HomeMy Public PortalAbout9252 KEY WEST ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION-FOR PERMIT
COUNTY OF LOS ANGELES � '
WM. J. FOX. CHIEF ENGINEER
FOR,APPLICANT TO FILL IN FOR OFFICE USE ONLY
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�1 DISTRICT NO PLAN CK.NO. / PERMIT NO.
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AIDB9 92.72 Key- Street- -- GCS ile- 7 7'`r
LOCALITY Temple Cit, - California RECEIVED BY DATE OFAPPL. DATEIBBUED
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48a R. Rio Rondo Avenue - — 1 J �_ I
— T BUILDING Y �d �P g
OWNER yt/MER"-HOMES INC. ADDRESS
AMAIL
DDREBH 26 East Santa Clara Sty.' LOCALITY
NEAREST
TEL DO 2_356 CROSS 9T.
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CITY Arcaa NO iJ
FIRE NO.OF- q TYP GROUP
ARCHITECT OR TEL. ZONE PLANS lv
ENGINEER NO.
BLDG. 0 � ORD.4
ADDRESS - SETBACK LINE
APPROVED
TEL. BY DATE r
CONTRACTOR sama NO.
USE APPROVED
ADDRE§p ZONE BY DATE
LEGAL 4 CORRECTIONS
DESCRIPTIONL)� LOT NO. 86 BLOCK
TRACT lyy'75 I
C S
SIZE OF LOT �j X113 NOW ON LOTNo ,
UBE OF NO.OFNO.OF
B
EXISTING LDQ No I FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION O
REPAIR MOVING DEMOLISH p
Bq.FT NO.OF Z
ROOMS STORIES 1 >
WALL ROOF f
COVERING Plaster COVERING
BU LDFNO Dwelling
r = I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
t FRAME: FIRE STOPS,
SIGNATURE OFn*� BRACING,BOLTS _l.J.,�GM4�?C✓ 7+y s
PERMITTE T HOME
LATH, INT.
AUTHORIZED AMT LATH, EXT. ,/^r te /~ er✓
0 00 v
76A638A-3 2-50 � � P.C. PLASTER,INT.
L FEE 00 PLASTER,EXT.
VALUATION FEE 30-00 FINALZA
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4 AP P L I CATION FOR COUNTY OF LOS ANGELES
ENT OF COUNTY RTM
BUILDING PERMIT °BU LD NG AND SAFETY PIVISION ENGINEER "
FOR APPLICANT TO FILL IN ADDRRISS Z 'L
BUILDING "
ADDRESS S LOCALITY
NEAREST
CITY G ZIP f CROSS ST
r NO OF BLDGS / ASSESSOR
SIZE OF LOT
,1 J �'� NOW ON LOT / MAP BOOK PAGE PARCEL
TRACT 1>T7J BLOCK LOT No
DIS GROUP GROUP TYPECONT �NF ]�P�ROESSEp B
TEL.0 S�?3� v� a _
OWNER NO V
STATISTICAL CLASSIFFI�IICAnnTION SEWER
ADDRESS `Z CLASS NOS✓ DWELL UNITS BK PG
CITY ZIP USE ZONE MAP
ARCHITECT OR TEL NO
ENGINEEP NO / SPECIAL
CONDITIONS
ADDRESS /�/� p ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONTRACTOR _ a)e&Z- NO 26-1960 60 BLDG SETBACK FROM
n J FRONT PROP LINE OF (STREET)
ADDRESS 98IS u N0��6 p HIGHWAY +. YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC FRONT PROP LINE HIGHWAY WIDTH
CITY CLASS 2
CONSTRUCTION LENDER + O
NAME AND BRANCH BLDG SETBACK FROM U
ADDRESS CITY SIDE PROP LINE OF (STREET)
SQ FT NO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM I TYPE OF EXISTING
SIZE STORIES FAMILIES ONE SIDE PROP LINE IHIGHWAy WIDTH N
+ _ Z
DESCRIPTION OF WORK NEW �❑I
ADD CORNER CUTOFF YES ❑ NO ❑
ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
REPAIR ❑
E USE
OF BLDG DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
APPLICANT TEL
(PRINT) NO
BY(SIGNATURE) CMZ/L.
I HEREBY ACKN LEDGE THA I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE I CORRECT'AND AGREE TO COMPLY WITH ALL ORDINANCES '
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE Of CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSURANCE
SIGNATURE OF- FINAL, f11� 7
ry BY
PERMITTEE DATE (JJ(ADDRESS //
TEL S PC Fee$ (/ Permit Fee
CITY NO
r Issuance Fee
VALUATION$ /O 06.
Total Fee
PLAN CHECK VALIDATIONS _ "S-'C K-) M o's cASH - PERMIT VALIDATION CK M a--
4
-4 7 6 JUL 6 -2,g,OCT ; /1� ,.4 (D
®S 76A638A CE/803A 8/77 ,