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7GA898A CE#8081-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING 7 +
DEPARTMENT OF COUNTY ENGINEER ADDRESS,
BUILDING AND SAFETY DIVISION LOCALITY C. 2iLzz
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. _. rl -=.
DISTRICT NO. GROUP I TYPE PRzCESSED BY
FOR APPLICANT TO FILL I -� CONS
BUILDING _y _ / STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS J 2.� - [�fl�G��`yJa'w, BK PG
CLASS. NO.-SLDWELL. UNITS C
LOT NO. 2- (- BLOCK WATER NOT REQUIREDRECEIVED
CERTIFICATE:
TRACT IU3�s NOP C, /(3 (iCIGRHWAY CLE) STATE MAJOR SECOND, LOCAL
NO.OF BLDGS.
SIZE OF LOT �1 �Q I NOW ON LOT USE ZONE SPECIAL
USE OFt CONDITIONS
EXISTING BLDG. /A,-
OWNER ` `C� NO. C 2 �
BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT - )
ARCHITECT OR TEL. P. L. I(
ENGINEER NO. SIDE
P. L. }
ADDRESS (� ( TEL INSPECTION RECORD O
CONTRACT+OOR/ t►J- A ,/-ke-t-- NO.�� V
ADDRESS ( &. 2- C^ Laf /Nh45 �h� 0
O
// DESCRIPTIONWORK G
NEW ADD A ER REPAIR DEMOLISH Z
SQ.FT. // M>;-OF NO.OF
IZE 6� 40 STORIES I/ FAMILIES
USE OF
STRUCTURE Q
rQr"�y.-%Qct✓�..'�{
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. '� FOUNDATION: LOCATION
FEE $ FEE ,/ FORMS, MATERIALS 'd
FRAME: FIRE STOPS, )
IHEREBY 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 IWILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CA ORNIA R LAT-
INO TO WORKMEN'S COM NS N IN UR C
LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR
PERMIT _ RECT AND POSTED
ADDRESS 2-C' �� 'G ri ^' FINAL
CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERVALIDATION GK.
MIT M.O. CASH
50 E!' 3
7 1. 0
76A638A CE#803 5-65 APPLICATION FOR �ILDI�G E'ER 1T
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY✓
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DISTRICT NO. GRO TYPE PR ES ➢J B
FOR APPLICANNT TO` �
FILLY IN CONST.
AD RESS`. _ j�^) Al V l- /C 11/l �1f/ STATISTICAL SSI FICATION SEWER MAP
v r CLASS NO. DWELL UNITS EK PG
LOT NO.�7, / BLOCK USE ZONE MAP n
0.
TRACT 1016 L7 ,Y SPECIAL . q
NO. OF SLOGS.
CONDITIONS ° ti
SIZE OF LO NOW ON LOT Z- u 2 _
USE OF '�
EXISTING BLDG. BLDG. SETBACK FROM
FRONT PROP. LINE OF
OWNER
.} /' I / TYPT OF EXISTIN �SETBACK .'Hf,OH-NIA - 'F YARD - TOTAL
ADDRESS 3 a�_A/ `lA I � /� /V HI YAY WIDTH FROM C..- .cy
C �
n „�
7 "
CITY
FR BLDG. SE BACK
ARCHITECT OR TEL. SIDE PROP. LINE 0 (STREET)
ENGINEER NO. TYPE OF EXISTIN'W. ¢ TBAC`K HIGHwokY + YARD = TOTAL
ADDRESS
HIGHWAY WIDTH ROM a L.`.
J- STEL. / J
CONTRACTOR /% 1sNO T 6 `= `-
/ h,F LIC k'"`
/ �`/ A O
ADDRESS 4,11- .-D!� .1 CORIEJ E. CUTOFF'.i cLY ES NO V
CITY c- L r.. .ti .,
CLASS SEE REV t SII`E-'FOIk gPECIAL APPROVALS O
DESCRIPTION OF WORK fE131 Qa 0t- W
NEW r.-.-,), ALTER REPAIR DEMOLISH ,I !;C. !MM_( N
SQ.FT. NO. OF NO. OF
SIZE STORIES FAMILIES y` � "
USE OF -; �` u.�
STRUCTURE,
l
i
SIGNATURE OF / .' ! >/„ + c = f". M. ,.
APPLICANT
VALUATION$ OCJ
APPROVALS DA E INSPECTOR'S SIG NATURE
P.C. PMT. FOUNDATION, LOCATION
FEE FEE$ FORMS, MATERIALS
FRAME, FIRE STOPS,
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS f^ / � " V.
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATIONa-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. r 1 1
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANC 64
- L„lwSwW. EXT T.
SIGNATURE OF_ HOUSE NUMBER COR
PERM ITTEE -� RECT AND POSTED
ADDRESS1 FINAL ?1 ;?,p•,,r ; -, y...>✓„`=.i
JOHN F. LEWIS. PRINCIPAL STR URAL ENGIN ER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. ,� M.o CASH
7 8 8 15`0 e{c 7 1 D 1 111!50-