''� /• '' VALUATION 401-40 FEE 11 FURNACE: LOCATION. `0. GAS VENT,DUCTS L+- 'r U I HEREBY ACKNOWLED HAT I HAVE READ THIS AP- LATH. INT. .-. v `" PLICATION AND STATE T T THE ABOVE IS CORRECT AND - AGREE TO COMPLY WIT ALL COUNTYQRDINANCEQ AND STATE LAWS R G ING BUILDI N. LATH, EXT. HOUSE NUMBER COR. SIGNATURE OF PERMITTE RECT AND POSTED ADDRESS ©�"�' �/ FINAL tl CLYDE N.DIRLAM, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDA ON CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH Or