HomeMy Public PortalAbout10224 GREEN ST_Building__ i
DEPARTMENT OF COUNTY ENGINEER
/DIVISION OF BUILDING AND SAFETY, U V�p
COUNTY OF LOS ANGELES 25 i9sB V I L D I N G
r WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OP BUILDING
' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING f, .r DISTRICT NO. PLAN CK.OR REc.No. PERMIT NO.
ADDRESS '- 4 11 F C \?
LOCALITY W. REC IVEDBY DAT OFAPPL. DA IS ED
NEAREST U5(.�..esG, �. G..q'-f"L�"✓_._ L�. / �--
CROSSST
BUILDI G
OWNER '; ADDRESS IQ.22-
MAI — LOCALITY
ADDRESS
r NEAREST
CITY TO s /7 CROSS ST.
ARCHITECT O , FIRE NO. OF TYPE
TEL. C:RA11P�_
ENGINEER NO, ZONE PLANS I ��;,•�
ADDRESS SETBACK LINE
TEL. USE APPROVED
CONTRACTOR NO. ZONE BY DATE y
HOUSE NUMBERING
ADDRESS Ak
LEGAL MAP NUMBER NO. ASSIGNED BY
DESCRIPTION I T N . BLOCK
CORRECTIONS
TRACT /a./,-"'
l� y �s�� I NO. OF BLDGS.
SIZE OF LOT J t NOW ON LOT i ��/7- _ �;.. r.•- �'� t�
USE OF NO. OF �l
EXISTING BLDG. `-k:• "�,,:t... I FAMILIES !
DESCRIPTION OF WORK o
- s000
NEW ALTERATION _I ADDITION
REPAIR DEMOLITION _ t +T—ls���` �Vti Gr2'!i"`��P r•.,, r ,�.
SQ. FT. NO. OF '
b
SIZE - . �I ROOMS - STORIES
EXT. WALL I ROOF
COVERING COVERING
USEP STRUCTURE I ^
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALSt'C
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT.
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF �; ..�/::- '•
�J - LATH, INT. -t✓, lI. ♦ T
PERMITTE k
•H. EXT, �
ADDRESS Z -
P STER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
P. C. >4 ,,,'�'� HOUSE NUMBER COR-
FEE
RECT AND POSTED
VALUATION UQ '
FEE !B _ FINAL
76A638A DBS 3 8-82 '�p
76A638A CE 4.03 6-62 APPLICATI®N F �UILDIN.G PERMIT
COUNTY OF LOS ANGELES GILDING a
DEPARTMENT OF COUNTY ENGINEER A?DFtEss
BUILDING AND SAFETY DIVISION LITY `
JOHN A. LAMBIE, COUNTY ENGINEER EST
WILLIAM A. JENSEN;,SUP'T OF BUILDING t S ST.
CI CT 1 TYPEPRO O
FOR APPLICA TO FILL IN d CONST. S
BUILDING 77 -A ISTICAL CLASSIFICATION SEWER MAP
ADDRESS Gr'4Z + _CLASS. NO.—S--DWELL. UNITS -3 BK_ jPsj
LOT NO:,+? ,BLOCK ^TER NOT REQUIRED ® RECEIVED ❑(/
C_f''RT I F I CATE:
TRACT 'C.. --C� �I '.0 HIGHWAY
. OF B DGS. "�� - (CIRCLE) STATE MAJOR SECON LOCAL
SIZE OF OW ON OT !-`E ZONE SPECIAL
USE OF -y�� - CONDITION
EXISTING BLDG. / ' —r-,v,�. �
o
OWNER / TEL
NO// 6;7 8L ILDING EXIST.
S:'.TBACK YARD HWY STREET NAME WIDTH
ADDRESS�Z� F iONT O
ARCHITECT OR TEL. 11, '• L
ENGINEER N0. SIDE
P. L. d
ADDRESS O
TEL.
CONTRACTOR NO. N
ADDRESS -_-- - -_--
O
DESCRIPTION OF WORK - --- v
w
a
NEW AD ALTE REPAIR DEMOLISH N
Z
1 SQ. F . OF NO. OF _
SIZ � ORIES FAMILIES --
USE
S RUCT -
SIGN URE OF lj7
APP ICANT
VALUATION $
APPROVALS DATE INSPECTOR'S SIGNATURE
P-C _ PMT. FOUNDATION: LOCATION i
FEE $ FEE $ FORMS, MATERIALS - f
FRAME: FIRE STOPS,
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, 7r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT- DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK 11 s
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 COMP NS TION INSURANCE. pl
LATH,EXT. +; +"•
SIGNATURE OF HOUSE NUMBER
PERMITTEE RECT AND POSTED i 1 dAlltl
ADDRESS %- FINAL ,•'"";i--`I
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.G. CASH