HomeMy Public PortalAbout9418 KENNERLY ST_Building__ T
Q h•:�rA tx
Ll Lux,.1,L l '.:.-u `f:9;1 �[` ti•
76A858A CE#8081- 1 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY 49)&f
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /AI`
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. �`-
DISTRICaN� GR UP -HYPE �I P SED BY
FOR APPLICANT TO FILL IN CONST
BUILDING ' STATISTICAL CLASSIFICATION �• I SE R MAP
-T
ADDRESS - erg N er2L Lt .c-; BK
' CLASS. NO. DWELL. UNITS
LOT NO. , BLOCK WATER NOT REQUIRED RECEIVED
TRACT -CERTIFICATE:
9 CERTIFICATE:
MAP HIGHWAY STATE MAJOR SECOND, OeALIP L
s/ NO. OF BLDGS. NO. (CIRCLE)
SIZE OF LOT X NOW ON LOT I USF ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL
OWNER y�j � �;� NO. �,-_y)c_(; BUILDING EXIST.
SETBACK �YARD HWY STREET NAME WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. �� P. L.
ENGINEER NO. :,IDE
ADDRESS N.Ss?�J C-t T-_ �_ P.L. IL
TEL. INSPECTION RECORD p
CONTRACTOR I \ NO.�"' - u
ADDRESS 0 I�
O
DESCRIPTION OF WOft u
W
a
NEW ADD ' ALTER REPAIR DEMOLISH v1
Z
SQ. FT. NO.OF NO.OF
SIZE ', L STORIES 1 FAMILIES I
USE OF ^,>
STRUCTURE (\e J f�e N�- �� r _
SIGNATURE OF �� V
APPLICANT
VALUATION 5 I
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. UUNDATION: LOCATION
FEE $ I FEE s� FORMS. MATERIALS
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOL'S
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 ICI
WILL NOT EMPLOY ANY PERSON N VIOLA. LATH, INT.
TION OF THE LABOR ODE OF THE STATE OF CALIFORNA RELAT
ING TO W EN'S COMPENSA INSURANCE. LATH, EXT.
SIGNATURE f - HOUSE NUMBER COR-
P GN ITTEE RECT AND POSTED
ADDRESSIck
FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCT (RAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
12.0
�' , 772 FE1326 1 D 24:"' u'
DIVISION OF BUILDING AND SAFETY
Department of County Engineer U l l ® ING
County of Los Angeles ' APPLICATION - "
WM. J. FOX, COUNTY ENGINEER I: �
FOR APPLICANT TO FILL IN FOR OFFICE USE-ONLY
DISTRICT NQ, PLAN CK. aR,REc.No. PERMIT,NO. t
BUILDING0t�
ADDRESS
i J2ECEIVED BY DATE OF APPL. DATE ISSUED
LOCALITY AlOW 06 F
NEAREST
CROSS ST. c Al Q 12.4BUILD��NO '
ADDRESS �IZ
OWNER
MAIL' -LOCALITY
ADDRESS NEAREST
TELCROSS ST./
CITY NO. J U �� FIRE ' NO.OF _I- TYPE_O--.-"-V'- I GROUP
ZONE PLANE
ARCHITECT OR TEL
ENGINEER NO. BLDG. .-ORD. NO.
SETBACK LINEe' �/�r/
ADDRESS USE APPROVED . � ' A
TEL ZONE �eBY P .r DATE
CONTRACTOR ��llj� r,.ftNO. a HOUSE NUMBERING
'ADDRESS MAP N1UMBER /-90./5 - NO. A8910NED BY
' LEGAL
DESCRIPTION I LOT NO. BLOCK CORRECTIONSy�
TRACT
NO. OF SLOGS. y -y
SIZE OF LOT I -NOW ON LOT - -- -USE OF rilI NO.OF -
EXISTING BLDG. - FAMILIES
DESCRIPTION OF WORK
a
NEW ALTERATION ADDITION _
D
REPAIR, DEMOLITION r
Sq.FT. NO.OF
SIZE ROOMS STORI S
EXT.WALL ROOF
COVERING I COVERING '
USE OF ST ftTURE ell
`^
INSPECTION FOR - APPROVALS
OCCUPANCY AS INSPECTOR'S SIGNATURE DATE
FORMS, MATERIALS{ /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION. GIVEN IS FRAME: FIRE STOPB,
CORRECT.AGREE TO COMPLY WITH ALL COUNTY ORDINANCES BRACING, BOLTS
AND STATE LAWS REGU TING BUILDING CONSTRUCTION. FURNACE: LOCATION,
•I OAS VENT, DUCTS
SIGNATURE OF
PERMITTEELATH. INT.
LATH. EXT. ' .
ADDRESS —
-
AUTHORIZED AOT. PLASTER, INT. j-
$ PLASTER, EXT.
/ FEES S �® HOUSE NUMBER COR- /
1. ��� RECTANDPOSTED / ♦i
VALUATIO!!!NN
FEE FINAL
76AS38A DBS 3 1-52 '