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76A888A CE#8082 80• . ;APPLICATION I'OR BUILDING PERMIT.
COUNTY'OF LOS ANGELES ]BUILDING -
DEPARTMENT OF COUNTY ENGINEER ADDRESS
4 '
BUILDING AND-SAFETY DIVISION LeCALI
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN- Sup'T OF BUILDING. CROSS S - '
(STRICT NO. OUP PR CESSED BY
- - _ _ D TYPE
FOR APPLICANT TO FILL INI" I -ON;Ty. I ,
n BUILDING / Al. �STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS / BK G
- CLASS.NO. DWELL.UNITS ' _i
LOT-NO; , BLOCK MAP H ,
ATE YES O
c NUMBER
TRACT r7 USE ZONE- SPE IAL
NO.OF BLDGS. T/71 CONDITIONS _
SIZE OF LOT lko I NOW ON LOT. c
USE OF
EXISTING BLDG. I AJ BUILDING - EXIST.
YARD HWY STREET NAME
TEL. SETBACK WIDTH
P OWNER NO• a FRONT
-
a
11-4 Az 'SIDE
ARCHITECT OR - 'TEL. P.L.
ENGINEER No. INSPECTION RECORD
ADDRESS
5 TEL.
CONTRACTOR P./ NO. O
ADDRESS - Ij°'^=1r i�dt�^!� C.'.',' 0
DESCRIPTION OF WORE x
k14 41,
NEW ADD ALTERb REPAIR DEMOLISH
SQ.FT. .NO.OF NO.OF
SIZE -s STORIES FAMILIES +,,,.,,y"_' /�,✓ f _ /�'�J�ff
USE OF
STRUCTURE - i o i
4
¢ SIGNATURE_ FIss
APPLICAN
F4 I,U PAAM MA IPiIL 9'/,W
VALUATION
4+� I APPROVALS) DATE' INSPECTOR'S SIGNATU
PMT.
FOUNDATION: LOCATION
FEE $
y},�'� FORMS,MATERIALS �
P.C. FEE
$ ( ��J _
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING, BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND �-
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FURNACE: LOCATION.
GAS VENT,DUCTS
STATE LAWS-REGULATING BUILDING CONSTRUCTION.
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT.
WILL-NOT EMPLOY ANY PERSON IN VIOLATION OF THE - -
WORKMEN'S CO FENS IO 1NOF CALIFORNIA. LATH,EXT. I �G
SIGNATURE OF HOUSE NUMBER COR- cm� �O+
PERMITTEE. RECT AND POSTED
ADDRESS FINAL &-xi�;v
CLYDE N. DIRLAM, PRINCIPAL STOCK.
RAL ENGINEER
PLAN-.CHECK.VALIDATION CK. . M.O.. CASH. PERMIT VALIDATION 'M.O. ; CASH''
.. V
` I rtI1I�(,,(ma�yy, �IIII �-p. . _ - .�+i y
76AG38A CE#8035-61 �11PP�.L`> ATRON _FOR-�B U ILD9N.'ld��'..,11 EY\ 11 Y
"COUNTY OF CLOS ANGELES ADDREIN
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRIC NO: 'GROUPSED BY-r
FOR'APPLICANT TO FILL IN. ' cods � 'lz
BUILDINGSTATISTICAL CLASSIFICATION S ER MAP
ADDRESS dip&&-'G- .IJ: `-� .J`•� '.., .Qj� • BK.
CLASS NO, "DWELL.UNITS
' LOT NO:.i-4� SC9 - (' BLOCK WATER- ,NOT REQUIRED .RECELVED
TRACT CERTIFICATE:
`% (�. .�
'MAP HIGHWAY STATE MAJOR SECOND, LOC L
INO.OFBLDGS. NO: . (CIRCLE)
SIZE'OF"LOT. NOW ON LOT_. USE ZONE. SPECIAL.
EXIST) CONDITIONS
EXISTING BLDG.'
OWNER 4-0 C-E=G.�`f�.j�t��- TUT Y- BUILDING � - EXIST. "
SETBACK ._YARD HWY STREET NAME '_-WIDTH
ADDRESS�j�s i` >:C•V ��
° "F..RONT --
''ARCHITECTOR' ... '.NEL O TCx'6• P. L. *. 0.
ENGINEER G��.�= �� � SIDE -
ADDRESS �`___�tC..J'E1 LSA
P. L.
rEL. INSPECTION RECORD.. m
CONTRACTOR��c=i f-'It^,)/`Z7�.30 Go.fm�. 1 5y/. elo A/
ADDRESS .°.� G-0'��.TG�a�!> I U
Lu
DESCRIPTION.OF WORK °-
-e NE - ADD ALTER REPAIR DEMOLISH -
. FT.. - sry. NO.OF - - NO.OF,. .•
SIZE0ti STORIES' FAMILIES -
.USE OF -
STRUCTURE u Z 1;zii,;�tI - -
SIGNATURE OF
'APPLICANT '
.VALUATION$
APPROVALS- 'DATE 'INSPECTOR'S.SIGNATURE
P.C'I PMT. FOUNDATION`. LOCATIONr/./ � H!4
FEE $ FEE $ -� FORMS, MATERIALS S 2
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 COUNTY'ORDINANCES AND STATE LAWS'REGULATING. GAS VENT,DUCTS
BUILDING 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•. '
ING TO WORKMEN'S COMPENSATION INSURANCE,�� - -
G LATH,EXT.
SIGNATURE OF _ " 'HOUSE NUMBER COR-
'PERMITTEE �•t3• _ - RECT AND POSTED
, -
ADDRESS FINAL �f"ID•J-/ ih �. .
CLYDE N. DIRLAM, PRINCIPAL ST Ci AL ENGINEER
PLAN CHECK VALIDATION• cK M.o.. CASH PERMIT VALIDATION `'cli r�.o: CASH
7 N :�� .A 3 .'7 5
L• zt�
M � p', �I /�Q,LLL��� yam.< p �q Imo'�] ❑�I�p
7GA638A CE#863.,-61.A PUC-AT90N FOR BWLDING 11' EY�W 11
'COUNTY OF LOS ANGELES ADDRESS BUILDING iJv
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION • LOCALITY :✓ ,moi
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUP'?OF BUILDING CROSS ST.. `
DISTRICT NO; RO YPE P E B
FOR APPLICANT TO FILL IN " 5— � conisr. GL �
BUILDING STATISTICAL CLAS (CATION - S WER MAP
ADDRESS %f-- � a /L/ `y'Ase y Kv_ G ..
• - CLASS.'NO. DWELL.UNITS
LOT NO. ; / �G -� BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:-
- TRACT C7 Y' MAP- HIGHWAY TATE MAJOR SECOND LOCAL
-� NO.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT, . I NOW ON LOT _ USE ZONE SPECIAL
USE OF _ - CONDITIONS
'EXISTING BLDG. D
� .
OWNER C�JL., „/•�IB ILDING YARD HWY STREET NAME
EXIST.
SETBACK WIDTH
ADDRESS SvQ M 9!f— FRONT
ARCHITECT OR - 'TEL. P. L. O �. - }�/`/ _57Z) • >_
ENGINEER NO. SIDE. �° 9"
P. L. .. -
ADDRESS INSPECTION. RECORD.
CONTRACTO oS�e: �N `�'OAF _ - 0
ADDRESS " /YL�.'Yi��• �/ V
DESCRIPTIOLu
N OF WO -// � •l nli �r��Bmr �'. .� �r N
NEW ADD ALTER. REPAIR DEMOLISH ! y ,� / �
SQ. FT. NO.OF NO.OF' .F `lk .✓ //F•/J -(j
i/� tOr�f y1 l
x IZE + STORIES ..
A FAMILIES v
UISE OF
STRUCTURE ep�/• '-��7 •C/�/r� .
SIGNATURE OF f
APPLICANT
VALUATION$ �
- _ •APPROVALS DATE INSPECTOR'S SIGNATURE .
P.C. PMT. FOUNDATION: LOCATION
FEE $ FEE $ JV V 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS i57 a-
BUILDING 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.
ING TO WORKME�CONSATIO�]INSURA5,C
��
LATH,EXT.
SIGNATURE OHOUSE NUMBER COR-
PERM ITTEERECT AND POSTED
11011
ADDRESS- FINAL
CLYDE N. DIRLAM, PRINCIPAL ST*GCTJJRAL ENGINEER
PLAN.CHECK VALIDATION cK M.O. CASH PERMIT VALIDATION[ cK ' M.O. CASH