HomeMy Public PortalAbout5210 MUSCATEL AVE_Building__ Li
�IORKERS'COMPENSATION DECLARATION
.ere affirm that I have r certCom a natio Int to self L I C AT I O N F IG R� B I L D I N G PERMIT
;5&
ns or,• Certificate of WorkersqCompen5ofion Insurance,
t 'e i opy thereof(Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Pollcy,io pony
[/ Certified copy is hereby furnished. .. FOR APPLICANT TO FILL IN ADDRESS p?�Q
s 1 Certified copy is filed with the county building inspec- BUILDING ARM �����y
G--
Tion department. ADDRESS A ,G
Date Applicant ;CITY /� L� /L ZIP - ® LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. v;ZNRp�
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR R-
TRACT dollars ($100)or less.) ; MAP BOOK PAGE PARCEL
OWNER eC Aeal: f• / [ TEp SS'7 USE ZONE MAP 2-
I certify that in the performance of the work for which this NO. -�
permit is issued, I shall not employ any person in any manner ADDRESS �� LI� SPECIAL
so as to become subject to the Workers'Compensation Laws. CONDITIONS
CITY �/T ZIP 91202
Date Applicant ARCHITECT OR TEL.
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER �'�!�/ NO. DISTRICT GROUP TYPE FIRE CESSED BY
Exemption, you should become subject to the Workers' �U� —3 CONST., ZONE
Compensation provisions of the Labor Code, you must forth- ADDRESS —
with comply with such provisions or this permit shall be • fie+ w�-TEL. �yO,�s��v STATISTICAL CLASSIFICATION APT. CONDO.
deemed revoked. CONTRACTOR tL��'W /�.a/ NC]�6.�''AJ '—'
LICENSED CONTRACTORS DECLARATION y�p LIC. CLASS NO. DWELL. UNITS
� A
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS
z/ NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and //ff LIC,
Professions Code, and my license is in full force and effect. CITY 7e� C� &7Z CLASS BK VALIDATION
g�j :SQ.FT. O.OF NO.OF CHECK �.
License Number v Lic.Class SIZE { STORIES FAMILIES ONE
,. VALUATION C�
DESCRIPTION OF WORK /' NEW ❑ LL
Contracto v .0 ADD $ 0 V 0
I am exempt under Sec. a �X Ex/3% ❑ 0111. LLI
ALTER
B.BP.C. for this reason REPAIR ❑ $ n-
USE OF ❑ Z
EXISTING
Date: EXISTING BLDG. DEMOL i
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO. DATE 'I
I hereby affirm that I am exempt from the Contractor's License ACICT v
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL 9�
Professions Code): PRESENT By 3307 114
I, as owner of the property, or my employees with ADDRESS
1 ITEMS
wages as their sole compensation,will do the work and is o=
the structure is not intended or offered for sale(Section LOCALITY 00. TOTAL 1.15= -_s0
7044, Business and Professions Code). MOVING TEL. CHEW frtiorl
I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- CHANGE
tion 7044, Business and Professions Code). ADDRESS
REQUIRED TOTAL SETBACKFROM
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT 0I]f3l�—Iji_I]1 1/11/29
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE 0343 1 AM ?:03
P.L.
Lender's Name
j-
Lender's
Ref.N
P.C. Fee$ Permit Fee
Lender's Address
1 certify that I have read this application and state that the Issuance Fee .J�� LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
i ordinances and State laws relating to building construction, Total Fee LDMA Perm.R
and hereby authorize representatives of this County to enter
M;h�;b ve-mention pro r inspection purposes.
—�� SEE REVERSE FOR EXPLANATORY LANGUAGE
0
Ar Signature of App cant or Agent Date
W10RKERS'COMPENSATIOM DECLARATION
W, affi m that I have a certificate of consent to self APPLICATION' BUILDING
hpuret, or.,� certificate of Workers'Compensation Insurance,
1 ,or v L rtjtied copy-thereof (Sec. 3800, Lob. C.)
>OOiF/l�" ciman diftJ LtdAt�O COUNTY OF LOS ANGELES BUILDING AND SAFETY
P I cy No. P Y
RE
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS o�C��7 j0 GQ�a
(� Certified copy is filed with the county building inspec- ° BUILDING
IL11 tion department. ADDRESS ZI® lAlase,472r !f
Date Applicant CITY /�? [.>1 ZIP s� OD LOCALITY LG
CERTIFICATE OF EXEMPTION FROM WORKERS' O.OF BLDGS. NEAREST /
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one TRACT �g BLOCK LOT NO. C LESSOR
hundred dollars($100)or less.) "'/,s�'v MAP BOOK PAGE PARCEL
OWNER C.�G �e /`49XT NO.-Z2'$'/8 USE NE MAP � _Z
I certify that in the performance of the work for which this / ® `I NO.
permit is issued, I shall not employ any person in any manner ADDRESS ���! �� 'eo� /dry tE� SPECIAL
so as to become subject to the Workers'Compensation Laws. G CONDITIONS O
Date Applicant CITY ZIP !C/�D
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR y TEL. DISTRICT G OUP TYPE FIRE PROCESSED BY O
Exemption, you should become subject to the Workers' ENGINEER w/oaiplv NO. �j 31 CONST. ZONE 7 1—
Compensation provisions of the Labor Code, you must forth- ADDRESS "' V S W
with comply with such provisions or this permit shall be 0.
deemed revoked. CTNEL• g STATISTICAL CLASSIFI TION APi. C• DO. N
ONTRACTO fIACAS � LIC, CLASS NO. Not DWELL. UNITS+L
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS X/ l� �/1 NO. 6 _ SEWER MAP
(commencing with Section 7000)of Division 3 of the Business an ��y LIC.
Professions Code, and my license is in full force and effect. �°'(]/V� CITY 7s—_*_ t> eke CLASS %� VALIDATION
License Number ��(��'�a Llc.Class "� �� " Q FTkv NORIOF �. NO.OF l CONE BK PG.JW HECK 1, A
% VALUATION o 0 0
D SCRIPTION OF WORK " NEW
Contracto , to o128,67
ADD ❑ 9
I am exempt under Sec. 1 -V /yoscar4g! ❑ -
ALTER
B.BP.C. for this reason REPAIR
❑ $ oq o o ;%8 ;
Date: USE OF _ / CTk,B
EXISTING BLDG.
Signature APPLICANT TEL.OZ
FINAL
OWNER-BUILDER DECLARATION PRINT t i ,fZ&WjN .d ?j/ 1� DATE
I hereby affirm that I am exempt from the Contractor's License ADDRESS / ��`,r p
Low for the following reason (Section 7031.5, Business and FIN
Professions Code): PRE5ENT By
❑ 1, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and ,n 973 A
the structure is not intended or offered for sale(Section LOCALITY V
7044, Business and Professions Code). MOVING TEL. \ 0 0 0 o a
❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. a
with licensed contractors to construct the project (Sec- ADDRESS 1 0 642 n 18
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACK F o o u /
4 2 L v
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH �/
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L. 0
(Sec. 3097, Civ. C..)). SIDE
®S �/J?E�� P.L.
Lender's Name a' ,Q�� '�J
!1 1 �LLrE`/ �ls.4& P.C.Fee S J� I Perm ee Z t'4 LDMA Ref. 11
Lender's Address� ,
I certify that I have read this application and state that the Issu n e les LDMA P/C#
o above information is correct. I agree to comply with all County Investigation Fee Q
0 ordinances and State laws relating to building construction, Total Fee f1'
R and hereby authorize representatives of this County to enter LDMA Perm. #
up the above-mentioned ope y r inspection purposes.
m SEE REVERSE FOR EXPLANATORY LANGUAGE
ignature of Applicartror Agent Date
f-WORKERS'COMPENSATION-DECLARATION
dereby affirm that I have cestCome of consent to self APPLICATION F®RBUILDING PERMIT
insure, or c-certificate of Workers'
p
kers' Com ensation Insurance,
I ,or a oortifiied copy-thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
PolicgNq[®L24_6 -7 Company ��� /rill
�r`Jl Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS
Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS
DateO ApplicantPC46ef �>7/��/ CITY •� ZIP
I�OLOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT cS�/J NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one ®® y ASSESSOR
hundred dollars($100)or less.) TRACT �7�"� BLOC LOT NO. /TEL. 99 MAP BOOK PAGE PARCEL
OWNER ;444 .r R NOGZS�',d. USE 7 1E MAP
I certify that in the performance of the work for which this J®1/`i( NO.
permit is issued, I shall not employ any person in any manner SPECIAL
so as to become subject to the Workers'Compensation Laws. ADDRESS 4 04 CONDITIONS U
Date Applicant CITY _ZF � !7S ZIP
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR % TEL DISTRICT GROUP TYPE FIRE PROCESSED BY
ENGINEER t✓49 CJ I� NO. CONST. ZONE F—
Exemption, you should become subject to the Workers' /l � \ l (�
3 121
Compensation provisions of the Labor Code, you must forth- ADDRESS Sc`' V W
with comply with such provisions or this permit shall be
deemed revoked. CONTRACTOR O. STATISTICAL CLASSIFICATION APT. NDO. U)
LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS e
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION
A1gSQ.FT. NO.OF NO.OF CHECK
License Number TO LK Lic.Class SIZE STORIES FAMILIES ONE
VALUATION
4 =`7$� DESCRIPTION OF WORK NEW 1:1Contractor ate �° ADD (3 $
I am exempt under ec. Q ��' S �7 e
ER ❑
B.$P.C. for this reason REPAIR ❑ $
Date: USE OF
EXISTING BLDG.���v �/Q�/ DEMOL
Signature APPLICANT FINAL
PRINT) (�
OWNER-BUILDER DECLARATION DATE Z
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS /r lv �7�0 FIN r� '9731 A
Professions Code): BUILDING By $� 1
❑ 0 0 0 0 0
I, as owner of the property, or myemployees with ADDRESS
wages as their sole compensation,will do the work and LOCALITY r ° ° 6 0 5 0
the structure is not intended or offered for sale(Section
7044, Business and Professions Code). MOVING TEL.
E] ° ° - 60.595
I, as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
531 -88
tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP pL NE R WIDTEREH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
LDMA Ref. #P.C. Fee$ Permit Fee
Lender's Address
I certify that I have read this application and state that the Issuance Fee LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
I ordinances and State laws relating to building construction, Total Fee r� LDMA Perm, #
3 and hereby authorize repr entatives of this County to enter
S u above-mentio p� for inspection purposes. _ f
SEE REVERSE FOR E A ORY ANGUAGE [�+
Signature of App ant or Agent Date t
26AS38A DBS-3 12.54
APPLICATION. FOR• BUIL®INC PERMIT 1
DIVISION OF BUILDING AND SAFETY BUILDING '
Deportment of County Engineer ADDRESS Z v. 'Alf/ !o/
County of Los.Angeles
WM.J. FOX, COUNTY ENGINEER LOCALITY
"CASSATT D.GRIFFIN,SUPT OF BUILDING- NEAREST
CROSS ST.
DISTRICT NO. GROUP SEWER MAP
//FOG/R /A}PPLIC/A�,/N'rT TO FILL IN ��' I .r I
TYPE I BK PG
BUILDADD EISS 61•/l/ I /J us,A �j CONS L..V /
�y jf NUM ER r O STATE NO -
LOT NO. / .. f /� BLOCK US NE SPECIAL
CONDITIONS
_TRACT S 7
/ J i) NO.OF BLDGS. f� �,ry
SIZE OF LOT J (J /� I J (/ I NOW ON LOT, BUILDING YARD HWY STREET NAME EXIST.
USE OFSETBACK WIDTH
,
EXISTING BLDG�t g? 14, r S4-IA-*C R- FRONT
P. L. '��
OWNER �Q !''/�G l�f 77�! I�Pr/)l�Tr SIDEMAIL Yr
1 P. L.
ADDRESS wt/010I (fCl�A P - "
//�� TEL. t DWELL. I UNIT 5 INDUSTRIAL
CITY_1 cY!4•�9 vR� NO.
2 DUPLEX_UNIT 6 PUBLIC BLDG.
ARCHITECT OR - TEL.- -
ENGINEER NO. 3 APT. ,UNITS 7 ADDN.,ALT., ETC.
ADDRESS _ 4 COMMERCIAL 8 MISCEL.
CONTRACTo �i INSPECTION RECORD
ADDRESS.
—DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. C� r O OF NO. OF
SIZE , STORIES d)AM FAMILIES!/d.
U OF STR • E
,IUCT•Ya��f- ,)vc/Y
SIGNATURE OF`/;7_01
APPLICANT .0, a f-�_l%wl�E`.IIf�L+1�
� '/ � APPROVALS
ADDRESS 9,4. Q,;ytZ4 DATE' INSPECTOR'S SIGNATURE
OFOUNDATION: LOCATION L G�,, N
$ P. C. $ FORMS. MATERIALS '�7� /� .f7�✓
v "7
tr<s� FEE S Q C FRAME: FIRE STOPS. -
VALUATION BRACING,BOLTS
FEE' "r FURNACE: LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS'VENT. DUCTS
"
~ APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND-AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC- ,
TION.
r J LATH, EXT.
SIGNATURE OF / _ HOUSE NUMBER COR-
PERMITTEE ': �+ �_ - rI�`� ' RECT AND POSTED
!,
ADDRESS t �s FINAL /-Cf:� '�. �/�( -cs✓'
NhL J: FOX. CouxTy ENGINEER 'VALIDATION
3Y _ACO�Y B -2 `mm Z2 4.0'0 0
DEPUTY - DEPUTY
BY BY
DEPUTY DEPUTY' .
o °o
me
a •
;: r� '•�:'D/E�'PARTMENT.;OF'BUILDINC APPLt'GA 0 ►'� +.
•� l�• - COUNTY .'• •• .F08 P
' 0 I L09'ANGELE9 " � , }BUIIrDING
.' .1•• '�' �. -•••n •'YT.74.M
• /LANO BLDG. /IRR •'
"f7'IL[D "�ZO-1 „r + iZ•�., .1blevonlUji rJob... ZA" N!L Foulpal
to
BLOGedimI "
s, •.. = `o•.. R:'' DATE OI AP/Ip�h ��RfiC oAtf 'oil
MPLICANT FILL IN IlEAYILY OUTLINED PORT70N ONLY ! , �,,•r•. '
B . •r•�
•. O e NAM! 1 �•i `'�• O4ILOINS.
•. Yi. (1 DDR[Oi
'S�!: �! ADORlRO ` /f.I �' fLOCAL�- 7° •: ..��'�> °�•c.- � a
z OTT
GTATR
YP7 < LICIHR!N p0•
E
lit r NAM . +:SS
NAni! o L MAIL
ADDRUs' ••'�
CITY ir Alp;it
STATE //�I y� 7g f
7 -- - LICENOB NO 10%#� P T.L. Ne.4/, 6aspY/ {� O.o►BLDaa
CL S$-OF WORK 111��� NNow oN Lar /R ,
• NEW _ADDITION OlMR7L111N 7
Qwas or MO6 Or � 3
Iv TERA R MOVO s' pi" jON OF WORK �• r
BLDG. pw! ROOMB
SVEC
1 . . •.
S
FOUNDATION EXTERIOR 0ORREMON$ . 7
MATERIALr�[R�1a,.
5.• TNICKNlB . . •f r V t
iL
i DEPT" IN GROUND .�:' •'' - ��
• SU0 RU TU �!1t.iJ.•.�' ti:srLs...
l: w PLATIll
/ACINq /f1AN�• •Ci:' a �7 .• �p �:: +r�:s�J.` iFy;•y'N i a
•+ •JOIBTfLs.1L0011 ' ` ''
.��:- � r ..! s•,;,. .a t'1*.:.+era••e ':y! -il•i- fix..,.-. ry�°:r; -
NEARING LL •ii. :.'�.,�d::::i'�i� '�}'{8 +tf':,i:�•.i:• !'•' ,,�•a.:p..•. 14 e'
PARTITIONS ," 1'�' :IS.•••ihi:::.. Is3•'!7'a['.�w?^:•`'• �. ".�'a:i7.•!4t•di '.'r'e .c'
s ROOF RAITKRB P.: .9 s: �c 'L• ay •'Zi?iati:a 14's,.Ir v M•• r Qy ••
'�',' �`�'•.:�. ., tial Bur;..�•q%i ,�.
• BILL'OOLTR '
COVERING- '•. f,1: ?•v.�:�ivi%•7:�_e•'►:..'►:^3: F+�•A.:•a .,•:a'Cd• 7 'Y.
* ' '• 7 +"tAtL,, Z x
'� w •y :y. •.•t.R,.sL�.a'l R��•u'CJ/1'M�A;.•' 8�.'`T.f•.a ei4� a •.
WALL. R F ^ . . :. ..•fir .. '� ,
• 1 N[R[SY ACKNOWLEDGE-THAT 1 NAY[ R[AD TMIB •,at
• APPLICATION AND BTATE THAT-TN[ ABOVE IR CORRECT: •%• "•�' !7y� }E,E1: w.••;_•,-:iy�.• ;•, �j��7
' AHD AGREE TO COMPLv ITN ALL COUNTY OADINANCp.• '
AN STAT:LA>YB REp4 1 O rBu1Lo1N0 CONSTR +:>; f+' •
• ` •.4ti'. �..•;aa •'••�.At'7..�. •a:'!' :�i7fC`:$.=.tc'�7:`:•+aY'J�.
meoR•vr eR77fE 4. 3 �1j y.s.0 7'.Ji.•, 'j{ I9, :.i.r 4° 4~
VAXM
'VA Aii6N' 1 'NiPf :� ,.� D ytN iTti !$Ay7 u7!51" y�•It r.
•?..i,�•500.0 1�•.• °.�7.-;'K'. 1- '•�7.:Sf{ '.S�°-.� I8 ]�) ' �Y a .. - •. -em. •�j
..� � .Jed L}�;w•y'�e�'�i7n�+�.w�.,� - u_ranr����r.~ti
'�•N v+M V .•µ• a
DKPARTBInT OF o1ALL9J\�V AL1�/•M iri iah +i ��nq.rM•w'
i'PLZ �1.
couNTY of LOS //••E�••Y U�•�"., CA7CI�� O P. ,
ANVriLii•7.r •�-+- ,•J.L t a••'' P.
!A 0 .
.5 PLANO WM. J. FOR• CNIEO lNOINEEfQ' '" •N= +:6 C a r B�D�®� ��oo r• "+�;�5' e
' .1 ._ 1.0 �iD�.•1 •:ice i
• w. IIL[D
say
■EOGs PIhL
Cowl: iONR '-'.11 OIiT�IGT Alp••+' R
TrrnE of ' NC11 H'tRHa '� NO°H;,
,. a• Ilttldl S` 1 Y/ ~I/'' fY R•i eROHP:i• J .• •�'- !T�`ors-m••.t!. P .'r S •�
.., .z w . ;1.• MO APDL'• „RRCi1tl6O•S11 BAT.*.0892p4n
'• AI'i°LICAN FILL M IIiiAVILY OiMJL,RD PORTION OVT
X g NAM[ � �{;S. ADDRESSCITY 107
®•:.
` B R �LOCALITy-' =': RIE :•'.`.• C
.c �) BtAtez• S *"•i NSAREBT•i•'. Ii..L:� ,
CROBB K
LICENB[NO, Till. NO SIO/ •• i =
. a/Mti S6/V'
R NAMit Ip. :t� -ADDRESS'
1
AD Moo
CITY
STATE I•' 9 pie6 .L� y-•, s •�rpa,y,.• .OfEB O►tOT /lJI
;tri LICErIf[HO. M. MG. Y BLOCK�Y ` a.i� NO. OI 1111.0". r®,F Ij.' N(•
NOW
LOT
' CLASS OF WORK •. ° A li R ° °'�RDa
How
II CINADDITION D[MOLfSM ''' 'i :;,.DB.9CRIP17011T OF WORK -
ALTERATIO s'r•''-::a �• d. r,•�• d.•r. 'J
N REPAIR MOVING ~use OR -
.OP .
BLDG. TEfA POOMSNO '�� j
aize OP • j ®TO11 Ne. OP 1� "' •:�
BLDG, L o FAMILIES ® • •a
iCOLWMIC,
ov
SPECIFICATIONS ..,.
RISE FOUNDATION `• o �,,,, g;
a
{ MATERIAL IOR Petits . `.
TMr®1!Net's�t:_Tor ,r�r.� �.,,_ •:1- •�• �.+m..,..,,. .a .. y
` - Tt11CRH[SS—DOTTDM A;;tA '"•' 'a._ e
DEPT" IN GROUND t/' •`••�•,
SUPERSTRUCTURR• '.'• yyy� is ;s,'::"�r �.. .++�{a. ::se:'''.:Y'- + . .•moi;� :.
7 R. W. PLATES SILL) S SPACING SPAM !I .:1;;V :S�:§�!'G.Y-,¢.d ;."t• . 1 "^%^,.° ,. w
GIRDERS r a .1• •„{:.,:•. •:;;,w. 5::.•..i :'.i..�wti•Q ''
a J018TS__I LOOR• •.,� ' l.•,.- .:•',:.i'�!;�r` t :r• Y:.i,'•o. e. .7
i - y`• 1 JOIBTF�CEILINO rpi, I••++.-d i. .��7C:1•r:►:l'•tt;•, ay i .��•. .�y ~.
r.. BEARING WALL8 ~ : ......s_t.wa••e; 1 ' s_IL. •.
•• �,R
PARTITIONO �. yy.•e ,• .•t.K. .. �1."li�f:•t'. .;P•.� . _ .,:�.,••.+.iiCei 'r
y ... ROOF RARERO �x� •
_�r�� ,..r... .. ...t{ . w•:j.• :+.iy,y;a,`.,
BtLL Batts t n '` `•` ' ' : FINAL-APPROVAL ^:a:•�r,'
COVERING'. .t; q,: ?a\ :.. t • " .:i. f �g ,.
�.. ;'�t<s•,✓ilrl T'•+i�••'.-C�• �' •'•• 'r .i
• WALL/!a.,'b.C,&% °• ROOF Q •' R�(t Rllt• y' ' �,:
is �' y 7_3 NERESY A OrNLEDOs 7N/lT 1-11A1R R
,:v�+. .�'ketr�'xi3+9�' r .r r +1ND A RC.7b 00 RY'?HA7'+TICIt A fLA07Hlr
1:••.• ::•r-ti.'j BOVi•IB CCRRBCT `'•
' Ydl�4.�; '•.+^1�. PaC.FES.'$�' ,FWD OT/�TE GYM-AEI.CDUIftC►ORDIMAN
§" ,"•''+
:�-'Yy_- •'.Dtt0 i- i ' - � •�:,•`a,}•i.:-.sti4; •tE + :.+.. . .'sw'rcn:r.�t• M.TeuVALIJ :. A. = sw1tB7.INwV,O•Qdo.Ne
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"• DEPARTMENT OF BUILDING AND 'w ,- - CATION.FOR PRUIT
COUNTY OF LOS ANGELES 'Jj:•i
BUILDING
WM.J. FOX.CHIEF[NOINttII - '
of
NO.
Y PPLArQia 89"A OAD°NOr DISTRICT N0. '. FLAN CK.9106
BRBACK LINS ti; r, „ %LRMIT NpMy
Fine APP
to
tONC BY DATL ' ,p
Uit A/PROVtD gYtO w OATS 0/APDL DATE INBULO
•:t _ 20NC BY ATt S,.!,
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
•" NANZ -: BUILDING:.
F jR: ADDR[IB
Ir LOCAL _ fto
{� CITY NLOCENow No. TEL.
LARtST �
STArg
4 14 NAME
NAMt MAIL
DDRUG "y
ADDR[as
..may CITY T2
T
NTA
' 1 NOIIOT ACKNOWL�OGE THAT 1 NAve REAR nfur
LICW[[NO.
[TAT[ Tst. APPLICATION AND STATE THAT THE ABOVE is
hp. AND AGRtt TO COMPLY WITH ALL COUNTY OMDfNANCLB
_ , AND STATE LAWS RBBULA7ING BUILDING CONSTRUCTION.
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LOT NO. '7 f!f!t 0/LtfGO NR Or • i `�
t [LOCK /� I NIL Or BLDG-L �f. i
S NOW ON LOT T AUTHORR�A t
I J TRACT • ' CORRECTIONS t
! a Us[OF SLDas.
NOW ON Lor /y •�. Iii,.,y�.o%.d "
DESCRIPTION OF WORE v
•Uss OR
BUILDING
sun
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local Wour ar
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.i. GROUP 1 _ .�•. ..�.. q
ALTOIATION NO.air •'•
ROOMB /AMICI[[ Y"� �,�:"° ,•r• w° �•.
ADDITION
j S.
.i•
REPAIR aTOR % A. a•
. tU
MOVING 1A/ALL COVtRINO
,C d.
,', D[NOLI N'•• ROOK COV[pINO .-tea '`'• ••811 wb'•:.a'yer"yj,•,�:,� �•1'"'ik�_'k.+��[��.�q.. 4:!�
o.
Orr . res /�. v..kr:' :�.:..s:��FlNAL APE$OFAL•ti.•;� �+,s•i•"•,.
•r r DATION •°}.` •j� _ � ai3d.F�I, —pnj
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•► —
..... _ Mill"
iE,'ZT OF DiJII•DINB AND $AFET�* `"AE'PLICATION R P 1 �rY
tCOUNTY OF LOS ANGELES .
• , .'° v3AAAR� R•
NIM. J. POR• CNIt► QQ/OIN •BUILDING' ''' r•+�.r
TTr[or-T—r ioNe' �. sone DI>sTRICT NO. • P1eECEln,p0.` • PERMIT ft0.•-.
a z is s .�,!! •�� ,
NLS•ELOCL 1 11 111 Iv Y R GROUP _
. OF ADPL•.. RECEIVED.N OATS Near".... (
ORDI MCI
.. 3 r
AI'I'LICA.NT FILL IN IiEAVILY OUTLINED II RTION ONLY ,• e3
e NAq[ ■UILDINO
• Y� Thr.. ADORE V.
a LOCAL
NCARR/T -:::% • ~
ITT : •
al /TATE coos//T. Is Is
L L,C[Nf[ O
e NAME �. Alir
NAME Y MAIL
�DDR[s/ y�
CITY
/Twit ��-- LOT NIRR OP LOT • �� •Q�
LICLNA,t NO. TtL. Ne. —Mo.
ASS OF WORK' D T'IAL'.T '�"�a� " ''u/R OF sLoo. >, - •�■• -
New oN Lo
Nov ADDITION DES IPTION OF WORK , •�'`
ALTtRATON REPAIR I MovING s /�/� • J�
• etDG. ROOM/ '?�' '''.:F,.a'�,V'. 'rd '?. .; a':
1Len0/ •Z• Zl+ OTOn1E/ No. OPCORREMONS
S ,••:;�•
' /Ari•Llt/ •. r j
SPECIFICATIONS
FOUNDATION •�`
MATERIAL [7IT[ 1 1[R/
TMICRN[f/�TOP . T � � s •ts
JL
-- . TNreRNn/_NOTToq
a,
DEPT" IN GROUND " • '.�.r
• BUPERSTRUCTURE• a ^t:'q,. .7.-+,• :o
R. W. PLAT[s 'Q/ILL! IiL /PACING OPAN :rtvr,,,^srfr,:• ,� .. .�,�, 4
JOI/TN--PLOOR :,r,p: e�no.�'t'7'� LP,',..;,{: ;rr.... a''t 3••:•e,,.�::�
JO-12Tf�C[ILINO~ • �_�— r ,e•• `;s`i�"� •: i'
{ NEARING WALLt
PARTITONf I — .. .�, .•ASS; �:�„Yr..ro: '., ••_-,,.••
ROOPRt-/TER/ t .. .::"..� .•:: ��r�r�
' ■IL�T_' FINAL AP.RROVAT..
COVERING °•.
/'•2rr •°' '�+: r:l
DATE 4
WALL- +11/•jlC70R'■Roof wA—" �:+•:'": .•='�'
1 N[ReNT ACKNOWL[DG
'• APPLICATION AND R THAT I•NAVt BRAD THIS
AND AGREE TO Co KY VIfTNf1AALHE ANOve Is CORRECT.
p/D P.O.FEE!! AND OT LAWN REOY TIN PILO CONNTRY •,. .w.
VALUATION E�i.d '1 f .t10 -'. .+ i•
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