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HomeMy Public PortalAbout9141 OLEMA ST_Building__ GA989A C6:809'S-BO APPLICATION .FOR B.UI-L®ING PERMIT LJ COUNTY OF LOS ANGELES' BUIL°'NG ADDRESS ® !° I' DEPARTMENT OF COUNTY ENGINEER --� BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.- _ DISTRICT.. 0. GROUP .TYPE P SSED BY FOR APPLICANT-TO FILL IN dI CONST. BUILDING /�J STATISTICAL CLASSIFICATION SE ER-MAP ADDRESS 7 w/ J'f/e N6�A•G[ � K �r CLASS.'NO. DWELL.UNITS • LOT NO.. BLOCK MAP STATE. YES NUMBER HWY. TRACT USE ZONE SPECIAL ' NO.OF BLDGS. CONDITIONS SIZE OF LOT p jr / I NOW ON LOT 11P j USE OF ! ` ` EXISTING BLDG. r�4rrt e. D4 A:.,res tar B4;2 DING YARD HWY T EET NAME EXIST. w� TEL. SETBACK WIDTH OWNER �m��rl /r/(}r j/s1/ NO. FRONT ADDRESS qo-ll A/y A,&& SIDE ARCHITECT OR TEL. -P''-' ENGINEER NO. INSPECTION RECORD ADDRESSTEL �- O CONTRACTOR //Ala .14pr s NO.• t 1&5 ADDRESS ?/ S .l�iYl mit fir ft�I EY -• O DESCRIPTION OF WORK qemw Vg_p, T F1 W NEW ADD /' ALTER- REPAIR DEMOLISHZ SQ.FT. A NO.OF NO.OF ? SIZE /+I n/9 STORIES FAMILIES ; USE OF STRUCTURE _I As&I #_j i,e/A49 L ATURE O - ' _ PLICANT / �� ...•.. I - / �/- ,I" LIFE.,• 7' UATION$ 500o APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ _ I FEE $ FORMS.MATERIALS 3'ZI FRAME:'FIRE STOPS, �1 n 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 CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED 1 SHALL NOT LATH,INT. •� EMPLOY ANY PERSON IN ANY MANNER'SO AS-TO BECOME SUBUECT• - , TO THE WORKMEN'S.COM NSATION LAWS OF CALIFORNIA. LATH,EXT. SIGNATURE O % HOUSE NUMBER COR- C PERMITTE �� -�-* RE 'T AND POSTED ADDRESS r' ••j • �' FINAL CLYDE N. DIRLAM, PRINCIPAL STR RAL ENG111�EERv' " PLAN CHECK VALIDATION -,cr. M. CASH PERMIT VALIDATION cK. M.O. CASH '8A888A DHS-8 8.68 ' ' APPLICATION FOR BUILDING PERMIT 1 DMSION OF BTJII:DING AND SAFETY BUIL Department of County Engineer County of TAS Angeles LOCALITY WM.J.FOX.COUNTY ENGINEER NEAREST =R K CASSATT D.GRIFFIN,SUPT of BUILDING CROSS ST_' 0' DISTRICT NO. GROUP I TYPE I S SER K MA PG FOR APPLICANT TO FILL IN ,7�r CONST BUILDING MAP STATE YES NO ADDRESSNUMBER HWY USE ZONE SPECIAL LOT NO. 2.2 BLOCK A. CONDITIONS' n m TRACT a4 NO.OF BLDGS. BUILDING EXIST. SIZE OF LOT r I NOW ON LOSE!L CK YARD HWY STREET NAME WIDTH USE OF G;aFRONT EXISTING BLAM P:L. 41 OWNER 0 �S.L. P.L. MAIL / 8 O. TRACT DWELL. I UNIT ADDRESS 5 INDUSTRIAL TEL. 1 DWELL. I UNIT CITY• NO. �� 6 PUBLIC BLDG. ARCHITECT O TEL a DUPLEX 1 UNIT 7 'ADDN.,ALT.. ETC. ENGINEER NO. $ ppT, UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL TEL INSPECTION. RECORD CONTRACTOR NO. ADDRESS DESCRIPTION OF• WORK ,�. - 'r)P� 's1Auf►�f+VFr - AM/ NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE STORIES .FAMILIES -<')IV)A/L /*r -S. AQf 4 a� USE OF ST CTURE SIGNATURE OIIF Q I APPROVALS APPLICANT ADDRESS 1'i7� DATE INSPECTORS SIGNATURE FOUNDATION:LOCATION / r $" P.C. S FORMS,MATERIALS 0 SI�I� E[%Ui'j a f�J3 FEE FRAME: FIRE STOPS. BRACING.BOLTS �� IT-9- VALUATION T-� L VALUATION FEE 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 LA REGULATING BUILDING CONSTRUC- TION. LATH.EXT. SIGNATURE O p. '�t.2 NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL �D SS I�# WM.J.FOX.COUNTY ENGINEER VALIDATION ' C.N.DIRLAM.CHIEF BLDG. INSPECTOR ACO 7 8 7 v SEP 12 1 2.00 '� . -APPLICATION FOR BUILDING PERMIT ,EOR APPLICANT TO ILL"'IN .('Print or type only) BUILDING 1, - COUNTY OF LOS ANGELES ADDRESS. I L� oL.E/� -ST DEPARTMENT OF COUNTY ENGINEER4 rr�J BUILDING ANDS FETY DIVISION CITY � 1A Cr /7 ZIP NO.OF BLDGS. BUILDING SIZE F LOT topglly, ZInQNOW ON•LOT 2/ ADDRESS / ' �R TRACT BLOCKAAt��,, p LOT NO. LOCALITY ST OWNER '' 4✓ • G�/�rG(/C.'V TOLs�-QJCROSS EST.ASSES OR ADDRESS J G� vL, D7 ✓��'— MAP BOOK PAGE ARCEL IP DISTRICT G TYPE FIRE ON T. ZONE PRO BY CITY /�'1/'� YP A TEL + ENGINEER d ' '� NO STATISTICAL CLASSIFICATION A s �f SEWE AP ADDRESS /v� �J /v CLASS NO.-4:7NO.-4:7-/—DWELL.UN ITS Bw CONTRACTOR r , f),FAW/ p ONE MAP y� LIC. NO. e� ADDRESS /&L/&-/V NO, �' SPECIAL LIC. _ CONDITIONS CITY 4,6-AdJ - CLASS' ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLIDG.SETBACK FROM F ONT PROP.LINE OF (STREET) ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING C SQ. FT. NO. OF NO. OF CHECK HI HWAY + YARD - FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE + - F DESCRIPTION OF WORK J + Q NEW , C BLDG.SETBACK FROM C . ADD SIDE PROP.LINE OF ' (STREET) y�51'W. C�jM OCLo S ^ ALTER [:1 HIGHWAY + YARD = TOTAL SETBACK FROM E OF EXISTING A.) 810 REPAIR❑ SIDE PROP. LINE HIG AY -WIDTH USE OF EXISTING BLDG. f0 64-.0e, DEMOL [:1 + APPLICANT �J � jiF+�_, CORNER CUTOFF YES ❑ NO ❑ (PRINT) a i4� BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ 4 114 COASTAL ZONE YES ❑ NO ❑ VALUATION a+ O© CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT ROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. 75 SIGNATURE OF C PERMITTEE 400 ADDRESS / FINAL TEL. DATE J � CITY NO. P.C. E hlpmTldf .11:1/�E CHECKS PAYABLE '!'O: FEE FE HARVEY T. BRANDT, COUNTY ENGINEER r im PLAN CHECK VALIDATION cn�M.O. CASH %PERMITV ;ION _ CASH ^ 2 3 2 973 JUL 2 n 3 D 21. 54 Q �✓/jam, 76p638A CE4303 12/72 `� /I Ar '2, 3 3 073 JUL20 1 D 3 5.254