HomeMy Public PortalAbout6032 HART AVE_Building__ FOR ARA ICANT TO FILL IN: (Print or type only)-
COUNTY OF LOS ANGELES '
o�DLRESs � ?' DEPARTMENT OF'COUNTY ENGINEER
CITY 04-i- ZIP ? 7 1, d BUILDING AND SAFETY VISION
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NO.OF'BLDGS. BUILDING �}
SIZE OF LOT /�S X NOW ON LOT ADDRESS w
TRACTr BLOCK LO N� LOCALITY "
+ EL. NEAREST
OWNER 'y5CEY� �`f r✓�Z Q'/NO. (� CROSS ST.ASSESSOR /
I MAP BOOK A. � 1/
ADDRESS PAGE ��� PARCEL
y DISTRICT GRO�TPE� �FlRE PRO ESSED BY
-CITY �L C J / ZIP" C �j ' `
ARCHITECT OR TEL'
ENGINEER- NO. STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS �
CLASS NO.�` " :DWELL.UNITS r BK PG.:
' TEL.
CONTRACTOR NO. E ZONE MAPO '
-J
LIC. - 1
N .
ADDRESS NO. J. SPECIAL
LIC. CONDITIONS
CITY. CLASS- ROADj�DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ `
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK IFROM
FRONT PROP.LINE OF _ (STREET)"
,ADDRESS• CITY TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD
SQ.FT. NO.OF NQ OF..; CHECK I — FRONT PROP.LINE HIGHWAY WIDTH
SIZESTORIES FAMILIES ONE
DESCRIPTION OF WORK NEW + O
�L ADD . ❑, BLDG ETBACK'FROM
SIDE PR INE OF STREET) O
ALTER,'❑' TAL BACK FROM TYPE OF EXISTING w
HIGHWAY + : .YARD — a
-RO.P.LINE^ HIGHWAY -WIDTH _ N
USE OF REPAIR_O . Z
EXISTING BLDG. DEMOL ❑ } —
APPLICANT' TEL CORNER CUTOFF YES ❑ NO
(PRINT) NO.
Nb PEN SPACE YES ❑ No-
BY
OBY(SIGNATURE( _
Q m IN COASTALPERMITZONE' YES ❑ NO ❑
VALUATIONy
IHEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APPLICATION-AND STATE
THAT THE ABOVE 15 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
PERMITTEE
ADD RE »fl
y TEL:: FINAL BY
DATE
IT N 71
FEMAKE'CHECKS PAYABLE TO: -- P.C.
HARVEYT.BRANDT,COUNTY•ENGINEER FEE FEE
PLAN CHECK VALIDATION cK. M o. CASH a PERMIT_VALIDATION CK. _ M. GASH
2 8 :Si`P 1' 6.0.0 &
•®s 76A638A CE#803 3-75 -
o-J ; TEMPLE CITY
79ASSaA CE 4608,1-61 APPLRCATLON FOR F3URLDING PE O O Y F
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. t -
DISTRICT NO. GROUP TYPE P ESSED.BY
FOR APPLICANT TO FILL IN coNsT.
�� /� I Q STATISTICAL CLASSIFICATION SEWER MAP
BUILDING IFIL'l -
ADDRESS I t _�l � �PG.
P
CLASS.NO. DWELL. UNITS
LOT NO. .{` ' L U '% 3 g 3 BLOCK ' WATER . . NOT REQUIREDa RECEIVED
CERTIFICATE:
TRACT MAPS H HIGHWAY '
�j NO.OF BLDGS. NO: y -/ (CIRCLE) STATE MAJOR SECOND &CAL
SIZE OF LOT. �JD.S X 6 .I NOW ON LOT o' USEIZONE SPECIAL
USE OF ' � -. �/t'- CONDITIONS '.3
EXISTING BLDG. 4 1/1
p�•1 /4,3S�J BL 11 DING' +,EXIST.
� 3 La N G' D C •1J YARD HWY TREET ME
SETBACK i -'WIDTH'
ADDRESS:-• �j•'�1"r FRONT'
ARCHITECT OR TEL. I"`�^ •'�P.r
L.�
ENGINEER NO. SIDE
ADDRESS`. I O_
p j �a / TEL /, SPECTION RECORD O
CONTRACTOR 'I l4y. • l.._ O 0'.r` NO.G L S�7T!97+.. �- (fi
ADDRESS ,. .5 ,13Ac'Dw4w..
_01114 :� I . r . :� • � .
DESCRIPTION.OF WORK s/e a 11.4 = / :.r�� �� L�� � �.�x r�r %�•�'r �-t
W
NEW •_ADD :ALTER f REPAIR DEMOLISH -
A ;
SQ:FTNO.OF. NO:OF '. i' §i; ,,�'rs l'f. !%L da'Lnk' t4r,i✓C•1 rccw: :.T'. Z
IZE 'f � .L b 'STOR'IES FAMILIES
USE OF .n � - S%: ..✓1 `O�•�A,F�r ,/?1'aY'.5 '�f. ��lt-.�'r �f 7
,.., n - _
STRUCTURE .'�C,T
T�
T ,4q PI
�I','y`ryy F �
SIGNATURE OF' 1�+ '(,L., - 6 S�- / t'�e:/'.«Sji-rr�/,' ,-/9�f.�v7r'/✓�Yr/Ib�l.9' P�LE.c Cf.� /,(!s.�
APPLICANT
VALUATION1;/t►� f�., ,1•, -
_ o APPROVALS `XDATE 'INSPECTOR:SSIGNATU.RE
�, L .- F-60NDATION: LOCATION
FEE �r�•� /y� /t.rte-'.�_ - '
P.C. PMT.FEE G� - ' FORMS, MATERIALS
$ -• '$�"
'FRAME: FIRE STOPS,
1 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.REGULATINGi 'GAS VENT`DUCTS . '.J/j •�
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK,, 1 •t�, j��
AUTHORIZED HEREBY'I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TIONA-ATH, INT. --. _ �7 ,/ /'M'" S/
OF THE LABOR rCO9E OF THE STAT OF IFORNIA LAT-
ING TO WORKMEN S'COMPENSATION IN RA
-LATH,EXT. /
SIGNATURE OF HOUSE,NUMBER COR- r
PERMITTEE �(A ,�t `RECT AND POSTED ,I' -(2
ADDRESS - -"' FINAL
7= CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION cK M.O. CwsH ;;, MII
.PERT VALIDATION CK. M.O. 'CASH
1 'IA
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