HomeMy Public PortalAbout10534 OLIVE ST_Building__ A ROAD DEPT.
FOR ANY /o ATELIA _R<
D®LNE• IN THE ROAD RIGH F OF tWAY.
78A888A cr#ao3s.Bo 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
CASSATT D. GRIFFIN.SUPT OF BUILDING CROSS ST. ,
DISTRICT NO. GROUP TYPE P �ESSED BY
FOR APPLICANT TO FILL IN _� — CONST. Ai
? BUILDING
o Y� _!;7 STATISTICAL CLASSIFICATION Si ER MAPF
""1--oBLOCK ICLLAPSS.NO.� TATE DWELL.UNITS--/
LOT NO,-7VCtCG hoT /� NUMBER J Q HWY. YES NO
I TRACT USE ZONE SPECIAL 7 7
f NO OF BLDGS. r CONDITONS
SIZE OF LOTgdX 67 �Z I NOW ON LOT 0 /S(t/
USE OF ]!�
EXISTING BLDG. BUILDING YARD HWY TREET NAME EXIST.
A
/ SETBACK WIDTH
4 OWNER 17eGL7f(fJj/C /r FRONTMAIL E�l
C /
ADDRESS/&2 ,Q �� n .'SIDE
P.L.
cITY !✓C dN. ►Tvo' — INSPECTION RECORD
ARCHITECT OFA TEL./
ENGINEER G iC [QCs NO.,� J
F� r)
r/ v 9., •� ,7�. /D-/w.J�•••p/i 1,v rJJ Jl, �l•�/I/,'J!
ADDRESS �-54 :5d, ;?eYeMf,.4,Z;' -'/fi 5,4,
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CONTRACTOR r TEL�B :J v Jr. /,I•! rill-ham_..� /
� �J�i
ADDRESS
DESCRIPTION OF WORK �",�'�' pl,
I
ADD ALTER REPAIR DEMOLISH t•
SQ. FT. NO. OF NO. OF
SIZE ��j,� STORIES FAMILIES �-
USE OF +�
STRUCTURE
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1
' SIGNATURE O
APPLICANT
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS Z� •o_ys FOORMS,I M TELOCA
RIALS ION
VALUATION $ d I FRAME:FIRE STOPS, f/
��/J 9BRACING,BOLTS
FEE S L 01FEE. S r'�I FURNACE:GAS VENT,DUCTS LOCATION,
HEREBY ACKNOWLED
I G AVE READ THIS AP-
THAT 1 H
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH. INT. /�r Irlr.G.t,,✓;L I+;
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
r J
STATE LAWS GUL NUMBER COR-
PERMITTEE
F 1 !ING CONSTRUCTI. N. LATH,EXT. y /fy.Ll.v;1<,.•+
HOUSE NU
S '
PERM ITTE 9RECT AND POSTED
ADDRESS Y c!Q -elle)
CLYDE N. DIRLAM, PRINCIPAL 5 AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH
I%9 7 1 4ED' 11%Pil 2 2 2 3 A 2 4.0 0 ..
OF
APPLICATION 'POR13LAIDINCS PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDINGO5 � ' COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
c I T LN z 1 P BUILDING ANDS TY DIVISION
AD.OF BLDGS. BLDING `
SIZE OF LOT x L NOW ON LOT I AUIIDRESS�C -; j ! Z �
LTRACT .Z 90 BLOCK LO T N G/, LOCA LImu
TEL. NEAREST
OWNER�p ILyo/V NO. y '1 CROSS ST.
ASSESSOR
ADDRESS JVT3fl MAP BOOK PAGE PARCEL
/y DISTRICT GROUP TYPE FIR PRO SSE�BY
ivl
CITY y, ZIP
CON
ARCHITECT R TEL. ' I
ENGINEER NO.
STATISTICAL CLASSIFICATION S WER MAP
ADDRESS CLASS NO��DWELL.UNITS BK2,�G
CONTRACTOR ((�� ��QQ
TEL �/ 'US ZONE MAP
// L oof [O NO 3SLIC. _ Z NO.
2aSPEC AL
ADDRESS,,(!57,5-g �y /I/i7�N NO. Os
LIC. 1 - ' CONDITIONS
CITY ue, y a �0._ CLASS C3 t
ROAD EPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLD .SETBACK FROM
FRO T PROP.LINE OF (STREET)
ADDRESS CITY HIGHW Y + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT. NO. OF I NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES L ONE
DESCRIPTION OF WORKto Rj)o NEW ❑ +
ADD ❑ BLDG.SETBA ROM
SIDE PROP.LINE (STREET) C
ALTER C:1HIGHWAY f YARD T ACK FROM TYPE OF EXISTING F
REPAIR IDES P. HIGHWAY WIDTH G
USE OF
_ v
EXISTING BLDG. DEMOL 1:1 + Z
APPLICANT/) TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) f�f' Q NO. - 6
BY (SIGNATUR J IN OPEN SPACE YES ❑ NO ❑
�'C/
VALUATION, rl�3o IN COASTAL PERMIT ZONE YES ❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. 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 COMPENSATION INSURANCCr�?/6�G"�i
SIGNATURE OF
PERMITTEE
ADDRESS
/j� //�� FINAL B Y—//►' j�
CITY (✓� ����� No. 7 DATE / ✓/. "/ Q�Q�
MAKE CHECKS PAYABLE TO: FEEP*CFEE FEE I'
FHARVEY T. BRANDT, COUNTY ENGINEER
PLAN'CHECK VALIDATION CK. M.O. CASH o PERMIT VALIDATION,'--CK. M.O. CASH
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