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76AO38A CE48031-62 APPLICATION FOR BUILDING ■ EIS■ IT
COUNTY OF LOS ANGELES BUILDING O k y
DEPARTMENT OF COUNTY ENGINEER ADDRESS C�r
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST
DIST RIC NO GRO P TYPE CE D
FOR APPLICANT TO FILL IN coNsr
BUILDING - STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS D Live Oak Ave CLASS NO _DWELL UNITS
LOT NO 32 WATERrul
T ERTIFICATE NOT REQUIRED RECEIVED EL
TRACT E' ♦v e Ba idwin t s ¢G� AP Q (iC RCLE)
NO OF BLDGS STATE MAJOR SECON LOCAL
SIZE OF LOT 75'x3304 NOW ON LOTWSE ZONE PECIAL 3
USE OF %� CONDITION
EXISTING BLDG Residence's.
TEL
OWNER A p Pat.}-Vers On NO BUILDING YARD' HWY STREET NAME EXIST
SETBACK WIDTH
ADDRESS FRONT f �I
ARCHITECT OR TEL P L -
ENGINEER NO SIDE
P L d
ADDRESS p �} O
r CONTRACTOR SchulzBros♦ NOS-=t p0-0 ' f , J U
ADDRESS 92031DeAdaleria St . Rand. .; '`�'- ''°"" � ' `.: .�. ' r b, of
DESCRIPTION OF WORK ' uV,
NEW X ADD ALTER REPAIR DEMOLISH # / G„ .* ,'�r/�!J/� Z
SQ-FT NO OF NO OF
SIZE - 700 STORIES I FAMILIES
USE OF m• 9.��Cv�^" IR ,,� _,AY
STRUCTURE Residence with and
attached Ga_ra e, Z - ' .0 .�—
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS _ PATE INSPECTOR'S SIGIrjATURE
FO FORMS, MATERIALS
P C PMT /(*
FEE $ /� FEE ,
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION I y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK [f /
AUTHORIZED H[,REBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT if
TION OF THE LABOq CODE OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN S OMPENSAT N IN NCE I�) I��/ rf�C y ✓ ��
LATH, EXTSIGNATURE
OUSE NUMBER COR-
PERMITTEE OF HRECT AND POSTEDA#
ADDRESS FINAL
t JOHN F LEWIS, PRINCIPAL ST C RAL ENGINEER
PLAN CHECK VALIDATION cK MO CASH _ PERMIT VALIDATION CK M O CASH
5 .7;0_2,x" OCT 182 3 D " 1 8.0 OA v
L,%0 6 2 9 8 OCT 31 1 D 3 6.0 0
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76A638A CEB03 1-82 \/per PPLICATIOIV FOR, ,R
BUIL
. DING PEM11'
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF•COUNTY ENGINEER ADDRESS
y BUILDING AND SAFETY'DIVISION LOCALITY e /
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN,•Sur T OF BUILDING CROSS ST !
_ - - - • - DISTRICT NO GR UP TYPE P CES D B
FOR APPLICANT TO FILL IN �- �' -:Z__ CONST
BUILDING ��' •STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS' Lt(� CLASS NO�-DWELL UNITS PGA
'
LOT NO BLOCK` WATER NOT REQUIRED RECEIVED
CERTIFICATE '
TRACT- .) L MAP HIGHWAY
NO OF SLOGS NO Z , (CIRCLE) STATE MAJOR SECON LOCA
SIZE OF LOT" NOW ON LOT USE ZONE 9PECIAL '
USE OF g CONDITIONS
EXISTING BLDG c— II -INI
OWNER i BUILDING EXIST
/q SETBACK -YARD HWY STREET NAME WIDTH -
ADDRESS 1o(/' 4 G(J FRONT
ARCH ITECT,OR TEL P I-•
—ENGINE ER NO , SIDE
P L d.
ADDRESS _ O
CONTRACTO (/ -,L&Q 5 AFRV
ADDRESS &---AAAI O
DESCRIPTION OF WORK uV,
,NEW ADD ALTER REPAIR- DEMOLISH Z
SO FT NO OF NO OF
SIZE STORIES FAMILIES -USE OF
•ISTRUCTUREj2 ,
'SIGNATURE•OF n '
APPLICANT c
VALUATION $' •-TJ _
APPROVALS DATE INSPECTOR'S SIGNATURE
_ FOUNDATION 'LOCATION
FC FEE $ FORMS,-MATERIALS '
a
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT, Ii 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 T OF TH ST OF CALIFORNIA RELAT-
ING TO WO KMEN!CODr
PENSATI0 INS R NCE
_. -
LATH_EXT
SIGNATURE O HOUSE NUMBER COR-
_ PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F LEWIS P INCIPAL STC URAL ENGINEER
PLAN'CHECK ATION CK M O CASH _ PERMIT VALIDATION CK M O CASH
j 6 2.9 9:"o OCT 31 1 ,® 4.00-