HomeMy Public PortalAbout5345 MCCULLOCH AVE_Building__ 7.90*118A ,;E f803 1/71
APPLICATION FOR BUIL
DI G PER T
COUNTY QF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
- BUILDING AND' SAFETY DIVISION BUILDING r O•
ADDRESS / 1
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST }Ni.
Print or'tVDe oonni CROSS-ST. L;
ADDRESS ( 1 1 G DISTRICT NO , R CONST. ,`.'` q`SS Y
BUILDING �.s r S Q(/
STATISTICAL CLA SIFICATION SEWER MAP
LOT NO. BLOCK CLASS NO. DWELL.UNITS BKr—PG/d
TRACT ,3 3' USE ZONE MAP
SIZE OF LOT (po $1D(J' NOW�ON LOTS.., , NO. D�
SPECIAL
USE OF /®�S� CONDITIONS
EXISTING�BLDG. /7 j�
OWNER /v��P, �r� m _ . F/EyOEIJ�6NO. BLDG.SETBACK FROM
ADDRESS g 3�-/c M G =t,�, FRONT PROP.LINE OF (STREET)
p�v TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
'CITY Cf / - HIGHWAY WIDTH FROMC.L. '
ARCHITECT OR TEL. +
ENGINEER NO. BLDG.SETBACK FRO
ADDRESS SIDE PROP.LINE OF (STREET)
y
CONTRACTOR DI7 ELU�G NOL~ TYPE A EXISTING SETBACK HIGHWAY YARD = TOTAL C
n ) r HIGHWAY WIDTH FROM C.L. C:
ADDRESS a Q c j-13FZ.[.A No'A38's a + _
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LIC.
CITY D RK CLASS CORNER CUTOFF - YES NO ❑ u
CONSTRUCTION BCH DER
NAMEAND RAN
SEE REVERSE SIDE FOR SP IAL PPROVALS
ADDRESS
SQ. FT. NO: OF NO. OF NEW '.]E3
SIZE STORIESFAMILIESUSE OF ADDSTRUCTURE �AALTER �� l,SIGNATURE O O REPAI /)
APPLICANT DEMOL ! (.
76[VALUATION S _ G
- • APPROVALS DATE I PECTOp 5 SIGNATURE
P.C. PMT. PD FOUNDATION: LOCATION
FEES FEES Q r FORMS, MATERIALS
FRAME: FIRE STOPS,
1 ry/� v
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. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE 7 ,
LABOR CODE OFTSTATE OF FORNIA IN RELATING TOLATH., INT.
WORKMEN'S COION•INRAY
r� LATH, EXT.
SIGNATURE OFllim HOUSE NUMBER COR- '
PERMITTEE' RECT AND POSTED AA
ADDRESS - CL /-�`r '/ FINAL
IJAll-
JOHN F. LEWI PRINCIPAL STRUCTURA N"GINEER
CK.
PLAN CHECK VALIDATION Ck M.O. CASH _ PERMIT LIDATION M.., CASH
l 1 Lo,'7 7 �. 11G.. . 0 2 8.5.ON
®5 76A838A
CE/803(REV.8/78)
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APPLICATION FOR-,BUILDING PERMIT
COUNTY OF LOS,ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRlENss ��'f.J MG e(}(TCG
BUILDINGr
ADDRESS C"_a _LbLO.CALITY ESL J7
NEAREST q 1
CITY .4 ZIP CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT . NOW ON LOT MAP BOOK PAGE PARCEL
1 DISTRICT GROUP TYPE FIRE CESS BY
TRACT ;). BLOCK LO L NO. �,�.' ��D ONST. ZONE.
OWNER VvV NO. a I`YVI
ADDRESS 3T �lVCULL � ��� STATISTICAL CLASSIFICATION - S ER MAP
CLASS NO.3 1 DWELL.UNITS j— BK Ply
CITY I� �L(�• (f/7 ZIP
ARCHITECT O TEL.n �jj VALUATION
ENGINEER �} NO. / LV�
ADDRESS S BLDG.SETBACK FROM
rr��
TEL FRONT PROP.LINEOF (STREET)
CONTRACTORc5-W A,.l i N '3 _ TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD
r• LIC. r'•�(`�y���/j{ - - • •FRONTPROP.LINE HIGHWAY WIDTH
ADDRESS w, US0. NO. 1 Tn e
LIC.' /; + _
CITY % fy-v CLASS
CONSTRUCTION LENDER BLDG.SETBACK FROM
NAME AND BRANCH SIDE PROP.LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS.. CITY. SIDE PROP.LINE HIGHWAY WIDTH 0-
SO.FT. NO.OF NO.OF CHECK + _
SIZE o STORIES FAMILIES. ONE at
DESCRIPTION OF WORK NEW P.C.Fee$ A/6 .2.
.2 d— Permit Fee
' ) U N-7 rZy.. ADD
D ER ❑ Issuance Fee
��rti3 3 REPAIR- ❑ Total Fee l)R 1
A
USE OF DEMOL ❑
EXISTING BLD ; Z
APPLICANT T 0 # o 0 0 0 21
(PRINT) N n � 0 2,0 ° 4 Q3.2
BY(SIGNATURE) L � ° r°� ° 4 0 3 2 53
I HEREBY ACKNOWLE E THAT I HAVE READ THIS APTION AND STATE y� ��� Svvvvv 7
uVi '0 , 1 3779
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W. .••1 ALL ORDINANCES �"
AND LAWS REGULATIN UILDING CONSTRUCTION.I CERTIFY THAT IN,DOING THE 2
WORK AUTHORIZED RE I WILL.N EMPLOY ANY PERSON IN VIOLATION OF 6.6 8,2 A
THE LABOR CODE THE STA E OF CALI RNIA IN RELATING TO WORKMEN'S COM
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PENSATION INSU
d #.0 0 0 0 0 1
SIGNATURE OF
PERMITTEE 2.- ° 79,00'ADDRESS ` 416
TEL. I- 0Z 'o,0 0 T9,0 0 v
CITY ' NO.CKL�`� • Q
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USE ZONE NMA
OP • DSU
SPECIAL
CONDITIONS.
FINALBY d
DATE .'I' �O