HomeMy Public PortalAbout5644 1/2 MCCULLOCH AVE_Building__ 76A&8SA^CE#eop B-64 APPLICATION FO BUILDING P WIT u
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF .COUNTY ENGINEER ADDREss
BUILDING AND'SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST.
D15TR CT O. GROUP TYPE. R SSED BY
FOR APPLICANT TO FILL IN �, coNsr.
BUILDING i STATISTICAL CLASSIFICATION SE ER MAP .,
ADDRESS CLASS NO.-L- UNITS�_ BKr,PG/4f
LOT NO. BLOCK USE ZONE MAP 2rLr7
TACT SPECIAL
OF BLOBS. +' `N CONDITIONS
SIZE OF LOT124OX 2 ON LOT
USE OFJ�
XISTING BLDG. fL, � /� �i .BLDG. SETBACK FROM
• TELT ' FRONT PROP. LINE OF •F (STREET)
OWNER E�t/y/�'b/
/ y� TYPE OF EXISTING SETBACK HIGHWAY• + YARD = TOTAL
ADDRESS /11 QI Fw g� (eY 41 s HIGHWAY. WIDTH 'F OM C.L. m�
CITY / / ,L% +&lA
_
ARCHITECT OR TEL. BLDG. SETBACK FROM
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
'ADDRESS �y HIGHWAY WIDTH FROM C.L:
QONTRA CTOR lV10,4C-y�dy&10/ d IC + — OV
A: ESS111G 8 6V' /♦ �/6NO CORNER CUTOFF YES � NO O
Cite: f /� c1cS - SEE REVS Ilfttl P OVALS v
_ W
DESCRIPTION OF WORK H
Z
NEW ADD ALTER REPAIR DEMOLISH *o curb, gutter, sidewalk, an., rlvoiycy approach D.
stallatiors should be tako �+A. I n r., __ n
SQ.FT. NO. OF � NO. OF a
SIZE ®� STORIES FAMILIES Office, or T. C. Co. Engines.-'s Of'CO iN.Ina;tately in order ho aycid
USE OF ✓� / 1 Elk aims Irmo an Is not-.start
STRUCTURE C until Permit has been issued. Apply for Parkway
SIGNATURE OF a . 1 n /
APPLICANT4 1,2,A
VALUATION$ //.. ff
1 d GLV APPROVALS DATE 1NSPEr�TbB `1�•N tURE
P.C. PMT. S FOUNDATION, LOCATION Jq J �`
FEE$ FEE.$4* FORMS,,.MATERIALS.__ Ff 1 AS
FRAME, FIRE STOPS, ) re
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS �'-°" I3IY,� / -•
9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK - _ • r 1 ••
AUTHORIZED HEREBY•1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. Z.f di 61'
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
B�f �SI �„t;?;(,�.,a' '.tAle
s!{
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED•
ADDRESS I N A L �jP/+Y�l�• ��8j7
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER-'
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
05 8-�, c'` , S7 2 22 3 O 2.3.2 5.,
i..0.6 4.4 5u%,3 OCT 14 1 D 46.50-