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76AG38A CE 8031-62 APPLICATION ICOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADDRESS Q/
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUP'T OF BUILDING CROSS ST.
DISTRI T 0. 1 GROUP I TYPE PR CESS B
FOR APPLICANT TO FILL IN CONST. 9�
BUILDING 'Is C STATISTICAL C FICATION SEWER MAP
ADDRESS V
CLASS. NO. DWELL.UNITS
LOT NO. / B LOCK WATER
CERTIFICATE: NOT REQUIRED, RECEIVED
TRACT `j�� MAP HIGHWAY
NO.OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND OCA
SIZE OF LOT,-5-4 �� NOW ON LOT USE ONE SPECIAL
USE OF EXISTING BLDG. Q 06 f— P_ I CONDITIONS
OWNER A), VYA NO.,4 �p 1 BUILDING EXIST.
/fSETBACK YARD HWY STREET NAME yy DTH
ADDRESS A orase-e v _ FRONT D
ARCHITECT OR TEL. P• L•
ENGINEER NO. SIDE }
P. L. a
ADDRESS _ /
3c
TEL. � PC /GG' 2 �+' IL
CONTRACTOR NO. �../� s,',�
ADDRESS 3 U L 6 U.(� y'er.
DESCRIPTION OF WORK
CL
1r
NEW ADD ALTER REPAIR DEMOLISH z
SQ.FT. NO.OF NA OF
SIZE Do STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE Oool
APPLICANT
VALUATION$ �'
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. SV FOUNDATION: LOCATION
FE FEE $ FORMS, MATERIALS c.C? f!ed J%�. '1
FRAME: FIRE STOPS, �' .y �'•
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS �r0 •w] •�Wz-^ eti
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT. �',d "-f,
SIGNATURE 'a HOUSE NUMBER COR-
PERM ITTE
OR-PERMITTE ri.�r RECT AND POSTED
ADDRESS FINAL- ,�i��/iff• Kf
JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIONCK. M.O. C SH
t �0 5 5 6 0 Q.1 OCT 15 1 A 1 8.5 0-
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ® '
WM.-J. FOX. CHIEF'ENGINEER
NG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISYRICT NO. PLANCK.NO. PERMIT-NO.
BUILDING
ADDRE5501 - 3'�..5'` en
LOCALITY RECEIVED BY DATE OF AP.PL. DAT ISSUED
NEAREST
CROSS ST.
OWNER. ADDRESS ( (I!' 44•• jj��
MAIL LOCALITY +
ADDRESS
NEAREST
CITY _NO.L. , CROSS 5T.
FIRE NO.OF TYPE GROUP�y�'
ARCHITECT OR TEL. ZONE PLANS. -• v����,„,
ENGINEER NO. } �9/
ADDRESS
SETBACK LINE 22 �G'.
TEL. `.`'�
APPROVED 1 ' +�,J.+* D64TE �d
CONTRAC Ram NO.-
USE
ZONE APPROVED
ADDRESS /L�/ ATE
LEGAL'' CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT
NO.OF BLOBS.
SIZE OF LOT I NOW ON LOT
USE OF NO.OFNO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK'
NEW ALTERATION ADDITION
• O
REPAIR MOVING DEMOLISH 0
34.FT. NO.OF Z
SIZE ROOMS STORIES D
WALLROOF r
COVERING ' I COVERING
'USE OF NEW10/
BUILDING
..�
I HEREBY ACKNOWLEDGE,THAT 1 HAVE READ' THIS APPROVALS.
APPLICATION AND ATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
AND AGREE TO LY WITH ALL COUNTY ORD NANCES FOUNDATION: LOCATION
M FORMS,MATERIALS
AND STATE LA REGULATING BUILDING CONS LICTION.
/ FRAME: FIRE STOPS,
SIGNATURE BRACING,BOLTS -
FERMI LATH, INT.
AUTHORIZ rz LATH, EXT.
7A698A 9-49
D:13-a soros SETS $ � r P.C.$ PLASTER,INT.
FEE PLASTER,EXT.
VALUATION $ FINAL � rd 6I�1� t/
i
'- FEE J
W, DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT hW_�
COUNTY'OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER L
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING /�/( ,�i .�w /� /,! DISTRICT NO. PLAN CK.NO. PERMIT/NO.
ADDRESS f / y ® /�'1 0.5 e,A' !' /A V!'
r^ /
LOCALITY ,�ww� / 9/! -f � L RECEIVED BY DATE OF APDL. 'DATE ISSUEtD,�j
CROS3 BT.NEAREST Ilr•isw � Tl / L r s`a�- L/ �. J X 3/`7-/ '
BUILDING /
OWNER / / I /' C/ AltiJ �A1�V�/:/ ADDRESS L/!
ADDRESS 1 MAIL 11-1 O Al 1, SCA-725 ii 1G
�/' p� `' /�' �, 1'i'V_ LOCALITY
CITY -04 J�1: TEL. NEAREST
CROSS 5T.
�. FIRE NO,OF TYPE - GROUP',
ARCHITECT GR TEL. ZONE PLANS
ENGINEER }�`L.jS'j�1/EL NO.•
BLDG. CRD.NO.
I
ADDRESS SETBACK LINE , /V/ / E L,
APPROVED
CONTRACTOR O, BY DATE
USE APPROVED
ADDRESS ZONE �• BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. �Q(7 BLO KO
TRACT C r
!, / NO,OF BLDGS. h j
SIZE OF LOT 4J �} f�Q I NOW ON LOT 0' Z16
USE OF NO.OF NO,OF
EXISTING BLDG.A Wil. FAMILIES� I ROOMS --
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISH 0
SQ.FT. /I NO.OF Z
SIZE `TdWALLl �Rgo�OMS / STORIES f
cor
COVERING '�*+ `(� I COVERINGUSE OF
E.r�?/3h� rJfT//ir.i
BU LDINGWL.�IQ��I ✓ J dt
hkl4ovt� AL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING DCNSTRUCTION. r
FRAME: FIRE STOPS, ✓ / L,,C�/
SIGNATURE OF /�// BRACING,BOLTS
PERMITTE /� � `
:y LATH, INT.
AUTHORIZED AGT LATH, EXT.
76AS38A 9-48
D88-3 SOM SETS $ P.C.$ PLASTER,INT.
� n FEE PLASTER,EXT.
VALUATION FEE / ~� _ FINAL '1
,DEPARTMENT OF BUILDING AND SAFETY AFPLiGATIUN FUS.'FEMMIT
i<. ti, COUNTY OFLOS ANGELES b`
WM. J. FOX. CHIEF .ENGINEER I L 0
F611�jAPPLICANT TO FILL IN FOR OFFICE USE ONLY
• ADD EISS �/al �y I �(�•f ,�1� DISTRICT NO. PLAN CK.NO. PERMIT NO. '
LOCALITY /�;j�1 a ev 4,�� 1.�p/� RECEIVED BY DDATE OF A L. DATE/ISSUEEED
BUILDINGNEAREST
CROSS ST . A. A,
OWNER �j� /T/1. 0� Vt�J L�/Y ADDRESS
MAI L
ADDRESS .,,J,I .(�► S O Ir� LOCALITYNEAREST
/J ��ry/}Y�•- �j
CITY &r-04 J:J NOI.• CROSS sr.
r FIRE NO.OF TYPE GRA �>r
ARCHITECT OR ,//��� , ��.� /xEOL. -PLANS
ENGINEER J1 L�Pl
/ //� J �/t BLDG. ORD..NO.;
ADDREBS���/ /Qd��L// I J�y /7'�F��. J 611,11111"?/ SETBACK LINE ��} JCr.fir /�l GL'•
CONTRACTOR ffA,•JJ I�P4l6Tr-'P,6&.81�6.� A-1-1(`'�{ my
PROVED QATE
` J y� USE APPROVED
ADDRESS_-!D� /y/�+Jj-d);F /%r� Q (AA 5•LEGAL ZONE - BY DATE
DESCRIPTION LOT NO. jQ y _ jaBLOCK�~ �� CORRECTIOPTS
TRACT �a 1 -7b.--o'
c.* �7C{` .- ...n(.,:_*!
s NO.OF BLOBS.
SIZE OF LOT *"0 NOW ON LOT • �„�°•+ I t�-�- �- V'��,
USE OF - NO.OFNO.OF •a -
EXISTING BLDG. I FAMILIES I ROOMS .Z: ,9 v / '{ cA l ra OASA I a
DESCRIPTION OF WORK L�S eP 01' rJ;S 4 4
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISH
Sq.FT. NO.OF 2 / Z
SIZE ROOMS �J STORIES y
WALL ROOF ,G,` {/
IF
COVERING . J UCD� COVERING L/0' I •//pf/!lerl.;
'
BUILDING JC. CS/64-11 4C® �j v
Gy 477i"EVI
77
, er1 /7 049t,477 '2e-5 !` f�� �: .=fF"Z: 4AI 4 n . _)--iii Al
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE.IB
CORRECT-FOUNDATION: LOCATION INS CTOR DATE
AND AGREE'TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /FRAME:
RE 0 ,�ttj/� e/� BRACING,RBOLTS
S�
SIGPERM`ITTE lbjhFi'JV ./f 1 ! 176...
LATH, INT. �s /�1A
AUTHORIZED AGT " ' "--`� f, v
• � - LATH, EXT.
76A638A 9-48
DB5-3' 6DM 9ETB ��$ � B-� P.C'.S PLASTER,INT.
FEE PLASTER,EXT.
VALUATION - �G Ud `J FEE Sf � FINAL