HomeMy Public PortalAbout9669 OLIVE ST_Building__ E1YYL1(aA 11V1V 1'VK YKK1V111
Ii'ET" _ TMENT OF BUILDING AND SAFETY ,
"ICOU14TY OF LOS ANGELES
WM.J.FOX,CHIEF ENGINEER BI.TII,I�ING
e
NO. OF BLDG. ORD.Ne. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE
FIRE APPROVED
ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED
N
USE APPROVED Jam►� �Q � �� _�'✓ ;✓
ZOE. - - BY ATE 4�1 ' !'
APPLICANT FILL IN HEAVILY OUTLINED
y� PORTION ONLY
O d. NAME ADDRESS
W Z ADDRESS LOCALITY
I Z NEAREST
C W CITY CROSS ST.
STATE TEL. fl} ve- r
LICENSE NO t wn W NAME
Z MAIL
EN
V
NAME p �� O ADDRESS
TEL
< ADDRESS CIT.IAh n �+/ `W NO.'
Z I HEREBY VCKNOWLEOGE THAT 1 HAVE READ THIS
V CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE
TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. ` NO. �i AND STATE LAWS.REGULATING BUILDING CONSTRUCTION.
O LOT NO.- - SIZE OF LOT j°�XL��� SIGNATURE OF
OWNER
Jl- NO. OF BLDG9. e
4L BLOCK �— NOW ON LOT AUTHORIZED AGT:t
C
Jm TRACT / Z-I�� CORRECTIONS
D USE OF SLOGS.��^�
NOW ON LOT
DESCRIPTION OF'WORK
USE OF
BUILDING. •.ff
y�//maJyy � E
O
.71
Z
a
a r
NEW &," TYPEGROUP:_ �r
ALTERATION ROOMS I FAMILIES
ADDITION SIZE 7-e.4'-T,^
REPAIR STORIES
L. ..
MOVING WALL COVERING 'l-.j✓
DEMOLISH ROOF COVERING
FEE FINAL APPROVAL
Gs � �� S • Y_}D /��/.f//J� INSPECTOR'S
VALUATION l (VJ FEti 6 DATE r 77 NAME �S (,
e-9 S9 BETH B-4B _ logi-
DEPARTMENT OF BUILDING AND SAF TY APPLICATION FOR,PERMIT
COUNTY OF LOS ANGELES 1 I D 1 N G
WM. J. FOX, CHIEF ENGINEER
+FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DIBT//RIICCCTT� NO. PLAN CK. NO.- PERMIT NO.
ADDRESS
LOCALITY v 1� `y(�+r�l `-��/`!� R CEIVED BY DATE OF APPL DATE ISSUED
.. 1
NEAREST /
CR099 9T. �!�//(if���f/ �I ,
BUILDING
OWNER ADDRE89MAIL
G' l d• (wf ���
ADDRESS r .. (�/�� �� LOCALITY
NEAREST
// ,� j TEL CR098 eT. 1
CITY,_ i..t/ti/vf NO.
ARCHITECT DR TEFL. ZONE NO.LA I TYPE /I GROUP
ENGINEER (" �� V
BLDG. ORD. NO.
ADDRESS SETBACK LINE c7f�
TEL APPROVED
CONTRACTOR r NO. BY DATE
USE APPROVED
ADDRESS { //,,
°�/ ZONE., /BY DATE
DESCRIPTION I LLEGAL
O NO 3 I BLOCK CORRECTIONS
TRACT P1.8l.
SIZE OFILOT �d �'1 NC. OF NOW BLDGS
L
ONOT I ��
EX STUNG BLDG. c✓✓�Lr S_ I NO.OF / I NO. CF 3 v la 7
rl FwMIuEe ROOMS �
DESCRIPTION OF WORK D
NEW 1 ! ALTERATION ADDITION O
_ A
REPAIR MOVING DEMOLISH 0
84. FT. ' I NO.OF D
SIZE V d Q ROOMS STORIES
r
WALL I p IROOF
COVERING /, -4/�,�i{1 COVERING
USE OF NEW
BUILDING (
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPROVALS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION: LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,
SIGNATURE DR `
BRACING. BOLTS
OWNER A ( LATH. INT.0
AUTHORIZED AGT � ' � �� ����`�`
- -- LATH, EXT.:
P. C.S PLASTER, INT.
m
FEE PLASTER, EXT. / I
VALUATION
FEE ��e�J FINAL
DIVISION OF BUILDING AND SAFETY
Department
epartment of County Engineer
"<T NG
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FELL IN FOR OFFICE USE ONLY
c DIETR�NQ PLAN CK.OR REc.No. PERMIT NO.
BUILDING / /
ADDRESS
EI D B DATE OF APP DATE ISSUED
LDDwuTY (%��C�-t 1 U Z S Z►
NEAREST �f /l nn Y �
CR13%ST. % �G . n .i!n J OVI I
BUILDING
OWNER A ,
MAIL Q / ! LOCALITY P_M4 P L e C I r`r
ADDRESS J NEAREST
CROSS ST. ��W1 PI-v
CITY Z�['.! NOL T LO XL5 FIRENO.OF TYPE GROUP
ARCHITECT OR V V TEL ZONE �� PLANS I
ENGINEER lJ NO. BLDG. 1 G ORD. NQ
SETBACK LINE Z V 4Ot
ADDRESS UgE e f APPROVED
TEL ZONE /� BY DATE��^�
CONTRACTOR NO. HOUSE NUMBERING'•
ADDRESS MAP NUMBER NO. ASSIGNED BY
LCIFAL 3o'-a"• CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT ^ (�
m or al-Des.
SIZE OF LOT '//.x a✓ EL
�� I NOW ON LDT
USE OF NQ OF
EXISTING BLDG. I• ®WZ L.,,I N C+ FAMILI91111
DESCRIPTION OF WORK A
v
NEW ALTERATION ADDITION _
a
REPAIR DEMOLITION P
Brr 57. mor
ZE 2, NOOMS STORIES
EXT.WALL RODF
COVERING COVERING ?,
USE OF STRUCTURE
INSPECTIDN FOR APPROVALS
OCCUPANCYA9 INSPECTOR'S8113NATURE DATE
FOUNDATION: LOCATION s—
FORMB, MATERIALS y
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN 19 FRAME: FIRESTOPS,
CORRECT. BRACING,BOLTS .
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRlCTION. GAS VENT,DUCTS /0
SIGNATURE OF C LATH, INT. ��„pr�—e-,
PE RM ITTE .,
LATH, EXT.
ADDRESS '74 iU AO 1
PLASTER, INT.
AUTHORIZED AOT.
PLASTER, EXT.
(/ P.C.IN
REE HOUSE NUMBER COR-
RECT AND
OR-RECTAND POSTED w
VALUATION FEE FINAL
76A638A D883 1-58
DIVISION OF BUILDING AND SAFETY � ' ® '
-�� Department of County Engineer
NG
-!*_ County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
/ /� (� DISTRIC�O. PUN Cr-OR REG.No. PERMIT NO.BUILD
q�
ADD EISS S
LOCALITY �RECE VE B . DATE OF APPL D TE ISSUED
NEAREST ����-
CROSSBT. iPL II-u-0 BUILDING (� q +�
Be 1 L_J I. Li
�, I
OWNER q �►//. •./ 1� NN l _
MAIL
ADDRESS �O 6 . �-1 V LOCALITYNEAREST
r SS �p
— CROST. [ �= NK f C•4' <71'i 13L.V P
CITY l �I' NO. FIRE NO.OF TYP S.EGROUP
ARCHITECT OR TEL ZONE 4PLANS I I j-
ENGINEER NO. OLDS. 2 V ORD. NO.
SETBACK LINE
ADDRESS USE ��(( APPROVED
TEL ZONE A_) BY DATE
CONTRACTOR NO. HOUSE NUMBERING
ADDRESS R MAP NUMBER 20 O C7 NO. ASSIGNED BY
DESCRIPT113H LOT NO.S S 3 BLOCK �-`� CORRECTIONS
TRACT M.\• E�. 17- - I S'o
� I NO. DF BLDGIL
SIZE OF LOT Q s �--I NOW ON LOT
usEor EX STING BLDG. I�L4J�,1.� l N C— F MILIEe /
DESCRIPTION OF WORK a
NEW ALTERATION ADDITION Z
D
REPAIR DEMOLIr
TION '
8 ZFT. ®E "/ ROOMS STORIES
EXT.WALL METAL ROOF
COVERING 13OVERING C O M g'oR.
USE or STRUCTURE K L. T.A.V
INSPECTION FOR APPROVALS
OCCUPANCY AS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORME, MATERIALS ��lJ 2
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IB FRAME: FIRE STOPS,
CORRECT. BRACING,BOLTS
I ABREE TO COMPLY WITH AND STATE LAWS RE13ULATINO BLUILDING CONSTR IN
RUCAN
TIOUNTY N
FURNACE: LOCATION,
1 I ...
SAS VENT,DUCTS
SPERMITTEEOF fIV � ! �O I C /J� LATH, INT.
it
LATH, EXT.
ADDRESS
PLASTER, INT.
AUTHORIZED AST.
PLASTER, EXT.
®® FEE "�`"' HOUSE NUMBER COR-
RECT AND POSTED
L i VALUATION FEE �� ' FINAL
7GA63ELA Deas 1-52
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PAZ"
COUNTY OF LOS ANGELES ,
WM. J. Fox. CHIEF ENGINEER BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRE88 P
LOCALITY ` G RMREET"'eE Y DATE OF APPL. DATE IBBUE
NEAREST
CR 1 7
1 v BUILDING -
OWNER �/ t � i ��_,_� --4�� .� ADDRESS c
MAIL `
ADDRESS ( 0 w I LOOALITY
G
TEL h NEAREST
CITY ND. n"� CROSBBT.
FIRE NO.OF TYPE BRZI
ARCHITECT OR TEL. ZONE PLANE I�J
ENGINEER NO.
B. f CRD.NO.
SET
ADDRESS SETBACK LINE
APPROVED
L. BY DATE
CONTRACTOR N
UBEAPPROVED
ADDRESS ZONE oe/Ji BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT
NO.OF SLOGS.
SIZE OF LOT NOW ON LOT
USE OF NO.OF NO.OF
EXISTING BLDG. FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
S
REPAIR rr. !+ MOVING DEMOLISH p
B ZE ! // V (J ROOMS STORIES
WALL t ROOF r
COVERING COVERING
USEor
BUILDING NEW Jy-,
BUING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECTFOUNDATION'LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME, FIRE STOPS,
SIGNATURE OF �A BRACING.BOLTS
PERMITTEW ''�`��. 1
LATH, 1 NT. �
ALLTHORIZED ABT LATH, EXT.
76AMBA-9 2-50 $ � P.O.S PLASTER,INT. •2 C/'
d'
FEE PLASTER,EXT. b I
VALUATION
FEE FINAL
DEPARTMENT OF BUILDING AND SAFETY Al'l'L1GA1lVN rVll PURP T
COUNTY OF LOS ANGELES S ' D
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO F/ILL IN FOR OFFICE USE ONLY
6 q / '! e I DISTRICT NO. PLAN CK.NO. PERMIT NO.
S U I LD I N G fl(L;, !�. �E/ /'--E/�� .+fJ►l..E•�
ADDRESS st sf �.
LOCALITY \ ! r+..., !I G +� n i� A . RECEIVED BY DATE O�FA�PPL. DATE ISSUED
NEAREST
CROBB ST.
BUILDING, '�j i'� / ! A
OWNER T�'� F.� /E eT Pr�p ADDRESS ,r'
MAIL � LOCALITY / v
ADDRESS' S LJws1M.9
TEL. NEAREST
CITY NO. CRO86 ST,. �.r yl�l—mom
ARCHITECT OR TEL. ZONE PLANS FIRE mo.or
TYPE GROUP 7
ENGINEER NO.
BLDG. J ORD.NO.
ADDRESS SETBACK LINE
APPROVED
CONTRACTOR EL 'BY DATE /
USE 7 APPROVED
ADDRESS �T ZONE er / BY DATE
LEGALDESCRIPTION LOT NO. �) _ . BLOCK ``� CORRECTIONS
TRACT A41 ��_'� P _
A '/v ]
` I&OF BLDGS.
SIZE OF LOT )� py r NOW ON LOT I j,�(31 " (e v p�,a Q. 9 p,*
usEarEX ST NG BLDG.'.A � \ P F M NO.OE9 I ROOMS S `
DESCRIPTION OF WORK o AzZm.,
NEWALTERATION ADDITION
D
REPAIR MOVING DEMOLISH A
D
Sq.FT. .7 NO.OF Z
SIZE ROOMS STORIES y
WALL ROOF I r
COVERING I COVERINGl
USE or NEW
BUILDING RING t� /A n
i
1 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 CONSTRUCTION.
`_I� FRAME: FI RE STOPS,
SIGNATURE OF BRACING,BOLTS `
PERM ITTEe a / I . !�� E p n P ��l'•
LATH, INT.
AUTHORIZED AGT LATH, EXT. 9 1 to
013SSEA 9-48
9-3 6OM SETS $ P.C. PLASTER,INT.
P I+
FEE PLASTER,EXT. ell, f �
VALUATION FEE + W 1 FINAL
DEPARTMENT OF BUILDING. AND SAFETY LUJN r va rzssrni a
COUNTY OF LOS ANGELES ® 1
WM. J. FOX. CHIEF ENGINEER BU I
NG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
`� A i✓r � - /? DISTRICT NO. PLAN CK.NO. PERMIT NO
BUILDING .
ADDRESS
LOCALITY rtr✓+��'` �a.+ul� RECEIVED DATE OF APPL. DATE ISSUED
14EAREBT Pg �
DMOMOST.
OWNER IC_•.! ► � � �y i/�s►�1�•i ADDRESSMAIL
ADDRESS ed (ooa �, e�yi,,.����e� LOCALITY a L dl
"' NEAREST
CR098 ST.
FIRE NC.OF TYPE GROUPW-
ARCHITECT OR r l TEL. ZONE PLANE LJ
ENGINEER V NO.
BLDG. / }}...� ORD.NO.
ADDRESS _ SETBACK LINE
! �^� TEL. ABYPROVED DATE [
CONTRACTOR f-`! NO.
' ",/ , USE _ APPROVED '
ADDRE �f // ZONE/_! BY DATE
LEGAL
DESCR�IIPTTIIONN� I LT°i NO. 4
� 03 1 BLOOK �. I +' CORRECTIONS
TRACT aI_.I G f <.er{ 1-`!0 Z171eib 69-h5 Gam.✓/- -0-0NO or �/l/aTf•'
I' 'd ` �I NOW ON LOTS z'Alz e �V>
81ZE OF LOT ' ��
USE OF ti(�?,fg fd "/�gfj� NO.OF NO.OF C r
EXISTING BLDG. 1 d'T�er/d'rr S FAMILIB ROOMS
DESCRIPTION OF WORK )may
NEW- j J ALTERATION ADDITION 6� O
. S
REPAIR. MOVING DEMOLISH O
9q.FT. ' NO.OF / i
SIZE ', t! ROOMS / STORIES
I r
WALL- ROOF
COVERING t-..- ,: i,L /a,-% I COVERING {�C�/1/b1j{'�.
USE OF NEW
BUILDING [.'
sir'- �-„t'`�.iu'�%•®--�'.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICAT.ION AND STATE THAT THE ABOVE 18 CORRECT SPECIT A E
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
FORME.MATERIALS _r Z 7 1"`a
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. �
FRAME- FIRE STOPS.
SIGNATURE OF �J fp +�� l BRACING,BOLTS
PERMITTER F ” +.eLf1�►t o.'L. i 'dam "rls►rt 11` " k
LATH. INT.
AUTHORIZED AST LATH, EXT.
7GA63BA-3 7149 $ F.C.B PLASTER,INT.
FEE PLASTER,EXT.
VALUATION.
FEE / � FINAL ,r y�{iGLfi��iitn--' !✓�/R�•`
DEPARTMENT OF BUILDING AND SAFETY APPLiUATIUD4 IfUll PLUNK l
COUNTY OF LOS ANGELES � ' ® ' G
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
AUILDING
DDRESS !
LOCALITY !l.�G�w.♦///���/� 1 /CJC J� n RE IVED BY DATE OF APPL DATE ISSUED
NEAREST
CROSS ST. ♦ BUILDING
ADORE
OWNER ti_ir
MAILLOCALITY _ G
ADDRESS O /
NEAREST
TEL
CITY n ('A/♦M N1p �p CROHH 5T.
O.
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO.
BLDG. ORD. NO.
ADDRESS SETBACK LINE
APPROVED
TEL
CONTRACTOR , NO. BY DATE
VUSE APPROVED
LOCK
ADDRESS ZONE
7 / BY DATE
D� CORRECTIONS
DESCRIPTION LOT NO. B
TRACT )- '
NO. OF BLDBS.
SIZE OF LOT ✓ NOW ON LOT L
USE OF I NO.OF I NO.OF
EXISTING BIDS. FAMILIES ROOMS o/
DESCRIPTION OF WORK
NEW Y ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH G
O
N.FT. /� NO.OF Z
SIZE 1rJ ROOMB STORIES r
WALL ROOF
COVERING /� COVERING
S/,J�
BUSE-OF NE
UILD NG W ( IA /4
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNMY ORDINANCES FOUNDATION: LOCATION INSPECTOR DATE
AND STATE LAWS REGULATID BUILDING CONSTRUCTION. FORMS, MATERIALS
n FRAME: FIRE STOPS,
SIGNATURE yV
OF;/ � � ( i BRACING,BOLTS
PERMITTEE / I/�
�" LATH. INT.
AUTHORIZED ABT.
LATH, EXT.
7BA63BA-3 113-60 $ ..� P.C.$ PLASTER, INT.
700 FEE
PLASTER, EXT.
VALUATION n
�J
FEE 2 FINAL
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
'COUNTY OF LOS ANGELES I ®.
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
sm
,y6� DISTRICT NO. PLAN CK.NO. PERMIT NO.
UILD
ADD EISS r iJ 69 7/i . s--
LOCALITY (�' / i�„/ RECEIVED BY DATE or APPL.` DATEISSUED
NEAREST —0-
CROSS ST. .n ��� ,
BUILDING
i0
OWNER �III{l ii.sL�.f ADDRESS
• a �►�c+.a�it
MAIL r/v AO..:: I LOCALITY
ADDRESS v �/ a A nen a ` ✓
NEAREST
� �• TEL. ,e,f�'7 CROSS 9T.
CITY �� f� �L s 4 NO. A774- 9 i Si,fI J
FIRE NO.OF TYPE •{��/y� GROUP`/}"'
ARCHITECT OR v,Irr� TEL. ZONE PLANS j `V
ENGINEER _ _ NO. ((
y BLDG.ETBACK LINE—'. / ORD.NO.
(1 S ,
f�s�
ADDRESS
APPROVED
TEL. BY DATE
CONTRACTOR NO.
USE / APPROVED
ADDRESS ZONE "( BY DATE
LEGAL
DESCRIPTION LG �./ BLOCK z t,� ' p CORRECTIONS
TRACT
SIZE OF LOT ! /c Y fay` I NOW ON LOTS
USE OF I NO.OF I I NO.OF
EXISTING SLOG. G ` t FAMILIES RDOMB
DESCRIPTION OF WORK
NEW J1Or� ALTERATION ADDITION
— D
REPAIR MOVING DEMOLISH p
FT. mor
SIZE q D OOMB STORIES r
61Z _
WALL ROOF
COVERING s, I COVERING
USE OF
BUILDING W e,
,-e
1 HEREBY ACKNOWLEDGE THAT 1 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 CONSTRUCTION.
FRAME: FIRE STOPS, /
SIGNATURE OF BRACING,BOLTS (O
PERMITTEE LATH,INT.:
1
AUTHORIZED AOT �`'I"�� ^_a wiiC°�'"��-�
LATH,EXT.:
Des-3 5OM 9ETB 1-4B $ P.D.S PLASTER,INT.
/ o FEEBPLASTER,EXT.
VALUATION FEE t t� 4e` FINAL M� f(
i
DIVISION OF BUILDING AND SAFETYR L g G
Deposbnent of County Engineer g
Count of Los Angeles
WM. J. FO , COUNTY ENGINEER APPMCATION
FOR APPLIIC�AN�Ty TO FILL IN
ADD
BUILDss � 6•r � �/c�� v.� '�
BUILDING / ,• ` I ' LOCALITY Ci
ADDRESSNEAR
LOCALITY 0 �,!!gyp ,rte, ROSS T. !'I� �a �• E°
DISTRICT NO. PLAN CK.OR REG.No. PERMIT NO.
CROSRS ST. 6 20111"Ver
�r
OWNER �� RECEIVED 83D DATE OF ADPL. DATTE'ISS,SUED
MAIL /�
ADDRESS q ./ A % / uv
�A / a� USE ZO E MPI OF TYPE GROUP FIRE ZONE
CITY A7 b // w NO.-�&0 PLANS I
ARCHITECT OR /J TEL. /j 6roo 1 ZONING k= DA�
ENGINEER ��P /1 NO. APPROVED BY-
ADDRESS ,_ BUILDING ORD.No.
SETBACK LINE:
TEL APPROVED DATE
CONTRACTOR - AU.1 NO. —BY:
HOUSE NUMBERING
ADDRESS Fy A� �y
LEGAL .�-- MAP NUMBER /G/ �l NO. ASSIGNED BY
DESCRIPTION LOT NO. � � BLOCK
DATE CORRECTIONS INSPECTOR
TRACTTRACT A,-Q ~S
SIZE OF LOT T`y�/� �Y� I NOW ON LOTUSE SF NO. OFy�� -7JvSC+ C�at�JL�/,/e�//
EX SING BLDG. FAMILIES ��ir� �U�� 1�IO 1lCiCIL•••-•�_ - O
DESCRIPTION OF WOM
z
NEW J_J'ALTERATION ADDITION I r
REPAIR DEMOLITION I I
SQ. FT. NO. OF I
SIZE ROOMS STORIES
EXWALROOF
CCOVERINGL eI COVERING ' I
USE OF STRUCTURE
i
L57 APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT. �
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS (l
SIGNATURE OF 'Ja� r� 1 i _ �'I� LATH, INT.
PERMITTER
, L" ail
ADDRESS / •' /%.• t1�e 1 n /^ ��• EDIT.
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
P.$ moo FEE.S HOUSE NUMBER COR-
Jr/ E �� RECT AND POSTED
Mi VALUATION �j FEE FINAL
76A888A DOG 3 8-88
a saw CE• eo 5MA•PPLICATION FOR BUILDING PERMIT �.
BUILDING .AND SAFETY DMSION BUILDING
l�ep0'!I>D1eAt'Of County.Z�giaeer ADDRESS
County of Los Angeles LOCALITY'
JOHNA.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING .CROSS ST.
DISTRICT NO. RO I�,p6 SEWER MAP FOR APPLICANT T _ .FILL IN K
_ CONST.
BUILDING Cfi
STATISTICAL C SSIFICATION
ADDRESS ,
LOT�.r O r- \�o BLOCK CLASS.NO.�DWELL. UNITa
^� . NUMBER-MAP STATE
YES
TRACT M-061 USE ZO E SPECIAL
/J��^ NO.OF BLDGS. i) �//�; �J ,, CONDITIONS
SIZE OF LOT CJD a 00 I NOW ON LOT p�� ® • ,J
USE OF 9�� BUILDING o. EXIST.
EXISTING BLDG. YARD D. HWY STREET NAME
(/ SETBACK WIDTH
OWNER I / FRONT
MAIL P..L.
-ADDRESS 1 SIDE "
� P. L'.
CITY U .P,a.ri►.lL(1J 1'.✓ NFfA 7,31tiINSPECTION RECORD
ARCHITECT OR TEL.
ENGINEERNow
_. �t •'
ADDRESS Yw - k
~ TEL.
CONTRACTOR 1��i(,(�tn_N/l_, NO.
ADDRESS /� /i✓w'l ] ��_--� - ��
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT: ^ 44 + NO.OF NO.OF
SIZE V STORIES FAMILIES
USE OFt S7RUCF j RE
APPROVALS
SIGNATURE OF rt1ti�C,
APPLICAN/T'�` , `�^ DATE INSI�EC�jTOR'S SIGNATURE
ADDRESS `/ Ln J� / P' Rf�lsi .\.,{'�LC t FOUNDATION:
rION
FORMS.MAT RIIALS
$ P.C. $ FRAME:FIRE STOPS.
FEE BRACING.BOLTS �`/ �....-a
VALUATION $ O FURNACE:•LOCATION. ,
FEE GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH.EXT.
STATE LAWS REGULATING BUILDING. CONSTRUCTION.
SIGNATURE OFn .� ��Nyt�l..� HOUSE NUMBER RRECT AND POSTED
/y
PERMITTEE
ADDRESS- ' FINAL AdWsl
OHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.DIRLAM.PR CIOAL STRU, U52.s N j!JN ER
PLAN CHECK VALIDATION CK. M.C. CASH PERBUT VALIDATION M.o. cAim
�, 1 .2 5 6-P; 'AUG 1'
TENTIE CITY
76A638A CE 11803 12/6
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS G�
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST n I
Print ort a onl CROSS ST. V
DISTRICT NOBUILDING . GR TYPE PRO S Y
ADDRESS 9669 '; p p' CONST.
East Olive
LOT NO. BLOCK
STATISTICAL CLASSIFICATION SE ER MAP
�S
_ CLASS NO. DWELL.UNITS BK PG
TRACT USE ZONE MAP
NO.OF BLDGS. NO.
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER lVfrg. NO. BLDG.SETBACK FROM
ADDRESS %69 E. Olive FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY emple City HIGH Y WIDTH FROM C.L.
ARCHITECT OR TEL. .I. _
ENGINEER NO. BLDG.SET FROM
ADDRESS SIDE PROP.LI (STREET)
TEL. TYPE OF EXISTING SETBACK Y + YARD = TOTAL
CONTRACTOR T NO, 7 HIGHWAY WIDTH FROM C.L.
ADDRESS 600 S. San Gabriel Bl.O ' 160650 + = o
CITE' Sar_ Gabriel 91776 CLASS 0`39 CORNER CUTOFF YES ❑ NO �
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS c
ADDRESS p
v
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES 1 FAMILIES
USE OF ❑
STRUCTURE Reroof with Compositio ADD
Shingles 235# ALTER ❑
SIGNATURE OF REPAIR[-]
APPLICANT DEMOL ❑
VALUATION 5 52000 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE S FEE$ no FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE, LATH, EXT,
O
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE. RECT AND POSTED 06,
ADDRESS FINAL
JOHN F. LEWIS, PRI CIPAL STR_ ORAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK: M.O. CASH
A('„ 7 1 0 5 8 DCT $ 1 D 9.0 0cd
78ABS8A 090803"8-64 APPLICATION FOR:, ILDIN -- PERMIT u
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF ,COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION ' LOCALITY
JOHN A. LAMBIE•. COUNTY ENGINEER
•NEAREST r
COLEMAN W. JENKINSAUP-T.bF BUILDING, CROSS ST.
DISTRI T NO. GR P ..TYPE: P O SED BY
FOR APPLICANT TO FILL IN CONST. ,
BUILDING rt7 n STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 9.669 E. Olive 10 Ce CLASS NO. DWELL UNITS '�' BK 2j G��
LOT NO. ti BLOCK USE ZONE NOPE(/
TRACTS _ 1 SPECIAL '
NO. OF BLDGS_. VVV CONDITIONS
SIZE OF LOT NOW ON-LOT
USE OF E"'T,
1 ING BLD . BLDG. SETBACK FROM
TEL.' FRONT PROP. LINEDIF - _ (STREET)
OWNER Maurine Bimi NO.- TYPE OF �EXISTINOSETBACK HIGHWAY + YARD = TOTAL
ADDRESS same NIGHWAY 'FROM C.L. '
CITY' +
ad
ARCHITECT OR TEL. BLDG. SETBACK FROM
ENGINEER-. NO. 910E PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS - - HIGHWAY* WIDTH FROM C.L.
CL
TE
CONTRACTOR Virgin Roof NOL287-05Q7— + - OV
ADDRESS 6Q $ LIC CORNER CUTOFF YES NO O
CITY ,San Gabriel CLICSs SEE REVFRSE SIDE FOR SPECIAL APPROVALS V
DESCRIPTION OF WORK °-
AO "" - _Z
NEW ADD ALTER OtPAIJDEMOLISH
S
ZE' 27 sq. STORIES FAMILIES \
rL
USE OF
STRUCTURE residence & garage
carport `1
SIGNATURE.OF \
APPLICANTytie
IvIC'
' C G
VALUATION•$ C' •OO APPROVALS DATE INSPECTOR'S SIGNATURE
PMT FOUNDATION, LOCATION
$ 6.00 FORMS, MATERIALS _A
FEE$ FEE
FRAME, FIRE STOPS,
THEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTIJ
AND STATE THAT THE ABOVE IS CORRECT AND AGREE_ TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9U ILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
D
AUTHORIZEHEREBY•I WILL NOT EMPLOYANY PERSON IN VIOLA- LATH. INT.
TION OF LABO CODE OF THE STATE OF CALIFORNIA ELAT-
ING TO WORKMEN' Ct7MPENSATIO2 IN SU ANCE. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR--
PERMITTEE RE AND POSTED I 1
ADDRESS 600Sn- 'Sgn r,,qb. Rly d, IFINAL
9 a l • JOHN F. LEWIVPRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION" :K : M.o. CASH
:,;: 064 - hPR1 6.00- CIL
q
APPLICATION FOR BUILDING PERMIT ]
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION '
FOR APPLICANT TO FILL IN BUILDIN DDRESS
/ G(G�
BV
I G ADD ESS / 2, 9
reby affirm that I have a certificate of consent to self insure, dL -� �rit
certificate of Workers'Compensation Insurance,or a certified
y thereof(Sec.380 .C.) CITY ZIP
S(�'_ n-,! T 7` LOCALITY
�y No. 2095 Company -S -A IF U� SIZE OF LOT NO OF BLDGS.�OW ON LOOT 6
ertified copy is hereby furnished. NEAREST CROSS ST
.ftrtified copy is filed with the county building inspection TRACT BLOCK LOT NO.
depar en1�t. )A
.. USE ZONE MAP NO.
Applicant Ap VI torn ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER EL NO.
COMPENSATION INSURANCE vs A3 oI-T IZ_ ��7 Z`�J WITHIN 1000 FT OF SCHOOL? YES No
s section need not be completed if the permit is for one hundred AD ESS
ars($100)or less.) OLIVE DISTRICT GROUP T ONST FIRE ZONE PROCESSED BY
CITY lC , ZIP ^�� �D�
rtlfy that in the performance of the work for which this permit 1 r ✓�(
sued, I shall not employ any person in any manner so as to
lome subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO.
P STATISTICAL CLAWIFLCATION APT CONDO
e Applicant ADDRESS CLASS NO. 44PO DWELL UNITS
NICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
rption, you Should become subject to the Workers' TRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
IV tion provisions of the Labor Code, you must forthwithArxii ��S Q/ FRONT
ly with such provisions or this permit shall be deemed revoked. ADg12
LIC.NO. P L
LICENSED CONTRACTORS DECLARATION � 2 IJ T V PL)6 N 3 -33 SIDE
6e6CILIC. +!1 P L
LICENSED
affirm that I am licensed underprovisions of Chapter 9 C- SEWER MAP
mencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF EiUFE7 NO.OF FAMILIES
lessions Code,and my license is in full force and effect. NEW ❑ BK PG a
}rise Number Y-91 UM- Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION ® C
oa
tractor } [��12f ,/1d�l Coate Zd A- .24 S OF ALTER ❑ $
` 0
am exempt under Sec. DOL, KrAJAA $T6 REPAIR 0 F
.BP.C.for this reason IZ�'�'tii�6 � R Ea "Jbba �� l� DEMOL ❑
LDMA P/C# IJ
Date: U F EXISTING BLDG. URM ❑
i U
ignature A LI T(PRINT) TEL O. LDMA Perm# 1 e
as owner of the property, or my employees with wages as Ica S—90 z (' a
eir sole compensation, will do the work and the structure is ADD S /p O ii.L• °v
of intended or offered for sale (Section 7044, Business and 91 1 2 N.2 UR A V 1`- FINAL DATE
rofessions Code.) `S`F `r 134.25
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE7•rC p�
as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY >4
l i GI 1'v
ensed contractors to construct the project (Section 7044, YES❑ No❑ TOTAL m �
usiness and Professions Code.)
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING u (/
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �j..9 n l•HE�•W7 � �
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKUST FOR �(/y/ [ /4
GUIDELINES
hereby affirm that there is a construction lending agency for YES❑ No❑ /\ J� CHANGE .011
e performance of the work for which this permit is issued(Sec. U
WAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
97,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 HAZARDOVS h�•i{0't—t1�1�9 V/ �}jGL
rider's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD IJVVV iJ 1 f C7I
rider's Address 13780 1 AM11005
g1NER OR AGENT
ertify that I have read this application and state under penalty
perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE /� ��
th all o I nces and State laws relating to building
ns iond her authorize representatives of this County ISSUANCE FEE �, O
rifer on the e-mention roperty for inspectionnpurpose .
B/ ;;5' INVESTIGATION FEE TOTAL FEE
�IUN
01 AFµ'.... a Act D-1. •
SEE REVERSE FOR EXPLANATORY LANGUAGE