HomeMy Public PortalAbout9817 MILOANN ST_Building__ 76A63BA CE#803 9-68
;APPLICATION FOR BUILDIN PERM LLLJJJ
r. COUNTY. OF LOS ANGELES BUILDING
DEPARTMENT OF.COUNTY ENGINEER- ADDRESS
BUILDING AND SAFETY DIVISION- .LOCALITY C:�!
JOHN A. LAMBIE; COUNTY ENGINEER NEAREST.- ,`
COLEMAN W. JENKINS, SUPT OF BUILDING. CROSS ST. - /� V &
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PROCESSED BY
(Print or type only) CON
AT
BUILDING _/ STATISTICAL CLASSIFICATION -SEWER MAP
1-7 /A.
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-ADDRESS �y CLASS NO,. DWELL,UNITStf� BK PG
LOT NO. BLOCK USE ZONE1 MAP
TRACT Q"t��® . SPECI L
NO.OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON.LOT
.USE OF
EXISTING BLDG. BLDG.SETBACK FROM
OWNER J S NO. 2gS FRONT PROP,LINE OF - —(STREET).-
TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL
ADDRESS 7 /J% /.A -0 A HIGHWAY WIDTH FROM C.L.
CITY ,P,/C' Y 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.
CONTRACTOR {amu%O!Y PJ��(7�`lPS NOL y'f-3.7.323 p + —
ADDRESS y�'i�� LJf/�/ (� NIOC.a�j J( yi CORNER'CUTOFF YES ❑ • NO ❑
4 I SEE REVERSE SIDE-FOR SPECIAL APPROVALS -
�F.� L G.—
CITY-;3'& CLASS
CLA
CONSTRUCTION LENDER c
NAME AND BRANCH
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIESUSE OF '`
ADD
STRUCTURE J �L%/ �0�/� l�' �n v ALTER ❑
SIGNATURE OF REPAIR❑
APPLICANT DEMOL ❑
{
VALUATION.$ cv
/—
APPROVALS DATE INSPECTOR'S SIGNATURE"-
P.C. PMT. FOUNDATI ON::LOCA TI ON
FEE $ FEE$ FORMS, MATERIALS
FRAME: FIRE.STOPS,
1 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. 1 CERTIFY THAT IN-DOING THE WORK AUTHORIZED
HEREBY IWILL NOT PLOY ANY PERSON IN VIOLATION OF THE LATH, INT. -
LABOR CODE OF T STATE OF CALjra NIA IN RELATING TO
WORKMEN'S COMPE ATION.INS ANC
LATH, EXT.
SIGNATURE OFt HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS S0
FINAL I,
160 1
JOHN F. LEWIS. PRINCIPAL S URAL ENGINEER
PLAN CHECK VALIDATION cK, M.o. CASH _ PERMIT VALIDATION cic. M.O. CASH
IR
c6A839A GE4603 9 6BAPPLICATION FOR BUILDING PERM
COUNTY OF LOS-'ANGELES BUILDING p� t
DEPARTMENT OF COUNTY ENGINEER ADDRESS (J
BUILDING-AND SAFETX•DMSION LOCALITY -
JOHN A. LAMBIE; COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF'BUILDING, CROSS ST,
DISTRICTNO.- GROUP TYPE PR ESSED B
Y
FOR.APPLICANT TO FILL IN
(Print or type only) 576 V 8 CONST
BUILDINGf // STATISTICAL CLASSIFICATION EWER AP
ADDRESS U 7`. CLASS NO. DWELL•UNITS BIC PG
LOT NO. BLOCK -USE ZONENOP OL
TRACT g SPECIAL
NO.OF BLDG.S, CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
OWNERTEL. FRONT PROP,LINE OF (STREET).
(J '�J� NO. . ��S V'J TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
/
ADDRESS O L HIGHWAY WIDTH FROM G.L.
T _
CITY ? P �i� _
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:
ADDRESS NL
Ljp CORNER CUTOFF YES ❑ NO ❑
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS i
CONSTRUCTION LENDER
NAME AND BRANCH
ADDRESS (/
SIZE T. STORIES FAMILIES NEW ❑ ,
USE OF ADD �
STRUCTURE
ALTER ❑
p REPAIR❑+
02
SIGNATURE OF,,j� s
APPLICANT ��� , -�, DEMOL ❑
VALUATION$ ( f/IL7 APPROVALS D A TFE NS.' TOR'S 5 G ATURE
P.C. PMT. FOUNDATION: LOCATION /y /
FEE$ FEE$ ! v'1� FORMS, MATERIALS ! (�
JQ
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIFRAME: FIRE STOPS,
S APPLICATION BRACING,
BOLTSffl
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 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. v
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE `�'�' RECT AND POSTED
ADDRESS FINAL 17 M 7'0 , t
t
JOHN F_LEWIS, PRINCIPAL SOcK..
RAL ENGINEER
MI
PLAN CHECK VALIDATION CK. M.O. CASH _ PERT VALIDATIONM.O. .CASH