HomeMy Public PortalAbout9532 PENTLAND ST_Building__ 76AE3a&CQ4a03R-67APPLICATION FOR BUILDIG PERMIT
COUNTY,OF-LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEEII ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
DISJ.Ic N OR UP TYPE P D
FOR APPLICANT TO FILL IN �� CONST
BUILDING
( STATISTICAL C DWELL UNITS SEWER MAP
ADDRESS ..,/. CLASS NO BN�PG
LOT NO 17 SLOCK_;?Z7 USE ZONE MAP 0
1 p NO = L
TRACT I/LSPECIAL
NO 01 pLDES / - ON I
TIQNS
SIZE OF LOT K.W ON LOT ' a
USE OF SLOG SETBACK SETBACK FROM
TEL `� II FRONT PROP—LIME O! - (STR[[T)
OWNE E NO TYPE OF EXISTING I SETBACK HIGHWAY YARD = TOTAL
ADDRES � �-/T GHWAY IROM C L
-5- } d = 020
CITY
BLDG SETBACK FROM
ARCHITECT OR TEL SIDE PROP LIN[ 0! STREIT
ENGINEER NO
TYPE 01 [KIaTINS SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH lROMCL _ -
TEL J _
CONTRACTOR NO
LIC
ADDRESS NO — CORNER CUTOFF YES NO S
f LIc SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK E
/ a
NEW ADD ALTER REPAIR DEMOLISH
Z_
NO OFNO OR 0
SIZE STORIES FAMILIES
USE OF
STRUCTURE
if
SIONATURE 1 /S
APP LIGAN
VALU ION
Q B 00 ,
APPROVALS GATE INSPA?CTOR'SSISAATURE
P C PMT FOUNDATION,
O FORMS MArTERIALS LOCATION Z 16
FEE FEES !
FRAME FIRE STOPS
HCR[aV ACx NOWL[DO[ THAT HAVE RCAO THIS APPLICATION I BRACING BOLTB /
AMD STATE THAT THE ABOVE la CORRECT AND ADR[[ TO COMPLY FURNACE LOCATION
WITHALL COUNTY OR AMC" AND [TAT[ LAWS REGULATING GAS VENT DUCTS
GUILOING CONSTRUCT I CERTIFY THAT IN DOING THE WORK
AUTHORIZED XCRIB WILL NOT EMPLOY ANY P ON IN VIOLA d
LATH INT
TION OF THE LAS CDC OP THE STAT[ OF ORN4 RELAT
ING TO WORKM OMPENSA RAN
LATH EXT
SIGN HOUSE NUMBglOR-,'
PE TTEE REC N DRIES
JOHN F LEWIS PRINCIPAL STRUCTURAL E �`—
PLAN CHECK VALIDATION CK M o CASH N
PERMIT VALIDATION CK MO CASX
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,.AeseA CE Aeon e.ne APPLICATION FOR BUILDING PERMIT I
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS /
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAM61E,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRI�T o GBGIiP I TYPES-/-� OCESSED Y
FOR APPLICANT TO FILL %!J CONST. IY/
BUILDING ry SEWER A
ADDRESS /�`3` ENi�An.�p STATISTICAL ASWE L.TINT
K 1PG
/ CLASS.NO._DW ELL. UNITS /
LOT NO. / BLOCK MAPE
/
(I/ p �/ NUMBER 0.146
HT
YES NO
TRACT 45-7Z 84 JA/ USEZ NE SPECIAL
NO.OF
SIZE OF LOT ✓d LX NOW ON LOTS CONDITIONS
USEOF
ID M O
BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER E ISIfAN FRONT
AAl LDDRESS 7 L-N ND SIDE
' L 6 C,T NO P.L.
CITY
ARCHITECTOR c _ TEL INSPECTION RECORD
ENGINEER St•L NO.
ADDRESS
CONTRACTOR S TEL. -
54
NO. AT714] ^�
D (0/l .1 S.. T T .C . - `�-i• 1
DESCRIPTION OF WORK
b � -
NEW A ALTER REPAIR DEMOLISH
sQ
S ZE 7(,. NO.OF NO OF
STORIES I FAMILIES
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT/
ADDRESS (�(/I T. G ATE INSPECTOR'S SIGNATURE
FOUNDATION:MATERIALS CATION
$ Seo FORMS,MATERIALS
FRAME: FIRE STOPS.�>E
FEE BRACING.BOLTS a,-' -
VALUATION S 00 FURNACE: LOCATION. --
FEE GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP. LATH.INT. •�
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINA CES AND
STATE LAWS REGULATING BUIL13 CON UCTION. LATH, EXT. lArd
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECTAND POSTED
i
ADREss 7- C FINAL -
CLYDE N. DIRL4M• PRINCIPAL 5T LENGINEER
PLAN CICS VALIDATION cK. M.o. CASH FEBMR VALIDATION cK. M.O. CASH
LCo 1 9 1 1 JAN 10 1 n 15-00
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