HomeMy Public PortalAbout4841 PERSIMMON AVE_Building__ 76AE38A CEit803 9-68 APPLICATION FOR B ILDYNG PERM u
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT N G O P YPE O Ss BY
CONST.
(Print or type only)
BUILDING /, STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS 7 CLASS NO. DWELL,UNITS BK C, PG
LOT NO. 03Z BLOCK USE ZONE MAP
NO.
TRACT SPECIAL
NO.OF BLDGS. ` CONDITIONS
SIZE OF LOT 42 NOW ON LOT /
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
ZTEL. ? 7 FRONT PROP.LINE OF —(STREET)
OWNER NO. J TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL
TmNikA
V WIDTH FROM C.L.
ADDRESS
-f'� j_ _
CITY +
BLDG.SETBACK F
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK IHI Y + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. _ c
CONTRACTOR NO. + C
LIC. c
ADDRESS NO CORNER CUTOFF YES ❑ ❑
LIC. C
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS c
CONSTRUCTION LENDER
NAME AND BRANCH
s
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE
ALTER ❑ guy �Al
SIGNATURE OF REPAIR❑
ler
APPLICANT DEMOL 01
VALUATION $ APPROVALS DAtrINS P s SIGNATURE
P.C. PMT. �y FOUNDATION: LOCATION
FEE $ FEE $ �} /i FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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. I CERTIFY 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. I
LATH, EXT.
SIGNATUREF HOUSE NUMBER COR-
PERMITTE - RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
hr. 0 y 14 5\a' "L14 _ D .._
DEPARTMENT OF COUNTY ENGINEER
ZriVISIOCOUONT YOFFLLOS ANGELES SAFETY BUILDING
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PUN CK.OR REc.No. PERMITT NO.
BUILDING
ADDRESS
LOCALITY t`� RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST /J,7_ yx'y S
CROSS ST.
ADDRESS BUILDING T / A4
OWNER
MAIL � � � LOCALITY
ADDRESS
,f NEAREST
TEL.
CITY NO. CROSS ST. `-t d�.i��P 3' '
ARCHITECT R TEL. FIRE I NO. OF --TYPE GROUP
ENGINEER ( NO. ZONE PLANS
ADDRESS BLDG. b / �OF�D�C NO.
SETBACK LINE
TEL. USE APPROVED
CONTRACTOR NO. ZONE "i BY DATE
HOUSE NUMBERING
ADDRESS
LEGAL MAP NUMBER 0-5 NO. ASSIGNED BY
DESCRIPTION I LOT NO. 3- i BLOCK
CORRECTIONS
TRACT '/ r
SIZE OF LOT % �Y �/ I O
NOW ON L
Ll 4TS
d'T''._F
USE OF ,�.-r. rr • NO. OF
EXISTING BLDG. I FAMILIES �� rr e-) •1'-':'_.J �•
DESCRIPTION OF WORK _ -•- o -
s/ �
NEW • DALTERATION EMOLITION I ADDITION
2
REPAIR D
r
SQ. FT.
SIZE YID ROOMS STORIES
EXT. WALLROOF
,,C 't `r'! I COVERING&x,4.1
COVERINGS J N L=
USE OF STRUCTURE /
e t CI
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT.
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF&}pK,y LATH, INT.
PERMITTEE_
ADDRESS LATH. EXT.
�J .Ll +v�► 1�•✓i•"'�KiC1/r`�'�tl`"L`
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
FEE HOUSE NUMBER
R
COR-
VALUATION 6ECT AND POSTED
�
FEE CCCC��` t" Y FINAL
7GA635A 0883 8-52 s