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Home My Public Portal About10218 GREEN ST_Building__ 76A"BA CEM809 5,s APPLICATION FOR BUILDI G PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUIL DING AND SAFETY DIVISION LOCALITY 17 ' JOHN A. LAMBIE. COUNTY ENGINEER NEAREST _ COLEMAN W. JENKINSOUP'T OF BUILDING CROSS ST. DISTRI T N . OROU TYPE PR C FOR APPLICANT TO FILL IN D CONST. BUILDING STATISTICAL rASDIFICATION 9 ER MAP ADDRESS ,lwCX' rr CLASS NO.—DWELL UNITS BK PO a LOT NCl. — �9 BLOCK USE ZONE NOP J2-O TRACT SPECIAL M0. OF SLOGS. / SIZE OF LOT XII ' NOW ON LOT USE OF EXISTING 51-00. A/, ��77 ` [LDS. SETBACK FROM _ OP. LINK TREKT OWNER NO. I!��yy �7 TYPI OF [%I[TIN[F SETBACK HIGHWAY YARD = (,TOTAL) ADDRESS �Q 60511 ..-'7 i HIGHWAY WIDTH FROM CL. CITY ! G / [LD[. SETBACK FROM ARCHIYECTIfOR TEL. SID[ PROP. LINE OF (STREET) ENGINEER NO. TYPE OF [Al1TINS 1[TBACK 111SHWAY + YARD = _TOTAL, ADDRESS H14HWAY WIDTH FROM C.L. TEL. + _ CONTRACTOR NO . LIC CORNER CUTOFF YES NO ADDRESS NO CITY C LA-1-Llc SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK qy EW ADD ALTER REPAIR DEMOLISH .../ T. NO. OF NO. OFdti C SIZE STORIES FAMILIHS USE OF STRUCTUR SIGNATURE OF APPLICANT VALUATION f �V APPROVALS DATE INSP[ OR'S■ISNATUR[ F.C. PMT. Q FOUNDATION, LOCATION -� FEE FEE S. PORMJ MATERIALS FRAME, FIRE 9TOP9, I HERCBY ACKNOWLEDGE THAT 1 HAV[ READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IB COfIRECf AND AOR[[ TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDIHANC KS AND STATE LAWS REOULATING GAB VENT. DUC 9 ,U ILDI NO CONS-rR UCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZ D HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE L1.BOR COD[ OF THE STATE OF CALIFOR A RKLAT- ING TO WORKMEN'S CO N TIO INB'URANC[. LATH. EXT. SIGNATURE O HOUSE NUMBER COR- PERMITTEE RECT ANQ PQSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STIR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK M.O cwsH 3 1 3 4:° JUN28 1 D 1 1 .50- ` •76A 638 A•Ck 011103 4/70 � .APPLICATION FOR BUILDIN PERMIT COLAYTY OF LOS ANGELES 6SE1E.53OR I• DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BADDRE89UILDING O JOHN A. LAMBS H, CouNTY ENGINEER COLEMAN W. JENKINS, •UF•T Or BUILDING LOCALITY L L NEAREST ` CROSS ST. (Print or tvDs only) DISTRICT N GR TYPE D rEXISTING CONST, �Q STATISTICAL CL IFICATION 3 ER MAP _ BLOCK CLASS NO DWELL,UNITS BKS PG USE ZONE MAP /� NO.OF SLOGS NO. o T NOW ON LOT 0SPECIAL CONDITIONS LDG, E L OWNER NO. 7 BLDG.SETBACK FROM ADDRESS C FRONT PROP,LINE OF -(STREET) TYPE Of EXISTING SETBACK HIGHWAY t YARD - TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT 16R TEL. t = �v ENGINEER NO, &ATBACKpp FROM ADDRESS V SIDE PROP.LINE OF (STREET) TEL. TYPE Of EXISTING SETBACK HIGHWAY t YARD = TOTAL CONTRACTOR N0. HIGHWAY WIDTH FROM LIC. C.L oo ADDRESS t NO. LIC. CITY CLAM CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH SE. REVESID FOR SPECIAL AP OVALS ADDRESS Z SQ, FT. NO. OF NO. OFNEW ❑ SIZE STORIES FAMILIES USE OF ADD STRUCTURE ALTER ❑ REPAIR❑ SIGNATURE OF APPLICANT IDEMOL ❑ VALUATION i APPROVALS DATE INSPECTOR'S SIGNATUREPMT. ' I FOUNDATIONS LOCATION 7 FEES PEE f L FORMS MATERIALS FRAMES FIRE STOPS, I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ARD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACES LOCATION, WITH ALL ORDINANCES ANO LAWIN REGULATING BUILDING COM- GAS VENT, DUCTS a TRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LA 6OR COD[ OF T. STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMF[NSA o NIURANC[. LATH, EXT, SIGNATURE OF Q� HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS ef cxFINAL JOHN ��+F.. LEWIS. PRI CIPA'L S R RAL ENGINEER ECK PLAN CHVALIDATION CK. M.O. CASH PL. — RMIl VALIDATION CK. M.O. CASH IAS a5a �� FEB 2 1 D 33tao� 4 76irj+z(�A C%%%03 9-671J, ,.2516„34, Q v2a APPLICA�ON FOR BUILDING PERMIT COUNTY OF*LOS ANGELES BUILDING ,DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING ANY SAFETY DIVISION LOCALITY e ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. iZ DISTRICT NO. GROUP TYPE PRO S BY rBN OR APPLICANT TO FILL IN CONST. / (Print or type only) s ( d 2 AL Q STATISTICAL CLASSIFICATION SEWER MAP / S rCG � CLASS NO.�DWELL,UNITS BK PG/D pF LOCK USE ZONE MAP NO.SPEC / 1CONDIIT ONS NO.OF BLDGS. LOT Q NOW ON LOT BLDG. O<( BLDG.SETBACK FROM / /)/J� NOL.�� 1/�J FRONT PROP.LINE OF -(STREET) aQ J .•.J7 iiTYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL �p7 ,-c cy �J J�j HIGriWAY WIDTH FROM C.L. /►� �e } CITY P [lRIDG. ETBACKFROM ARCHITECTWOR TEL. SIDE PROP, LINE OF (STREET) ENGINEER Apt NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. } = d CONTRACTOR NO. c:) ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ U Y CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK NEW42 ALTER REPAIR DEMOLISH SQ. F T, N O. O F N O. O F /O L• �C�Jx"'' SIZE STORIE FAMILIES USE OF 11�( STRUCTURE otSIGNATURE OF APPLICANT VALUATION S--5 APPROVALS DATE INSPECTOR'S SIGNATURE P,C. PMT. FOUNDATION: LOCATION FEE $ 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, 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 CALIFOR RELAT. LATH, INT. {c O ING TO WORKMEN'S CO ENS 10 INSURANCE. LATH, EXT. X SIGNATURE OFOUSE NUMBER COR- OIL PERMITTEE RECT AND POSTED ADDRESS FINAL40, 4tzz4k JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH 43 .,a- -MAY 2 1 D 33.0 APPLICATION 7 COUNTY OF LOS ANGELES FOR DEPARTMENT OF COUNTY ENGINEER Il 'BUILDING PERMIT BUILDING AND SAFETY DIVISION FOR.APPLICANT TO FILL IN ADDRESS ADDRESS BUILDING .� ��L� �7E LOCALITY CITY PL _C/ 9��D CROSS ST. QJ ZIP NEAREST � ECr � x 7 '/ pNO.OFASSESSOR SIZE OF LOT ag`7 X O D NOW ONLD TS MAP BOOK PAGE PARCEL V RICT ROUP TYPE FIRE O TRACT BLOCK n OT NO. O�( 1 CONS OWNER /J7.Q. f'/ .C' E7 �/VA No.,37, -Oo? STATISTIC(AAL CLASSIFICA)II.ON SEWER MAP ADDRESS � /8 �.E�EE/V �j.��E7� CLASS NO._�_DWELL.UNITS BK G CITY �rn L L }� ZIP USE ZONE MAP �' 9�7 U NO. ARCHITECT OR TEL /` SPECIAL ENGINEER �,e C,/`}� N .7/h� r• CONDITIONS ADDRESS/ x/63 4010fDQ ll"leST �afS'v ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL. CONTRACTOR 'Q E ,#7/� 3 ` BLDG.SETBACK FROM LIC. - FRONT PROP.LINE( (STREET) ADDRESS �c� J"DI�/UB.�'/ 4;� NO. 9 HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY �3,9L,O41//A/ AW , CLASS FRONT PROP.LINE AY WIDTH CONSTRUCTION LENDER(f`r� CSTE�i�/ + O NAME AND BRANCH b � BLDG.SETBACK FROM U ADDRESS L L �61`f1(j(� SIDE PROP.LINE OF (STREET) CITY � i SQ.FT. �7^ NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING U SIZE �/(1 STORIES FAMILIES / ONE SIDE PROP.LINE HIGHWAY WIDTH N DESCRIPTIO"F WORK NEW ❑ + ADD ❑ ORNER CUTOFF YES ❑ NO ❑ j ALTER ❑ Z6PEN SPACE YES ❑ NO ❑ REPAIR ❑ USEOF BLDG. fs DEMOL E] IN COASTAL PERMIT ZONE YES ❑ NOEXISTIN ❑ j APPLICA(PR N�T)CH, G'rO�D/�l J`J No_/y. S:_03d'3 BY(SIGNATURE) I HEREBY ACKNOWLEDGE 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 NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. SIGNATURE OFA` FINAL /-.4z,' BY r,J PERMITTEE �/ DATE ADDRESS 2 J �NIJ� G� 57 CITY l01 �✓ A N�y7J^�3i`„j P.C. Fee$ �T. t/ Pe�mir Fee U Issuance Fee VALUATION$ /, Q�� lJ Total Fee PLAN CH�CK.VALITj0N_ +,p, CASH _ PERMIT VALIDATION CK. M.O. CASH r- b LICY HOLDER: ®s 76AS3eA ce Ia03A a/77 `_ •