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76AG38A CE#809 6-62APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY J
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST t.•
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. lo �(j•
DISTRI T NO. G OUP TYPE O ESSED BY
FOR APPLICANT TO FILL IN CONST. z �L
BUILDIN 4 `/ / STATISTICAL CLA/S�SIFICATION S VER MAP
ADDRES J"3 -
1-YJ /►ani ILISC f� i CLASS. NO..,l(LDWELL.UNITS `_ K
LOT NO. C�3 —� � -q OCK WATER NOT REQUIRED RECEIVED
CERTIFICATE��77
TRACT NOP 3 L� �� (ICG CVLE) STATE MAJOR SECOND LOCAL
f�Y NO.OF BLDGS.
SIZE OF LOT V /1 Q NOW ON LOT V USE ZONE SPECIAL
USE OFa CONDITIONS
EXISTING D/G�. Wge/r '1 /
OWNER �4 R/ NE /(O N BUILDING EXIST.
SETBACK YARD HW',Y NAME WIDTH
A D D R E S 7 , FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIRE
ADDRESS Q
TE .
CONTRACT 6"A"N 3 Y3 t/)
ADDRESS '3 0
O
DESCRIPT1074 OF WORK t
IL
NEW ADD ALTER REPAIR DEMOLIV N
z
SQ.FT. NO.OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE
APPLICANT
VALUATION S
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ 1 FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS
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 CONSTR TION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HERE I WILL NOT EMPLOY ANY RSON IN VIOLA- LATH. INT.
TION OF THE LAB CODE OF THE STATE OF LIFORNIA RELAT-
ING TO WORKME COMPENSATION INSU
LATH, EXT.
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS voFINAL
JOHN F. LEWIS, PRINCIPAL STTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
pito 0 5 9 0 33 FEB 5 1 A 4.00— '.
7.8A885A CE 80s 6-62 APPLICATION FOR BUILDING PERMIT
COUNTY. OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS .! t
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST % t
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST..
fTRACDISTRICT NO. GROUP TYPE SED BY
FOR APPLICANT TO FILL IN CONST.
T
ILDING STATISTICAL CLASSIFICATION SE ER MAP
DRESS / 9. CLASS. NOADWELL.UNITS K • ' G
T NO.s 1 rBLOCK WATER NOT.REQUIRED RECEIVED
CERTIFICATE:
MAP q HIGHWAY STATE MAJOR SECOND; OCAL
NO.OF BLDGS. NO. Cl ". (CIRCLE)
E OF LOTXX7( NOW ON LOT USE ZONE SPECIAL.
USE OF CONDITIONS
EXISTING BLDG.
TEL
OWNER yr. `i r I( NO BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADORES&21 Aw/(/ V s' a FRONT '
ARCHITECT O2 ���// TEL P• L•
ENGINEER ` �Y' NL SIRE
'P. L. }
ADDRESS
TEL. L
CONTRACTO NO.
ADDRESS
- C
DESCRIPTION OF WORK
L
LL
NE ADD ALTER REPAIR DEMOLISH a
SQ.FT. +- NO.OF NO. OF
SIZE pQ 'V/�• STORIES FAMILIES
USE OF
STRUCTURE
lye
SIGNATURE
APPLICANT
VALUATION$ �� '
' APPROVALS', '' DATE INS,P�TOR'S SIGNATURE
FOUNDATION: LOCATION
FEE 5 FEE'$ FORMS,-MATERIALS b3
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 COUNT RDINANCES AND STATE LAWS REGULATING GAS VENT,'DUCTS.
BUILDING CONST ION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HER I WILL NOT EMPLOY ANY PERSON IN VIOL/'- LATH:=INT.
TION OF THE LA E CODOF TH TATE OF CALIFORNIA RELAT-
ING TO WORKME OMPENSATI INSURAN LATH,EXT.
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED y .I
ADDRESS FINAL a ,C'b3
rY .JOHN F. LEWIS, PRINCIPAL STR URAL ENGIICEER
PLAN CHECK VALID ON K .O. CASH PERMIT•VALIDATION cK. M.O. CASH
UiCo.O 5 9 1 'FEB 5: . 1 R 6.0'ON 4
vo n, ° � 60 ■
o °
a
NNE /. . DEIadRTSIENTTcouN• OF iftymINO Ah'D $A
Mr JLI'PI/ICATIO.Y FOIi PER3111'
ld, OF LOS NEZ. I• 11 l a :.,�BUILDING,
• �I S.sr•. .
- PI.wNf MIM. J. FOx ° [R}t - �:"al'• . f����Q11\V, _ •R '-�a��O�r�•�:r+ M
ntcD :�[T� tont ioiat DISTRICT No.. PLAN CHK SFR[ PIERS IN 0.
TTP[O� �.. ' ECCIFT }'!o. t
BLDG XI 11 III IV V x moue �— 7•
�C6�l3f1iT13AZ DATt DI ATFL. R[Ctiv[D Dr- DATs'MMED.•. ;:
ED my
• ' —ORD. HO ." � f � S'.3 ,•..•. Y .;�'���' �V i
APPLICANT FILL IN IIFAVII,Y OUTLINED PORTION ONLY ���; �.•
�� g NAM[ ■YIIDINOe %l 7 � C� �?:: i
I
LOCA`LRT�� •• /e`ii v;.
" . =3 CITY d N[ARCfr
�u, R*ATC " CRoss fT � " ••°A-,'
LIC[Ne[Pea. TPL. Me.
NAM[ w MAIL• '•'
G ADDR[f/ ^jx
It ADDRC2s
rm too.
to CITY
�- LOT _�rze or LOT Ild X s�
LICCHff[NO. Ta L. Ne. i 29 NO. OI ALCMs,
Jr DLOCK' NOW ON LOT t� J+•F -
_ y D Uf[OF•OLDO- i
CLASS OF �VO;IR I _ ?PACT T� I Now OH LOT /S'�K�• A •
J NEW ADDITION DCMOLhH - �L(Jyy,..al7�IVNON OF �V IiS
ALT[RATI0 RLOCI. _1 REPAI I MOVING C•/"V�V`�' 1.� �F sy
U■C OF NO. OF J' h/1r� A
No
BLDG.8929 F I !TORI[■ No, of ,D °•.�.�.. A
BLDG. �' FAMILICf
SIRS°X6PECIFICATIONS
/ 7
FOUNDATION Ell
aL, h
I El TCR OR FI[R• , I ` yt
j MATERIAL ;.
THICKN[ff_TOP _ � /�� _- ~ •� ° �'1 9 '
THICKH[Rf—DOTTOM I 1 w��! - (�,• •I•
DEPTH IN ORMUNA j �—'� �~ .. r1 t�`I"I'' �•
;SUPERSTRUCTURE" r a..
•f
I R. W. �N-Ares I■ILLf ■�]�1�r/yam iFAC:Na aPAN�' a`--
4 JOIfTf. _FLOOR' G•• —..- .S /,1 y}��5
JOIOT5._._CLIL149 Jf ��~FP t - '.•- r ..
- PARTITION! ••. -� —.� 8i
T. RWIP RAFTER■ •r_ �_ _..- a +°•• '
•
-!ILL MOLTS -' � _I• • TINAL APPROVAI. Al
A
Cr VEhING
ti ���^"4 i. a+�.L:...+! . DATt '1RaPECTew•s YAYa I '�;� 9
°, WALL ROOF `: 1 HEREBY ACKNOWLRDO[THAT 1 IIAVC RCAO THIS '''•�
• �, ,. _ •- . AIMLICATlC° AND ■TATO THAT THC ADOVR I■.COKRCCT ' Y
I'. AND AQVM, �OMPLlf WITH ALL WAIT ORD!NA�aC[i. _•�
PiCr PF_E S ANO 6T 7 we RE LATI 1 ygnpa •
�. u.
VALUATION a •i`�`• !m' FF_n e_ n( 'ASL: [Intl. + thA
:nQ.
"-a arse. ..a: +• :�. M,��y�__ OWRQ OR AVlMORI[[ AO—,T •+• -„ '
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s
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a•
�% DEPARTMENT OF BUILDING ANDSAF y ��'` `"APPLI� FOR CATI N '•
•-• UN PERa!!T
• • COUNTY OF L03 ANGELES '•;ti :1•. .__^� .. .
wm. 1. rox, alr::r t4ov"[eR :'.� BUILDING .
'sr FIILED~"�' fLOe' /lp[ OIBTRICT
�OtTs sons zone ' PLAN CNK Fee PERMIT No.
TTP[OI R[C[Irr }VO. ,
BLDG. 1 11 111 Ir '�. l J
•' sour' �.
®L �--�_ • '•R[C V D DATE Yi
'• ® ORO NO .; 47 -MA 7 f ® •i•:•
Al'd'I.ICANT FILL.IN IIEA1I1.1 UUTL NED PORTdON ONLY
'y• r a[� NAM[ OYILDIne %7
:f. 1.yl ADDftfO '
W. .� YV L ADDR[I1t
LOL'ALITV +
eITT
.1' =z' NtARtfT
f. r+ CROSS OT.•.
1 fTATR
�p
LC
ENf9 NO. 4ti. Mn •�
�' I NAMR MAIL A• - ��
�i
ADD R f• OSR
�— CITVN �if Nw r TEL �9 fn,a e9 —
1 n�j elrr
s"NfrAT[ _ize O►LOT
5�; •L IC[NC[NO. TfL. NO. '1 a0. 0/ OLOGS
J OI.00K _NOW ON LOT .
CLASS OF NORR "ACT Uft of OLDG-P
rl - NOW ON LOT
Nt1VADOITION OeMOusm ! � ri�►^gCR�dI'T1O OF %vo "e.•
i ALT[RAr10N R[/AIR OVINE
_
BLDG. ROOYO + o
Olt[ Or fTORI[f
D�DG_J�• rye °
IAMILI[f
�. GORRE IONS
o�>cnr�n tTIONS i
• VA A�VAA• V! _
e �
' FOUNDATION ,
MATERIAL ttr[RIOR /I[RO1
- TNICKNRff�TO/
_; �• T1f1CKN[ff�DOTTOM •' ,:I'�
' � D[1RM IN OROVNO J " •i � 7- .
•SUPERSTRUCTURE -! - - -`Z
r iq•, d �• ._ .
R. W. PLATte ffILLI Ol •PACINf O/AN ' ' '.
4 JOI1ITO---ILOOR' • 1 - .fl1�
JOJfTf�,-CCILINO ��� ;• �-
t• O[ARINO WALLO
PARTITIOnO ''rt
MOOR RAFT[Rf '��• - •�: . '��• :� c
IIIL1. DOLTS i e7 - FINAL APPROVAL .�,,.����,''-
COVEp.INGti Y3
?% r !�
6ATe � INneeTON•f NAre• •'0' •'-
•y. IYALL .H.` •pfj0/ .4f,I 1 M[R[OT AC WOWLEDGe THAT I NA RQAO T111O . li
•` - A//LIGATION AND (TATE THAT THe AOOVe is CORRR to
••'" *' •AND AGREE T COMPLY WITH ALL C UNTY DIN to W-4
Cc
A
?Is• P.C.°REL O ;ANO OTA RE t�
- - -' -+ } •rte. .+'. O ULATIN6 qy' CONfT1fYC31dN.: •l' �d•.-.
•- VALUATTON"9:'
For
S' ' :+ '
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1.1camea NO. NO J, AND A(li To COMPLY WITH ALL COUN
TY ORDINAMCM
If HATURIZ op
ge
bliIIIIIIIIIIi
DESCRIPTION OF WORK
Fira FINAL APPROVAL
VALUArrom
1131117
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DEPARTMENT OF RLJII.DIIdO AND --APPLIC,A770H FOR PEREA. ,
or i COUNT' OF �F
Q n LOS ANGELES.—
Wm-
^Y—• .rf� 11(� L�• LI 11 Cl �'
Q' "d's• \YSW° oY° r8)fe BNtSP QNDrN¢R4 �7"4t .;� s•L�J v O ti
y ' . FOR APPLICANT TO FILL IM -r+ FOR O LICE USE ONLY
[WILDING •DIOTRIHT Nib— PERMIT SIR.,"An a& NO. -
•. ADDR¢CO21
•�••'�a' �
Y-310 90
LOOAL141r / P� \ -�1'• *` 'iQ R:' rna 017 DATM CW APPI.. DATA
i ...
+ • ! 4s• DUILDING
ADDRGt]D t�P ( oAl �• �• • me�qq
MAIL
ADDRTG t .. LOCALITY '
•°°' .p.. .Q$ .�+
b.., erTv Cl al.°' Noj' r'°����`1S� cRcaRnop.
s
` _ x•9' ARONITtCT OR - TRL. &OH I N OP
IrI TYPE [ROUP e.
yb ¢ CINB¢R Na r-s« 80N(C PLAAtO 1/ I �m
o .•t' .sg D.DORI'D9 - .::ey'f�Y?' ORO.pHs
Appacrven
CONTRACTpq W0. •-. a,�'' Qr. ,
DATE a.y
,�P ;•_• UOQ APPRO ¢O
V
ADORtfSD rG SON a DY DATE
_DTBCA CN I LCT N0. BLOC CORRHC7iONS s C
TRACT
NO. OP QLDmty+ tri„•
DISE OF LOT NOW ON LOT "•'d °i•
UOQ OP •-� NO.OP N4 DP :..
¢XIiiT1ND t. .�A Ir4s PeMu,aa oODa.4
DESCRIPI'IOH OF'WORZ a¢ '
New ALT¢AATtOq ADDITION
REPAIR dOVINO DEMOLVE.m - ' ' 23.
140.CP 4,0 i - .a• i
wraLLm
COVERING Q C• a ROOF
C '�a�t
- ITfERING ;-.. - � -
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AAA
HERe[Y ACCCHOWL1 DO¢ THAT I HAVE a¢AD.TI o �'""�'-:':.`• •' " 'APPROiIAY.S ,:e•
•T -.•7. '"ATIOY AMD OTATC THAT THE ADOVM ID CCRWC FOUNDATIONI LCCDP
ATIONa ., -INC-TCR
•• is AND AORZC TO COMPLY WITH ALL COUNTY 13RDINAMCM0 .-POAMO. MATcRIAW3 •
AND OTATZ LAWP 4EOULATINO OUIL7t:a CONDTRUCTIOI$. •M "X
'$•dam ••^-• _ • opOV
OI0HATUREUO' •i. �:'�(3:tM1�_!44C '��•itri'�� ORACING.AMICIROOLTO `-
} �1 "'' ..,Q _.`..�..-_: • v-`....-. ._ : - LATH. INTI ••.:. '•'^gin- -
'� r AUTHORIZED AOT
D t LATH% 3&.4 - �Mc"'•• - .ri+,:
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EPARTbiENT OF IIVII.D
COUNTY AND Si� API'I.ICATIOY FOR Mr__..
O .,�•.a••
ANGELES
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t HA �LI 1OK1ULY,OU1
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' ' "$-•'±�•; AND rAyIg TO COMf•LT�y Con"CT
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