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
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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
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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_
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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