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HomeMy Public PortalAbout10210 GREEN ST_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES LDING ADDRESS (l7 (O L U�E <.� DEPARTMENT OF COUNTY ENGINEER CITY T'•..AAPLe Cillj zip BUILDING AND SAFETY DIVISION O.OF N LO; BUILDING/002/0 SIZE OF LOT NOW ON LOT ADDRESS RAPT /(�p2_ �3 �gp�CK (� L T NO. Z - LOCALITY TEL. NEAREST OWNER MNMU, A4 ruo GI�KI ur NO. CROSS ST. ASSESSOR ADDRESS 57poL 4E MAPBOOK PAGE PARCEL DISTRICT ROUP 1T PE FIRE X20CfSSED Y -CITY SIaML ZIP / -NdST. Z ' c;5 IO Or✓ NO. 7 ' GSTATISTICAL CLASSIFICATION SEWER MAPENGNEER �� Z ADDRESS S P- LA AICAm CLASS NO. IF�DWELL. UNITS B Q,:�PG TEL. CONTRACTOR 0 uj AJ C' NO. E ZONE MAP LIC. NO. O ADDRESS NO. SPECIAL LIC. 2CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH AJO ULA BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. STORIES NO.OF CHECK44, IGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK AO D F1; NEW + O BLDG.SETBACK FROM ac S0 _ r R.Ov Fed' ���({ ADDSIDE PROP.LINE OF (STREET) O ALTER TOTAL SETBACK FROM TYPE OF EXISTING w USE OF REPAIR HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH Z EXISTING BLDG. ac 5t v evc-e DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) L-' � NO. _370-ZZ7- IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION s `"g-o Q !--- I HEREBY ACKNOWLE GE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL qQT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF T TE OF ll RNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURA E. SIGNATURE OF PERMITTEE ADDRESS Pu FINAL r BY CITY G C=AJTGt TEL 1�_.LZZ� DATE flJ MAKE CHECKS PAYABLE TO: FEE FET HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH s98 9 1 01 % i 231.755 ` =, Os 76A638A CE#803 3.75 j. DIVISION OF BUILDING AND SAFETY � ' ® � Department of County Engineer NG County of Los Angeles WM. J. FOX, COUNTY ENGINEER ______..__ APPLICATION FOR APPLICANT TO FILL IN FOR O USE ONLY //� DIST ICTv _F _"NO. PLAN R REC.No. PERMIT NO. BUILDING /a If ✓G/ . .. j• � ....�.� / V 3 77 ADDRESS IL REOLIVED BY DATE OF ADPL. DATES ISSUED,_ LOOALITY ,. .- fi t C' NEAEST fEb Al CROSRS$TBUILDING ADDRESS 'V•�' OWNER r ,1?' .��.•� MAIL LOCALITY / tAt ADDR N-EAREST CROBB IST CITY x e NO. FIRE NO.Of I TYPE I GROyP_ TEL E AACHITCT TEL ZONE PLANS ENGINEER NO. BLDG. �_-^ y `� ORD. NO. SETBACK LINE C J ADDRESS USE APPROVED TEL.. ZONE BY DATE CONTRACTOR NO. HOUSE I-UMBERING ADDRESS MAP NUMBER 0 NO. ASSIGNED BY__ LEGAL DESCRIPTION LOT NO. BLOCK y CORRECTIONS TRACT r .._ C l ' ; NO. Of BLDG& SIZE OF LOT I NOW ON LOT USEOF Dir EXISTING BLDG. "G/t. V '•'"�T t��' %�%- .... I FaILIE9 DESCRIPTION OF WORK f °X Ii': O NEW ALTERATION ADDITION I Z REPAIR DEMOLITION el M.FT. `r ` NO.OF 1� SIZE �J l/• ROOMSSTORIES EXT.WALL ROOF CDVERING I COVERING USE OF STRUCTURE �i` t�.. "A INSPECTION FOR APPROVAL'S OCCUPANCY AS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION t �� FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH113 AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FULOCATION, AND STATE LAWS REGULATING BkJILDII G CONSTRUCTION. FURNACE:- GAS VENT,DUCTS i r SIGNATURE OF LATH, INT. PERMITTEE .� } LATH, EXT. OWN�v ADDRES PLASTER, INT. �. AUTHORIZED AST. PLASTER, EXT. FEE HOUSE NUMBER COR- RECT AND POSTED VALUATION ! FINAL 76A638A DBS 3 1-52 75AGSBA CE#809-5-57 APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS O BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. ✓l/L�L� DISTRICT NO. I GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN J BK` PG 77 /' � � CONST. ADDREISS D o� LY S STATISTICAL C SSIFICATION LOT NO. CLASS.NO. DWELL. UNITS [� �} BLOCKMAP STATE TRACT 30O / ! - NUMBER (-' Q HWY. YES O y�yUPE ZONE SPECIAL NO.OF SIZE OF LOT��{/, NOW ON LOTS /l 'CI v CONDITIONS USE OF EXISTING BLDG. _ BUILDING EXIST. vc SETBACK YARD HWY STREET NAME WIDTH OWNER /ft ' �.1 .S//i/��///yv� � FRONTMA'L n I ADDRES5�G /O/c O�����/ �T SIDE V i P.L. CITY E T NO' d INSPECTION RECORD ARCH ITECT OR TEL. ENGINEER eC NO. ADDRESS TEL. CONTRACTOR NO. ADDRESS V /c DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF Q t1 SIZE STORIES FAMILIES USE OF STRUCTURE a r SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION $ O OFORMS,MATERIALS P.C. S FRAME: FIRE STOPS, t U �— FEE BRACING, BOLTS VALUATION S / FURNACE: LOCATION, FEE ( GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS �RREGULAT G BUI DINE' CON TR TION. LATH,EXT. SIGNATURE OFyy5 HOUSE NUMBER COR- PERMITTE ���cc RECT AND POSTED ADDRESS - FINAL JOHN A. LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ! off 3 7 O ,SAN 14 1 A 1.0 0 M OF 76A638A CE;,W3 9-68 • APPLICATION FOR BUILDIN PERMIT ILJI COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS _ BUILDING AND SAFETY DIVISION LOCALITY E JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. J FOR APPLICANT TO FILL IN DISTRICT N GROUP TYPE PROCESSED BY (Print or type only) (_5 ,e T CONST�:A � BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS `I CLASS NO. 01,11- DWELL,UNITS BK PGO LOT NO. /G BLOCK USE ZONE MAP �® NO. 't4 TRAC3V;fe 0, ,r- �`� SPECAL CONDIIT ONS NO.OF BLDGS. SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM /^ _ TEL. FRONT PROP.LINE OF L'� n1 (STREET) OWNER /j/ TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ! HIGHWAY WIDTH FROM C.L. ADDRESS 0 Q 'F CITY t C L V4"1,;2 J BLDG.SETBACK FROM (STREET) ARCHITECT OR TEL. SIDE PROP.LINEOF ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. } = d CONTRACTOR NO. O IC. ADDRESS LIC. CORNER CUTOFF YES ElU NO � O CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS w CONSTRUCTION LENDERc- NAME AND BRANCH C0 /O C Z ADDRESS SIRZEvI�' 41%TORIFES I FOiAOFES NEW ❑ USE OF ADD ❑ C i io T STRUCTURE ALTER ❑ SIGNATURE O PAIR APPLICANT MOL ❑ VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION F E $ FEE $ TCA�I FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPN BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATIO�INSURA E. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE / / - RECT AND POSTED ADDRESS C r FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O. CASH 78A688A CIE#808-6-57 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING ADDRESS D .. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. .� DISTRICT NO. rz;RO-CFPI~TYPE SEWER MAP FOR APPLICANT TO FILL IN �� , I BK _PG ���� /� CONST. ADDRESS NG / OC.. (y STATISTICAL CLASSIFICATION I LOT NO. BLOCK CLASS. NO.�62-DWELL.UNITS MAP ` q� STATE Y NO NUMBER ! (� HWY. TRACT USE ZONE SPECIAL NO.OF BLDGSNDITIONS SIZE OF LOT Z NOW ON LOT USE OF U EXISTING BLDG. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER V(�Cj //1/E X t 1-- FRONT MAIL P.L. ADDRESS 142lO ,�.' E�/Jf-,S T. SIDE CITY Cl/ NO )VONC- AINSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS TEL CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIREMOLISH SQ.FT. NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE , iili SIGNATURE OF (� APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS,MATERIALS $ P•C• $ FRAME: FIRE STOPS, FEE _BRACING,BOLTS VALUATION $ FURNACE: LOCATION. FEE " GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING ON RUCTI N. LATH,EXT. SIGNATURE O HOUSE NUMBER COR- PERMIRECT AND POSTED ADDRESS FINAL JOHN A. LAMBIE,COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION, cK. .o. CASH PERMIT VALIDATION CK. M.O. CASH L,10 0 3 4 4.X JAN 13 311 1.0 0 M ®. 76A6'8A CF#803 9-68 ` .h- <�L -t- APPLICATION t- `I - T 1 f APPLICA ON FOR BUILDING '�ERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS G BUILDING AND SAFETY DIVISION LOCALITY —xgz _ , JOHN A. LA MBI E, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. I47-w-1 J FOR APPLICANT TO FILL IN DISTRICT NO. GRO P TYPE PROCESSED BY (Print or type only) CONST. _ �( BUILDING/o n�� J STATISTICAL CLASSIFICATION SEWER MAP ADDRESS tI - (./ ,— ,e/ CLASS NO_AP�_DWELL•UNITS BK,6 PG LOT NO. �. BLOCK USE ZONE NAOP TRACT 2 — / CONDITIONS NO.OF BLDGS. SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. 1 '0e'q BLDG.SETBACK FROM 11L TEL. FRONT PROP.LINE OF Tl_0V 4.1 ID (STREET) OWNER // c—:- NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS/6' `� a, �/ HIGHWAY WIDTH FROM C.L. /^ CITY . LCL `r H .ry __ + �-•V _ �1/ s BLDG.SETBACKFROM ARCHITECT OR TEL. SIDE PROP.LINEOF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. r TEL I -(� + _ / O CON TRA CTO R11%V,5h,4 ljle NO. C..7 in• -7 ,� LIC. / El ADDRESS�'v �.�• , r'. NO. j CORNER CUTOFF YES LNC O LIC. H CITY /•� � /�" CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS w CONSTRUCTION LENDER a NAME AND BRANCH � Z ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OFADD ❑ STRUCTURE } t /•-QQ ALTER ❑ EPAI)4 SIGNATURE OF / APPLICANTy/ EMOL ❑ VAL7ALL APPROVALS DATE IN5PECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE FEE $ <� FORMS, MATERIALS FRAME: FIRE STOPS, ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS ANAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WIDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT, LABOR CODE OF THE STATE OF CALIF R IN RELATING TO WORKMEN'SCOMPEN TION I SURA CE. LATH, EXT. SIGNATURE PERMITTEE OF HOUSE NUMBER COR- /� RECT AND POSTED ADDRESS (/ �✓ •� / FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH