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