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HomeMy Public PortalAbout5568 GLICKMAN AVE_Building__ 76:.;636A CE#603 9"67APPLICATION FOR BUILDIN' PERMI-� COUNTY OF LOS ANGELES BUILDING DEPARTMENT 81�r- OF COUNTY ENGINEER ADDRESSG BUILDING AND SAFETY DIVISION LOCALITY "4 , J JOHN A. LAMSIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. �• J �� FN OR APPLICANT TO FILL IN DISTRICT NO. GROy1P- TYPE — jcESSEQ B y % CONST. (Print or type only) '3;-71 0 G '� STATISTICAL CL SSIFICATION S WER MAP � , _ CLASS NO.�DWELL,UNITS� 'L BLOCK USE ZO E MAP '1 L C NO. l / •� t CSPECIAL ONDIT ONSO.C BLDGS.LOT Ci NOW ON LOT BLDG. BLDG.SETBACK FROM1. TEL. FRONT PROP.LINE OF STREET) NO p TYPE OF EXISTING SETBA HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FROMS—_ 4 7 + BLDG,SET ACK FROM ARCHITE TUR TEL. SIDE PROP.LI NE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM G.L. T€L + CONTRACTOR O ADDRES r NO. �..� CORNER CUTOFF YES ❑ NO ❑ U IC. O CITY CLASS , SEE REVERSE SIDE FOR SPECIAL APPROVALS LLI DE GRIP I N OF WORK . ° Z NEW ADD ALTER REPAIR DEMOLISH . — /� NO. OF NO, OF SIZE v� , `� C� STORIES FAMILIES � G USE OF J 'STRUCTURE C T� SIGNATURE APPLICAN �s VALUATION SSS .J L APPROVALS DATE INSPECTOR'5 SIGNATURE P.C. �SPMT. 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 AU0RIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TI N OF THE LABOR CODE OF THE STATE OFCALIFORNIA t�Ar- LATH, INT. IN O WORKMEN'S COMPENSATION I T;� C LATH, EXT. SIGNATURE , HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.G. CASH _ PERMIT VALIDATION CK. M.G. CASH Llai 4 u 7 5"I'Di MAY 14 2 3 D 9 3.7 5 A q /a ,, � 76A638A CE #803 3-69 � V APPLICATION FOR BUILDING PER IT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY l L JOHN A. LAMBIE, COUNTY ENGINEER NEAREST C COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GR OU �TYPE,CJQNST, P ESSED BY (PRINT OR TYPE ONLY) o BUILDINGSTATISTICAL CL FICATION SEWER MAP ADDRESS �1��C CLASS N0. — DWELL.UNITS BK Ai PG LOT N0. S Q (� j r�' LOCKE Z9NE NMA OP �© TRACT o SPECIAL NO. OF BLDGS. fIZ�'a CONDITIONS SIZE OF LOT NOW ON LOT USEOF EXISTING BLDG. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF �'1-I C I77i •"'l/ (STREET) OWNER d r - N0, f/S TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS W &J S' , c/ HIGHWAY WIDTH FROM C.L. CITY ARCHITECT OR TEL. BLDG.SETBACK FROM (STREET) ENGINEER N0. SIDE PROP. LINE OF TYPE OF EXISTING SETBACK FjIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. -1 TEL. _ CONTRACTOR r NO. + d LIC. CORNER UTOFF YES ❑ NO ❑ G ADDRESS j - �• N0. I CJ CITY CLASS SEE REVERS S F SPECIAL APf�ROVALS 0 F- CONSTRUC ION LENDER U NAME AND BRANCH V^Iw ADDRESS N 7- SQ. FT. N0. OF NO. OF SIZE STORIES FAMILIES NEW USE OF ADD ❑ STRUCTURE ❑ ALTER � REPAIR ❑ SIGNATURE OF DEMOL ❑ APPLICANT �,r, /� VALUATION $ OGD �— ��% � Q qAPOVALS DATE INSPECTOR'S SIGNATURE P.C. '� // PMT. FOUNDATION: LOCATION FEE:$ S 7 (p�J FEE $ FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- TION ONSTRUC- 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 RELATING TO WORKMEN'S COM- PENSATION INSURANCE. LATH, EXT. SIGNATURE OF PERMITTEE HOUSE NUMBER CORRECT Q f AND POSTED ADDRESS Gl� �'•4/� �G(�'� • � `DI °u FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATIONr" J M.O. CASH - PERMIT VALIDATION CK. M.O. CASH c,f 3 u r 7 Q"O'_ 2 3 D 5 1.3 0 a