HomeMy Public PortalAbout10211 GREEN ST_Building__ E/ 1
764648A CE•#808 12/69 I// C"i C(' / ,
• , ~ ,. . APPLICATION FOR BUILDI1� PERMIT,? fJ
• •>GOUNTY OF LOS ANGELES ASSESSOR
ACJ
DEPA'RTMEI�T OF COUNTY ENGINEER BOOK PAGE PARCEL QJ$
BUILDING AND SAFETY DIVISION BUILDING /
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 02 i i IF, GT' ree Sr.
COLEMAN W. JENKINS, SUPT OF BUILDING
LOCALITY rem rm e
FOR APPLICANT TO FILL IN tNEST
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STICAL CLASSIFICATION -SEWER MAP
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SS NO._�DWELLUNITS SK PGTRACT r — — ONE MAPSIZE OF LOT /• i ,{O ' NOW ON LOTNO.OF S , SPECIAL USE OF CONDITIONS
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SQ. FT. NO. OF NO. OF NEWSIZE STORIES FAMILIESUSE OF ADDS T R U C T U R E Ll"h> 1..e'I, . �: f"ZALTEc I.- REPAIG ATURE F�1A. LICANT Ic DEMOL �
VALUATION $ G llROVALS DATE INSPECTOR'S SIGNATURE
P•C PMT. � N: LOCATION
EE $ FEE $ L. MATERIALS
STOPS,1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI , BOLTSANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPFURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC TION. 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 COMPENSAT ON INSURANC LATH, EXT.
SIGNATURE OF � HOUSE NUMBER COR- �I _
PERMITTEE rrr /�''- _ RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
Ar- 6s6 SFY22 1 D 9.OON
"WE6503 D-SS _
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APPLICATION
FOR B IJILDI G PERM(
COUNYrY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAF'ET'Y DMSION LOCALITY
JOHN A. LAMBIE; COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, BUF'T OF BUILDING CROSS ST,
F R L C T FILL IN DICT �'R CONST.TYPER BY
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BUILDING STATISTICAL CI AASIFICATION 3 WER MAP
ADDRESS v,2
CLASS NO Ir DWELL,UNITS BK,5 PO
LOT NO. LOCK USE ZONE MAP
O.
TRACT / CONDIAL
IT ON5
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF
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ENGINEER NO -2 r TYPE OF EXISTING DEThACK HIGHWAY + YARD = TOTAL
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S RUO D
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REPAIR❑
SIGNATURE OF
APPLICANT t7 DEMOL
VALUATIONS 3 l D.DIS APPROVALS PATE, INP
P.C. PMT. FOUNDATION: LOCATION
FEES FEE! FORMS MATERIALS
k RAMEI FIT
I HEREBY ACKNOWLEDGE THAT I HAVE MEAD THIS APPLICATION BRACING BOLTS
AND STAT[ THAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS r/lot
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF E STAT[ OF -CALIFORNIA IN RELATING TO
WORKMEN'• CO TION INSURANCE
TH, EXT.
SIGNATURE OE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS d e FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CADH PERMIT,VALIDATION r
-76••6384 QE 4803 4/72
APPLICATION FOR BUILDING PERMIT f]
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE 70: ADDRESS
HARVEY T. BRAN DT, COUNTY ENGINEER LOCALITY __T
FOR APPLICANT TO FILL IN NEAREST
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BUILDING r� DISTRICT GR UP TYPE SED BY
ADDRESS IS I �� 5• 1 L �,v � CONST.
LOT NO. BLOCK
STATISTICAL CLASSIFICATION SEWER MAP
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CLASS NO, t�DWELL•UNITS BK SPG16R
TRACT USE ZONE MAP
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SIZE OF LOfi SPECIAL
USE OF /�� /�t CONDITIONS
EXISTING BLDG. TE
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OWNER LCAAA�u Q NOL 0jy 9•' BLDG.SETBACK FROM
ADDRESS (/' .�� .J FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY �'� HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. } _
ENGINEER NO. BLDG.SETBACK FROM >'
ADDRESS SIDE PROP.LI NE OF (STREET) Oc"�I �r TEL.
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL V
CONTRACTOR�T/ /� •� ;SD.a-s NO. ` Q HIGHWAY WIDTH FRCD
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CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPEC IAAPPROVALS
ADDRESS
SQ, FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES 2 , �
USE OF ADD ❑ �3
STRUCTURE
ALTER REPAIRD
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SIGNATURE OOJr� DEMOL ❑
APPLICANT/ (sl
VALUATION $ 0400 APPROVALS DATE INSPECTOR'S SIGNATURE
F E $ FEE $ r! FOUNDATION:
LOCATION
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 TI ON. 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 COMPENSATION INSURANCE. LATH, EXT.
SIGNATURE OFb/ HOUSE NUMBER COR-
PERMITTEE
,,yy RECT AND POSTED r
ADDRESS • �� Y FINAL
PLAN CHECK VALIDATION Cl. M.O. CASH _ PERMI VALIDATION CK. M.O. CASH
,r 025073 VAR 29 1 D 21 .'75x,
r 76A63HA C-E 4803 1/71
►3 'A
` APPLICATION FOR BUILDING PERMI �
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS �C
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or 1 e only)
CROSS ST.
BUILDING 2 i ec.; C<xf `J T DISTRICT GROUP ITY PE
CONST, - PR B
ADDRESS a v
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO BLOCK
CLASS NO.--2Z-LDWELL,UNITS BKS PG/
TRACT 3' USE ZONE MAP fj�
�,3 /e/10
,/10 NO.OF BLDGS. yyy��� NO. p� (�
SIZE OF LOT �f! NOW ON LOT /'�" SPECIAL
USE OF / ,\ CONDITIONS
EXISTING BLDG. pe,� e r
OWNER 'tel ,4a//,d L1 / NOL BLDG.SETBACK FROM
ADDRESS �/u(+/� l f "� FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. + _
ENGINEER NO. BLDG.SETBACK FR
ADDRESS SIDE PROP. LINE OF (STREET)
J TEL. '}' TYPE OF EXISTING SETBACK HIGHW + YARD = TOTAL d
CONTRACTO ` � O.�( • � HIGHWAY WIDTH FROM C.L. CD
U
ADDRESS � `� C. �p s•..T No.. � �yY + = O
CITY SQ-41 .+0 CLASS, CORNER CUTOFF YES ❑ NO ❑ W
CONSTRUCTION LENDER cn
a
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL PPROVALS
ADDRESS
SQ. FT,5vW- NO. OF NO. OF ❑ /
Zz
SIZE
x.1.4 STORIES FAMILIES NEW
USE OFADD �l.+ti�,.c
STRUCTURE ALTER ❑
REPAIR❑
SIGNATURE D
APPLICANT /fit(LG .��y DEMOL ❑
VALUATION $ APPROVALS DATE INS croR• SIGNATURE
P.C, PMT. .� FOUNDATION: LOCATION
FEES FEES p2 ! FORMS, MATERIALS /
FRAME: FIRSTOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINGE BOLTS
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
ST RUC TION. 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 COMPENSATION INSURANC LATH, EXT,
SIGNATURE OF / .�.i�°• HOUSE NUMBER COR-
PERMITTE;7 RECT AND POSTED
ADDRESS v FINAL 'Z
JOHN F. LE IS. RINCIPAL ST ecT 71hL ENGINEER
PLAN CHECK VALIDATION CK. M o. CASH _ PERMIT LID�iTIO cK. 1-0. CASH
!.&O 6 4 0 7 Jw 5 2 1.7 5-
COUNTY OF LOS ANGELES TE14PLE CITY 0508 sy` BUILDING.PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDEHTIAL'ADD/ALT/AEP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA a y r_BL 0588 9609200002
PHONE:. (818) ?86-0488 EXT:
LEqAL ID: NO. OF COINST NEW BUlL6IN8 MEM
ON FILE SQ. FT STORIES TYPE OCCIIP GROUP 10211 GREEN V
STRUCTURE: 310. 1 V R3 TEMP CA 917803'337
GARAGE: NEAREST CROSS STREET: GLICKMAN,
858 -005-019 r OTHER: THOMAS PAGE:-597 GRID: B4 �.LOCAtITYe TEMP4F,CIT7
I Ssm Lw: PROCESSED BY: EXPIRES ON:
TENANT: NIST -BLDG USE- ZONE: . . .
EXIST OCC GRP: 09/20/96 TC '09/20/97= ._.
OWNER: TEL, NO: BLDGS. W)W ON LOT: VALUATION: FINAL DATECODE:
AMARE SHIMELIS;+U►;iL1 ELENI (818) 444-6467 1 22,900 J
10211 (�REEA ST21
YE?IP.917803337`. _
LEE DESCRIPTION: •UOM; AMOUNT:
OF 310 SQ. FT. ADD ITI - 0F.FIC.E.AND:DINING AREA
" F � QIIAliTITY: _ t _.
APP L ICANT TEL. NO
SAME AS CPA ER - AA BLDG PERMIT ISSUANCE 27.75
- AC STRONG NOTION R I 0.00 VAL 2:29 TAC
- IJ( BUILDING R 54.70 r
B2 PERMIT Y ERty
481.97
EES' ] 566.71
CONTUCTOR: QZa t.J/
SAME AS OYMER
LIC. NO LdUTION AND
XRCHITECT OR ENGINEER: TEL. NO; FOLINDATIPN/TmRENCH FORMS
LIC.,NO:. � }j
KkP NO:mSm- PAM FIRE PUBLIC � "KS
3�' 01 qq CQ`Z-7
0 i�T-CE9c SHUTH
NO. OF FAMILIES: DWELLING UNITS: APT/CON D:_9TAT_rUXm9_'._
NO 21
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET- MATERIALS
NO NO NO �� \�REQUIRED TOT4 SETBACK tROM EXIST BLDG DEPT. FRAME INVtCT
- - FIRE DEPT. FRAMEm LNSPEC-r
-
SET BACK YARD: MY: - PROP LINE: WIDTH: ��/'��
FRONT PL- • d I C
SIDE PL. J
INTERIOR LATA/DRr6KL
'-�--'--`--ice
LOT MR 9X
REPORT ID: DPR81 ROUTE TO: BSO508 Tr
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