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HomeMy Public PortalAbout10221 GREEN ST_Building__ 76A638A CE#80310-68 APPLICATION FOR BUILDING PERMIT,/ 1 COUNTY OF LOS ANGELES BUILDING Q �c DEPARTMENT OF COUNTY ENGINEER ADDRESS 4Y(I BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST r CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE P SSED BY FOR APPLICANT TO FILL IN i I CONST BUILDING ADDRESS �/ STATISTICAL CLASSIFICATION I SE KR MAPPG ! CLASS.NO DWELL. UNITS LOT NO. - Caltl C ? BLOCK MAPSTATE /� YES � NO NUMBER �(�' HWY. _TRACT O /,� a 2USZ NE SPECIAL _ SIZE OF LOT 8D ✓s-/ I NOW ON LOTS CONDITIONS USE OF EXISTING BLDG. 19UILDING YARD HWY EET NAME EXIST. SETBACK WIDTH OWNER FRONT MAIL P.L. ADDRESS SIDE h TEL. 7� P.L. CITY NO. ` INSPECTION RECORD ARCHI ECT OR nn TEL. 7- ENGINEER �Q►'�S NO. ADDRESS TEL. CONTRACTOR :In 4 -'P NO. ADDRESS - DESCRIPTION OF WORK S 110A✓ NEW ADD ALTER REPAIR DEMOLISH O �+ .FT. NO.OF NO.OF �t SIZE STORIES / FAMILIES USE OF STRUCTURE it I . SIGNATURE OF APPROVALS APPLICANT ADDRESS / �' �I j+` '7+ yl I '' DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FORMS,MATERIALS P.C. FRAME: FIRE STOPS. -I FEE BRACING. BOLTS VALUATION $ / - O FURNACE: LOCATION. FEE C6 GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND nn!! AGREE TO COM LY WITH ALL COUNTY ORDINANCES AND LATH,EX .,VO STATE LAWS EGULATING BUILDING C STRUCTION. SIGNATURE OF I-�-y HOUSE NUMBER COR- PERMIT t RECT AND POSTED ADDRESS � FINAL `� ✓ l.r- _,�.-�:�' CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH fir,,6 0 7 8 j 4,Y 4- 1 A 6.00 F 76A638A CE4803 8-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DI RICTpNO GR�tlP TYPED BY FOR APPLICANT TO FILL IN U (y�E CONST. BUILDINGre�� STATISTICAL CL SS FICATION SEWER MAP B K ADDRESS G Lp/ CLASS. NO. DWELL. UNITS LOT NO. "'q u) S OCK WATER .T vv o --TAds Ww CERTIFICATE: NOT REQUIRED ❑ RECEIVED P ❑ TRACT , MAHIGHWAY qq NO. OF BLDGS, NO ICIRCLE) STATE MAJOR SECOND OCAL SIZE OF LOT $Q e� NOW ON LOT U�,�7r O E SPECIAL USE OF (� , „/') CONDITIONS EXISTING BLDG. K� t h //��lA/"� L. t�A d'- OWNER n l§UI DING .ARD HWY STREET NAME EXIST. r .{^ SETBACK WIDTH ADDRESS � 1_ P \ , c. FRONT �1 ARCHITECT OR TEL. P. L. o ENGINEER NO. SIDE P. L. ADDRESS d TEL. Q CONTRACTOR NO. y% u ADDRESS C9 DESCRIPTION OF WORK W a NEW D ALTER REPAIR DEMOLISH z AD SO. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ G7-Z"7 APPROVALS DATE INSPECTOR'S SI NATURE / © 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- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. It LATH. EXT. SIGNATURE OFHOUSE NUMBER COR- PERMITTEE c� RECT AND POSTED ADDRESS,b 11 * ` FINAL /t) JOHN 6 JOHN F. LEWIS. PRINCIPAL STRU URAL E R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1 3 JUL 14 1 D 11.50- a i //� / / MAP O 76 A63BA CE #803 12/69 OJ.���'(� {' APPLICATION FOR BU I LDI N PERM COUNTY OF LOS ANGELES ASSESSOR PAGE PARCEL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS OZ� COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN rD AREST Print ort a only) OSS ST, D 2 1z � 6L L L/V Tlyff STRICT NO. GROUP TYPE P CES!PWADD BUILDING / /7 K� Ic Q (LYj� CONST,ATISTICAL CLA SIFICATION SEWER MAP LOT NO BLOCK LASS NO. _DWELL,UNITe PG TRACT "317 S Z JpNE MAP 1L7 NO.OF SLOGS / NO. SIZE OF LOT NOW ON LOTSPE IAL USE OF �K4r ;� CONDITIONS EXISTING BLDG. /�f OWNER )l 4,J fN ,t��+j�ii/,�' NO./ /)KQ ,p ` LDG.SETBACK FROM ADDRESS/ 2 1 6lRj �N s 7'f7 /` ET [FRPROP.LINE OF (STREET) CITY r,�/� / rY TYPEEXISTING SETBACK HIGHWAY + YARD = TCTAL L WIDTH FROM C.L. ARCHITECT OR TEL. + _ ENGINEER NO. ETBACK FROM ADDRESS OP. LINE OF (STREET) EL./� EXISTING SETBACK HIGHWAY } YARD = TOTAL CONTRACTOR�pVTIIEhsr fJNf�yi(!jt NO.T 3Y3WIDTH FROM C.L. ADDRESS//02 7 W�A P�� NQ' 7-0.t� tLIC. CD CITY 511, + / ,� CASS CORNER CUTOFF YES ❑ NO ❑ cD CONSTRUCTION LENDER C= NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS LLA ADDRESS a- N SQ. FT, NO. OF NO. OF NEW Z SIZE STORIES FAMILIES USE OF k 0- KwA I. L ADD ElSTRUCTURE Am V RALTER ❑ 3f/ OV REPAIR❑ SIGNATURE OF' APPLICANT Z DEMOL ❑ VALUATION $ 6 APPROVALS DATE INSP Ton's SA TU RE PMT. FOUNDATION: LOCATION ES FEE $ FEI� FORMS, MATERIALS FRAME: FISTOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG 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 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 INSURANCE. o^ rF1 H, EXT. SIGNATURE OF mel_ .!!y„ E NUMBER COR- PERMITTEE ECT AND POSTED ADDRESS ^ I �' `�'���MO�rG AL - 7 JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M 0. CASH _ PERMIT VALIDATION cK. M.O. CASH C f.. 6 1 Z �, JuL 3 Q 1 D 9.0 '" l 76A638A CE48038-64 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ,/ DEPARTMENT OF COUNTY ENGINEER ADDRESS ' "I BUILDING AND SAFETY DIVISION LOCALITY yZ JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. 7 - DIST T NO. GROUP TYPES P SSED BY FOR APPLICANT TO FILL IN ) CONS r '�C Z - BUILDING STATISTICAL CLASSIFICATION S WER MAP ADDRESS CLASS NO. DWELL UNITS K PG LOT NO.,C C LOCKUSE ZONE MAP Jr LJ [_No. TRACT/53*- 4�� O '� Al SPECIAL N0. OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USEOF EX'STINO BLDG. 2, c A BLDG. SETBACK FROM TE FRONT PROP. LINE OF (STREET) OWNER TYPE OF EXISTING SETBACKHIGHWAY + YARD = TOTAL r ADDRESS i HIGHWAY WIDTH FROM C.L. r� S' + = t > CITY BLDG. SETBACK FROM ARCHITECT O TEL. ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. d TEL. + = Q CONTRACTOR NO LIC OADDRESS NO CORNER CUTOFF YES NO CITY CLQ SEE REVERSE SIDE FOR SPECIAL APPROVALS V w DESCRIPTION OF WORK a NEW CAD. ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF S SIZE STORIES FAMILIES USE OF OT STRUCTURE ,fr ZI. :tel' I SIGNATURE OF ,711 APPLICANT VALUATION$ Ci C-7 APPROVALS D T INSPECTOR'S SIGNATURE P.C. PMT. (,� FOUNDATION, LOCATION Z f FEE$ '-� FEE$ FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS Z AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK f AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. S G! TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- I ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. C ' SIGNATUREO HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS,O101 \ (Ar cen Xc Xc C,T_ FINAL p JOHN F. LEWIS. PRINCIPAL STURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH 3 1 9 J1 2� 2 9 1 D , I,.o APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGEL£$ — BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATIONFOR APPLICANT TO FILL IN BULDNG CESS I nervy alitrm thEd I have a of conaent to self Weare, B1 'OADDRESS/ a/ or a oertffloate of Workers'Compensatlon Insuvwxx),or a cerfflw copy thereof(Seo.3800,Lab.a) crry H! C T y ZIP 9/7 $O Loaury Pofky No. ry SCMc OF LAT j Na of NOW ON LOT ElCerttfled oopy is hereby furnished. b� r7 W-AREST . ❑ Certtfled copy Is Rod with the county butldlrtg VtBpecrion TAT BLOCK LAT NO. IJSE 2DNE AMP T � 2 7 departmentAGE I / Date App�,t ASSES80R BO�FS� ` /7 _/ SPEC AL COND[TICGS CERTIFICATE OF EXEMPTION FROM WORKERS' �Jl J NO COMPENSATION INSURANCE 'ZB! :5 / —�/ I WITFGN 1000 FF.OF SCliOOL7 YES ADDRESS (Fhie aeciion need not be completed If the permit n for one hundred / 3 DpTRICT GROt1P TYPE CONST.CTTY FRE z!>*E PROCESSED HY dollars ($100)or Vela) I awft that In the performance of the work for which thin permit b Issued, I shell not employ erry person n arty manner as to �"� 7 j become�jaot to the Wa kers' Lew.&` QCT OR ENGniEER TEL NO. J 8➢IT[8T1CJ1L CL A9IG410N r CONDO �l l 2 P�pp6cant ADDRESS CLASS Na DWELL 11N" -Z71 NOTICE TO APPLr-"T If, atter this Certificate of REOUFED TOp,L SETBACK FTPK ,p08T r Exemption, you sho id become sub}gd to the Ykrkers' CONTRACTOR TEL Na SET BACK vkro Hyyy PROP Ld•E C rnponsatlon pTovIalons of the Labor Code, you must forthwith G 0✓ FROW TOTAL 1� _�� conxpty with such provisions or this permit shall be deemed rewired. ADDRESS L.IC.NO. PL LICENSED.CONTRACTORS DECLARATION � - Lr.CLSBS PL E v i I hereby affirm that I am licensed rnderprwtsbre of Chapter 8 SEWER MAP M . � (comnwxrng with Section 7000)of Dkisl n 3 of khe Business and Sa FT.SUE Na OF STORES I Na OF FAALE3 NEW ❑ BK Pca Profaearone Code,and my fleenae le n Heot furl force end e •.� LJDanse Number LIC.CIaSe DESCI�TION OF WVIORK ADD ILCION , f 1 q// s"'5.Q� Contractor Date K T� D 8�D of7 5 ALTER ❑ X10 1 AM q:16: ❑ m I exept under Sec. REPAIR El $ RAP.C.for thIs reason �/ BOO DEMOL P,C -7 i•r Date: of URM ❑ oa 1 Signature ( TEL NO. LDMA Prm+f _ / T It!I,ea owner of the lxopertY,.or my enpbes yewith wepea ea their eoie compensation, wMI do the work and the structure Is ADDRESS O i �/ URNAL ' S 1044.?c. not Intended or offered for este (section 704-4, BJeh>'ees endf? �,.�.� .. Profeeel0ne cDde) YLL TFE APRAWff OR RnIFiE UA DW 0="WT RAIDLE A RAZAFDOM MUEFLAL �(J "7S . IiEM ❑ 1, as owner of the property, am exokuslvety contaaHrp wrth OR A MUTURE carwax3 A Fwaraous►waaAi ECA AJ TO DR rREVER TriAtl r E ALOUlTB aPE ON l E HAZARDOUe 1�L8 PFOFLk9T"OIDE'4 Blf licensed contractors to �rtatrTuct the prajeot (secriDn 7044, v2s❑ No[� ' T��r�- 1�c•�Bush ass and R&esdals Code_) { r.� 2wiL Tl-E N,BDQD U8e OF THE aUq_HO BY TFE APM".NT OR RMJFE euILDM ` Lam' 1C`°`.�: OCCUPANT RLOIIM A PERDU FOR CCNBTRLCTroN OR AroOFcAr"FROM Tl-E SOUll-ICONSTRUCTION LENDING AGENCY �T AS QU&nti MW"EME rT D6TRCT MCAQ t SEP PStMLTTNe a-Eaa.raT FOR .1'�� i .! 1 aucclwa j/ I hereby affirm that there Is a constriction lending agency for Yes❑ No❑ w the perforTnance of the work for whish this permit Is issued(Sec m I RAYE READ THE BAZAaoas uA>gaALs Paror64410N AIDE AND THE sC.406o PEF#fTTNO 3087,Ctv.C.) C1fCIQ.�T.I UDERMW ABY FEouF�orrs UNDER TFE LOCODE - N ANGELM CalrrY CODL��_4a.1-VLlU 1 '7 r 2./•[r rm.E Z CRAFTER 230 eECT(M 240.100 TFFiCUON 240.140 CX=FNZAFCCUa [�[ r2/r� ]-7, Lenders Name MQEFWA REPORTNO AND FOR COW4 4o A PEJ R&U FROM hf BC' 7 7 V 1 fF 1 1 lC Lenders Address O ern CA A!R Q I certtfy that I have reed this application and slate under penefty of perjury that the above MDrmatlon is correct I epee to cony P.C.FEF PERWr FEE O with all county ordnancee end State laws refafing to NAcgnp A corcb- on, and hereby autf(xi- rspreeentattvee a this Canty 47081JANCE FEE G d r to prbpArty ror Irepection plapoeee. J/ o � � NVEsT)a nCN FEE TOmL FEE SEE REVERSE FOR EXPLANATORY LANGUAGE