HomeMy Public PortalAbout4947 HELEO AVE_Building__ . - .•_ ®Ip��+' ®VV �p\�' FOR,
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76A638A CE b803 2 6`3• / !tl PL�•Ct-\T.I.®� V• '-Y' O Emli L®I N,.V�-PERMIT •. 1 � < J�
COUNTY.OF LOS ANGELES BUILOING,, 9 �
D_EPARTMENT ,OF COUNTY'ENGINEER ADDRESS ,
_ r:
BUILDING--AND: SAFETY''DIVISION. Loca:i,T"�%�z
JOHN A. LAMBIE COUNTY ENGINEER NEAREST,.
WILLIAMW JENSEN, Su_a',T PF;-BUiLOING 'i'CROSS ST -
DIST.g1,GT N.O. GROUP TYPE PR CES BYr ti -
`FOR"APPLICANT .TO•FILL IN corisr:
BUILDING""'y�. �// STATISTICAL CLAS IFICATION SEWER MAP '
ADDRESS.,
••CLASS NO'`- DW ELL:,UNIT,S. �,
'LOT-NO. BLOCK WATER - NOT,REQUIRED �, - RECEIVED:
1._ - - CERTIF
TRACT ,MAP_; -IC HIGHWgv MAJOR-SECOND. LOCAL
/AryTE:
NO:OF BLDGS. .0 E'•ZONE le-1
SPECIAL,,
LE�� ' STATE•-
SIZE OF LOT CJ ,`�,g .NOW ON LOT
USE OF' - CONDITIONS
EXISTING BLDG. - '
.. •-:TEL. .r :, .•'. 1 -. _ ..
OWNER •-'• :NO.•._ BUILDING - 'EXIST,
n ',YARD ^NWY :. STREET NAME
p�� y� �{ '
SETBACK WIDTH
ADDRESS /�-R. FRONT -
... � � •� ,.j .•
ARCHITECT OR - !'TEL 'x �'P:�L G.r'CJ'• .
ENGINEER. .•NO SIDE.
ADDRESS
CONTRACTO - _ N
ADDRESS a /.N,LYI.P..o /� �. :. O
DESCRIPTION 6F WORK
' V
W
- a
NE AD TER -'•REPAIR DEMOLISH.: Z .,
54. FT. - NO. OF NO. OF -
SIZE•, IST.ORfES y FAMILIES-'. - I USE Of
STRUCTURE - -
SIGNAT U,RE OF'
APPLICANT
- VALUATION $ 1`rO'�..
APPROVALS PATE, INSPECTOR'S'•SIGNA7 U/RE;
FOUNDATION:
FORMSMATERIALS
ON
'P:C _ .' PMT.' .
FEE'$. .•, FEE $ I
FRAME: FIRE-STOPS,
.I HEREB ACKNOWLEDGE,THAT I HAVfi READ.THIS APPLICATION BRACING, BOLTS /_ `d1���' a� � '✓
AND STATE THAT THE'ABOVE IS CORRECT,,.AND AGREE_ TO COMPLY -FURNACE: LOCATION.
WITH ALL COUNTY E ORDINANCES AND'STATLAWS REGULATING GAS VENT, DUCTS.
BUILDING CONSTRUCTION. I CERTIFY THAT IN.DOING THE WORK
'AUTHORIZED HEREBY I' WILL,NOT EMPLOY ANY PERSON IOLA- LATH. INT.`•
TION OF.'THE LABORICODL OF THE STATE OF.CALIFORNIA ECAT. _
ING TO WORKMEN' OMPENS TI IN URA CE.. LATH. EXT.' ` y� ;,�'j.' � �" ✓
SIGNATURE OHOUSE NUMBER
COR
PERMITTEE RECT AND'POSTED
-. ADDRES& ... '.FINALc •t�f.,,r „r• i -" ''
! JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER'
PLAN tiiECK VALIDATION CK:• M.O. CASH: = ' PERMIT .VALIDATION CK. M.O.: CASH
76A638A CE#803 5-65 AIPPLICATION FOR BUILIDIN PERMIT,// ,
•
COUNTY OF LOS ANGELES BUILDING -
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE-, COUNTY ENGINEER- NEAREST
COLEMAN W. JENKINS,SUP•T.OF BUILDING CROSS ST. -
- DI!j.RICT NO G P TYPE.
FOR APPLICANT TO FILL IN CONST.
= BUILDING - STATISTICAL C SSIFICATION.. '- --a .SEWER/MAP
ADDRESS 9 0 - G CLASS NO._ DWELL UNITS- __6.K / -,PG. `i
LOT NO. 7 'B;LOCK USE ONE MAP- .fly - .. . ��_.[[
TRACT / 3 d - NO. v ..-.
SPECIAL '
NO. OF BLDGS. CONDITIONS.
SIZE OF LOT /yI; � NOW ON LOT -
USE OF
EXISTING BLDG. - BLDG. SETBACK FROM -
T.EL' FRONT PROP. ONE OF - .(STREET)
OWNER .r Q NO.'13 -
TYPE OF � �EXISTING SETBACK HIGHWAY. <--F- � YARD - 'TOTAL
ADDR.E SS -
p HIGHWAY WIDTH 'FROM'C.L.
�/ E
CITY �1%yyt,
ARCHITECT OR EL. BLDG. SETBACK FROM -
ENGINEER NO. SIDE PROP. LINE OF - (STREET)
TYPE OF. EXISTING SETBACKHIGHWAY _+ YARD = TOTAL':
ADDRESS HIGHWAY WIDTH FROM C.L. -
CONTRACTOR NO - - OLO
LIC CORNER CUTOFF YES NO E] U. -
ADDRESS NO
JIM
CITY CLASS ' SEE REVERSE SIDE FOR SPECIAL APPROVALS O,
DESCRIPTION OF WORK U
W
NEW ADD ALTER REPAIR DEMOLISH - Z
SQ.FT NO. OF NO. OF
UISEOF
- STORIE F MILIES /@ ..Git.�
STRUCTURE
SIGNATURE OF - -
APPLICANT -
VALUATIONS
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. FOUNDATION, LOCATION
FEE$ FEE$- L w FORMS, MATERIALS
FRAME, FIRE STOPS,.
I HEREBY ACKNOWLEDGE THAT I HAVE READ .THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE'TO COMPLY FURNACE: LOCATION •-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS `
9UILDING 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-
INGTO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
SIGNATURE OF 'r HOUSE NUMBER COR-
PERMITTEE - RECT AND POSTED
ADDRESS F I NAL - -
JOHN F LEWIS. PRINCIPAL STRUCTURAL ENG I R
-PLAN CHECK VALIDATION CK. M. O. CASH PERMIT VALIDATION K.M .O CASH
1i_0 ) `a 6 1` JUL 1 8 1 D 6.00.--