HomeMy Public PortalAbout6259 LOMA AVE_Building__ y 76A638ACE#8032-63 APPLICATION FOR BUILDING PERMIT - ,
'COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADD ESS •,s` ,
BUILDING'AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN. SUP T OF BUILDING CROSS ST �Q h C/4
DIST CT N OUP TYPE OCESSED B
FOR APPLICANT TO FILL IN CONST
BUILDING - - STATISTICAL CLASSIFICATION EWER MAP
ADDRESS ,;? ! / CLASS NO -5--DWELL"UNITS
LOT NO BLOCK WATER - /❑
CERTIFICATE NOT REQUIRED, RECEIVED
TRACT CJ MAP HIGHWAY STATE MAJOR SECOND, CAL ('
NO OF BLDGS NO (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL' ,
USE OFCONDITIONS
EXISTING BLDG Av e- T aywe
OWNER -� '•S J O - e-711BUILDING - EXIST
SETBACK YARD HWY ST- ET NAME WIDTH
rENGINEEIR
W* Jl. 0) FRONT
T OR TEL F' �- -
NO SIDE I a
P L
- - - I O
I i �' 14-4,e
� TEL
TO�RC /
ADDRESS +S p/ ,3 le
DESCRIPTION OF WORK ' f a
NEWADD AILTE REPAIR DEMOLISH I
SO FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF
.STRUCTURE
SIGNATURE OF '
APPLICANT
VALUATION S 3D - _
APPROVALS DATE INSP CTO 5 SIGNATURE
-PC PMT FOUNDATION LOCATION
FEE S FEE S •�� FORMS MATERIALS
- FRAME FIRE STOPS ! ,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I BRACING BOLTS - I / A
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 WOR 'A
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 5 CO MPENS ON INSURANCE I/ t w
qa c ' LATH, EXT ,,
SIGNATURE OFHOUSE NUMBER COR- a o.
PERMITTEE - RECT AND POSTED -
ADDRESS y�l_G �f ,� �c� FINAL
.d
JOHN F'LEWIS,PRINCIPA L S TT RAL' ENG_ INEER
PLAN,CHECK VALIDATION CK MO CASH _ PERMIT VALIDATIO CK J M O CASH '
1r
60 3 9 7 2- DEC-31 1 1 8.50-
DEPARTMENT OF BUILDING AND.SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER I
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. 'PAN CK.NO. PERMIT NO.
BUILDINGe ���� 1,4_1 g[J
/�
ADDRESS(�
LOCALITY/ -
RECEIVED BY DATE OFLAPPL. DATE ISSUED
NEAREST •/J/i,� T/ �/ �.�v `.�� �",.� -'l�G
CROBB-ST.
/ BUILDING
OWNER 1 =f / /'I ADDRESS
MAIL / _Lf
�. �✓V _ LOCALITY � V
ADDRES t/���///l���i
-' NEAREST
TEL / CROSS ST.
ClT �� � NO.
ARCHITECT O V TEL ZONE PLANE TYPE GROUP
ENGINEER NO.
BLDG. �j �- t ORD.NO.
ADDRESS SETBACK LINE
APPROVED
TELCONTRACTOR O1,(A./Vl„A_a �' NO.� _ USE
DATE
U5E jJpp���� APPROVED
ADDRESS ZONE/t�- By DATE
LEGAL CORRECTIONS
DESCRIPT�IDN I L`LO,T NO.,14 2 BLOCK
- TRACT ` �] '7
,(7�1 NO.OF BLDGS.
SIZE OF LOT f� I NOW ON LOT
USE OF / . NO.OF N0,13 F
-EXISTING:
B LD G. '� FAMILIE ROOMS '
DESCRIPTION OF WORK
NEW ALTERATION ADDITION � _
O
- A
REPAIR MOVING DEMOLISH p
SO.FT. NO.OF Z
SIZE ROOMB STORIES
WALLtt� ROOF
COVERING 4 I COVE R NG
USE OF NEW
BUILDING
A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS]
APPLICATION AND,STATE THAT THE ADOVE IS CORRECT FOUNDATION: LOCATION IlgSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS ,a9�
AND S�i� S REGULATING BUILDING CONSTRUCTION. ✓!7V fD
GT !►'� FRAME: FIRE STOPS, I f
SIGNATURE /:,, BRACING,BOLTS
2 QEZU PERMITTE}E� �/� LATH,INT.:
O+T4417R+ZE-D � 1 •,r / % - LATH,EXT.:
DBS-3 50M SETS 7-47 $ P.C S PASTER, INT.
0D FEE -PASTER,EXT.
VALUATION d�VVVV FEE �f^ FINAL / ��