HomeMy Public PortalAbout9817 MILOANN ST_Building__ (2) APPLICATION FOR
Y UIL®ING -•PERMIT .
BUILDING
-FOR•APPL'ICANT•TO FILL'fN ADDRESS A c9
ADDRESS �® ' �r /®� LOCALITY F L
�y NEAREST �D
CITY ZIP /' ® CROSS ST..
ASSESSOR
NO:OFBLDGS
SIZE OF LOT-'/ S NOW ON.LO z MAP.BOOK PAGE, , PARCEL
M�grr , IISSTRI 7 GROUP TYPE FIRE ED BY
'
TRACT' I�o� p 3O BLOCK - -• 'LOT NO'. CONST/ 20N E
TEL.
OWN ER
STATISTICAL CLASSIFICATION .- SEWER MAPIF
ADDRESS &.' A*WAlF'y' CLASS NO., DWELL.UNITS �—f BK gP
CITY ZIP USE ZONE I MAP '
ARCHITECT OR TEL. NOLPE
ENGINEER NQ•Z ���s ^^', ALDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL'REQUIRED YES❑ NO❑
�`e, TEL. °
CONTRACT(/)U&fes.
/� NO., BLDG:SET ACK FROM.
• .LIC. '• FRONT P P.LINE OF.', (STREET)
ADDRESS
-NO. HIGHWA + -YARD . TOTAL SETBACK FROM TYPE OF EXISTING
'• LIC.. FRONT PROP.LINE '' HIGHWAY WIDTH
.CITY
CLASS, _
CONSTRUCTION'LENDER. CL
NAME AND BRANCH BLDG..SETBACK FROM,• . U
ADDRESS CITY SIDE PROP.LINE OF (STREET) 0O
SQ.FT.. NO.OF NO.OF. _ '.CHECK" HIGHWAY + YARD = T AL ETBA M _ TY EXISTING
SIZE �• STORIES FAMILIES' ONE- SIDE PRO,..LI E HIGHWA. WIDTH ti
DESCRIPTION OF WORK NEW
ADD ❑ CORNER CUTOFF '• YES'❑ NO .❑
ALTER ❑ IN OPEN SPACE ., YES '❑ NO ❑
REPAIR- .❑
EUSE
X STOP BLDG. DEMOL ❑ -IN'COASTAL PERMIT ZONE' YES ❑ NO ❑
-APPLICANT / c A/p7
(PRINT)4F/H�e! QS O.� Cs � -
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BY(SIGNATURE)
I HEREBY ACK LEDGE THAT I HAVE.,READ.THIS APPLICATIONAND,STATE
THAT THE.ABOVE' CORRECT AND.AGREE TO.CO/iAPLY•WITH ALL ORDINANCES'. ,
AND LAWS REGULATING BUILDING CONSTRUCTION.1 CERTIFY THAT IN,DOING THE '
"WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY'PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF C4LIFORNIA.IN RELATING TO WORKMEN:S.COM: .
PENSATION INSURANCE.
:.
:SIGNATURE.OF •�� FINAL 77 BY••
PERMITTEE' p� DATE
ADDRESS M!62.422
��•
TELii�Lr .' � V.C.Fee$' - Permit Fee'
CITY ' • N
Q' Issuance Fee —�
VALUATION: `) .
Total Fee
PLAN CHECK'VAL'IDATION" .:,: :cv'_ M.O. PERMIT VALIDATION ck. M.O. CASH•
®S. 7'6A6388'GE#803B•6/'76_
B8_3 SSM SETS 5-45 _ r •�_ —.. _ - ,_
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ;
COUNTY OF LOSANGELES O'p
WM. J. FOX, CHIEF ENGINEER - 0
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
t DISTRICT NO. PLAN CK. NO. PERMIT:NO.
`BUILDING,
- ADDRESS �ti+S� !�!I�.yCo 0 s4�/✓�/jV '�7" � �""� f,�/J, �JI -�
LOCALITY 7'XAl/,,I. / RECEIV BY DATE OF APPL. DATE ISSUED
NEAREST.
CROSS 9T.
�,aJ, /�"�i�I-/°J� /. o2 /
� �cc� f BUILD IN
OWNER
� '/� ADDRESS � �MAIL
A DRESS •LOCALITY
• NEAREST { ,%
` ,',, - TEL. CROSS 5T. J/5...
CITY / ,/�/ltY �JSs.LL�, NO. FIRE I NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE I PLANS wtm...► I ��I
ENGINEER NO.
BLDG. ' ORD. NO.
ADDRESS SETBACK LINE
APPROVED
j�
TEL. ' BY DATE
CONTRACTOR 44No.
-USE APPROVED
.ADDRESS ZONE A � BY DATE
LEGALs CORRECTIONS
DESCRIPTION-• LOT NO. I BLOCK
. TRACT t T Gv� D�N"/7 UES ?C1�//`g�•G� er- eI
A q NO. OF BLOBS. ✓^
SIZE OF LOT C7 G / I NOW ON LOT ,,, evafra
USE OF _ NO.OF NO. OF
IT
EXISTING BLDG. �I FAMILIES ROOMS
DESCRIPTION OF WORD '
NEW I/ ALTERATION ADDITION
O
REPAIR I MOVING I DEMOLISH G
84. FT. ROOMS STORIES Z
SIZE D
r
•COVERINROOF
G fj�Af{/^ Re te I COVERING �/}�//4/
USE OF NEW '
BUILDING b/Yti
- APPROVALS-.
1 HEREBY; ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE'THAT THE ABOVE 15 CORRECT FOUNDATION* LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY.WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND.BTATE'LAWS REGULATING BUILDING CONSTRUCTION. FRAME* FIRE STOPS,
8113NATURE OF r BRACING, BOLTS
OWNER , r �a LATH, INT.*
AUTHORIZED AST A 'r`'•�,A*—i-,r`'�+-,I.^ — ,�,� LATH, EXT.*
v
i
$ Q P. C6111 PLAST-ER, INT.
/ t REE PLASTER, EXT. ;f
+``
VALUATION P'• FINAL
FEE '�.t -