HomeMy Public PortalAbout8612 HALDEMAN ST_Building__ 76A 63BA CEtl803 9-67 1
- APPLICATION FOR BUILDING PERMIT IJ
COUNTY'OF LOS ANGELES \
BUILDING I
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING,AND SAFETY DIVISION LOCALITY"
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP T OF BUILDING NEAREST
CROSS ST
DISTRICT. NO GROUP__ TYPE PROCESSED BY
FOR APPLICANT TO FILL IN CONST
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BUILDING /�^ y _^/ STATISTICAL-CLASSIFICATION SEWER MAP
ADDRESS W i.� �.VMS 1��✓ CLASS NO. DWELL UNITS
LOT NO - - BLOCK - USE ZONE MAP ' '
NO
TRACT _ SPECIAL
NO.OF BLDGS CONDITIONS
SIZE OF LOT 6/ (1 / r� NOW ON LOT
USE OF
EXISTING BLDG, ..t a BLDG SETBACK FROM _
' 01 TEL. FRONTPROP LINEOF (STREET)
OWNER �J� N O TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS�l ��} LQ.. d__< "iq HIGHWAY -WIDTH FROM C L'
CITY .J YJ fa d 60-1�-t +
BLDG SETBACK FROM
ARCHITECT OR _ TEL SIDE PROP LINEOF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. _
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TEL - + >_
gqN»»TRACTOR NO `` OS7 O
ACfDkSLIC
Q Jia-�-ttS 0 ,� b�� L CORNER,CUTOFF YES E] NO C7
LICO
CITY _ CLASS SEE REVERSE SIDE FOR'SPECIAL APPR VALS
DESCRIPTION OF WORK �� III 0 � 4"ym z
NEW AD ALTER REPAIR DEMOLISH -t,'j 1�.�•L.�X I�
'SQ FT _ �-� NO OF NO. OF Oma_
SIZE 11 A STORIES FAMILIES - �f
USE OF pp
STRUCTURE d?-& S. '
SIGNATU OF
APPLICA T
VALUATION
APPROVALS DATE IN5PECIOR'S SIGNATURE
P.0 - PMT -� •�� FOUNDATION: LOCATION {�P,��l, Q c/jl i,�si-•-�/! r
FEE $ FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 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 y A AJ I /A��
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN S COMPENSATION INSURANCE Y' N
' .LATH, EXT r4r/,y/�-
SIGNATURE OF + HOUSE NUMBER COR-
ADDRESS G /� '
PERMITTEE RECT AND POSTED { / A ,
FINAL -j��-��j
JOHN F LEWIS PRINCIPAL STRUCTURAL�NGI It EER
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK -M O�;�O +LSJH
4�S" JAI 1-O 1 A 1 Jc.0 0 N
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76A610A CE#0099-60 APPLICATION FOR BUILDING _ P IT
COUNTY OF LOS ANGELES BUILDING Y
ADDRESS /
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS S '
DISTRI T NO. GROUP TYPEPR SED BY ,4
FOR APPLICANT TO FI IN CONST.;
BUILDING STATISTICAL ICLASS FICATION SE ER MAP
ADDRESS /� ` I ,K PG
CLASS NO DWELL UNITS
LOT NO BLOCK- MAP •STATE •YES
NUMBER ' HWY
TRACT p�(� 4' 4�4_1 USE ZONE SPECIAL
y - NO OF BLDGS' _ CONDITIONS
47 '
SIZE OF LOT �C I� 3 I NOW ON LOT-
USE
'
USE OF
EXISTING BLDG BUILDING
41567'h
YARD HWY SNIVT NAME
EXIST
EL SETBACK WIDTH
OWNER0 ApG �6 NO
FRONT. I ! '
P L i
ADDRESS SIDE '1 _
ARCHITECT OR TEL P L
ENGINEER NO INSPECTION RECORD
ADDRESS D_
EL O
CONTRALTO I � tlC+ O U
GG
ADDRESS d O
DESCRIPTION OF WORK w
i'l a
N
NEW A ADD ALTER-,, REPAIR DEMOLISH Z
SQ FT. rI�, ,'"NO OF NO OF
SIZE STORIES FAMILIES
USE OF ,v�/ r ! s� /fr )v
ST TUIRE L.. /I► L� -
SIGNATURE OF
APPLICANT
VALUATION$ ead I
APPROVALSDATE I INSPECTOR S SIGNMURE
FOUNDATION LOCATIONPC P , G�
FEE $ FEE $ .Q FORMS,MATERIALS
FRAME FIRE STOPS;
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION', /1 rpL
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL,NOT LATH, INT Is' 1
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBOECT .
TO THE WORKMEN S COMPENSATION LAWS CALIFORNIA �
n, LATH, EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE REGT AND POSTED
ADDRESS •�� FINAL
CLYDE
PLAN CHECK VALIDATION CK M O. E CASH P RERlMIIT VALIDATIONTR cK. Rmo.
o.ENcAsHER
LALO 1 6 7 2 JAid 2 72 3• A 2 1 .0 0.'l a