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HomeMy Public PortalAbout4824 PERSIMMON AVE_Building__ 76A638A CE 9803 1/71 �,► APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS6,411 COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tyDe only) CROSS ST: OKl/r V DISTRICT NO. GROUP TYPE PROCESSED BY BUILDING ,/f f-- CONST, •- ADDRESS ✓ .� i i STATISTICAL CLASSIFICATION SEWER MAP LOT NO BLOCK y �j CLASS NO./�_DWELL.UNITS _ BK PG TRACT USE ZONE MAP n NO.OF SLOGS. NO. O SIZE OF LOT E_ 0 NOW ON LOT / SPECIAL USE OF A ^[ CONDITIONS EXISTING BLDG. TEL. g OWNER NO. O BLDG.SETBACK FROM ADORE S,/0 FRONT PROP.LINE OF (STREET) TYPE OF EXI NG SETBACK HIGHWAY } YARD = TOTAL CITY HIGHWAY WIDT ROM C.L. ARCHITECT OR TEL. } ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) Y TEL- TYPE OF EXISTING SETBACK HI AY } YARD = TOTAL C CONTRACTOR NO, Z /� HIGHWAY WIDTH FROM G.L. ADDRESS LIC. NO. } Cr C CITU CLASS CORNER CUTOFF YES NO ❑ t`i CONSTRUCTION LENDERa v: NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPR`bVALS ? ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF DD ❑ STRUCTURE i LTER ❑ SIGNATURE OF REPAIR❑ APPLICANT DEMOL VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT, Q FOUNDATION: LOCATION FEE $ FEE S ( RMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY NACE: LOCATION, FSR WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- AS VENT, DUCTS STRVCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE L TH, INT. LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. j LATH, EXT. SIGNATURE OF / HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS r o FINAL ' JOHN F. LEWIS. PRINCIPAL STR CT RAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATIO7 CK. M.O. CASH 5 9� FEB 29 1 D � F.00N aft,. 76AG38A C6 X90810-68 APPLICATION FOR BUILDING PERMIT ' 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS , BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST I CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. Y DISTRICT NO. TYPE P CESSED BY FOR APPLICANT TO FILL IN 5 ROUP CONST. :-mac lr BUILDING STATISTICAL CLASSIFICATION S WER MAP ADDRESS / BK PG CLASS.NO. DWELL.UNITS 6 % G STATE LOT NO. - V BLOCK. N MA ER 5l HWY. YES N TRACT 2 USE ZONE SPECIAL ��yy NO.OF.BLDGS /( / CONDITIONS SIZE OF LOT 0 I NOW ON LOT I " IFS(/ USE OF ) EXISTING BLDG. !+l BUILDING YARD HWY STREET NAME EXIST. r SETBACK WIDTH OWNER FRONT c� A MAIL P.L. ✓�L, ADDRESS SIDE TE �S P.L. CITY N INSPECTION RECORD ARCHITECT(IR TE ENGINEER NO. ADDRESS TE CONTRACT NOhjj 26a ADDRESS pj' Q DESCRIPT16k OF WORK NE ADD ALTER REPAIR DEMOLISH SQ.FT. " NO.OF NO.OF - ! 4n Aj SIZE STORIES FAMILIES _ USE O STRUCTURE SIGNATUR APPLICAN An APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION:LOCATION FORMS,MATERIALS VALUATION$ 'j©m FRAME:FIRE STOPS, BRACING,BOLTS FURNACE:LOCATION. FEE $ I FEE $ �- I GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. PLICATION AND )ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMP Y WITH ALL COUNTY ORDINANCES AND ✓ ��__ STATE LAWS ULAT7 BUILDING CONSTRUCTION. LA--'H,EXT. SIGNATURE 6 �� HOUSE NUMBER COR - PERMITTE RECT AND POSTED ADDRESS '' i'` FINAL - - - ,l CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 9 0 0 9 u ^�', ? 4 1 A ®. i DEPARTMENT OF BUILDING AND SAFETY APPLICATION L D I NR�T 1 COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLANCK. NO. PERMIT sNOO. ADDRESS J � G�Z— pE�VED Y DATE OF APPL. DATE ISSUED LOCALITY 7�J� NEAREST CROSS ST. BUILDING ADDRESS .� '� _Q-.t Iai�Y�aa..~—:3 OWNER MAIL LOCALITY ADDRESS NEAREST TEL. CROSSST. CITY NO. FIRE NO. OF E GR UP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. i QRD. NO. SETBACK LINE ADDRESS APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ZONs, /J, BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO. BLOCK MAP NUMBER FIELD CHECK BY TRACT NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT NOW ON LOT [COVER E OF I NO. OF ISTING BLDG. FAMILIES DESCRIPTION OF WORK W I� I ALTERATION I I ADDITION 0 PAIR I I DEMOLITION . FT. NO. OFZE ROOMS 1 STORIES Z T. WALL ROOF r ING I COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATIONr PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS +"! CORREACT. I GREE TOCOMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS PERMITTEE LATH, INT. ADDRESS- LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 76Af7SA, 01592 f0-a0 � � - P. C. >Q FEE PLASTER, EXT. VALUATION FEE - FINAL