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HomeMy Public PortalAbout6238 HART AVE_Building__ .76A638A CE #BD3 ,2. APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING Z 3 g JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST i CROSS ST. Print or type only) - i(,/(_(iii✓ DISTRICT NO. GROUP, T PE PRO ESSED BY ! BUILDING CONST.j� ADDRESS /-� / &M A �„ o � ._a STATIST ICAL+-CLASSIFICATION, SEWER MAP - LOT NO. 3 BLOCK CLASS NO. "/ DWELL,UNITS- BK�t; PCC->S TRACT O USE ZONE MAP NO.OF BLDGS. NO. �v SIZE OF LOT NOW ON LOT j SPECIAL USE OF CONDITIONS EXISTING BLDG, TEL. �j OWNER NO. 22'7-X BLDG.SETBACK FROM FRONT PROP.LINE OF. /�� (STREET) A DDR ESS C TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY G4 C/� HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. + ENGINEER NO. BLDG.SETBACK FROM ADDRESS - SIDE PROP. LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL .CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. LIC. + = a ADDRESS NO. LIC. U CITY CLASS CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDERO NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS W ADDRESS 53 SQ. FT, NO. OF NO. OF ❑ - Z NEW SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE G � � ALTER ❑ REPAIR SIGNATURE Off' w APPLICANT DEMOL ❑ - VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEES FEE $ iJ FORMS, MATERIALS FRAME: FIRE STOPS, IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. y� LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INS CE. LATH, EXT. s� SIGNATURE OF PERMITHOUSE NUMBER POSTED RECT AND POSTED ADDRESTE FINAL Q ?d JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGI PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH LAr b.,3R:) R18 1 ,D :O ON 4 7?A83BA CE 803,,:2/6APPLICATION FOR BUe�LD0 G PERWK COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDINGSS ' AX 7 JOHN A. LAMBIE, COUNTY ENGINEER ADDRE COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY F C FOR APPLICANT TO FILL IN NEAREST CROSS ST. Print or type only) DISTRICT NO. GRPUL� I TYPE PRO ES BY BUILDING ,� O CONST,. . ADDRESS Q /�( STATISTICAL CLASSIFICATION' SEWER MAP LOT NO. BLOCK CLASS NO. 2-1 DWELL UNITS BK PG� TRACT USE ZONE MAP NO.OF BLOGS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG, BLDG.SETBACK FROM JI •— OWNER QQ �,ll J ADDRESS �j &fg _ FRONT PROP,LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY GJ. HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. �0 + ENGINEER NO. BLDG,SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF 1EXISTING SETBACK HIGHWAY .+ YARD = TOTAL CONTRACTOR NO. HIGHWAYI WIDTH FROM C.L. LIC. + = a ADDRESS NO, O LIC. � E4 U CITY CLASS CORNER CUTOFF YES E] NO � NAME CONSTAND BRANCHNDeR SEE REVERSE SIDE FOR SPECIAL APPROVALS � L3 ADDRESS N SQ. FT. NO. OF NO. OF NEW ❑ Z SIZE STORIES FAMILIES USE OF G ADD ❑ STRUCTURE J yALTER ❑ F Iv /REPAIR SIGNATURE OF APPLICANT DEMOL ❑ VALUATION $ ®© 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. 1 CERTIFY THAT IN, DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. p LABOR CODE OF THE.STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION IN SU NCE. c ✓ t/ 1A LATH, EXT. � � SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESSA�_23FINAL d JOHN F. LE7_41SNCI AL STRUCTURAL ENGI R PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION 'CK. -M.O. CASH I Ar,6'4 1 9c-_ AUG21 1 D . 6.0 0;