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HomeMy Public PortalAbout6164 LOMA AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT , COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER •I L FOR APPLICANT TO.FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT.NO. PLAN CK:,NO. PERMIT NO. ADDRESS. U . O'T ,3 415 LOCALITY ': /�,/ / - 1 RE{'C{n�EI/JV�IE/D BY DATE OF APPL. DATE ISSUED NEAREST _ '•I ti a` G Iy�" ` .. . -� �I [.-5�" CROSS ST - BUILDING /� /p//�• //� •/ ADDRESS �..I "T /Y i V`,•�' - OWNER MAIL ,L - LOCALITY ADDRESS' r- ./ '7 / 'U M 4.� .NEAREST - - - TEL- � CROSS ST. CITY. - NO FIRE - NO. OF TYPE GROUP ARCHITECT OR - TEL. - ZONE I PLANS - ENGINEER - NO. - BLDG. - ORD. NO. SETBACK LINE - ADDRESS - - APPROVED C / , BY DATEo ©l. .tO. � fON ACR USE APPROVED Q0, ZONE BY DATE •,.ADDRESS .V. -810 ��Ii�W1N✓ '.'O`V��. � � HOUSE 'NUMBERING LEGAL DESCRIPTION I LOT NO. L.BLOCK- ' MAP NUMBER FIELD CHECK BY TRACT - NO. ASSIGNED.BY DATE NO. OF SLOGS. - - CORRECTIONS SIZE OF LOT - NOW ON LOT USE OF - I NO. OF .. _ EXISTING BLDG:- FAMILIES DESCRIPTION OF WORE NEW :I I ALTERATION ,I -I ADDITION - 0 REPAIR' -.I I DEMOLITION I I. SQ..FT. - - .NO. OF, - O ' SIZE. ROOMS`, - - STORIES 'Z y EXT. WALL - ROOF - r' COVERING COVERING - USE OF STRUCTURE - - - - - , APPROVALS - INSPECTOR'S SIGNATURE - DATE ' l HEREBY ACKNOWLEDGE'THAT 1 HAVE READ.THIS.AP- FOUNDATION- LOCATION PLICATION AND. STATE THAT,THE INFORMATION ,GIVEN.IS FORMS, MATERIALS CORRECT: - .. - _ :I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, - - - HEREON-,AND-WITH ALL COUNTY ORDINANCESAND STATE ' BRACING, BOLTS - LAWS REGULATING BUILDING CONSTRUCTION. - FURNACE: LOCATION, SIGNATURE OF /-'C'�"W'mac GAS VENT, DUCTS - PERMITTI�EE FF ,pNY^'WWW���C • 3 //C i LATH. INT. - - ADDRESS' � - - LATH; EXT. AUTHORIZED.AGT. PLASTER, I NT. ... . 76A698A-• DBS9 `10-80 P, C. $ - -- ® FEE PLASTER, EXT.- - - .VALUATION .D.. ,.� 0 r - $ - - FEE ?to C.) FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF.LOS ANGELES Ld WM J. FOX, CHIEF ENGINEER - FOR'APPLICANT TO FILL IN FOR OFFICE USE ONLY., _ BUILDING _ DIST`RICI,NO.. PLAN CK. NO. PERMIT NO//: ADDRESS �... RCEIVED BY DATE OF APPL. DATE ISSUED LOCALITY � NEAREST 4 i l��✓�W !%7!�'i / �J✓�' , CROSS BT._ / BUILDING •.�%/ /I/� '-. ,l /I; - ADDRESS MAIL LOCALITY OWNER _ 7 - _ ADDRES �J e 1 NEAREST + TEL. CROSS ST. CITY ''_ - NO. � ,ZONE I PLAN .I TY I GROU PV• ARCH ITECT OR,' "TEL. .. - - - �•J ENGINEER ' , NO. BLDG. - O. SETBACK LINE �r ADDRESS _.APPROVED .T BY - { DATE CONTRACTOR `i Q r. USE APPROVED _ •wry a/ ZONE % BY - DATE ADDRESS. V HOUSE NUMBERING, LEGAL`.' . ��'�: .� .. DESCRIPTION LOT IVO. 'BLOCK MAP NUMBER FIELD CHECK BY TRACT. NO. ASSIGNED BY 2• ATE NO. of SLDGS. CORRECTIONS ' SIZE OF LOT, �7 D ,/ NOW ON LOT • . USE OF f NO. OF- : EXISTING BLDG, FAMILIES (,44090%IPTION OF WORE NEW. I. I ALTERATION, II ADDITION 0 REPAIR I I DEMOLITION SQ. FT. NO. OF SIZE_ ;,ROOMS STORIES `' • - Z. > EXT..WALL ROOF - t• COVERING,-aM COVERING - USE OF ST U TU.RE APPROVALS •INSPECTOR'S.SIGNATURE -DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ .THIS AP- FOUNDATION: LOCATION- - 'PLICATION,AND STATE THAT THE INFORMATION. GIVEN IS FORMS, MATERIALS �'•._ �,Z,�Z•.f CORRECT.•.. I AGREE,.TO COMPLY WITH.THE CORRECTIONS LISTED„ FRAME: FIRE STOPS, HEREON AND WITH ALL .COUNTY ORDINANCES AND STATE BRACING, BOLTS - 7 L.AWS'�REGULATING BUIL 1 'CONSTRUCTION. FURNACE: LOCATION,' SIGNATURE OF - -.GAS VENT, DUCTS PERMITTE- .. ` - - - LATH,7NT. ADDRESS v - - �,, IAT- , EXT 7 �•�/� . AUTHORIZED,AGT. . N PLASTER, INT. - 76A688A DB82 -'10-80�n, P. C. $ OF ASO, FEE PLASTER, EXT. VALUATION �� FEE $_ 8"" FINAL Zc -76a638A CE;#803 12/69 .r A, P.PLICATION FOR BUILDING PERMIT ' COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ,ENGINEER - MAP BOOK PAGE PARCEL ILDING BUILDING AND SAFETY DIVISION ADDRESSSS 47�'1 A ADDRESS JOHN A. L'A MBI E, COUNTY ENGINEER COLEMAN W. JENKINS, SUP'T'OF BUILDING LOCALITY 1 FOR APPLICANT.TO FILL IN, NEAREST. ` � • Print ort a onl - CROSS ST. �� C,�� ' � .I /`^ DISTRICT NO, GROUP TYPE PROCESSED BY BUILDING `T' j 3 �L� ISI �� ���:•• CJ- ., CONST. ADDRESS tC / il STATISTICAL CLASSIFICA.TION,• SEWER MAIP LOT NO. �c BLOCK f I CLASS NO. DWELL.UNITS .BKZ �PG7z_ TRACT 6i �} - USE ZONE, MAP, NO.OF. SLOGS.• �_ f NO: SIZE OF LOT :� NOW.ON LOT �� SPECIAL USE OF - - - _ - 7Z�C3 CONDITIONS-C- EXISTING G. •C - T3 /!1 � ��yr`7rc_T'T�c-�- %� - OWNER l.�-t�S� V 1CC_U1i- ojTOL �.�LroA�D.1. BLDG.SETBACK FROM: . 0` ��-9A ' ` ' yy FRONT PROP.LINE OF /U _ (STREET) -ADDRESS' N o, to m e:- . - - _ TYPE OF EXISTING SETBACK HIGHWAY" -} YARD = TOTAL - CITY - .,�,�,. . ,'� 1 I r - HIGHWAY WIDTH. FROM C.L. - r ... ' ARCHITECT OR TEL. LEGr1L t "ZC} ENGINEER NO. BLDG.SETBACK FROM ADDRESS - SIDEPROP.'LINEOF (STREET) \� U'+ + TYPE OF EXISTING SETBACK HIGHWAY } ;.YARD =- TOTAL CONTRACTOR `� i-� I W �� NOL�J -HIGHWAY. WIDTH FROM C.L. _ + �jC '- ADDRESS j- �L Q VL`�ZL NO ' O•.? t i '^- O CITY 7 /LC- C,� CLASS rJ 1 ` .CORNER CUTOFF YES _❑ NO e/ CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR.S'PECIAL APPROVALS rW �" / ( ADDRESS _ - f� °• , ,..71) fr�f/ _j G �'✓N * "'.-' - Z SQ.'FT. � -- NO. OF � NO. OF NEW ❑- SIZE � . STORIES FAMILLES USE OF .p .. ADD STRUC{TURR�jE' ALTER ❑ ._ . '�• - "rAdl-Erc REPAIR.❑ - - • _ _ .. SIGNA URE.OF APPLICANT.. DEMOL'.❑ - .. VALUATION S � APPROVALS - DATE -INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S el(> FEE $ . FORMS,`MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THA,T-I HAVE-READ,THIS APPLICATION BRACING; BOLTS. AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLYFURNACE: LOCATION, Q WITH .ALL ORDINANCES .AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS - STRUCTION. I CERTIFY- THAT- IN, DOING THE WORK AUTHORIZED f .HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.' �y. „✓� ,„,�/ iyP'/yq, "„ LABOR . CODE OF. THE STATE OF CA L.IF� IN RELATING, T0.1 .. � •�A �� ��� ems. W ORKMEN'S COMPE -57/�TI N URANCE. � - SIGNATURE OF LATH, EXT / 9 --y� HOUSE NUMBER'COR- PERMITTEE RECT AND POSTED 'F IN AL " JOHN F. LEWIS. PRINCIPAL STR L U AENGINEER - PLAN CHECK VALIDATION cK, M CASH _ PERMIT VALIDATION /CK. Wo. CASH, r a �_ • ' ti+gib 7 . 3 : 3 h 4`0 . 1' 1..2