HomeMy Public PortalAbout5642 1/2- 5644 MCCULLOCH AVE_Building__ 76A6.38A CE#803 8-64 APPLICATION FO BUIL®1 G PERMIT'
' 'Z:OUNTY OF LOS ANGELES BUILDING J
DEPARTMENT OF COUNTY ENGINEER AD.DRESs e
BUILDING AND'SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST.
DIST T NO GROUP ' TYPE. ESSED BY
ADD FOR AffddPPLICANT TO FILL IN CONST.
BUILDINGADDRES ?�' JN Isd STATISTICAL CLASSIFICATION E ER MAP
IL 1z
A CLASS 'NO-2—DWELL UNITS BK PG A
LOT NO. ' '�" BLOCK USE ZONE MAP 4�
TRACT 4 2dOgg � � SPECIAL
A NO. OF BLDGS. �' CONDI IONS
SIZE OF LOT NOW ON LOT -J
USE OF
MXLSTLNG EIL.DG. R921BLDG. SETBACK FROM
TEL
FRONT PROP. LINE OR 8TREE1)
OWNER NO. �' TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS , 10 OM C.L.
�L � � ✓ a .+ r = 44
CITY BLDG. SETBACK FROM
ARCHITECT OR TEL.
ENGINEER NO.
SIDE PROP. LINE OF (STREET)
-
TYPE OF I EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR OeNOL (q- + 0
ADDRESS J'Triz p.� CORNER-CUTOFF YES 11 NO 0 O
c T Y ' LIC 'SEE REVERSE SIDE FOR SPECIAL APPROVALS U
DESCRIPTION'OF WORKCURB, GUTTER, DRIVEWAY APPROACH, Z
NEW ADD ALTER REPAIR DEMOLISH
FT. NO. OF NO. OF
SIZE 6 6 STORIES If FAMILIE
USE OF 'J Note: Permits for curb, gaffer, sidewalk, and drivoway approach n-
STRUCTURE �77� I /� sTallaflons should be 1AM 001E "- _ a
�� Office, or T. C..Co. Engineer'sOfice in,mod:afe!y'in ordor to av d
SIGNATURE OF Zia a lengthy delay. Survey & Design worktakes f me an Is no s a d
SIGNATURE OS • neRApply
APPLICANT r City Hall. d��- � _
VALUATION$ '.��J (J C!' '
APPROVALS DATE. INSPECTOR'S SIGNATU E
PMT.FEE$ FEE$ S"v FOFORMS!MATERIALS Ph P 1 oZ 5,
FRAME, FIRE STOPS, .r ').-S
I HEREBY•ACKNO LEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
SUILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK _ +� p
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. - ,f-71"t /J ee'I, ���', q-a��
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT• _
ING TO WORKMEN'S COMPENSATIPN INSURANCE.
LATH. EXT.
SIGNATURE
PERMITTEE OF ' 1(jC / HOUSE NUMBER COR-•
-ECT AND POSTED
ADDRESS FINAL
/ JOHN F. LEWIS. PRINCIPAL ST -W TUF AL ENGINEER
PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALIDATI CK.,- M.O.. CASH
LIII:C S_ 2 4 0.'75h �.
-- LACo 6 4 4 4k2- OCT 14 -1 D' V.
76,,63.,, , !03 ,- t APPLICATION FOR OUILD PERMIT
• CO NTY OF O LOS.ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADORess 7'v
BUILDING AND'SAFETY DIVISION LOCALITY f
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP•T.OF BUILDING- CROSS ST.
DISTRICT O :GROUP TYP PR SED BY
FOR /AyPPLICANT- TO FILL IN ' CON �
ADDREISSG 4 y' L. STATISTICAL CLASSIFICATION ,r of SEWLIR MAP
CLASS NO.__/_0_DWELL UNITSBK _PG d y
LOT NO. BLOCK USE ZONE MAP- _ (i D
NO.
TRACT e 4 - SPECIAL
NO. OF BLOBS. y CONDITIONS
SIZE OF LOT NOW ON LOT 'V -
USE OF
EXISTING 1ILD1. /- + BLDG. SETBACK FROM i
TEL. FRONT PROP. LINE M 1STREET)
OWNER TN OL TYPE OF EXISTING SETBACK HIGHWAY -I- YARD - TOTAL
ADDRESS �+! C17—,V
a�(/� QW HIGHWAY WIDTH FROM C.L.
CITY G V 1 BLDG. ETBACK FROM
ARCHITECT OR TEL. -
ENGINEER NO. SIDE PROP. LINE OF (STREET)'
TYPE OF EXISTING SETBACK HIGHWAY
ADDRESS + YARD = TOTAL
�/ y, HIGHWAY WIDTH FROM c.L.
CONTRACTO /�j/ a� NOLO/ + _ 0
ADDRESS II6'1� NO , 4CORNER CUTOFF YES NO OU
CITY G c� s '-SEE REVERSE,SIDE FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK W
a
NEW ADD ALTER REPAIR I DEMOLISH N
SQ.FT. NO. OF
.. SIZE TORIES AMI LIES -
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT .�
VALUATION$ all APPROVALS DATE INSPECTOR'S SIGNATURE
PMT. FOUNDATION, LOCATION
FEE$ FEE$ FORMS, MATERIALS _
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS'APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL:COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY•1 WILL NOT EMPLOY ANY•PERSON 1N VIOLA- LATH. INT. -
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
SIGNATURE OF
PERMITTEE *- - ��'✓G-� HOUSE NUMBER COR-
RECT AND POSTED 1
ADDRESS F I NAL
JOHN F. LEWIS. PRII'CIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.G. CASH _ PERNIIT-VALIDATION K M.G CASH
LAC0.7 2 0 3`iS Nov 9