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HomeMy Public PortalAbout5333 LOMA AVE_Building__ i 76A 638A CE #803 1/7Al PUC!" TION FOR; BUILDING PERMIT COUNTY OF LOS ANGELESASSESSOR DEPARTMENT OF COUNTY ENGINEER IMAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING �� � ADDRESS �-y-� COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY c/ FOR APPLICANT TO FILL IN NEAREST Print or type only) CROSS ST. DISTRICT NO. GROUP TYP SED BY BUILDING �y '157 - _T CONST, ,e�.,,n ADDRESS ../ S LOT NO BLOC ISTATISTICAL CLASSIFICATION SEWER MAP • CLASS NO.� w~DWELL,UNITS' BK�PGL TRACT USE ZONE MAP 1 NO.OF SLOGS. NO. SIZE OF LOT x I NOW ON LOT �. ' SPECIAL - - CONDITIONS USE OF EXISTING BLDG. , TEL OWNERFO A-6 NO BLDG'SETBACK FROM y FRONTP .LINE OF (STREET) ADDRESS ' TYPE OF EXISTIN TBACK HIGHWAY + YARD = TOTAL CITY �'r�! �� HIGHWAY WIDTH FR .L. ' ARCHITECT OR TEL. + _ ENGINEER - NO. BLDG.SETBACK FROM _ ADDRESS SIDE PROP.LINE OF (STREET) -TEL. TYPE OF EXISTING SETBACK HIGHWAY + YA = TOTAL CONTRACTOR, NO. 'HIGHWAY WIDTH FROM C.L. U _ ADDRESS LIC. +NO. - C:) LIC. �+ ~ CITY CLASS CORNER CUTOFF YES LJ NO W CONSTRUCTION LENDER NAME AND BRANCH D SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT.- NO. OF NO. OF ' NEW ❑ 1 SIZE IES FAMILIES USE OF - ADD ❑ - STRUCTURE �. ALTER ❑ REPAIR SIGNATURE OF APPLICANT DEMOL _ VALUATION S - ' APPROVALS DATE INSPECTOR�S-SIGNATURE P.0 PMT. ' FOUNDATION: LOCATION FEE S FEES 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 ORDINANCES AND L S REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERT THA DOING THE WORK AUTHORIZED 77 HEREBY I WILL NO MPLO Y PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF H ST F_ LIFOR IA IN RELATING TO - WORKMEN'S COMP N ATION � R E. LATH, EXT, r ' SIGNATURE OF / - HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS ' ° FINAL JOHN F. LEWIS, PRINCIPAL ST UC Rld ENGINEER PLAN CHECK VALIDATION CK M C) CASH _ PERMIT VALIDATION CK CASH S-3 DEC2 3 1 0 6.0 0�11 76A638A CE 108,03 12/69 A®P UCATION FO� BUILDING PERMIT�r"f� COUNTY OF LOS ANGELES ASSESSOR r DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDINGj A JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS LSV /{4 COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or type only) CROSS ST. y AE `� "' / g� DISTRICT NO. GROUP TYPE -CEE/SSEO BY ADD EBUILDISS d .✓ 1�./� f�V �t1 �� CONS STATISTICAL CLASSIFICATION SEWER MAP LOT NO BLOCK CLASS NO.e--Il DWELL.UNITS± / BK/W PG6 TRACT �i� �S ZONE MAP �'j©/� NO.OF BLDGS. % NO. G SIZE OF LOT GC> NOW ON LOT 1 SPECIAL USE OF _ -� 7�ao CONDITIONS EXISTING BLDG. :T•EL �„l OWNER ` N07 'O�7� BLDG.SETBACK FROM �'(t FRONT PROP.LINE OF rn� (STREET) ADDRESS"Z`�,c--- L' TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CIT HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. /S' + ?-.o ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDEPROP. LINEOF (STREET) TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. LIC. + _ ADDRESS NO. O LIC. U CITY CLASS CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDE � NAME AND BRANCH _ i ,= SEE REVERSE SIDE FOR SPECIAL APPROVALS W ADDRESS /� ^� z SQ. FT � NO. OF ( NO. OF NEW /Z SIZE 44-� STORIES t FAMILIES USE O yt ADD ❑ " STRUCTURE WIC ^ • ALTER ❑ . -RE PAIR❑ SIGNATURE OF APPLICANT DEMOL ❑ - • 23, OO APPROVALS ,t DATE -INSPECTOR'S SIGNATURE FEE $ 77,85-1 ' 00..251 v FEE $ 1 _q, O rOUNDAT FORMS!MATERIAON: A SIGN /' FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE* LOCATION, +� WITH ALL ORDINANCES A D L S REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY AT GOING THE WORK AUTHORIZED HEREBY I WILL NOJES OY A Y PER ON IN V ELATION OF THE LATH, INT. - LABOR CODE OF T •T OF •C FORN IN RELATING TO{WORKMEN'S COMPE NUR E LATH, EXT, Z SIGNATURE OF OUSENUMBER COR- PERMITTEE RECT AND POSTED % ADDRESS &II N AL f -/,Z- S `Z JOHN F. LEWIS. PRI CIPAL STR T L ENGINEER PLAN CHECK VALIDATION VZC CASH _ PERMIT VALIDATION CK 0 CASH -� 2 3 •D 7.7.8 5 A Nr L�1�o 6 1 3 1 _ :I 775DEC 2.323- RZ � �-� c 1 D 163.50N R u1,0 Z3 __76_4638"A CE #803 4/72 ® ® ®�{� ' Al®PLICATION FOR-BUiL®ING Y E1 MIT COUNTY OF LOS ANGELES ASSESSOR - DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS 3 HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST (Print or tyDe only) CROSS ST. DISTRICT NO LGROUP TYPE PROCESSED BY BUILDING CONST. ADDRESS 3a ��i D (j STATISTICAL CLASSIFICATION SEWER'MAP LOT NO 7 BLOCK CLASS NO.�_DWELL•UNITS BK PG TRACT ` _ ;USE ZONEFMAP ' NO.OF SLOGS. . 0 SIZE OF LOT Q NOW ON.LOT' `/ ECIAL USE OF NDITIONS EXISTING BLDG. TEL. OWNER ¢ , NO. - BLDG.SETBACK FROM ADDRESS FRONT PROP.LINE OF - (STREET) ��� �/� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY - - HIGHWAY WIDTH -FROM G.L. ARCHITECT OR TEL. + _ ENGINEER NO. D.- BLDG.SETBACKFRO_M _ 0- ADDRESS SIDE PROP. LINE OF (STREET) C:) V TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTALR. CONTRACTOR lf,11,9W�� NO. HIGHWAY WIDTH FROM CSL. O LIC. ts ADDRESS��pZ,sC=6 Iy NO" ^� �!J + = a CITY IE�Cr/v/l� CLAS9�7S,7Q/ CORNER CUTOFF YES ❑ - NO Z CONSTRUCTION LENDER NAME AND BRANCH SEE EVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW SIZE STORIES FAMILIES' USE OF ADD ❑ STRUCTURE - ALTER ❑ - REPAIR❑ _ SIGNATURE OF APPLICANT DEMOL ❑ VALUATION $ Odam. APPROVALS - DATE IHS CTOR'S Ic TURE- r�� FOUNDATION: LOCATION m FEE $ FEE $//[ �.� FORMS, MATERIALS FRAME: FISTOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:-LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS ' STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED , HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. - LABOR CODE OF THE STATE OF -CALIFORNIA IN RELA G TO WORKMEN'S COMPEN ,10 INSURANCE. LATH, EXT. - SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND-POSTED ADDRESSFI N ALS -L PLAN CHECK VALIDATION CK M 0 CASH _ PERMIT VALIDA CK. M 0 CASH ° ? 46 OGT 2 1 D 2.00 NIF APPLICATION 'IFOR, EU.I'LD-I NCS 'PER I T FOR.;APPLICANT'TO FILL IN':(0,,t or t'Yae only) BUILDING �L.. COUNTY.`OF:LOS_:ANGELES. ADDRESS J' Qv�.' DEPARTMENT OF,:'.COUNT,Y 'ENGINEER. CI TY- z i P , -BUILDING: A`ND;SAFETY -IVISION }, .OF•BLDG_S'. F _ ,BUILDING ' SIZE OF L'OT• NOW ON LOT'' �/ -ADDRESS, ,TRACT •� BLOCK LOT,NO - LOCALIT TE NEAREST - - -0W NER- N CROSS.ST.:. •• - 'ASSESSOR ADORES _ ,MAP BOOK _ PAGE - P RCEL + - DISTRICT GR6UP T ,E FrIRE RZ� SED YCITY ' 'ZdP - /� ARCHITECT TEL. Com , ENGINEER NO_ —77—, STATISTICAL CLASSIFICATION SEWER M ' ADDRESS 5 _ - CLASS NO.�DWELL,UNITS• BK PG' " CONTRACTOR � igisET U ONE MAP O NO. • LIC. ADDRESS l: _ O, L SPECIAL 0, ,LIC. } CONDITIONS ,. 'CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED,- YES _ NO ❑" CONSTRUCTION LENDER,- NAME'AND BRANCH - BLDG.'SE-TBACK FROM': K 'FRONT;PROP:LINE OF (STREET) ADDRESS CITY`'la": �- - _ TOTAL SETBACK,FROM TYPE OF EXISTING ' NIGHWAV ,.t 'YARD SQ;=F• ,NO, jOP°` • NOi'OF•' CHECK a - FRONT pROP.��LINE HIGHWAY •WIDTH,.- , SIZE �'4, 1STORIES- FAMILIES DONE - - DES C_RI PTION OF WORK NEW ' ❑ t" - - �V - - DD� BLDG.SETBACK FROM. '' •- .SIDE PROP.LINE OF '(STREET) - O ALTER-El HIGHWAY t - YARD TOTAL SETBAC'K.FROM .TYPE OF EXISTING U " EPAIR❑A64— - SIDE •PROP. LINE 'HIGHWAY `WIDT,H W, CL. USE,OF EXISTING BLD_G DEMOI -❑ - z- --APPLICA'NT " , - - -TEL- -CORNER CUTOFF YES 0. - NO ^❑ `-' „(P-RI N T), - - N0. Y - BY ISI GNA TU R E)_.: ,• '�• :,; IN OPEN SPA'C E� YES. NO• p IN COASTAL PERMIT ZONE .'•YES ''NO .❑ _ VALUATION- --- ,1 HEREBY-ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, 'AND S•TATETHAT .THE ABOVE-IS,CORRECT-AND AGREE' TO COMPLY - - - - - -•'�� �., -W-ITH ALL ORDINANCES -AND,LAWS'REGULATING •BUIL'DI'NG-CON - STRUCTION. I`CERTIFY"THAT'IN,DOING 'THE WORK AUTHORIZED } , HEREBY-'I,WI,LL.NOT -EMPLOY, ANY PERSON.,IN VIOLATION' OF•THE LABOR CODE. OF THE-:STATE'.OF CALIFORNIA IN, LATING TO - ;," ,,�• �,}' -WORKMEN'S ENSATI INS URAN _ ADDRESS; .. - .i' _ .� z,',d-•: rpt i,}^�1 FINAL BY 1 yW TEL. _ •"�: 'F-'' +,. r - ., '•CITY - ANO. DATE i., ;��� , V+ P.C.. Q 'PMT?, 11KE CHECKS PXYNBLE'70:' FEE'+ *e _ FEE $ HARVEY-T:,,BRANDT„COUNTY-ENGINEER -PLAY-CHECKIVALID N- <,:. CK o-.• ICnBH.' PE T VALIDATION(-'c K• .M'o;.i' • . . .�.- . -. ' � d.2�9 n AUG' r 1"`:�' .aG-a::1,=5.��, 76A638A CE#803 5/74