HomeMy Public PortalAbout5453 MCCULLOCH AVE_Building_7/8/1976_ :�� • APPLICATION FOR BUILDING PERMIT~
FOR APPLICANT TO FILL IN (Print or type only)
FADDRESS
G n' • COUNTY OF LOS ANGELES
ZI V1e L V, DEPARTMENT OF COUNTY ENGINEER
�M PLr GLT zIP (��� BUILDING AND SAFETY DIVISION
/ NO.OF BLDGS. BUILDING
LOT�- X i NOW ON LOT ( ADDRESS.
TRACT BLOCK LOT NO. Q LOCALITY
OWNER ,F_CNEAREST
,P LC•�. �. NO. ,�[�-�7�� C OSS STf
ASSESSOR
ADDRESS S1j1r,31V . HeCULL0 AV. MA BOOK PAGE PARCEL„
CITY C T`( ZIP OL L790 DISTRICT GROUP TYPE FIRE PRO ED BY
CONST.' / ZO
ARCHITECT OR TEL. is. -� V
ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS qCLASSNO.�DWELL.UNITS BK1BPG
W
CONTRACTOR O N E=R NO. USE ZONE NOP M06-0LIC.
ADDRESS NO. SPECIAL��
LIC. %CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER r
NAME AND BRANCH L,A.CD, FED,CREPT l i t BLDG.SETBACK FROM /+ n
FRONT PROP.LINE OF <'-G [.l'i ISTREETI
ADDRESS CITY HIGHWAY t _ TOTAL SETBACK FROM TYPE OF EXISTING
SQ. r.– YARD NO. NO.OF CHECK - FRONT PROP.LINE HIGHWAY WIDTH
SIZU STORIES I FAMILIES ONE
DESCRIPTION OF WORK QDf M NEW .❑ - + U .Z ?' !Zi c O O
ADD .EL BLDG.SETBACK FROM cx
2 g.L'®KVCR t SIDE POP.LINE OF (STREET) O
5 vss ea-r�.,�G da?ZO 0 DO ALTER ❑ TOTAL SETBACK FROM TYPEOF EXISTING w
Ian � !-l�iV' �7�V lWU` , ►�lV HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH y
USEOF 5iN1GLEFI�MTLY gG.IDEA REPAIR ❑ ej Z
EXISTING BLDG. DEMOLJE
+
APPRICA �r�� TEL ' CORNER CUTOFF YES ❑ NOO. IN OPEN SPACE YES ❑ NOBY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NOVALUATION� lI HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STTHATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINAN /offAND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY ATIN DOING !' ,WORK AUTHORIZED HEREBY I WILL NOT EMPLOY Y PE NVIOLATION �jTHE LABOR CODE OF TH TATE OF CALIFORNIA IN LATI T ORKME 'S CO / Z,
PENSATION INSURAN
SIGNATURE e ��3 /.v/�✓ -'�--
PERMITTEE �
ADDRESS445. A Gr17 0/L !�
.�1�D n p FINAL &Y�
CITY I G L` LF ('.TTY NO. -i DATE 17
d[ ��c�v/3'�
MAKE CHECKS PAYABLE TO: F E C. $ FE $
LL HARVEY T.BRANDT,COUNTY ENGINEER ./
0 -
PLAN CHECK VALIDATION CK. M.O. CASH — PERMIT VALIDATION M.o. CASH
8 6 810,qp_ 8 1 -109.50 ®91:
®s 76A638A CE#803 3.75'
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