HomeMy Public PortalAbout6208 MUSCATEL AVE_Building__ APPLICATION FOR BUILDING PERMIT
FOR A_PW.-CANTTOFILL IN (Print or type only)
BUILD) G COUNTY OF LOS ANGELES
ADD'ESS 6,2 0 R 44 AJS CA A Ar DEPARTMENT OF COUNTY ENGINEER
CITY ?C C ZIP BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING
SIZE OF LOT NOW ON LOT ADDRESS 67 / /
TRACT S BLOCK LOT NO. 8 LOCALITY
TEL. NEAREST
OWNER N -cp 949 CROSS ST. D
ASSESSOR
ADDRESS SJR MAP BOOK PAGE PARCEL
r.QISTRICT ROUP' TYPE FIRE ESSEDBY
-CITY ZIP 1 . CONST. ZQQ1�� `
ARCHITECT OR TEL. �J '�''""- �(�
ENGINEER NO. STATISTICAL CLASSIFICATI N SEWER tAP
ADDRESSCOVGIlU.LI ,SSS1 CLASS NO. DWELL.UNITS Al BK/� G
TEL.
CONTRACTOR / - NO. 7 - S U ZONEMAP
LIC. NO- OL
ADDRESS NO. / ` (1 SPECIAL
LIC. CONDITIONS
CITY 701VA0WA10G^ CLASS R ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
SIZE ga 7 STORIES FAMILIES / ONE }
DESCRIPTION OF WORK NEW ❑ + = O
ADD Cff BLDG.SETBACK FROM
A- t t SIDE PROP.LINE OF (STREET) O
ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING uj
G
USE OF REPAIR ❑ SIDE PROP:LINE HIGHWAY WIDTH - Z
EXISTING BLDG. DEMOL C3 +
EAJC cr
APPLICANT TEL CORNERCUTOFF YES ❑ NO ❑
(PRINT) Fjo NO. .;;kr-
IN OPEN SPACE YES ❑ NO ❑
BY)SIGNATURE) J IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$ �/ �ao 4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.
SIGNATURE O
PERMITTEE
ADDRESS �.
TEL. DATEL BY
CIN NO. (r/✓'J
MAKE CHECKS PAYABLE TO: FEE w FET
HARVEY T.BRANDT,COUNTY ENGINEER �� �
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
7 7 .91JUL 25 1 D 6 2.2 5 Auib
®s 76A63BA CE#803 3.75
76A638A CE#803 1-62APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY e
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST J
WILLIAM A.JENSEN,SUP'T OF BUILDING CROSS ST.
DISTRIC NO. GROUP TYPE ESSED BY
FOR APPLICANT TO FILL INCONST.
BUILDING STATISTICAL CLASSIFICATION BAWER MAP
ADDRESS
CLASS. NO DWELL.UNITS
LOT NO. -�J` Ct �/ BLOCK WATER NOT REQUIRED12 RECEIVED ❑
CERTIFICATE:
TRACT
^ N OF BLDGS. NO., (ICGRCVLE) STATE MAJOR SECOND,LOCAL
SIZE OF LOT 5 NOW ON LOT US NE PECIAL
USE OF f CONDITIONS
EXISTING BLDG.
TEL.
OWNER511?/ NO BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L. _ O
ADDRESS rr�� [1
TEL. �t ter ! rS
CONTRACTOR NO.
ADDRESS G
DESCRIPTION $F WORK u
e
d
NEW ADD ALTER REPAIR DEMOLISH G
FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT ��OO
VALUATION $
APPROVALS DATE INSP CTOR'S SIGNATURE
FOUNDATION: LOCATION
P.C. PMT. �J
FIE I- t� FEE $ `i FORMS, MATERIALS
FRAME: FIRE STOPS.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATI BRACING BOLTS !� 'r(L�rs" L+'r :�.F.h'
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. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATHINT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH. INT. / p
ING TO WORKMEN'S COMP NSATION INSURANCE. LATH, EXT. � � "1 ✓( jN / _
SIGNATURE OF �j w HOUSE NUMBER COR-
PERMITT M l�s®� RECT AND POSTED
ADDRESS r l`•A /• ` FINAL 6-
` '. /�
C; �./--
JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
0092% JW12 1 A 11.5 ON 4
76A638A CE#8095.61APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTNIENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DIST NO. GRA TYPE P SED BY'
FOR APPLICANT TO FILL IN CONST.
BUILDING j D L _'� STATISTICAL CL&SSIFICATION SE ER MAP
ADDRESS C9 (U� K 1,,-r
� �j
_ CLASS.NO. DWELL.UNITS V
LOT NO. O G`" JjQlkr BLOCK WATER NOT REQUIRED RECEIVED
TRACT ' G ( - CERTIFICATE:
Sr 11
MAP �p / HIGHWAY STATE MAJOR SECOND, LOCAL
NO.OF BLDGS. _ ,C NO. (�,Q ! (CIRCLE)
SIZE OF OT I NOW ON LOT L USE ZONE SPECIAL
USE OF q CONDITIONS
EXISTING BLDG. Cd
/[—
OWNER /I l< NO BUILDING YARD LWY STREET NAE EXISTfy
SETBACK WIDTH
/,
ADDRESS 1(�s �/Iltl^b%�� fit'/ XLi� .p� FRONT
ARCHITECT OR�' TEL. P.L. }
O.
ENGINEER -NO. SIDE O
P.L.
ADDRESS TEL. INSPECTION RECORD
CONTRACTOR NO. C
k-
ADDRESS U
W
DESCRIPTION OF WORK H
Z
NEW ADD (ALTER
REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
IZE STOMEW FAMILIES
USE OF
STRUCTURE
SIGN TURE OF
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION
F E $ FEE $ FORMS.MATERIALS
FRAME:FIRE STOPS,
IHEREBY 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 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 70 WORKMEN'S COM £NSATION INSU5A*E
LATH,EXT.
SIGNATURE OFHOUSE NUMBER COR-
PERMITTEE RECTANDPOSTED
ADDRESS ' FINAL 11 if1F/-`Ada
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION cK. M.o. cASII
Lit .�•`� r
04'a OCT �4 1 A1-
�.B..=�••>v8 APPLICATION FOR .BUILDING 'PERM-IT
COONTY bF LOS XNG = B 1LOIN0
M=MG AND SAMY DIVISION LACALrrY
JOHN A.LA IMF'COUI�{TY 101a!)Nme Lmms deo b'I'. r '
D�TRlCT!H0. P TYPEmy
FOS I ISMANT TO•FM IN Co
BDDR INC 8'�AT lCJ1L��yy�� FI��CATI
EBB CLABB: po
NO�DWEIL.UN"'— Awco
LOT N0. 1 LACKNEAP TATE Y88 -
TRACT USE ZONE
CONDITIONS
81ZE OF LOT NOW ON LOT
U8E O{{�� • ' -
nlfirr NG BLOCuWABUILDING YARD HWV STREET NAM jEXIBT..
TEL BETBACK. WIDTH
OWN NO. FRONT s
'
ADORMA, 8 P..L L
ARCHITECT OR Tg�
ENGINEER
NO. B= „
ADDRESS .' -
muA
oc
i rb •�%Z
CON7'RAC7'OR NO
ADDRESS-
w
QC ir IC
oN of wm '
NEW ADD •ALTER REPAIR DEMOLISH
I i
BLa.Rl'. NO:OP NO.OR
SIZE A STORIES i FAMILIES f�
USE OF
STRUCTURE '
-1
SiGN/1�IfJRE OF - –7
APPLICANT'
VALUXACK
APPROVALS DATE IEB+ECTOR'3IIIIIRaTum
ZFOUNDAFION•LOCATION
FEE PMT. .FORMS MATERIALS
FRAME:FIRM STOPS.
1 HEREBY ACKNOWLEDOtt THAT 1 HAVE READ THIS .BRACING.SOUS
PLICATION AND STATE THAT THE ABOVE 18 CORRECT AND Fy Mai
LOi'.ATION. O .
AGREE TO COMPLY WITH ALL COU(HTY ARDINANCEB AND OA8 DU
!TATE LAWS REGULATING BUILDING CONSTRUCTION.
1 CERTIFY-THAT IN' DOING THE WORK AUTHORIZED I LATH,INT. -
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORI=H*8 COMPENSATION LAWS OF
8104AT RE HOUSE NUMBER CDR- _
RBCT AND LyOBTED
IS Z
FWAL
CLYDE N.DIRLAM,PRINCIPAL STAucTdRAL
PLAN CE= VALIDATION qll. am crux PST VALIDATION
LAro 17
�. .. . Vie•
'6 y A11391.1 CATION FOR BUILDING PERMIT
COUNTY OF-LOS AAGIELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILD G DDRE
WORKER'S COMPENSATION DECLARATION e
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADD ESSas.
or a certificate of Workers'Compensation Insurance,or a certified009 N
copy thereof(Sec.3800,Lab.C.) CRY ZI(i� 'lLOCALIT
%� 5
Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT
❑ Certified copy is hereby furnished. NEAREST CROSS T.
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
department. USE ZONE MAP NO
Date Applicant ASSESSOR MAP BDQK PAGErr PARCEL
U _ SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' J
WN S ,y�, TEL NO. YES NO
COMPENSATION INSURANCE i/� ' WITHIN 1000 FT.OF SCHOOL?
(This section need not be completed if the permit is for one hundred DD �'1�
dollars($100)or less.) v DISTRIChhT�,// GROUP TYPE CONST FIRE ZONE PROCESSED BY
I certify that in the performance of the work for which this permit CI-- �� ICS ��
is issued, I shall not employ any person in any manner so as to ARGHTECT 013 ENGI ER TEL NO.
become subject to the Workers'Compensation Laws. IN�epljq .X/1�/ — d! STATISTICAL CLASSIFICATION APT CONDO
Date Applicant AD S �TVVA/��8,��vD gyp, / @ -�nry/ CLASS NO. DWELL UNITS
NOTICE 7D APPLICANT If, after making this Certificate of e�+u�^�v� /" REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' C NTRACTOR TEL NO. SETBACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwithXAR FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS Q LIC.NO. PL SIDE
LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP '
(commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES i`
Professions Code,and my license IS in full force and effect. NEW ❑ BK PG ACC
I as a
DE IPTION OF K • ADD ❑ VALUATION C
License Number Lic.Class -�—�-� r; c;
Contractor Date ALTER ❑ $ 3j1J� C
O
❑ I am exempt under Sec. REPAIR ❑ _ C
B.&P.C.for this reason DEMOL ❑ �y
Date: USE OF EXISTING BLDG. URM ❑ . 303 41-D.1_I 11
'f ITEM
Ignature APPLICANT(PRINT) TEL NO. LDMA Perm# �'
= 1, as owner of the property, or my employees with wages as {_��(f`ji '�e a#
their sole compensation, will do the work and the structure is ADDRESS
H }{El,i r�•3'- c •tt-.
not intended or offered for sale (Section 7044, Business and FINAL DATE ']325.60
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J CHANGE
e{S(S
❑ 1, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE L f�tf�lN OJ
Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY
licensed contractors to construct the project (Section 7044, YES❑ NO❑
Business and Professions Code.)
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BURRING 'y '� f's
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 131]131�},—x'1201 '6 f 7j 92
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR
GUIDELINES 0 133 f AM 11:1i
I hereby affirm that there is a construction lending agency for YES❑ NO❑
W the performance Of the Work for which this permit IS ISSUBd(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTINr
a 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
TITLE 2,CHAPTER 2.20 SECTIONS 2 20 100 THROUGH 2 20.140 CONCERNING HAZARDOUS
iLender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD.
In Lender's Address
OWNER OR AGENT
O
Z; I certify that I have read this application and state under penalty
c of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE
o P Y g �(/��v �/ /•
CM with all county ordinances and State laws relating to building
co ruction, and herby uthorize representatives of this County ISSUANCE FEE00
S
ao e er up e a Ge- a tinned nperty for inspectio ur os 4 /7
INVESTIGATION FEE TOTAL FEE [/
� anew Mdwent or
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
BL 0508 1203200059
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: I
ITR: 5904 LT: 8 1 SO. FT STORIES TYPE 1 6208 MUSCATEL AV N I
I STRUCTURE: 400 V-B I SGAB CA 917752627 I
(ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET:
15386-010-016 I I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
ITENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
1 iEXIST OCC GRP: 103/20/12 SR [
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: [FINAL PAXTE FINAL B CODE: 1
ISMITH BYRON F;PHYLLIS A (626) 285-8947- 1 1,000 II
16208 MUSCATEL AV 1 I I
ISGAB 917752627 1 FEES PAID 1 E CRI OF WORK - I
I I IRE-ROOF 4 BIG SQUARES ONLY T) TO BE TORCHED DOWN BACK 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IHOUSE ONLY I
(APPLICANT: TEL. NO: I I I
IYARDEN, FARASH (800) 989-1410- IAA BLDG PERMIT ISSUANCE 27.80 1 1
I IAB STATE GREEN BLDG FEE 1000.00 VAL 1.00 [SPECIAL CONDITIONS: 1
IAC STRONG MOTION RESID 1000.00 VAL 0.50 [ 1
ID2 PERMIT W/O EN-HC 1000.00 VAL 65.40
I I TOTAL FEES 94.70
(CONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE 1
IT L C HOME IMPROVEMENT, INC. (800) 989-1410- 1 1 [
1333 S GRAND AVE LIC. NO I ILOCATION AND SETBACKS I I I
125TH FLOOR 299161-B * I I I I
I I ISOILS ENGINEER APPROVAL I I
[ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNMTION/TRENCH FORMS I I
1 LIC. NO: I [SLAB/UNDER FLOOR I I I
[RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:j [UNDERFLOOR INSULATION 1 1 1
1153H261 3 001 1
I I (FLOOR SHEATHING 1 1
1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I 0 NO 21 1 [ROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
[AIR QUALITY: 1000 FEET MATERIALS 1 I I I I
1 NO NO NO 1 [FRAME INSPECTION 1 I I
I I IFIRE SPRINKLER HANGERS
I I
I I 11NSULATION/WEATHER STRIP( I I
I I (INTERIOR LATH/DRYWALL I I I
I I I
I [EXTERIOR LATH I I I
I IRATED FLOOR/CEIL ASSEM. I I I
I [RATED WALL ASSEMBLIES I 1
I [RATED SHAFTS/OPENINGS 1 I
IT-BAR CEILINGS
I I I
1* ADDITIONAL DATA ON FILE
ILOT DRAINAGE I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 [ I I [
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
6EPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1301160019
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 5904 IT: 8 I SQ. FT STORIES TYPE I 6208 MUSCATEL AV N
I ISTRUCTURE: V-B I SGAB CA 917752627
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
15386-010-016 1 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I I I I
ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: ]
] (EXIST OCC GRP: 101/16/13 SR
[OWNER: TEL NO: 1BLDGS. NOW ON LOT: VALUATION: [ I T F ABY: CODE:
[SMITH BYRON F;PHYLLIS A (626) 285-8947- 1 2,500 1 I/
16208 MUSCATEL AV I I
ISGAB 917752627 1 FEES PAID [ SC IP I OF WORK
I I ISEISMIC FOUNDATION RETROFI DETAIL #7 (VOLUNTARY) [
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1
1APPLICANT: TEL. NO: I I [
ILIANI, RACHEL (805) 300-4050- IAA BLDG PERMIT ISSUANCE 27.80 1 [
1305 NEWBURY IN IAB STATE GREEN BLDG FEE 2500.00 VAL 1.00 [SPECIAL CONDITIONS:
INEWBURY PARK 91320 IAC STRONG MOTION RESID 2500.00 VAL 0.50 [ [
1 ID1 PLANCHECK W/O EN-HC 2500.00 VAL 84.20 [ I
1 ID2 PERMIT W/O EN-HC 2500.00 VAL 99.00 1 [
ICONTRACTOR: TEL. NO: I TOTAL FEES 212.50 APPROVALS DATE INSPECTOR SIGNATURE I
IN R CONSTRUCTION INC (805) 300-8830- 1 1 [
1305 NEWBURY IN LIC. NO 1 (LOCATION AND SETBACKS [ I I
]NEWBURY PARK CA 91320 936822 * I 1 [ [ I
] 1 SOILS ENGINEER APPROVAL I [ [
]ARCHITECT OR ENGINEER: TEL. NO: ] FOUNDATION/TRENCH FORMS [ I
1 LIC. NO: 1 1SLAB/UNDER FLOOR ] I
] I IRAISED FLOOR FRAMING ] I
I I I I I I
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION [ I
1153H261 3 001 1 I
I IFLOOR SHEATHING I I
]NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I [ ]
] 0 NO 21 1 IROOF SHEATHING [ I ]
] SCHOOL WITHIN HAZARDOUS [ ISHEAR PANELS [ I I
1AIR QUALITY: 1000 FEET MATERIALS [ I I [ I
1 NO NO NO 1 IFRAME INSPECTION I [ ]
I I I 1 ]
[FIRE SPRINKLER HANGERS 1 ]
[ I INSULATION/WEATHER STRIP] [ ]
[ I ]INTERIOR LATH/DRYWALL [ ] [
I I [EXTERIOR LATH I I I
I I I
IRATED FLOOR/CEIL ASSEM. 1 I 1
I I IRATED WALL ASSEMBLIES
I I
I ] IRATED SHAFTS/OPENINGS I I
IT-BAR CEILINGS ] I I
] I* ADDITIONAL DATA ON FILE I I ] I
I ] ILOT DRAINAGE [
I ] I
I IREPORT ID: DPR261 ROUTE TO: BS0508 I I ] [
I I ] I ] I
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■ DEPARTMENT OF BUILDING ANDS ';,', ;APPLICATION AOR P
AFE'L'Y ,_.
COUNTY OF LOS ANGELES �•" ' a'n�•^� p.� D r i ER��'"t �
• VYM. J:FOX. CHIEF :. '.,. ....d•^`�s D �J I L D I N G .. War,
ENGINEER '�a; 4, ''y't• i
NO.-PLAOP 1 BLDG. .�• (,
N ORD.NOe DISTRICT Npr FLAN CKe NO.
SETBACK LIN! �.�., PERMR NO.FnM9 ANI
Sq'
ZONE MCC 6
USE APPRDVED TE OF APPDAYS
DATE 1/BNEa ]'
APPLICANT 1•'ILL 121—.1i
EAVILY UUTLIXED PORTION ONLY •. . .,�..:,Q, _ r
C NAM[ --OpoleAODR[�� •.$f,•.:;ri s,
Z :.DDR / LOCALITY �• vi i'� a :: �,,
e
R 3 CITY'
C ONER
STATE
ifA 1 ! NO, N �'•.
NAME j a.
NAME MAIL' ,
ADDR
ADDR[// Com„e o r....�+n..,. Td. 'L• '�-
CITVM
1 HERE
VV ACXN&ffLEDGS TNAT Q NAVS"RSAD !N/i tv..ea
STAT! TCL. APPLICATION ANO STATS THAT TNS ABOVE to CORRRGT _
LICENSE NO NO. AND AGREE TO COMPLY MIT"ALL COUNTY ORODfANna
SIAND STATE LAWS REGULATING BUILDING CaNSTRUCnO�
um. NO. /TSE OP LOT ONATURS 0/•
y
[ BLOCK OWNERTHORIZED AGT
NO. OR OLDO/ AUr a
G/ NOW ON LOT ;
W TRACT AoV o CORRECTION$ a
D Now oN BLOT B' �--!•— / Y f wA i Q _
DESCRIPTION OF WORK
94,001
use DP r —
a
e]11LDIna s�
t4 A
NQW TTPt GROUP
NO. OP NO. OP .. �.• ;
ALTERATION ROOM• /��,� J - ��•�'r:i' •
PAMILIR/� /l+fG�'• ..Y.dr... 'hAe;"iJ'+r'r:f,
• ADDITION /IZ! ,'t! •
REPAIR HYGRIC/
MOVING WALL COVERING ]. ;v;•r• *_
M f R PZO RI ,• '•p..1c••n:•• r. •a�w kt J• .®' e
DAG• R[t:: '— ;`;--�' '• :.PIs "a:FINAL,Vl
.moi• .•'•:•`•: •:•'..;k•.• :. :-: ':' ;y,'+-�}..7T;: ,,: �5.: J�.� +.:.r:.'s�4L .��;..r1N PE"TDMB�
L "4•tig. :YA it r�•,..i•.:,;}�
L•]rrd:�'` •a`S+7ny.....a1. :may.. •t. �