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6A666A CB#6086-68 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES . BUILDING
DEPARTWNT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP lTypE PRQUSSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING I SE ER IAP
ADDRESS Q a• ,+ STATISTICAL CLASSIFICATION P
CLASS.NO. DWELL.UNITS
LOT NO. BLOCK MAP STATE YES O
NUMBER vlD- HWY.
TRACT /+ •7 USE ZONE SPECIAL
NO.OF BLDGS. /jam J CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF ,O
EXISTINGBLDG. BUILDING EXIST.
p SETBACK EL
STREET N ME WIDTH
LOWNER 1 )�. • . FRONTMAIL Ur� /) P.L. !/
ADDRESS O (�(�� SIDE
T TEL. ` P.L.
CITY
/ _ No. U INSPECTION RECORD
ARCHITECT,4R % TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR —NO,
ADDRESS
D $CRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.'FT. NO.OF NO.OF
SIZE STORIES FAMILIES }�, , /
USE OF STRU �//� �'// S f` ALP / f"f 1 • �L-4
SIGNA RE OF APPROVALS
APPL CANT
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS.MATERIALS
s P,C, S FRAME: FIRE STOPS.
FEE BRACING,BOLTS
VALUATIONFEE S?i —� FURNACE: LOCATION,
FGAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL'COUNTY ORDINANCES AND
STATE LAWS REGULATIN BUIL.D11" NSTR N. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE ' RECT AND POSTED
ADDRESS FINAL '� �ey.- v
CLYDE N.DIRLAM.PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION K. M.O. cAsH
6: 1 n -JMI 6 1 A 2.00 M
7GA638ACEWB04B-64- APPLICATION FOR BUILDING RM1T
COUNTY OF LOS ANGELES BUILDING �
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCA
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS$UP•T OF BUILDING CROSS ST
DISTRI T NO., GROUP— TYPE. ESSED BY
FOR APPLICANT TO FILL IN CJI cowsT.
BUILDING STATISTICAL CL
jASSIFICATION SEWE P�
ADDRESS
CLASS NO.�DWELL UNITS BK
LOT NO. BLOCK USE ZONE MAP
r NO.
TRACT SPECIAL
NO. OF SLOGS. fl CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXIST G. BLDG. SETBACK FROM Al
O NEyyG7 TNy]L _ Q� FRONT PROP. LINE OF - (STREET)
TYPE OF EXISTING SETBACKHIGHWAY + YARD - TOTAL
ADDRESS�eO , HIG WAY .WIDTH P OM C/.L.
CI 40 J + _
ALOG. SETBACK FROM
ARCHITECTAR TEL.
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. d
EL. AI. + = OU
CONTRA R TO `' � O
LIC CORNER CUTOFF
ADDRES YES NO O
NO
CLAS SEE REVERSE SIDE FOR SPECIAL APPROVALS V
DESCRIPTIO OF WORK N
✓ Z
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. O NO. OF
SIZE / J)STO E FAMILIES
USE OF
STRUCT RFa5CO 99v
042
SIGNATURE OF
APPLICANT
`LUATION$19 APPROVALS DATE INSPECTOR'S SIGNATURE
.a y� FOUNDATION, LOCATION
FEE$ FEE FORMS, MATERIALS
FRAME, FIRE STOPS,
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
9UILDI NG CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY AN RSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE C IFORNIA RELAT-
ING TO WORKMEN'S ccnnnMM�PEENSATION INS NCE LATH. EXT.
SIGNATURE ' v HOUSE NUMBER COR- ! /1
PERMITTEE RECT AND POSTED
ADDRESS ef FINAL ✓ ���x '���'r�t"��
JOHN F. LEWIS. PRINCIPAL ST CTURAL ENG14EER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
Lliluo 5 0 9 4�^ uc 3 0 1 0 4.0 0
DIVISION OF BUILDING AND SAFETY BUILDING
U I L D I N G
Department of County Engineer
County of Los Angeles APPLICATION
WM. J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
(� // / DISTRICT NO. PLAN CK.OR REO.No. PERMIT NO.
ADDRESS UILDINU, / !' .:
LOCALITY �/ r RECEIVED BY DATE OF APPL. D TE ISSUED
NEAREST V I1X Al.7 p �� !/ IBUILDING
CR098 BT.r J./ ADDRESS ge-e
OWNER
teMAIL LOCALITYe—,7l
e
ADDRESS i N AREST
L ESB
NONO.OFCITY.
PE
c
GROUP >
ENGINEER OR TENC6 ZONE PLANE v
BLDG. ORD. NO.
SET13AUK LINE
ADDRESS �) USE ,�— APPROVED
TEL ZONE BY DATE
CONTRACTOR P / NO. HOU NUMBERING
ADDRESS MAP NUMBER NO. ASSIGNED BY
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK '
TRACT
NO. OR BLDMIL
SIZE OF LOT I NOW ON LOT
USE OF NO.OF
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORE -
0
NEW ALTERATION ADDITION Z
D
REPAIR DEMOLITION r
Eq.FT. NO.QF
SIZE ROOMS STDRIES
EXT.WALL ROOF
COVERING / 013VERINB I
USE OF 8 UCTU
i
r
INSPECTION FOR APPROVALS
OOCUPANCYAS INSPECTOR'S810HATURE DATE
FOUNDATION:LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS,
CORRECT. BRACING,BOLTS
I AGREE TO COMPLY WITH ALL�GOIJNTY ORDINANCES FURNACE: LOCATION,
AND l3TATE LAWS REGULATING B ICD AG CONSTRUCTION. GAS VENT,DUCTS
A310HATURE O� �� yam+% LATH, INT.
PERMITTE
ADDRESS r, LATH, EXT-
AUTHORIZED AOT. u�� �/ ' y y �S I PLASTER, INT.
P.C.>d PLASTER, EXT.
QQ/y' FEEOUSE NUMBER COR-
A v RECT AND POSTED
FINAL -
vwLuwrlON FEE i ,�19 ►�D�/C!-S�
76A638A DBB 3 1-59