HomeMy Public PortalAbout5518-5518 1/2 MCCULLOCH AVE_Building__ •76A898A CE#8033.68
-. APPLICATION FOR BUILDING PER IT
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS r d CCwL.c.vccA
BUILDING AND- SAFETY DIVISION LOCALITY 'j (_
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST f Q i-
CROSS ST. q
FOR APPLICANT TO FILL IN DISTRICT NO. I G!fP TYPE. • PR GESSED BY
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ADDRESS CLASS NO. DWELL.UNITS.-Z BK PG-10_7
LOT NO. BLOCK USE ZONE NOP�4
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NO.OF BLDGS.
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USE OF
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HIGHWAY WIDTH FROM C.L.
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DESCRIPTION OF WORK a
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SIGNATURE OF DEMOB DMION APPROVAL,
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VALUATION$ 2 3 000 '
APPROVALS DATE/ IN E IIR'S SIGNATURE
P.C. /� S- PMT FOUNDATION LOCATIONFw1-:3
FEE$(p ���f �' ¢J FEE S Z7SO FRAME: IRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACNG BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGGAS VENT, DUCTS
BUILDINGCONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY AMXP-E ON IN VIOLA•TION OFTHE LABOR COT THE STAT OFCA RNIA RELAT• LATH, INT.
ING TO WORKMEN'S COMPENSA ON t RANCE.
LATH, EXT.
SIGNATURE O /
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RECT AND POSTED l®
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FINAL 1 12 -264.,47
JOHN F. LEWIS, PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION I:K. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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DEPARTMENT OF BUILDING AND SAFETY 1
COUNTY OF LOS ANGELES BUILDING
WM..J. FOX, CHIEF ENGINEER
NO.OR / BLDG. ORD:NO. DIS�GT NO. PLAN CK. NO. PERMIT NO.
PLANS ! SETBACK LINE ]{ 1
FIRE / APPROVED
ZONE �f/4] HY DATE ,vRXCEIV ;BBjy,�°' DATEtOF ADPL. DATE 1/ ED
ZONE BYPROYEO DATE �� ��
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY .
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CITY /'
Q STATE TEL
LICENSE NO. NO.
NAME
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CITY NO.
< ADDRES/'
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1 HEREBY ACKNOWLEDGE THAT I -HAVE READ THIS
U CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
C fIZE OF LOT CO4�LQT NO. SIGNATURE OF a a(
NO. OF HLDGS. OWNof '
BLOCK NOW ON LOT AUTHORIZED AGI.
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NOW ON LOT
DESCRIPTION OF WORK
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REPAIR /TORIES
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.MOVING WALL COVERING
DEMOLISH ROOF COVERING
C4 P:C.6 t FINAL APPROVAL
FEE d ..
f INSPECTOR'S �
1/ALUATI PEE �9�S DATE .`/� _ f ( I NAME
76A ~�
I A CEM803 9-68
� APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS I CCL-1 L_L-OG
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF,BUILDING CROSS ST. L l vL - /J G Q/JL IU
FOR APPLICANT TO FILL IN DISTRICT NO,, I GROUP TYPlE PROCESSED BY
(Print or type only)
BUILDING _STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS-D5 I CCQLLS.-)G(N- CLASS N DWELL.UNITSBK PG
LOT NO. CD CZ T: BLOCK USE ZONE NO.
TRACT( ,a . t S(? SPECIAL
NO.OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. m-f" GJ (J_ BLDG.SETBACK FROM
OWNE TEL.�d)_I q0I FRONT PROP.LINE OF (ST EET)
1 NO. .TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESSW`T3g1�I� ` rL HIGHWAY WIDTH FROM C.L.
+
CITYGJ BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGH W YARD = TOTAL
ADDRESS - HIGHWAY WIDTH FROM C.L.
CONTRACTOR TEL.NO. <
LIC.
ADDRESS NO. CC-110 CUTOFF YES ❑ NO
LIC. c
CITY CLASSSEE REVERSE Sg ECIAL APPROVALS
CONSTRUCTNAME AND BIRANCON HVDER 1 r
ADDRESS !�
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES JALTER
' 0 - e.
USE OF '
STRUCTURE p�i�j C r J
��SIGNATURE OAPPLICANT
VALUATION$ � APPROVALS DA E INSPECTOR'S SIGNATURE
OUNDATION: LOCATION
F E$ FEE$ FORMS, MATERIALS
FRAME: RE FISTOPS,
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 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 LATH, INT.
LABOR CODE OF T STATE OF 'CALIFOR A LATING TO
WORKMEN'S COM NSA ION INSURANC LATH, EXT,
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE ' I RECT AND POSTED
ADDRESS �22- V Vey �� FINAL iQ
JOHN F. LEWIS. PRINCIPAL STRUC. RAL ENGINEER
PLAN CHECK VALIDATION CK. M.C. CASH _ P�yErR�MIT VALIDATION ^CK. M.O. CASH
DEPARTMENT OF BUILDING AND SAFETY ArjejaA; Klvm r ull rr ttml i
COUNTY OF LOS ANGELES. S U I ( D I N G
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING ? ` / if DISTRICT NO. PLAN CK.NO. PERMIT-NO.
ADDRESS
LOCALITY 4(a�,I:�r Keys � -J RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST ,s� �j� I •1 E:IG
CROSS ST. e� !l<
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OWNER
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ADDRESS k57(� 140 /J�j"'0 �...�.t LOCALITY
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ENGINEER NO.
_ BLDG. „�. 03D.NP.
ADDRESS i
SETBACK LINE ��'� �+1$
�/p,,`��/ TEL�� APPROVED
CONTRACTO 4 �V Ve BY DATE
APPROVED
ZONE
ZONE YDATE
ADDRESS-VM-1 hr
uBE
LEGAL' " CORRECTIONS
DESCRIPTION LOT NO. / BLOCK
TRACT
�9 A NO.OF SLOGS.
SIZE OF LOT (� ,� I NOW ON LOT
USE OF I NO.OF I NO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION - ADDITION O
REPAIR / MOVING DEMOLISH �jGf' p
:Q.
NO or Yor- E
ZE N ROOMS STORIES 'A . ry D
WALL Roor
COVERING t6rfr; JIYYIa I COVERING a
USE OF NEW/k.,BulbDma
r�OVI:i"lsl' � e•
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS„
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION:LOCATION INSPECTOR _,.-DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS �f+�
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME? FIRE STOPS, (/✓y.
SIGNATURE OFT/. .. ' BRACING,BOLTS
PERMITTEE Fc�'� rl G�YsL.�.J LATH,IMT..
AUTHORIZED AGTd� A��� '� �J
LATH,EXT..,
DBS-3 SUM SETS 1-48 $ P.C.S PLASTER,INT.
(�0/ FEE PLANTER,EXT.
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VALUATION FEE FINAL