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HomeMy Public PortalAbout5131 MCCLINTOCK AVE_Building__ 76A638A CE 0803 IZ/BAPPLICATION FOR BUIL®I` G PERMjf � COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �S % 0 // L�!i✓/O[ �tJ(� COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY ��j�-j f► �r j FOR APPLICANT TO FILL IN NEAREST Print or a onl CROSS ST. TSL E+� F 01 T CT N GRO TYPE 4SER E BY d� CONST. /%�'�✓r�r � Gr. tTX LOCK STATISTICAL CLASSIFICATION MAP 33� CLASS NO,92;! 4 DWELL,UNITS BK PG - TRACT f USE ZO E MAP NO.OF BLDGS. j/J NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF I` CONDITIONS EXISTING BLDG. TEL. OWNERe!:�, j�0 /�,t� 5 NO. y BLDG.SETBACK FROM ADDRESS`j%3 �� j- FRONT PROP.LINE OF (STREET) �7 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM G.L. oe ARCHITECT OR TEL. �� + Cq ENGINEER NO. BLDG,SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR r NO. HIGHWAY WIDTH FROM C.L. ADDRESS LIC. + = C LIC. c CITY CLASS CORNER CUTOFF YES ❑ NO ❑ C, CONSTRUCTION LENDER e C NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS t ADDRESS u SQ. FT., NO. OF NO, OF NEW ❑ SIZE STORIES FAMILIES USE OF ADD STRUCTURE v v ALT ❑ g. 2 SIGNATURE O REPAIR❑ APPLICANT tir,G DEMOL ❑ VALUATI0,bK12pW,0l APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE$ FEE$ A �o 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PER SOM IN VIOLATION OF THE LATH, INT. 5' LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S C6 ENSATION INSUR LATH, EXT. SIGNATURE HOUSE NUMBER COR- / PERMITTEE r RECT AND POSTED ADDRESS f FINAL r/Q JOHN F. LEWIS. PRI CIP L STRUCTURAL ENGINEER PLA CRECHVALIDATION CK. M.O. CASH _ PERMIT VALIDATION jjCI M.O. CASH t. nr►.. 8 6 9 2.9 FEB 10 1 D 2 2-50— 76A688A CE tle08 f0-6B P 6gll. AT'ION FOR WIL®INC .PERMIT COUNTY OF LOS ANGELESADDREs"s.grza .m--5 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY' JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D:GRIFFIN,SUPT OF BUILDING CROSS'ST: DISTRICT NO. GROUP TYPE PR CESSED•BY - FOR APPLICANT TO FILL IN _ [TYPE . r - / BUILDING STATISTICAL CLASSIFICATION SEWER MAP ; ADDRESS /�/ �p / J�G SK Pb T rP CLASS.NO. DWELL.UNITS-1 _LO.T NO.. .i Q� Sn �, ��i QLOCK MAP ���j STATE• YESN , O', TRACT I 7 el Cf NUMBER ���/ I HWY. �� USE ZONE SPECIAL t�7•�/ I � NO.OF BLDGS. � f CONDITIONS. ._ SIZE OF LOTS /` I NOW ON LOT r"(/ US-0 OF EXISTING BLDG. BUILDINGEXIST. ---� SETBACK YARD 'HWY STREET NAME, WIDTH OWNER. L" Iii 0 J FRONT' �1�' Lam' 0'- �'��.� D � /YC1T MAIL P.L. !✓'e w"�f ADDRESS s f � •�' SIDE Z_ /e •. •' •- CITY.' l l/ TO.• ARCHITECT OR �� �_ 3 Y�L3�N0. INSPECTION RECORD ENGINEER 1 rIl ADDRESS \ �•. TEL. CONTRACTOR NO. ADDRESS Gam/ A 1fl - DESCRIPTION OF WORN ' NEW ADD ALTER REPAIR DEMOLISH -e NO.OF NO.OF (/� ^ •"' ��`�� __ SIZE I STORIES FAMILIES USE OF: TRU OR 'G. +9 ., . .t a4 ETA_' ``�„dC••� 9.c� .r• lop SIGNATURE OFAPPROVALS r APPLICANT /t d DATE INSPECTOR'S SIGNATIAE ' ADDRESS FOUNDATION: LOCATION $ FORMS.MATERIALS �` P.C. $ FRAME: FIRE STOPS. j� FEE BRACING,BOLTS I ' VALUATION �C/0 S & FURNACE:•LOCATIONJ FEE w....e GAS VENT;•DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.. PLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES SS7AND STATE LAWS RE . EATING BU LDJI�E, CON ION. LATH.EXT. SIGNATUR&OF (�/ /. // HOUSE NUMBER COR- , PERMITTEE s'4�..�o. RECT AND POSTED ADDRESS FINA77 L 3 -f►�'� �'j -� CLYDE N.DIRLAM,PRINCIPAL-STRUCTURAL EN PLFtN CHECK VALIDATION CK. M.O. CASH PEMW VALIDATION CK. M.O. CASH SAGO 7 3 3.8 JUl�l 1. : �= A. 3.0 0 M TEMPLE CITY r. 70A08"CC.#803-`1-01APPLICATION , FOR I UILDING PERMIT BUILDING r q COUNTY OF LOS ANGELES. ADDRESS , �C DEPARTMENT OF COUNTY ENGINM BUII ING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENQINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO GROUP TYPE ESSED BY FOR APPLICANT TO FILL IN i a CONST�� BUILDING /7 STATISTICAL CLASSIFICATION SEWER MAP ADDRESS. �� D ` CLASS.NO.. DWELL.UNITS "=I BK PG LOT NO. maw BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT _14.7f'd,A MAP � HIGHWAY STATE MAJOR SECOND, LOCA L NO. F BLDGS. NO: r- (CIRCLE) SIZE OF LOT. ��� �( �u'/ NOW ON LOT �_ USE ZONE SPECIAL USE OF �'�T—�� A j CONDITIONS - EXISTING BLDG. TEL. OWNER L/ NO. SI BUILDING 'YARD HWY STREET NAME EXIST. ,v SETBACK - WIDTH' - ADDRESS,S/3l�O /PI�Li�/d/TOC/E� Awh� FRONT ARCHITECT OR TEL. P.L. ENGINEER NO. - SIDE - SL ADDRESS TEL , ' !, /,INSPECTION RECORD _ '0 I• CONTRACTOR NO. 99 ADDRESS ! DESCRIPTION OF WORK W NEW. ADD ALTER REPAIR DEMOLISH #2 OF NO.OF � — IZE DRIES FAMILIESOF / AMu�. : STRUCTURE t� SIGNATURE O OLc� F �1"l)`• y +'60''ry'/'t .''e°'!�"� A APPLICANT " f VALUATIO Q APPROVALS DATE I'NSPECTOR'S SIGNATURE FOUNDATION:LOCATION FEE $ FEE"$ FORMS,MATERIALS FRAME:FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 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 - - 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 WORKME ! ENSATION INSURANCE. LATH.EXT. SIGNATURE O a HOUSE NUMBER COR- PERMIT•TE RECT AND POSTED ADDRESS ° FINAL CLYDE N. DIRLAM,PRINCIPAL STRUCTURAL ENGHlMk PLAN CFI= VALIDATION •cK. ' m.o. CASH PERMIT VALIDATION cK. m.o. !H Lr:. 2062 " Vik% D b' .0•J• t: ®s 76AG38A AGE/808(REV.6/78) ' APPLICATION FOR. BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY \ FOR APPLICANT TO FILL IN ADDRESSS,S5/31* A/e- eX1A/' QC BUILDING ADDRESS r` /[! �C.'�!!r/ G LOCALITY 4C'-/777 NEAREST CITY ;; A 0 ;-y ZIP CROSS ST., NO.OF BLDGS ASSESSOR SIZE OF LOTJ_7.j y 190 NOW ON LOT Z MAPBOOK PAGE I PARCEL DISTRICT GROUP I TYPE FIRE PROCESSED BY TRACT BLOCK LOT NO. CON ZONE / TEL. y 3 OWNEI�J /�JS. GI�A/J 7' �(y NO. a STATISTICAL CLASSIFICATION SEWER MAP ADDRESS s" 7[3C CLASS NO. '7 DWELL.UNITS BK/,/&G CITYG�1��� ��T ZIP V1 ARCHITECT OR TEL. VALUATION $-3,�d v ENGINEER NO. IJ✓ ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR NO. HIGHWAY •+ YARD __ TOTAL SETBACK FROM TYPE OF EXISTING LIC: FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. LIC. + 2-0 _ 'Z0 CITY CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP:LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING a. ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH O SQ.F NO.OF / NO.OF CHECK + = u SIZE STORIES FAMILIES ONE C9 � O IDAR&TWO b T/ X410 Ae NEW P.C.Fee'$ Permit Fee �f ADD ❑ Issuonce Fee ALTER ❑ REPAIR 171 Total fee USE OF Q� DEMOL ❑ EXISTING BLDG. y� ZO APPLICANT TEL J� IPR.INTN. /y�S �ll.�'�7' O' y Y 7 BY(SIGNATURE) IHEREBY NOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE the THAT THE E IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES bd AND LAW MATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE - V WORK A RIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF 3 THELAB ODE OfTHE STATE OFCALIFORNIA INREL ATINGTOWORKMEN'S'COM•.� - - '-,Z PENSATI INSURANCE. �' 6RTTEE TURE OF (rte v G' G L, �j(� SS TEL - NO.yyy NE MAP5 SPE OC SPECIAL CONDITIONS J/ m E/L DA ��/�� BY 6