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APPLICATION FOR WILDING PERMIT 1
BUILDING
LIV91ON OF BUILDING AND SAFETY ADDRES8
Depcmlment of County Engineer
County of Los Angeles LOCALITY
WM.J FOX. COUNTY ENGINEER
CASSATT D.GRIFpIN,SUPT OF BUILDING NEAREST
P
CROSS 5T Cr
'
DISTRI O ROUP SEW IC MAP
�-�
FOR APPLICANT TO FILL IN ` Si TYP���
BUILDING
ADDRCONST oz&
ESS MAP O , STATE YES NO
NUMBER HWY
../
LOT NO / BLOCK USE ZONE SPECIAL
TRACT
Q. CONDITIONS
NO OF
- } 4C_
SIZE OF LOT 3d NOW ON LOTS • BUILDINGEXIST
YARD HWY STREET NAME
SETBACK WIDTH
USE OF to r FRONT �/ j /;
EXISTING BLDG P L 7'V wQr .lg►LttSd o
OWNERBill SIDE
P L
MAIL
ADDRESS
TEL t DWELL 1 UNIT S INDUSTRIAL
CITY NO
2 DUPLEX UNIT- 6 PUBLIC BLDG
ARCHITECT OR TEL
ENGINEER NO 3 APT UNITS 7 ADDN,ALT, ETC
ADDRESS / t, 4 COMMERCIAL-f? MISCEL
CONTRACTOR�IC '—VV 4N�� L �b�7►DD INSPECTION RECORD
ADDRESS C'
DESCRIPTION OF WORK L
NEW ADD ALTER REPAIRDEMOLISH �Ijlr4l-
SO FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF ZfRUCT RE ` A
312
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS AM O'ci DATE INSPECTOR S SIGNATURE
$ �d P C. 16 FFORMSTION MATERIIALSION
FEE FRAME FJRE STOPS.
VALUATION $4 BRACING. BOLTS
FEE FURNACE LOCATION.
GAS VENT. DUCTS
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT LATH,iNT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION LATH, EXT
SIGNATURE OF r HOUSE NUMBER COR-
PRMITTEB RECT AND POSTED
ADDRES 12d FINAL
ilk. J. FOX. CowrrY t mamiamt VALIDATION
BY I ' :. V)8 5N JO 4 1 4D,0
DEPUTY '-' DEPUTY
BYBY
DEPUTY DEPUTY
7GA898A CE#808 1/71
- =- APPLICATION FOR BUILDING PERMlT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING /
ADDRESS 6 O � 2-
COLEMAN
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
rent r nl CROSS ST
BUILDING DISTRICT NO I GROUP CTYPE f ONST PROC SSEF BY
ADDRESS 6 o WrK %-.03A n� D F—
STATISTI AL CLASSIFICATION SEWER MAP
LOT NO / BLOCK CLASS NO-2-2LDWELL UNITS BK PG
TRACT USE ZONE MAP .y O/
NO OF BLDGS NO /C
SIZE OF LOT NOW ON LOT dJ M SPECIAL
USE OF ./ G 'f.. CONDITIONS
EXISTING BLDG /
OWNER #V t 0✓S L'"( NOL BLDG SETBACK FROM
ADDRESS �� o1.vl.t P,3 V a/1 Ve FRONT PROP LINE OF -(STREET)
TYPE OF TING SETBACK HIGHWAY + YARD = TOTAL
CITY'^—,Vg/C P 17`\ HIGHWAY WI FROM C L
ARCHITECT OR TEL +
ENGINEER NO
BLDG SETBACK FROM
ADDRESS SIDE PROP LINE OF (STREET)
TEL TYPE OF EXISTING SETBACK HIG Y + YARD = TOTALl C
CONTRACTOR NO HIGHWAY WIDTH FROM C L C,
ADDRESS LIC + =
NO - CD
CITY LIC
CLASS CORNER CUTOFF YES ❑ NO ❑
W
CONSTRUCTION LENDER C`17
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS- ?
ADDRESS r
SO FT NO OF NO OFNEW Milld31 , Du NJ's
SIZE STORIES_ FAMILIES
USE OF ADD t F O G 6 A
STRUCTURE I✓, A.-I W ALTER 7R , ��p� 767
Aellf144 A� GV
AL
IPPLICANTOF L
DEMO
A ❑ ` � f
VALUATION$ �•
APPROVALS DATE INSPECTOR'S $14NATURE
P CPMT Q FOUNDATION LOCATION
FEE$ �J FEE$ FORMS, MATERIALS
FRAME FIRE STOPS,
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 ORDINANCES AND LAWS REGULATING BUILDI NO CON- GAS VENT, DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN LATING TO
WORKMEN'S COMPE NEAT �E
LATH, EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHNPERMIT
�F LEWIS RI CIIPPA/�L�SSTRUCTURAL NGIN R
PLAN CHECK VALIDATION CK4. c
H _ iERMI V A'iION CK M O CASH
4nn47� me 5, 23 0
684e FE8 4 1 D 9.03
r . w
t
I
DEP" Of
COUJRTr
�$W OF BODRIG AAFE�Y —.>—
COUPTYOSAffiBUILDING
WILL" J. FOX. COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR ANPUUM TO FUS IN FOS OFFICE USE ONLY
BU1 a.W /1 `i DISTRICT NO PLANCK.OR Rea NO PERMIT NO
ADDRILDIN O W W A0 -s �-
LOCALITY p RECEIVED BY DATE OF APPL DA 188 ED
NEARESTCROSS ST. 1—'Em LE 0-,—,-y' BLM. 0
BUILDING
OWNER ADDRESS, SICAOT
MAIL /� ��
MAILADDRESS 4 V LOCALITY
NEAREST
TEL
C TY CRO86 ST V
ARCHITECT ORFIRE NO OF TYPE GROUP
TEL ENGINEER TEZONE PLANS �-
BLDG
ADD SON SETBACK LINE
CO --_ ---TEL UBB APPROVED
ZON BY ATS 141463
ADD . - FO.84O209 HO B
LEGAL- MAP NUMBgR 'r—
NO ASSIGN@D BY —X`
DESCRIPTION N B ONS
.�V
TRACT jo
NO.OF BLDGB.
SIZE OF LOT N OH LOT �� �►, �t�
USE OF NO.OF
EXISTING BLDG FAMILMS
D TION OF Wm r � O —
NEW ALTMMTIQND TIO Q
Z
REPAIR DEMOLITION
80 FT NO OF
SIZE ROOMS STORIES
EXT.WALL ROOF
COVERING I COVERING
USE OF STRUCTURE E-viv s w
1J (, Id
w- w7wU06A dp Ste,4) Y wl
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION:LOCATION
FORMS. MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS,
PLICATION AND STATE THAT THU INFORMATION GIVEN IS BRACING BOLTS
COI AGCT
REE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION.
AND STATE LAWS RSGijt�� lIQ,BI,II%V ffl CONSTRUCTION, GAB VENT DUCTS
SIGNATURE OF v---iS11Iii''�OONTYSaa77-VV--tIYY LATH, INT
4357 N Peak R LATH OT
ADD
AUTHORIZED AGT PLASTER. INT
/p�Q PLASTER, ®Ci
S w V r/ P S HOUSE NUMI§@R COR-
VALUATION RBB y RECT AND POSTED
/V/ FEE 8 �,�� FINAL C
74LAGO A nos s a-se
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT
insure, or a certificate of Workers'Compensation Insurance,
or a certified cop thereof( 3800, Lob C )
lrytp3.00"g 0 ny ���� COUNTY OF LOS ANGELES BUILDING AND SAFETY
Certified copy is hereby furnishedFOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with t inspec- BUILDING
tion de rtmeni ADDRESS LOCALITY
NEAREST
Date Apphca CI ZIP CROSS ST
I CATE OF EXEMPTI F M RKERS' NO OF BLDGS ASSESSOR
COMPENSATIO INS NCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be c plet if the permit one USE ZONE P Q
hundred dollars(;100)or I TRACT BLOCK LOT NO NO
TEL Z-- SPECIAL
1 certify that in the performance of the work for which this OWNER NO CONDITIONS d
permit is issued, I shall not employ any person in any mannerADDRESS DISTRJCT GROUP TYPE FIRE PROCESD BY O
x + V
so os to become subject to the Workers'Compensation Lows CONST ZONE SE �
Date Applicant CI ZIP STATISTICAL CLASSIFICATI APT CONDO
NOTICE TO APPLICANT If, after making this Certificate of ARCHITEL t;Exemption, you should become subject to the Workers' ENGINEER CLASS NO DWELL UNITS
Compensation provisions of the Labor Code, you must forth- • h
with comply with such provisions or this permit shall be ADDRESS SEWER MAP Z
deemed revoked CONTRACTOR TEL BK PG, VALIDATION
LICENSED CONTRACTORS DECLARATION LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS -.-5
(commencing with Section 7000)of Division 3 of the Business and SSC VALUATION
Professions Code,and my license is in full force and effect 6TY •CAA,. CLASS b 0 &w•mv ►
�l 'w� SQ FT NO OF NO OF CHECK
License Number z"� /��`` Lic ClasaL� SIZE STORIES FAMILIES ONE
Contractor�t!•3� 41�+ & Date DESCRIPTION OF WOR NEW
IV ADD
I am exempt under Sec ALTER 0 FINAL L ��
B&P C for this reasonREPAIR 0 DATE a
USE
Date EXE F BLDG muxFINA
By
Signature APPLICANT TEL
OWNER-BUILDER DECLARATION PRINT
I hereby affirm that I am exempt from the Contractor's License , 7
Law for the following reason (Section 7031 5, Business and ADDRESS
Professions Code)
aBUILDING
1, as owner of the property, or myemployees with ADDRESS
wages as their sole compensation,will do the work and LOCALITY
the structure is not intended or offered for sale(Section �3 b 3 5 A
7044, Business and Professions Code) MOVING TEL
CTOR NO # • • • • • 1
i,as owner of the property,am exclusively contracting �
with licensed contractors to construct the project(Sec- ADDRESS
tion 7044, Business and Professions Code) 2 e 1 2(I,818
REQUIRED TOTAL SETBACK FROM EXIST 0 0 1 2 4 8 8
CONSTRUCTION LENDING AGENCY
MIRED
YARD HWY PROP LIN WIDTH
I hereby affvm that there is a construction lending agency for FROM
the performance of the work for which this permit is issued P L
(Sec 3097, Civ C ) SIDE Q 7. 1 3-8 3
m PL
Lender's Name
Lender's Address P C Fee$ Permit Fee l
I certify that I have read this application and state that the Issuance Fee
above information is correct I agree to comply with all County Investigation Fee
ordinances an relating to ullding construction, Total Fee
and hereby thortze repr sentatives f is County to enter
a ention operty ton pur
poses/
SEE REVERSE FOR EXPLANATORY LANGUAGE
Sfg lure of Applicant or Agent 4s