HomeMy Public PortalAbout6246 LOMA AVE_Building__ • COUNTY OF LOS ANGELES
' ^P P a"Q CAT fl®N FOR DEPARTMENT OF COUNTY ENGINEER
B O O L®I N G P E.R M 0T BUILDING A SAFETY DIVISION
BUILDING
FOR
/APP/LICANT-TO FILL IN ADDRESS 4,
}�o�� O li
BUILDIN-ADDRESS &,,)q,(O F- (1 �j /� LOCALITY
NEAREST
CITY •� ZIP-- �7 (/ CROSS ST
NO OF BLDGS ASSESSOR
SIZE OF LOT 3, NOW ON LOT _MAP BOOK PAGE PARCEL
Y 7 I DISTRICT UP TYPE FIRE R SSED BY
TRACT J BLOCK LOT NO' q ! CON ZC�IE i
TEL
OWNER NO oC t� -Q&
STATISTICAL CLASSIFFI�ICA11T ON SEWER M
ADDRESS L_o Cc% CLASS NO DWELL UNITS �C—BK G'
CITY Ie f ZIP U ONE NP O
ARCHITECT OR TEL,/ [SPK-1AL
ENGINEER
CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑
' -
CONTRACTOR TEL
NO' BLDG SETBACK FROM
LIC FRONT PROP LINEOF (STREET).
ADDRESS NO HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC FRONT PROP LINE HIGHWAY WIDTH
CITY CLASS
CONSTRUCTION NDER ' I + _ }
NAME AND BRANCH un 4
d
BLDG SETBACK FROM U
ADDRESS CITY SIDE PROP LINE OF (STREET) QO
SQ FT - NO OF NO OF CHECK HIGHWAY + YARD = TOTAL TBACK FROM, TYPE OF EXISTING
SIZE I T 6 STORIES FAMILIES ! ONE S E PROP LINE HIGHWAY WIDTH N
❑ =
DESCRIPTION OF WORK NEW + Z
,ADD CORNER CUTOFF YES E] NOAdd ❑
11 0 ALTER EIIN OPEN SPACE YES ❑ NO
REPAIR ❑
❑
USE OF _ IN COASTAL PERMIT ZONE - YES ❑ NO ❑` F
EXISTING BLDG _ DEMOL ❑ /
APPLICANT TEL- I�I7 c/�/t�O C:L' . D
(PRINT) (,U, NO -
BY)SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE • /Z-7 70- - "'+� ~�/ �:�r`'��GTLi L
THAT-THE,ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES _
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE -L�
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF /;
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
.COUNTY OF LOS ANGELES
WM.'.J. FOX, CHIEF ENGINEER
-,
FOR APPLICANT TO FILL INFOR.OFFICE USE ONLY
,q DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESS AlBUILDING
,2�ry 4�.� Al v�0' r��� -7-7- je 0
LOCALITY 0 �-s "iF .. RECEIVED BY t ge,DATE OF APPL. DATE ISSU` D
NEAREST t G v � ' �' -( (_V•'
CROSS ST. BUILDING
ADDRESS �/t Z 'IV M ,!•1.
MAIL ^ LOCALITY
ADDRESS ,2 �'� NEAREST ••
n_ TEL. CROSS ST. y 1`��r Q E/�
CITY C.9 NO. FIRE NO OF TYPE I GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER V NO. BLDG. ORD. NO.
SETBACK LINE
ADDRESS - APPROVEDr
TEL. BY 2-0; DATE
CONTRACTOR'/� /Ta&6 L• 4 D USE APPROVED'
• ZONE ` BY DATE
ADDRESS IIF-- HOUSE NUMBERING
LEGAL
DESCRIPTION LOT NO.s ® BLOCK MAP NUMBER 'A-`9503 -'-FIELD CHECK BY
TRACT �`, � � NO. ASSIGNED BY DATE
Y I NO, OF BLDGS.a CORRECTIONS. .
SIZE OF LOT NOW ON LOT
EXSING BLDG. C/C�/Cl�i�,u ,6pli F m�LIsS
DESCRIPTION OF WORE
NEW I I ALTERATION I I ADDITION
REPAIR I , DEMOLITIONI I I a7
SQ Fr. �v� Py p� No. of �_ A /?.r 7r,SIZE {d",� ,(�•C! ROOMS STORIES h _/ D
EXT WALL` Z� • I ROOF
COVERING ie�T COVERING
USE OF STRUCTURE' r
APPROVALS
• INSPECTOR'S SIGNATURE - DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
A
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, / -
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING-BUILDING CONSTRUCTION.
FURNACE: LOCATION,
SIGNATURE OFGAS VENT, DUCTS
PERM P,
k',�zz/
LATH, INT.
ADDRESS ,ry ,-a� `
AUTHORIZED A , ��� /-Y (Q / LATH, IXT.
PLASTER, INT.
LIALUATION
DBB2 10-80 fly P. C. $
FEE PLASTER, EXT.
(/ v FEE 8 t FINAL JA 17 r2 7-67
F� P?� .TMENT OF BUILDING AND. T_Y I APPLICATION FOR PERMIT
COUNTY OF LOS A
WM. NGEL
Y J. FOX. CHIEF ENGINEER 41950 U I O G
FOR- APPLICANT TO FILL IN FOR OFFICE USE ONLY
^- �U / DISTRICT O. PLAN CK.NO. �/ PERMIT NO.
BUILDING
ADDRESS ry -0 3,r \ 2— `�
LOCALITY �/�"'V✓1�/ !!�f_y RECEIVI;C'BY DATE 13FAPPL. DATEISSUED
CNEAREST A
ROSS ST. v lBUILD
-7
OWNER O�(/I/%'I O til..{ 0,-,X ADDREI
NG
/"< BS '/
MAILJ� LOCALITY
ADDRESS L �Y �O ,L-t /_+L-.+ d Q ./ � �
TEL. 0 .� j—/,:; CROSS ST. / / /Jv[�%'I/L f
CITY NEAREST
� /,l-/e,, ��t. NO. / G-+
FIRE NO.OF TYPE GROUP /
ARCHITECT OR EL. ZONE PLANS
ENGINEER NO.
BLDG.
ADDRESS Z SETBACK LINE �Q
APPROVED
TEL. +. BY DATE
CONTRACTOR NO. _
USE APPROVED
ADDRESS ""'C� ZONE ] BY DATE
-
LEGAL CORRECTIONS
DESCRIPTION �I LOT NO.
/7 71 I BLOCK
TRACT -
,y'q NO.OF SLOGS.
SIZE OF LOT Cd ® /\ �� I NOW ON LOT
USE n�p LAM NO.OFNO.
EXISTING BLDG. /C. JJ I FAMILIES /I ROOMS
DESCRIPTION OF WORK
_ r
NEW /� ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH
Sq.FT. �/ NO.OF 's Z
(„
SIZE Fro Y- ROOMS L STORIES / y
WALL /�( r
COVERING /' 0 ���)� I COVERING
USE OF NEW
BUILDING .y L�.��. / /�Al^I?
1rA R .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONI: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. °• ` ��
FRAME: FIRE STOPS, v
SIGNATURE OF '/
A[ BRACING,BOLTS
PERMITTEE D �/ /e'• G �- J��'r
LATH, INT.
AUTHORIZED AGT LATH, EXT.
76AG36A 9-48
DBS-3 SOM SETS V /A� P.C,>g �/ PLASTER,INT.
SV" FEE PLASTER,EXT.
� rc}
VALUATION �l f; FINAL
FEES t