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HomeMy Public PortalAbout10134 GREEN ST_Building__ 76A638A*CF/R803 9-68 / . 1 APPLICATION FOR BUILDING PERMIT 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. �(-f FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPECONST, PROCESSEDBY (Print or type only) ADDRESS © / S-4-- _/ STATISTICAL CLASSIFICATION SEWER MAP .�( T CLASS NO.�-.DWELL,UNITS BK.S PG/2 LOT NO. i �'!`' -�C�{�/ '- 'BLOCK/ D/ / 'j USE ZONE MAP � SPECIALTRACT �i I'5' CONDTION/S NO.OF SLOGS. SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG, Cr ITI BLDG.SETBACK FROM /�� TEL. FRONT PROP,LINE OF -(STREET) OWNER I• / TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL - HIGHWAY WIDTH FROM C.L. ADDRESS / CITY BLDG,SETBACK FROM ARCHITECT OR y ` TEL. - •7q SIDE PROP.LINEOF (STREET) ENGINEER Sir t P� ANO. G _ TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS �7HIGHWAYI WIDTH FROM C.L. } CONTRACTOR �,J �% r NOL + - V ADDRESS L �,, . �,J /�! L11.14Z CORNER CUTOFF YES ❑ NO CITY f�- LC. SEE REVERSE SIDE FOR SPECIAL APPROVALS nUW..I' CONSTRUCTION LENDER N NAME AND BRANCH { - ? ADDRESS SQ. FT.!"r' NO. OF NO. OF E] SIZE ��SS STORIES FAMILIES NEW -71r, USE OFADD ❑ �� Gli'LS �` STRUCTURE ❑ .�j �j �� G, 4 _ ALTER REPAIR El / SIGNATURE OF APPLICANT OL ❑ r L VALUATION $ �: r-' - APPROVALS AT INSPEC R'S sICNATURE P.C. r PMT. FOUNDATION: LOCATION 1 FEES 3 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, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VI LATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA RELATING TO WORKMEN'S COMPENS TIO INSURANCE. LATH, EXT, SIGNATURE OF HOUSE NUMBER COR- PERMITTEE - RECT AND POSTED 1414 1 ADDRESS FINAL °:✓�;;�.- " ( ;^' �..;L JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH _ A 0566 U'.,1 1 D 2 7.7 5 —� (ter --*'7 �7aAeae% cEeeoaa-e5APPLICATION FOR BUILDIN PERMI COUNTY OF LOS ANGELES BUILDING �1 DEPARTMENT OF COUNTY ENGINEER ADDRESS /�IS ell7 BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER r COLEMAN W. JENKINS, sur-,T OF BUILDING NEAREST CROSS ST. FO R ADPL T T L DISTRICT GROUP PE .PROCESSED BY Print or • only) pNSTs � .' BUILDING ]�/ STATISTICAL CLASSIFICATION � SEWER MAP ADDRESS d/J 7 CLASS NO_/A:2L0WELL,UNITS= BK�1` PO LOT NO. l0 D BLOCK USE ZONE NMAP Q O. TRACT / r 3PI! L O.OF BLDGS. CONDITIONS SIZE OF LOT A NOW ON LOT Us E OFe / EXISTING BLDG, vY BLDG.SETBACK FROM / FRONT PROP.LINE-OF (STREET). OWNER N < TYPE OF EXISTING SETBACK HIGHWAY' + YARD = TOTAL ADDRESS QI HIGHWAY WIDTH FROM C.L. CITY �LL + _ ARCHITECT R TEL. DG OP.ACK FROM SI (STREET) ENGINEER NO. SDE PRROP,LINE OF TYPE OF EXISTING SETBACK HIGHWAY }- YARD- _ TOTAL ADDRESS HIGHWAY WI-7TH FROM C.L TEL. } CONTRACTOR NO. ADDRESS NO. CORNER CUTOFF YES ❑ NO CITY LIC.CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS CD DESCRIPTION OF WORK z NEW ADD ALTER REPAIR ENGLISH - Sq. FT. �^ NO. OF SIZE �tl STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION S O O APPROVALS DATE INSPECTOR'S SIGNATURF P.C. PMT. FOUNDATION: LOCATION FEES FEE 3 �8 FORMS MATERIALS FRAMES FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS Arr UCATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, W rTH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS ■UILDING CONSTIR LECTION. I CERTIFY THAT IN —1 O THE WORK "� ORrUD HERESY I WILL NOT EMPLOY ANY N IN VIOLA- TION OF THE LABOR COD[ OF THE STATE OF IFORN IA RELAT. LATH, INT. ING TO WORKY r[TtSATION INS RA LATH, EXT. SIGNATURE OFHOUSE NUMBER COR- PERMITTEIRECT AND POSTED ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER PLAN,Cf#I�S VALIDATION L'K. M.O. CASH _ PEHNIIT VALIDATION CK M.O. CAIH 6 Ln 9 7 1 5 1Y 1 D �{ i