HomeMy Public PortalAbout10148 GREEN ST_Building__ 78A69gA DBS•588 APPLICATION FOR BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFETY BUILDING
ADDRESS l
Deportment of County Engineer �
ZO
County of Los Angeles LOCALITY (j-e W /�L `- I e co
WM.J. FOX.COUNTY ENGINEER NEAREST d L .• i /
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. F7
DIS TRI T NO. GROUPERTYPE SEWBKMAP
FOR APPLICANT TO FILL IN T I CONST. "1C—'
BUILDING MAP STATE YES NO
ADDRESS /V NUMBER ® HWY
LOT NO. C Q LOCK USE ZONE SPECIAL
CONDITIONS '
TRACT C. Y� 4*0 d T w fY G� XCf 7 5-'
NO. OF BLOGS. BUILDING EXIST.
SIZE OF LOT Ax Z 3Sr I NOW ON LOT �� SETBACK ARD HWY STREET NAME WIDTH
USEOF
EXISTING BLDG.�W 1#,4 aE Y- �r / FRONT L
P. L. LL
OWNER/402 � l//ANG'1..4✓'T�' 's'rf�/�l�a�/ PIDE
ADDMAILRESS & y� Lo �� P 0 T -
O TRACT DWELL. 1 UNIT
Dt� 8 INDUSTRIAL
CITY �t� T NEOL.: --O �'QvO DWELL. 1 UNIT PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 1 UNIT7 ADDN., ALT.. ETC.
ENGINEER NO. 3 APT. UNITS
8 MISCEL.
ADDRESS 4 COMMERCIAL
,No• 3 /: INSPECTION RECORD
CONTRACTOR y�
ADDRESS fS
DESCRIPTION OF WORE
NEW ADD LT�I REPAIR j DEMOLISH_
SO. FT. NO.OF NO. OF /
SIZE STORIES �. FAMILIES !USE OF STRUCTURE
SIGNATURE OF
APPLICANT
r f APPROVALS ♦Y
ADDRESS ^� „ ' e' IAA
TE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
P.C. S FORMS. MATERIALS r'
FEE FRAME: FIRE STOPS,
VAZARN'S�I $ (h,,C BRACING.BOLTS
FEE ��_ FURNACE: LOCATION,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS —GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY OR
LATH, INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH, EXT. l
SIGNATURE OF /l .,A 5. HOUSE NUMBER COR- IN'
PERMITTEE`" RECT AND PER
ADDRESS FINAL
WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM. CHIEF BLDG. INSPECTOR
56551^ X14 6.00
76A638A CE#803 9-67
APPLICATION FOR BUILDIN PERMIT LJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS G.PE_EN r.
S-
-
BUILDING AND SAFETY DIVISION LOCALITY / - 1PL& C'17-
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.7B,4Z JUW1A1 4VE'
FOR APPLICANT TO FILL IN DISTRICT NO. GRO P TYPE P o BY
(Print or type only) U 0 CONST. I -
BUILDING �+ STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS /O/ - ,Q�ErV J% CLASS NO. DWELL,UNITS BK PG
LOT NO. BLOCK USE ZONE MAP
NO. C�
TRACT SPECCONDIIT ONS
AL
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG, BLDG.SETBACK FROM
TEL.,/ FRONT PROP.LINE OF (STREET)
OWNER ((J AI O. Y, 7 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS
HIGHWAY WIDTH FROM C.L.
Q/ ,�`CEjI(J
CITY /,C_A4 &- L.iT + _
BLDG.SET KFROM
ARCHITECT OR TEL. SIDE PROP.LI (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK AY + YARD = TOTAL
ADDRESS IiIGHWAY WIDTH FROM C.L.
E _ _
CONTRA CTORU &, O B,TN
NO.L. 0 / CD
ADDRESS/�,� DaV LNO.IC./97GS-0 CORNER CUTOFF YES ❑ NO ❑ U
CD
CITY A, 6, Oo 1 CLASS C37 SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORKLLI
z
ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE /9�. STORIES { FAMILIES /
USE OF
STRUCTURE
SIGNATURE OF'
APPLICANT (f K
VALUATION $ �
APPROVALS DATE INSPECTOR'S SIGNATURE
7P,C. PMT. 00 FOUNDATION: LOCATION
FEE$ FEE $ 9, - 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-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S COMPENSATION INSURANCE.
' / J ,J LATH, EXT,
SIGNATURE OFU lJ_ �' _ ,D //_ //,i HOUSE NUMBER COR-
PERMIT TEEp /�/O-S4N�9 //�� V/!= RE NAND POSTED !
ADDRESS d2/ T / ' Qr FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH
1 �� 5 4 d 3R 1
DEPARTMENT OF BUILDING AND SAFETY T APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER B U ® U 1
t
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DIBTRIC W3. ' PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS G7
LOCALITY _ f RECEIVED NY DATE OF APPL. DATE IBBUED
NEAREST
R .�
C09 ST.
d BUILDING
OWNER - - ADDRESS 3�7 Al
MAILADDRESS V -- - LOCALITY r
NEAREST
TEL. CROSS ST.
CI a NO.
FIRE NO.OF TYPE GROUP
ARCHITECT CfR TEL. ZONE PLANS
ENGINEER NO.
BLDG. ORD.NO.
ADDRE88 SETBACK LINE
APPROVED
T[ BY
DATE
CONTRACTOR
s � USE APPROVED
ADDRESS 7i �: -'� ={q."-! ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF NO.OFNO.OF
EXISTING BLDG. i FAMILIES I ROOMS _
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A_
REPAIR MOVING DEMOLISH O
SQ.FT. NO.OF
SIZE ROOMS STORIES r
WALL ROOF
COVERING I COVERING
USE OF NEW
BUILDI G
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF
BRACING,BOLTS
PERMITTEE !40
LATH, INT.
AUTHORIZED AOT LATH, EXT.
76A636A-3 2-50 $ P.C.i �.-.�''` PLABTER,INT.
FEE PLASTER,EXT.
VALUATION FEE FINAL