HomeMy Public PortalAbout9911 MILOANN ST_Building__ 16A WA APPLI.CATI,ON FOR BUILDING PERMIT
1.99_ _ 1,
DIVISION OF BUILDING.AND SAFETY BA.uDRESS '5?9/f, �.p�0-ei„�a,)
Deportment of County Engineer -
Cousitp of Los Angeles. LOCALITY .
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT O.'GRIFFIN:SUPT OF BUILDING CROSS ST. 4l
FOR APPLICANT TO FILL IN DISTRICT No: GR TYPE SEWER MAP
CONST .
BUILDING + J
STATE
ADDRESS /7/f �Yf I�o�q/�� .. S7- - N=R HWY YES NO
SPECIAL
USE Z NE ,
LOT NO.', BLOCK CONDITIONS
TRACT' 2 ja(!9 1�f�
i I NO.OF BLDGS. BUILDING EXIST.
SIZE OF LOT :.?s' Z. W NOW ON LOT .YARD HWl' STREET NAM
WIDTH
USE OF { FRONT
EXISTING BLDG. SAN $$ I S 14 P.L• �1 ��
OWNER' ETT J SIDE
P.L.
MAIL
ADDRESS �O'S� �eM�es9 IJ AI S' O TRACT DWELL. 1 ,UNIT '5 INDUSTRIAL
' TEL. I DWELL..'/
i UNIT
CITY �,j o.Je �,spy No.�� Eyf1i y 6 PUBLIC BLDG.
ARCHITECT R TEL. Z DUPLEX 2 UNITS ADDN.,ALT., ETC.
ENGINEER NO. 3 APT. UNITS
ADDRESS /'/7 / t+ �1 4 COMMERCIAL. t3 MISCEL. ;
CONTRACTORV.Ly, iAC /7C4�+• NO. -d.�s'90 INSPECTION RECORD
ADDRESS 5-41s'O S'/9.7:l9.J�I'/1#TL L.�fl I `�`
'DESCRIPTION OF WORK t
NEW '!=.ADD_. ALTER _ REPAIR DEMOLISH
' FT. / NO. OF NO.OF
SIZE j 3 STORIES FAMILIES
EO
STRUCTURE`. ®
SIGNATURE-OF
APPLICANT 'Ore� + APPROVALS
ADDRESS ,3 41- a AL, G Q, ,ling AT N PECTOR' 1GNATURE
$ =00M FOUNDATION:LOCATIO
P.C. s 00FORMS.MATERIALS3
/ fa! FEE ..FRAME: FIRE STOPS. ff
VAI_UATION S BRACING.BOLTS Z L ti,6 f J•j(;:1..-- -
FEE 'f FURNACE: LOCATI
I .HEREBY 'ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS �OTp� tiJ�aZ
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.AND ,
T ON.STATE LAWS .REGULATING BUILDING CONSTRUC-
TION.
ONSTRUC- LATH. EXT. _ °;f�r�f el-4,
SIGNATURE
' �y . HOUSE.NUMBER COR--
"
OF
PERMITT _ RECT.AND POSTED
ADDRESSJ` �� �ryY' /� FINAL vl!- y 4
IOHN'A.LAMBIE.COUNTY ENGINEER- ATION' !.' CLYDE_ N.'DIRLAM.:•CHiEF BLDG. INSPECTOR,
CASH - • '
�. �(��,,9,5)3 9;N AUG 2 3 .�4 ; '�
• 111 [,{�y� MON
1ryp'�py p0mm�/�■p8,��,_ 18q�000 IIe •, Eg•s ■/.r�� p��r �.yp,��•/ag Q.
IA898A.CE 809.9-60 APP� �!� ll N®A S 'N d/'4® SUILDINV •■ .FEl!EYIH -
COUNTY QF LOS ANGELES BUILDING
DEPARTMENTOF COUNTY ENGnuEER ADDRESS
-BUILDING A14D SAFETY 'DIVISION LOCALITY
JdAN A:LAMBIE', COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPTOF BUILDING CROSS•ST.
TYPE:/ 10 BY
F-OR.APPLICANT TO FII.L,ITi coNs{
BUILDINGf STATISTICAL C* F-ICATION:. S.E MAP
ADDRESS • O f2/-y/ Ai •S`( :. BK
CLASS.NO." DWE LC:.UNITS I:` .'':
LOT NO. �! m P k� BLOCK' MAP } STATE- YES'. O
NUMBER
TRACT . USE ZONE, ;SPECIAL
i �� O.OF BL'DGS. CONDITIONS ..,i
SIZE OF LOT NOW ON LOT
USE..OF
EXISTING-:9LDG. IS
BUILDING } EXIST.
YARD HK -STREET'NAME
o TEL '{ SETBACK WIDTH- ,
OWNER 8FR i _+1 NO., !A.,f� 10 FRONT; . /I•�:
/ L(� V
P.L.
ADDRESS ! f/ /%Ct"4.4JSI Al':57'- SIDE
ARCHITECT OR. <+�' + .. TEL.
E. P.L'. ''-'
ENGINEER. INSPECTION RECORD'
ADDRESS m
TEL. O
CONTRACTOR NO.
ADDRESS - O
DESCRIPTION OF WORK , Lu
''�: y ~
NEW AD 'ALTER REPAIR DEMOLISH
SQ:FIV
• O.OF I NO.OF c%
SIZE 4l STORIES ''.FAMILIES (\ .
USE OF
STRUCTURE (/t 4., t f C; x' "'DOPEA c#g.-h
SIGNATURE O
APPLICANT j
VALUATION$ v'Q� �.� ;, .-. •.
APPROVALS DATE 1NSPEGTOR'S SI .NATURE
P.C. PMT., FOUNDATION'.LOCATION,
FEE $ I FORMs.,mAntRIALS.•"'
FRAME:FIRE STOPS, '
I HEREBY ACKNOWLEDGE THAT I "AVE•READ THIS APPLICATION BRACING;BOLTS': _
AND. STATE-TFIAT THE ABOVE IS,CORRECT AND AGREE TO COMPLY ,FURNACE:LOCATION, '
WITH ALL COUNTY ORDIIJ'ANCES AND STATE. LAWS REGULATING GASVENT {.ICTS`
BU
ILD I NG'CONSTRUCTION. 1 CERTIFY THAT IN 4THE PERFORMANCE- - ,
OF THE WORK.FOR,WHICH THIS PERMIT IS-ISSUED,1 SHALL NOT. LATH,INT. •/�
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUSUECT _ �`/ .,C_�- 1 '
70 THE WORJyMEN"5 GSM ENSATION LAWS OF CALIFORNIA. LATH,EXT.' .°"'-�`�.!' s .'_./ --eX�Rr+...+'-
(\
SIGNATURE"OF 1X+G+fr HOUSE NUMBER COR- r
RECT AND POSTED + )
PERMITTE .
ADDRESS * FINAt. r '
CLYDE N. DIRLAM., 3RINCIPAL STRUCTURAL ENGINEER
PLAN CHECK.VALIDATION C.K. "M.O. _ CASH .. PEMIIT'VALIDATION . -.O. . CASH
• - ei���lV �, vi] I',,.1•i: `•. .! t, !1 '.`` �'• ':fir.
COUNTY OF LOS ANGELES
• APPLICATION POR DEPARTMENT OF COUNTY ENGINEER
BUILDING PERMIT BUILDING.AND SAFETY DIVISION
BUILDING P s
FOR APPLICANT TO FILL IN ADDRESS of
BUILDING +2,
ADDRESS LOCALITY
NEAREST
CITY Z I P CROSS.ST.m
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE ES ED BY
TRACT .-2_:X(of- BLOCK L 11a _j CONST
TEL.rq Q
OWNER STATISTICAL CLASSIFICATION
SEWE MAP
ADDRESS CLASS NO. DWELL,UNITS BK PG
ZONE MAP
CITY C/ ZIP NO.
ARCrilTFC'r .-TE . SPECIAL
ENGINEER •OR NOL CONDIT ONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO.❑
CONTRACTORTEL. BLDG,SETBACK FROM
'NO FRONT PROP,LINE OF (STREET)
LIC.
ADDRESS NO. HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF HIGHWAY EXISTING
TING
LIC. FRON-T PROP. LINE
CITY CLASS
CONSTRUCTION LENDER +
NAME AND BRANCH BLDG.SETBACK FROM aCDADDRESS CITY
SIDE PROP.•LINEOF (STREET) CD
SQ, FNO. OF NO. OF CHECK HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING =
SIZET; ® STORIES, FAMILIES ONE SIDE PROP_ LINE HIGHWAY WIDTH CD
AA LLS
DESCRIPTION OF WORK _ NEW ❑ + _ ink
ADD ❑ 'CORNER CUTOFF YES ® NO ❑
ALTER ❑
92, REPAIR
IN OPEN SPACE YES ❑• NO ❑
USE OF DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG.
.APPLICAN73
(PRINT) 0 ``
BY (SIGNATURE) "�Z �7O r n ®O
1 HEREBY ACKNOWLEDGE THA I HAVE REA JTH15 APPLICATION
AND STATE-THAT THE ABOVE 15 CORRECT A AGREE TO COMPLY .
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ,
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED < � d
-HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR 'CODE OF T TE OF CALIFORNIA 1 ELATI G TO
WORKMEN'S C NSATION NS ANCE. - -
SIGNATURE OF FINAL BY
PERMITTEE DATE
ADDRESS
TEL, f.
CITY NO. P.C.Fee$ Permit ee r�
_ Issuance Fee
VALUATION-$ � - ,Z�q>
Total Fee "
PLAN CHECK VALIDATION. CK. M.O. CASH m PERMIT VALIDATION CK: M.O. ,CASH
4.50 ASo
'76A888A CE#809113 1275 ,
V ~r
• -` �� API'L-ICA`I"ION F-OR-BUILDING,PERMIT
•.:e
FOR AP_PL:ICANT TO fILL'IN (Print or type only) -
BUI1-DING _ - -COUNTY.,OF LOS ANGELES
ADLFiRESS DEPARTMENT OF COUNTY ENGINEER-
, zlP BUILDING-AND SAFETY DIVISION
NO.OF BLDGS. BUILDING �{
SIZE OF LOT NOW ON LOT ADDRESS ��^ rJ •�
TRACT ZzBLOCK . LO .N LOCALITY
TEL,�rJ��Q'' f NEAREST
-OWNE 0�5�� CROSS,ST. (.
ASSESSOR
ADDRESS• d/ MAP.BOOK PAGE. PARCEL
DISTRI_CT ZTROUP .j TYPE FIRE PROCESSED BY
CIT ZIP - CONST ZONE
' ARCHITE OR NOL •
ENGINEER STATISTICAL C -
LASSIFICATION
• _ .. ._ . _ _ SEWER MAP -
ADDRESS.. . _ CLASS NO. DWELL,.UNITS BK PG
TEL
Z NE MAP
CONTRACTOR NO 1l /e
LIC.- , . NO. V cv
ADDRESS NO. SPECIAL
LIC. - 196 CONDITIONS it/AJ f�
CITY CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM n
FRO T PROP.LINE OF (STREET) C
_ADDRESS CITY - YARD HIGHW _ TOTAL SETBACK FROM TYPE OF EXISTING
A � �• '
SQ. FT. NO. OF NO. OF CHECK, _ 'FRONT PROP'. LINE HIGHWAY WIDTH p
SIZE STORIES' FAMILIES ONE c
=NEW L
DESCRIPTION OF WORK - - v
ADD, ❑ BLDG.SETBAC ROM
F SIDE PROP.LINE (STREET)
LTER ❑ HIGHWAY •} YARDTOTAL SETBACK FROM TYPE OF EXISTING
REPAIR❑ SIDE PROP. LINE HIGHWAY -WIDTH
USE OF 16
EXISTING BLD DEMOL.❑
APPLICAN TEL CORNER CUTOFF YE NO ❑
(PRINT
BY (SIGNATURE) ' IN OPEN SPACE YES ❑ O ❑
IN COASTAL ZONE YES ❑ NO
VALUATION ® 0�
CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'APPLICAT ION ENVIRONMENTAL
AND STATE THAT THE ABOVE 15 CORRECT AND•AGREE 'TO COMPLY --IMPACT EXEMPTIOW DECLARATION SIGNED' (DA;TO
` WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT -IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT.EMANY PERSON IN VIOLATION OF THE - -
STATE •CALIFORNIA RELATI G TO
LABOR CODE OIFENSA
WORKMEN'S COM TI SU NCE.
SIGNATURE OF
PERMITTEE
ADDRESSr /'.�tY
TE DATE
CITY V
It
%IAKE C:HEC: ;AYABLE TO: FEE F
PF E
HARVEY T. BRANDT, COUNTY ENGINEER - �. .
PLAN CHECK VALIDATION CK. M:D. CASH •o PERMIT VALIDAT16N• cK. M.O. CASH
1-'AI " 3- 0 8 2 i 3• SEP 6- 'I_ D Q;r;0
76AG38A-CE 9803 12172