HomeMy Public PortalAbout10520 LIVE OAK AVE_Building__ DEPAR'fM N't' OF BUILDING AND SAFETY _,APP ,KATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER S
ulu LIDO N G
FOR APPLICANT TO FILL: IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
FAD
DING V,� 1, rO �
RESS r-A V � 4./ < J- _ �''
ALITY L _ qq RECEIVED BY DATE OF APPL. DATE ISSUED
SSST �7
NEAREST
BUILDINGA/ER CADDRESS ��/ c� !/ /`.�LOCALITYREB9 ' �^ L;/ �r
TkEAREST
EL !�•h� CROSS ST.
C ITY PI?e C/�/ NO. -1 1 1
FIRE (NO.OF TYPE / GROUP
ARCHITECT OR TEL. ZONE PLANS- /,
ENGINEER NO.
BLDG. - ORD.NO.�
ADDRESS BETBACK LINE
APPROVED
TEL. BY DATE
CONTRACTOR fes(//}/45 &-NO.
USEAPPROVED
ADDRESS
ZONEA BY; DATE
LEGAL
DESCRIPTION I LOT NO.
` ��,/� BLOCK 5CORRECTIONS
TRACT /fes/ Ire J r/�i+' ?S7,6;p 557
5!]-,Tdr
/' n1 l I NO.OF SLOGS.
SIZE OF LOT.S �'77 y W J N NOW ON LOT `
USE OF / �y / NO.OF ` NO.OF I
EXISTING BLDG, 7-�J FAMi LIES ROOMS '
DESCRIPTION OF WORK
NEW ALTE RAT ION'r,fy I ADDITION /\ _ - O
REPAIR MOVING n DEMOLISH p "
Sq.FT. // NO.OF - Z
SIZE (, � ROOMS STORIES D
WALLn a,r �O r
COVERIN o7- (///� I'YT.. I COVERING
USE DI NEW (ell 4/ a �l A j
BUILDING e(el !�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION I PECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS L
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. l c r`�
FRAME: FIRE STOPS, �r r�G
SIGNATURE OF BRACING,BOLTS fes, /{! g / 7
PERMITTEE - LATH, INT. -
A U T H ORI A LATH, EXT.
'76A638A a-ae PLASTER,INT.
DBS-3 SOM BETS f P.C.$
/ FEE PLASTER,EXT.
VALUATIONFEE �_ FINAL
79AG38AC 1- 1 APPLiCA 9 ION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
ADDRES
D PARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUPT OF BUILDING CROSS ST
1 T� G TYPE P BY
FOR APPLICAIV'f TO FILL IN CONST.
BUILDN G �/ `I r STATISTICAL CLAS IFICATION S ER MAP
a ADDR S ® I lr F T{�' P
CLASS NO DWELL UNITS—'-/
LOT NO. - — _ WATER
CERTIFICATE NOT REQUIRED .RECEIVED
TRACT' '-� - MAP HIGHWAY
J NO OF BLDGS. NO (CIRCLE) STATE MAJOR SECOND, LOCAL
SIZE OF LOT,? D X S NOW ON LOT USE ZONE PECIAL
USE OF % CONDITIONS ay
EXISTING BLDG. C �/' I—� t
+` OWNER 5• IJ�jI/�� NO/'/' �J J/ BUILDING (EXIST
I ,/ SETBACK YARD HWY, STREET NAME WIDTH
ADDRESS/o5' �1I 014 FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P L
CL
ADDRESS �� TEL. INSPECTION RECORD O
CONTRACTOR NO //� �,9 di
P T
ADDRESS /SUdl__kQti ��,1�+ O/� ,/ V � Y3�✓ "'�' ��
DESCRIPTION OF'WORK /�
'r W
ADD ALTER REPAIR DEMOLISH Z
- sU FT. NO OF NO OF
IZE 'p0 ST ES FAMILIES r ,/
USE OF
STRUCTURE 6,4U, - -
SIGNATURE "
APPLICA ,yyI%�! / ,�f a/ �•
VALUATION$ ``
P APPROVALS 1DATE INSPECT R'S SIGNA,TUR$
PC '1 PMT �u FOUNDATIONMATLOCATION
FEE ,L� FEE $ / ✓ FORMS, ERIALS
FRAME FIRE STOPS,
1 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- y
ING TO WORKMEN'S COMPENSATION INSURANCE /y��-'- _,_'/ ( n V
SIGNATURE OF ( "�"'�" HOUSE
NUMBER
D
COR
PERMITTE11 �,i'A;I•� a;t,f�//
ADDRESS !� FINAL
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION cK M.O. C"H PERbw VALIDATION (VI
K M.O. CASH,
__LAGo•0f.4 9 9JUPJZ0 2 3 0 35.5-04
LACo 1 09 4; JUL 3 1 D 7 1.0 0'" a
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