HomeMy Public PortalAbout9244 LIVE OAK AVE_Building__ DI,VISIBUILDING AND SAFETY
D
aopartrtment of County Engineer
BUILDING
County of Los Angeles
—WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRIC'7—ma�' PLAN CK. OR Rec.No. PERMIT NO.
BUILDING _ S
ADDRESS L Off'
/r , f_ RC EIVED BY DATE OF APPL. DATE ISSUED
LOCALITY ( (_ T �n '
NEAREST "). s� w� / C�
CROSS ST. 7 �L�I[y / 'rQ BUILDING
A/ —ADDRESS
OWNER
MAIL LOCALITY s
ADDRESS VF_ OAK NEAREST
_ CROBB ST.
CITY NO. 60 S FIRE NO.OFTYp GROU
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO. BLOC. ,oORD. NO.
SETBACK LINE /j
ADDRESS
UBE APPROVED
TEL- ZONE BY DATE
CONTRACTOR NO. HOU E NUMBERING
ADDRESS MAP NUMBER .22 O. ASSIGNED BY
LEMAL CORK TIONS
DESCRIPTION LOT NO. BLOCK
TRACT
NO. OF SLOGEL
SIZE OF LOT X NOW ON LOT
UBEEX STING BLDG. D�� ELL I �Cw FAM I°EH Z--
DESCRIPTION OF WORK
o
NEW ALT@RATION ADDITION Z
s
REPAIR DEMOLITION r
BQ.FT. NO.OF
SIZE ROOMB STORIES
COVERJNO V (� I ROOF C OM P
COVERING
USE OF STRUCT RE f
x 7_ r ✓ of \«
INSPECTION FOR APPROVALS
OCCUPANCYAS I NSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
I HEREBY ACKNOFORMS, MATERIALS
WLEDGE THAT I HAVE READ TH18 AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN 19, FRAME: FIRE STOPS,
CORRECT. BRACING, BOLTS
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION,
OAS VENT, DUCTS
SIGNATURE OF LATH, INT,
PE R M I TTE �—
SA k Li
ADORES � ATH, EXT.
PLASTER, INT. ._
AUTHORIZED AGT. ��..-
$ PLABTER, EXT.
P.C.!Tt HOUSE NUMBER COR-
FEE RECT AND POSTED
VALUATION ` wr
FEE "V
76A63BA DBS 3 1-52
T Int C I TY
7iA/30A CIE#0031-61 ' APPLICATION FOR BUILDING PEWIT
COUNTY OF LOS ANGELES ADDRESS
I �` f •L
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST i
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DI NO. GROUP TYPE ESSED BY
Q' � CONST. �
BUILDING STATISTICAL CLAS FICATION S RMAP
ADDRESS 9244 Live Oak T.C.* BK PG
CLASS NO DWELL UNITS i-el
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
+ _ CERTIFICATE
TRACT MAP ,.q ,�.qq HIGHWAY STATE MAJOR SECOND, LOCAL
NO OF BLDGS NO --s 'C0 el � (CIRCLE)
SIZE OF LOT Y I NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG ResidenceTEL JTIL
-
OWNER Sulo Lai tinen NO BUILDING YARD HWY T EET ME EXIST.
SETBACK WIDTH
ADDRESS 2500 Monte -Vista.,Pasadsn FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE
• P L 1 -
ADDRESS
CONTRACTOR Vir in Roof C o.N; T70507 INSPECTION RECORD p
ADDRESS 600 S. San Gabriel Blvd. s
DESCRIPTION OF WORK San Gab
W
IL
NEW ADD ALTER REPAIRX DEMOLISH N
SQ FT. NO OF NO OF ?
IZE STORIES FAMILIES
USE OF
STRUCTURE - ---- - - -
Re-roof Front House only.
SIGNATURE OF
APPLICANT•
VALUATION$29 9.00
APPROVALS DATE INSPECTOR'S SIGNATURE
PC PMT FOUNDATION LOCATION
FEE $ ''- - FEE s6.00 FORMS, MATERIALS
FRAME FIRE STOPS,
1 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 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSO IN VIOLA- LATH, INT
TION OF THE LABOR CODE OF THE STATE OF CALIFO NIA RELAT-
ING TO WORKMEN' COMPENSATION INSURANCE
LATH,EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMIT E
OR-PERMITTE RECT AND POSTED / 22
ADDRESS •60 . an Ga r - Blvd, FINAL
San Ciabriel CLYDE N DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CIL M.D. CASH PERMIT VALIDATION CK.' M.D. CASH
y'�_3 8 ,0 0"OD DEC 2 3 1 D 6.00- d