HomeMy Public PortalAbout5472 HILTON AVE_Building__ 76A89EA CE#806-6-5] APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS7 oZ
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST I
CASSATT D.GRIFFIN,SUVT oS BUILDING CROSS ST.
DISTRICT O. GRO TYPE SEWER MAP
FOR APPLICANT TO FILL IN � � B e
_ CONST
BUILDING �/, STATI5TICALC SSIFICATION
ADDRESS J "1
[ CLASS. NO. DWELL.UNITS
LOT NO. V BLOCK -MAP STATE NO
NUMBER 0 0 HWY. YES
TRACT 19
//�� meq. + USEZ NE SPECIAL
SIZE OF LOT
'6--o V NOW ON LOTS ON DITIONS
USE OF
EXISTING BLDG. BUTILDING YARD 'HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER O FRONT
MAIL P.
ADDRESS SIDE
I -TTE
ARCH ITECT O TEL
L.L.J -0 40 P.L. _
CIN 10 INSPECTION RECORD
ENGINEER NO.
ADDRESS
CONTRACTOR d w.^'W N TEL.
NO
O�'X . 0
ADDRESS 1 Dy x
DESCRIPTION OF WORK o
NEW V ADD ALTER REPAIR DEMOLISH
SO. FTNO.OF NO.OF
SIZE I 0 6� STORIES FAMILIES
USE --3
CL A ooa
SIGNATURE OFAPPROVALS
APPLICANT
(/^J DATE INSP I ECTOR'S�lGtIATURE
ADDRESS ;k `" FOUNDATION: LOCATION
FORMS.MATERIALS Co
$'
P.C. $ b` FRAME: FIRESTOPS,
/c///,, FEE ;26 BRACING. BOLTS
VALUATION '� $ I �/,. FURNACE: LOCATION.
FEE -t) GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND '
AGREE TO COMPLY WI ALL COUNTY ORDINANCES AND
STATE LAWS GU TING BUILDI G CONSTRUCTION. LATH,EXT.
SIGNATURE OF / C HOUSE NUMBER COR-
PERMITTE t RECT AND POSTED
ADDRESS �.e FINAL
JOHN A. LAMBIE. COUNTY ENGINEECLYDE N. DIRLAM, PRINCIPAL STRUCTURAL NG EER
PLAN CHECK VALIDATION CK M.D. CASH PEEMII VALIDATION CK. M.O. GSK
(_1 0:5 97-9- I4AY .61 6 A 2 5$}QA'3a 5 1 MAY 14 1 A. 51.0 0 ;j
(Ds 96A634tA
CE 0803(REV,6/7%)
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APPLICATION FOR- BUILDING PERMIT
COUNTY OF LOS ANGELES " BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING . l
ADDRESS
ADDRESS �, AVELOCALITY
�J NEARES
CITY r� ZIP ` l7 CROSSST.
ppNO.OF BLDGS. ASSESSOR
SIZE OF LOT �1" NOW ON LOT MAPBOOK PAGE PARCEL
DISTRICT GROUP VPE FIRE ESSED BY
TRACT BLOCK LOT NO. Y ST ZONE
I TEL. �,,Oo `
OWNER NO.
.,..I l LTO AvL)` - STATISTICAL CLASSIFICATION SEWER MR
ADDRESS iL./d, /Ll.� CLASSNO�} DWELL.UNITS Y8K/b7G
CITY Cl ZIP
ARCHITECT TEL EL. VALUATION $
ENGINEER R TEL -
ADDRESS �— BLDG.SETBACK FROM
, ee TEL. FRONT PROP.LINE OF ISTREETI
CONTRACTOR N NO. HIGHWAY + YARD _ TOTAL SETBACK FROM TYPEOF EXISTING
LIC, FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO. -
LIC + _
CITY CLASS BLDG.SETBACK FROM
CONSTRUCTION LENDER SIDE PROP_LINE OF (STREET)
NAME AND BRANCH
HIGHWAY + YARD = 70TALKFROM TVPEOF EXISTING
PROP d
ADDRESS CITY SIDE PROP.LINE IHIGHWAYI WIDTH O
SO.FT. NO.OF NO.OF CHECK + _ V
SIZE $TORIES FAMILIES ONE '/
DESCRIPTIO N OF WORK 1 NEW ❑ P.C. Fee$ Permit Fee -3 J� _ 1.
W' ►JC• (� LOALL., ADD
T �IALTER
❑❑ Issuance Fee Z
REPAIR ❑ Totol Fee
DEMOL
USE OF
❑ /Vo- GT/�/meg /-,o , :;`��. ,�JJc�
APPLICANT � )�6 /�� TEL
IPRINTI {J'�(,e IK/�iVU E1W Ola
. C
BY(SIGNATURE( /// j
HEREBY ACKNOWLEDGE THAT I H VI READ THIS AP TION AND STATE UUY
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE _
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V
THE LABOR CODE OF THE STATE OF CALIF NIA IN RELATING TO WORKMEN'S COM- ZQ
PENSATION INSURA J y
6
SIGNATURE
PERMITTEE
ADDRESS Al - _ -
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O
CITY CELI,� No 26�if�'3� a
U ZONE MAP
NOSPEC A IJ C_'J 5 6 n l4.UU �1 :�. V r 4 3.0 0 ,&'36
2a` CONDITIONS F '
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FINAL BY i
DATE ( J