HomeMy Public PortalAbout5614 MCCULLOCH AVE_Building__ 76AB38A CENBOS 9-68 � �LC 0., 7-1
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING e
DEPARTMENT OF COUNTY ENGINEER ADDRESS /
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. —
FOR APPLICANT TO FILL IN DISTRICT N . GROUP TYPE PROCESSED BY
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BUILDING ry STATISTICAL C A SIFICATION SEWER MAP
ADDRESS l: CLASS NO. DWELL,UNITS--d— BK PG
LOT NO. BLOCK USE ZONE[CONDITIONS
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NO.OF BLDGS. l
SIZE OF LOT NOW ON LOT
USE OF
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OWNER NO, / TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS
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SIGNATURE OF REPAIR
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DEMOL ❑
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VALUATION 5 fJ U B APPROVALS DATE INSPECTOR'S SIGNATURE
P,C, PMT. FOUNDATION: LOCATION
FEE S FEES • FORMS, MATERIALS
FRAME: FIRE STOPS,
I 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO.
WORKMEN'S COMPENSATION INSURANCE. LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE c J
• RECT AND POSTED
ADDRESS �V/Z L►�S %3%&J*S ��
FINAL G
JOHN F. LEWIS. PRINCIPAL STRU TURAL.ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION 0
M.O. CASH
9 2 4 f'i R 21 D 1 7.2 55'" If
7GA638A EE0803 3-68
y APPLICATION FOR BUILDI G PERMI
—COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS d '
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISIMCT NO GR91� TYPE -PR c/E�$'���D B
1 f� J CONST. S�%(=fi��
(Print or type only)
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BUILDING �+ STATISTICAL CLA�S6IFICATION SEWER MAP
ADDRESS 4 C CLASS NO._¢r/_DWELL,UNITS BK PG
LOT NO. BLOCK USE ZONE NO. ':;2_0�5_0
TRACT /
CONDITIONS
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. A BLDG,SETBACK FROM
TEL. FRONT PROP,LINE OF (STREET).
OWNER, NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS a�q r. ���(+� HIGHWAY WIDTH FROM C.L.
CITY BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + - YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL.
CONTRACTOR NO. - + p�
ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ v
LIC.
CITY CLASS SE5 REVERIM SIDE FO SPECIAL APPROVALS I�—
DESCRIPTION OF WORK `u
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NEW ADD ALTER REPAIR DEMOLISH � —
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SIZE STORIES FAMILIES
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SIGNATURE OF
APPLICANT lljmwl
f
VALUATIONS
APPROVALS AT IH CTOR'S S16NATURE
FEE S FEES FOUNDATFORMS!MATERIAON: ALS ON /e
FRAME: FIRE STOPS, (�6
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. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- b
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. ti:� ,:+
ING TO WORKMEN'S OMIRENSATION I�SANCE.
LATH, EXT: �A.A
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESSL ^�� FINAL A� ,,
�:
'/�J��yTjf///J JOHN F. LEWIS. PRINCIPAL STRUCTURAL I NGI R
PLAN CHECK VA ATI8 CK. M.� S _ PERNIIT VALIDATION CK. M.O. CASH'
LACO 5 8 0 1 AUG 7 -1 a 6.0 0 ,q
75A8984,CE. 8091.82 APPLICATION- FOR BUILDINGPERMIT •
COUNTY OF LOS ANGELES- BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
:BUILDING AND SAFETY DIWSION LOCALITY
JOWN A. LAMBIE, COUNTY ENGINEER .
NEAREST
WILLIAM A..JENSEN,SUPT OF BUIL61NG�'' CROSS ST. /
DIFTR CT NG OUP TYPE CESSED BY
FOR APPLICANT TO FILL IN , CONST.
BUILDING STATISTICAL CLASSIFICATION QEWER MAP
ADDRESS Iq SK
CLASS: NO. DWELL.UNITS U b
LOT NO: WATER NOT REQUIRED RECEIVED
ERT I F,I CATE:
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NO.OF BLDGS. NO. (CIRCLE) S TE-MAJOR SECOND OCAL
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SIZE OF LOT p, NOW ON LOT USE ONEI SPECIAL
USE OF
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TEL. ./ :•'� _
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SETBACK YARD Hwy... N- STREET, E Vv,IDTH
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SIGNATURE OF
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VALUATION $ O APPROVALS DATE INSPECTOR'S SIGNATURE .
P.C. (�Q PMT. FOU,NDATION.: LOCATION f; A
FEE $ �1 FEE $ D FORMS,'MATERIALS
FRAME: FIRE STOPS; ' 11
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS \ p'. O. -� �..•�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION..
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
GAS,VENT. DUCTS �-'.`f • J
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN'VIOLA- LATH, INT. 1 h �IR J -fr• .711F
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- - •7
ING TO WORKMEN'S COMPENSATION INSURANCE. - t p�J�a _ ;`�`;�y'. �• J
• LATH,EXT.
SIGNATURE OF HOUSE•NUMBER COR-
PERMITTEE 4 RECT AND POSTED
ADDRES G FINAL
JOHN F. LEWIS, PRINCIPAL ST
'URAL-ENGINEER
PLAN CHECH:
78A6384 CEBD9,.BZAPPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES' BUILDING .
DEPARTMENT OF COUNTY ENGINEER ADDREss
"BUILDING AND SAFETY-DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER . NEAREST'
WILLIAM A.JENSEN,SUPT OF BUILCING" CROSS ST. I
DIST12 CT N G OUP TYPE CESSED BY
FOR APPLICANT TO'FILL INcoNsr.
r. .
BUILDING STATISTICAL CLASSIFICATION SiEWER MAP
ADDRESS_ BK CV
, CLASS: NO. DWELL.UNITS /J b '
LOT NO.. WATER NOT REQUIRED RECEIVED
ERTIFICATE:•
:TRAWA , MAP HIGHWAY S TE MAJOR'SECOND OCAL
NO.OF BLDGS. NO: (CIRCLE).
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SIZE OF LOT p, NOW ON LOT USE ZON.E;� SPECIAL
USE OF CONDITION
EXISTING BLDG TEL
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OWNER BUILDINGEXIST:
SETBACK 'YARD HWY' STREET•N E WIDTH
ADDRESS FRONT- e.
ARCHITECT OR L. 1'• L•
ENGINEER NO.. . SIDE =:•''
ADD SS
TEL. 1
CONT CTOR NO. 'T I s A••, ; • =
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DESCRIPTION OF WORK.
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SIGNATURE OF r /! �[ J ' r.7'/ 's-oa o 42r”t
APPLICANT , f
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VALUATION$ O O
APPROVALS DATE .INSPECTOR'S SIGN)kTURE ..
P.C. �/QI Q .PMT. FOUNDATION: LOCATION
FEE $ J FEE $ FORMS,-MATERIALS �"•
FRAME: FIRE STOPS:
1 HEREBY ACKNOWLEDGE.THAT 1.HAVE READ THIS APPLICATION BRACING. BOLTS, xp:• n _ +�1 �..r!V
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY :FU RNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING17 ;'' •"f�
GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE..WORK
AUTHORIZED HEREBY. 1 WILL NOT EMPLOY ANY PERSON IN VIOLA-
LATH, INT. \ I k �h•!j- •. r� ,/P'��,-f,-e,C'
TION OF THE LABOR CODE OF THE STATE OF.CALIFORNIA REL-AT- FI .f�•'d'• �_I
ING TO WORKMEN'S COMPENSATION INSURANCE. - F
LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR- 11 ii
PERMITTEE RECT AND'POSTED t.
ADDREsELI FINAL
JOHN F. LEWIS, PRINC.IPAL ST URAL•ENGINEER
PLAN CHECK-VALIDATION C'K: M.O: . CASH PERMIT VALIDATIONCK. M.O. GASH
LAAO 7 2 6 1 NOV 21':2:.3 D ' 2.5.0 O A ' CV _ 4,
. �,�L�.s 0 4 0 DEC 7 1 0 5 O.O.0-