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HomeMy Public PortalAbout6213 LOMA AVE_Building__ �' . . ;'• meq,, �+'-�� .. . 76A63BACE h 8032.63 AP_-PLICATION :FOR _BU'ILDING .PERMIT - "' COUNTY.OF'-LOS•ANGELES ,:'', BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ,,, 6-►' ,, BUILDING AND. SAFETY DIVISION' "` LgC'ALITY ' .''JOHN A'.::LAIVIEB[E, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN; SuP:T.`oF BUILDING CROSS ST. - - - DISTRICT'N GR PES-"" P C _ ED'B FOR -APPI:ICANT TO FILL-IN" (� -• oNsr,' BUILDING:. q, / y�� i - STATISTICAL CLP FICATION - SEWER.MAP ADDRESSIgA1.-• " _ •meq- CLASS. NO. DWELL. UNITS — 2. - LOT'NO. N.,b^�.di 0�' ". �.LIE -BLOCK WATER I�_ r CERTIF,ICATE:, REQUIR _ NOT ED, b<f" ""RECEIVED . TRACT O'T - MAP '/'S L'' HIGHWAY S////Tttt�AATTE MAJOR SECOND LOCAL '' - NO.OF BLDGS. +g NO. (J(-/ "(CIRCLE) SIZE OF LOT ` .NOW ON LOT- - Q+ .USE ZONE. - SPECIAL.. ' .USE OF .. �. 'CONDITIONS- EXISTING CONDITIONS . EXISTING BLDG. - .._�^S j P-Ate -E� - - - TEL. OWNER .,odk6� NO. BU.I DING - —EXIST. ' �/ J' - �7... ,6• - SETBACK. YARD' HWY STREET NAME •WIDTH ADDRESS 2 j "/VC PL..O NtIA- / C�'"j. FRONT LHETECT OR TEL. ENGINEER,`— - • NO. i" - SIDE _} P. L. SS O ACTOR NO $Ty ! �✓ .•j� SS ���� ` -.LL LTA"_ - 14.1 �. IS �, t v' I .-• - r-- ,. DESCRIPTION OF WORK a �'' - ` .' sir== sr •:.�n ,ADD ALTER REPA'IR, DEMOLISHZ NO. OF / NO. OF � STORIES / FAMIL'IESTURE'. 0A-1 S OYLA EdeLaM TU R'E OF000, ICANTTION $ APPROVALS. DATE INSPECTOR'S SIG Ay"RE- -- •.FOUNDATION: LOCATION:,- �r/n 4er� _ FEE $ ',_• -:.'{`.-� gi p,FEE'$? / e. 0 ,:..FORMS.MATERIALS lliik�t -- -_ - FRAME;FIRE.".STOPS, _ I HEREBY'ACK NOWLEDGE'THAT I'HAVE READ,THIS APPLICATION. "BRACING..BOLTS' ,/'(/���9i�[• _ AND STATE-THAT'THE`.'ABOVE:IS CORRECT.AND AGREE TO COMPLYFURNACE: .LOCATION WITH ALL`COUNTY''ORDINA NC ES" AND STATE LAWS REGULATING GAS V:ENT_DUCTS BUILDING CONSTRUCTION. I. CERTIFY THAT IN DOING THE WORK AUTHORIZED-HEREBY- I WILL NOT EMPLOY ANY PERSON IN VIOLA- r - ' a---✓`~����TION OF THE LABOR CODE.OF THE STATE OF CALIFORNIA RELAT-' LATH INT. ,. 'ING TO WORKMEN'S COMPENSATION"INSURANCE"" - LATH, EXT.. SI.GNATURE-OF - HOUSE NUMBER COR- AN OR PERMITTEE "- - - •:, -RECT•:AND.P OSTED: ". ) • tee' .t .FINAL _; -JOHN F. LEWIS. RR.I'NCIPAL_STR T URAL ENGINEER. - PLAN CHECK''VALIDATION CK: M.O.e` CASH a PERMIT VALIDATION cK+ M O. CASH' ,7JA63BA CE#$03 5-65 A°t.-C ®� PRM AP C O OR BULL N COUNTY OF LOS ANGELES BUILDING' DEPARTMENT'OF COUNTY ENGINEER ADOREss BUILDING-AND AS;AFETY`DIVISION. Loc A.LI T Y_✓ JOHN A.'LMBLE. COUNTY ENGINEER NEAREST _ COLEMAN W. JENKINS,SuP7.oF'BUILDING - CROSS-S T..�.`� .c- --'• ISTRICU -- T E •PR S BY FOR APPLICANT TO FILL IN > q-�' F;,OU NST •:: - d ' BUILDING _ STATISTICAL SI FIC TION'' SEWER MAP a I ` • - v.�Y -f CLASS NO.-. DWELL UNITS. -aK PiC'; t . LOT NO. '.,G/. -/V"Oi1:TN BLOCK _ ' USE ZONE: -MAPF ��. - TRACT SPECIAL _ NO. OF`BDGS. - CONDITIONS L ..a t. SIZE OFLOT . OY l(FO' - NOW ON LOT ' _ USE OF - EXISTING BLDG. NE M !; `{'- p �' BLDG. SETBACK,FROM '_. •� - T;EL' FRONT PROP. LINEOF < (STREET) -OWNER-. v , -S Dolt-11 b _ t TYPE OF,. EXISTING SETBACK'- HIGHWAY �I' YARD = TOTAL L2 •� -HIGHWAY WI-DTH - t2M C_L. - -r ADDRESS b 2I_ + CITY- I " I''t/0/- G C I.-T �� ' BLDG. SETBACK FROM _ ARCHITECT OR TEL. SIDE PROP. LINE OF - (STREET) ENGINEER EJP NO. TYPE OF, EXISTING 'SETBACK. HIGHWAY -'---'YARD.-- •ADDRESS HIGHWAY WIDTH. ,FROM C.L. - - .... TEL ' + = �. CONTRA•C TOR NO - - - ' - - LIC ADDRESS NO - - C,ORNER.0 UTOFF YES o; NO �, _ + _ .. CITY c ass 'SEE REVERSE SIDE FOR SPECIAL.-APPROVALS d DESCRIPTION OF'WORKlG -NEW ADD ALTER- REPAIR DEMOLISH: fa� 'SQ.FT. ?'..NO. OF - NO. OF., --.' 'G&a. 'd G%` a• Z SIZE '.STORIES FAMILIESUSE ° - -•' - .:S TRUO TURE. .�. SIGNATURE OF - - - • - APPLIC•AN�T - dZPiC:' VALUATION$ Q � c' � C ., L A,P.PRO VALS DATE .INSP ECTOR_'S'SIGNATURE P.C. _ . PMT. FOUNDATION;-LOC ATION - FEE$ FEE$ / :.✓ FORMS, MATERIALS_.-.-. -t FRAME..FIRE STOPS, I HEREBY' KNOW LEDGE THAT I'.HA HAVE READ THIS•,APP.LICATION BRACING .BOLTS"" "''. "- " _ _ .. AND.STATE-'THAT.THE.ABOVE IS CORRECT AND AGREE.ATO'COMPLY,'. FURNACE: LOCATION WITH ALL .COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS - 9UILDING'.CONSTRUCTION. I CERTIFY.THAT, IN DOING.THE WORK- - ,AUTHOR IZED.'HEREBY I WILL NOT EMPLOY ANY. PERSON IN VIOLA- LATH.TNT. . -• TION OF-THE-LABOR CODE OF THE STATE OF.-CALIFORNIA RELAT- _ ING TO WORKMEN'S COMPENSATION INSURANCE. - .. L AT.H EXT..: - - SIGNATURE OF HOUSE•NUMBER'COR- PERM ITT] - '� �� _ - RECT..AN D'P,OST ED. ' < ADDRESS -6 ,21 /u �k. o—,o '.':' :F.I N A L JOHN F. LEWIS, PRINCIPA Lr STRU,CTU RAG ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION-.-. CK. M"O CASH ; L ,O'o 5 .o E '15 3.Cv 7 6A638 CE�8032-63 APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDREss BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DI-STRICT N GR T E E D BY FOR APPLICANT TO FILL IN ` D NST. BUILDING // t�f STATISTICAL LAASSIFICATION SEWER MAP. ADDRESS /,3'� _/10 M 4 /• 'I� CLASS. NO. V DWELL. UNITS- LOT NITS LOT NO. .�� OP' �'t b BLOCK WATER NOT REQUIRED RECEIVED ❑ /�D - CERTIFICATE: LLLJJJ TRACT `JC MAP L v3 HIGHWAY y d NO. OF BLDGS. NO. v ICRCLE) STATE MAJOR SECOND LOCAL I _ SIZE OF LOT ��/i p�j� NOW ON LOT Z_ USE ZONE SPECIAL USE / CONDITIONS EXISTING BLDG. � t� TEL. OWNER O �G G NO. .BUILDING EXIST. �/ ii A SETBACK YARD WY STREET NAME WIDTH ADDRESS 6-z /1D" LOA4A— C i� FRONT //�� ARCHITECT OR TEL. P. L. -RV ENGINEER NO. SIDE ` P. L. �. ADDRESS l TEL. 0 CONTRACTOR NO. ' ADDRESS IxO DESCRIPTION OF WORK W 0- NEW NEW ADD ALTER REPAIR DEMOLISH_ - N Z SO. FT. NO. OF F SIZE Q STORIES FAMILIES , USE OF STRUCTURE �f SIGNATURE O APPLICANT ,Q p _(� VALUATION $ �[��R !�v Y APPROVALS DATE INSP,ECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION . \ FEE $ FEE $ 'e-o FORMS, MATERIALS FRAME: FIRE STOPS. 4 4 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK y AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'SCOMPENSATION INSURANCE. - LATH, EXT. i SIGNATURE O _ HOUSE NUMBER COR- PERMITTEE�.y( D RECT AND POSTED rr ADDRESS_. 7J� �1FINAL 1 U JOHN F. LEWIS, PR'INCIPA'L SnCK.' URAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION ; M.G. CASH