HomeMy Public PortalAbout9916 HOWLAND DR_Building__ ARF'LICATON FOR BUILDING PERMIT
FOR APPLICANT TO F'ILIIJ IN (Print or type only)
I BUILDING COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY ZIP BUILDING-AND 'S FETY DIVISIO
NO.OF BLDGS. q BUILDING
SIZE OF, LOTS �/®{� NOW ON LOT .ef. ADDRESS /(O
TRACT BL0CAK LOT NO. LOCALIT,
TEL. NEAREST
OWNER .`, QE 1-2- NO. sZ Ia CROSS ST.
ASSESSOR
ADDRESS th.� .. MAP BOOK PAGE PARCEL
�7��jj yp�� DISTRICT GROUP TYPE FIRE P CESSED BY
CITY. '� C,/�' ZIP Oto "L'r"D� CONST. ZON
ARCHITECT-OR TEL.- 6' )`-
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP -
ADDRESS CLASS NOi�./DWELL.UNITS BKj G
TEL.. �7
CONTRACTOR t/ NO ONE MAPD/
LIC,
NO.
ADDRESS - NO, - _' SPECIAL
LIC. CONDITIONS
CITY _ CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM y.
FRONT P
ADDRESS CITY ,LINE OF - (STREET) a-
_ HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING V
SQ. FT - NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE a STORIES FAMILIES I ONE O
+
DESCRIPTION OF WORK �/� ��. NEW ❑ a
ADDBLDG.SET a�
ti ,utixo�OWl Q SIDEPROP. LINEOF (STREET) Z_
ALTER ❑ TOTAL SETBA CK FROM T OF EXISTING
HIGHWAY } YARD
REPAIR❑ SIDE PROP. LINE HIGH Yj WIDTH
USE � Q ` t _
EXISTING BLDG. 4��7 t (� DEMOL ❑
APPL PRINT) _pEMTEL�,�7:J�� - CORNER CUTOFF YES ❑ NO ❑
BY (SIGNATURE) IN OPEN SPACE %j - YES ❑ NO ❑
Q; IN COASTAL ZONE YES [3 NO ❑
'VALUATION$ 00,00 - CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'APPLICAT ION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY - IMPACT EXEMPTION DECLARATION SIGNED "(DATE)
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON-
S.TRUCTIO-N. 1-CERTIFY THAT IN DOING_ THE WORK AUTHORIZED - IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF JETATE OF CALIFO A IN RELATING TOqWORKMEN'S COMP.EC - -- - �� 1 '9 =D.2 /P L� ..^7 EJ. L. �C I�.d'`.er�,w�..�•
SIGNATURE OF
PERMITTEE
ADDRESS � �/
-FINAL p� BY _
TEL.�
CITY C N O. � DATE
=HARVEY'
1.1KE CHECKS PAYA13LE '1'0: FEE $ FEE
T. BRANDT, COUNTY ENGINEERJJ
-PLAN CHECK VALIDATION CK. M.O. CASH o PERMIT VALIDATION cK. M.o. CASH
6. 225 A98
76A638A CE0803 12/72.
. 1�2 G C
76A636A+CE`'II603t 2-63:./APPLICATION O1 L. ®Y \ B,�.01�DI V,.. PERMIT. .... :.
COUNTY .OF LOS ''ANGELES BU,IL DING
DEPARTMENT OF :COUNTY-ENGINEER . . ADDRESS., f ®�f° (V
BUILDING AND' SAFETY'.DIVISION LOCAL T.v '.
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
'.WILLIAM A:JENSEN,'SUP•.T•.OF`BUILDING. _ CROSS.
ST,.
.- D1 STIR r�g 'GROUP,' TYPE',. PRO BY
.FOR APPLICANT''TO`FILL IN' + � 7a ' CONST. ,
-. BUILDINGY 1Z STATd STICAL CLAS`SIFICP:TION r „.SEWER MAP
ADDRESS "'��.:.. r J:a .�^BK P
CLASS. NO., DWELL. UNITTS_
'.LOT NO. -_3 ; BLOCK WATER NOT REQUIRED IliI.,J RECEIVED
l CERTIFICATE'
TRACT �l MAP,
.. tilGtiwnY'. r
i. '. .. .'
. OF BLOGS. '�•:(c(RCLEI
/ NO
SIZE OF LOT' �.�.. :• :" NOW'ON LOT-` - `, USE ZONE '-_SPECIAL -'STATE-MAJOR. 'SECOND� OCA
USE OF. ,. :-t - .-CONDITIONS ,;
"EXISTING BLDG.'
/jay - r •-i,d
/ �.. TE ,.,p^ f p `Y
OWN'Ey, f .N !` 4 BU-ILDING - _ - '. EXISTq� t1. ..
SETBACK"..YARD, HWY STREET NAME 'WIDTH.;'
ADDRESS :
FRONT
ARCHITECT OR - TEL - - - P: L O
ENGINEER .-, NO SIDE
•",
ADORES S,
_ ..
} '
CONT RAC R p%!IJ�... NO '/ U � UY '' �' '' • _
r / l my.
ADDRESS.• G I -/
DESCRIPTION OF WORK Gam• �P.. ,�.eL_ �l W,,.
e�
SEW ADD ALTER' REPAIR DEMOLISH`'�. - .- G -i '�/' f;_ Z
-SQ FT. ;,./') NO:•OF NO:AF _
l/ }� t
SIZE (/ STORIES ^, FAM(L,IES
USE OF •: I i^"•`�- -
STRUCTURE. -
-
SIGNATURE
APPLICAN
VALUATION $ ._��•.� •CIO ,
APPROVALS DATE,: INSPECTOR'S SI,�N�+PT ILRE i
B.0 ' PMT• FOUNDATION: LOCATION
F L ,
FEE $ r FEE $ �� FORMS;,MA:TERIALS
-t' - :.FRAME: FIRE STOPS 'a,�
.I HEREBY"ACKNOWLEDGE-THAT.1 HAVE READ THIS APPLICATION BRACING—BOLTS-' d r
AND STATE THAT THE,ABOVE'IS CORRECT AND. AGREE.TO COMPLY FURNACE: LOCATION.`
WITH ALL 'COUNTY.ORDINANCES'AND: STATE-LAWS .REGULATING
GASVENT. DUCTS
^ BUILDING_'CONSTRUCTION�.ml CERTIFY THAT IN-DOING,THE WORK -
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY-PERSON_ IN.VIOLA- .+� c-
.LATH. INT. . me ,(r""` A-_�c:�r '�`'c'""'t'c. _
TION OFTHE LABOR,CODE OF THE STATE OF CALIFO IA RELAT - d-.I
INC TO WORKMEN'S OMPENS 7 N [45 UIjA NCE.-- LATH, EXT. 'A 42,A�' ��S,�'•a
SIGNATURE 0 ,. iU �V - -.HOUSE'NUMBER COR
PERMITTEE• _ RECT'AND POSTED
' ADDRESS -
FINAL:
PRINC
JOHN F. LEW:IS. IPAL
ST -TUit i BAL ENGINEER'."
PLAN`CHECK.VALIDATION CK: M.O: CASH _ PERMIT'VALIDATION cK. M.G. cABH '
�'3 7 :9 SAF ;
_ i� 1':9 1 D 1•. 1.5 ON