HomeMy Public PortalAbout4945 PERSIMMON AVE_Building__ 76A638A C=u8038-64 APPLICATION FOR BUILDING PERMIT �J
COUNTY OF LOS ANGELES BUILDING t/
DEPARTMENT OF COUNTY ENGINEER ADDRESS /f
BUILDING AND SAFETY DIVISION L O C A L I T
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST.
DIST CT NLS GROUP TYPE PRO E I' Y
FOR APPLICANT TO FILL IN `z! Z— CONST.
BUILDING - STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS41�744 CLASS NO. DWELL UNITS B PG
LOT NO./r. Q• 3� BLOCK USE ZONE NOAP��`Je�.��/
TRACT Qj( SPECIAL
NO. OF BLDGS. CONDITION
SIZE OF LOT 5��-)(. !l NOW ON LOT
USE OF
EXISTING BLDG. BLDG. SETBACK FROM
TEL FRONT PROP. LINE OF ( BEET)
OWN. +/Yillf NO "yl C TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS �'' r HIGHWAY WIDTH FROM C.L.
CITY LOG. SETBACK FROM
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. d
TEl + = C
CONTRA C j'L! NO " I_
LIC CORNER CUTOFF YES NO
ADDRES i G: NO Q'" C
LIC
CITY N' •S CLAS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT NO. OF NO, OF
SIZE - 0 STORIES FAMILIFS�
USE OF
STRUCTUR
L
SIGNA TU ol
AP A
a�
VALUATIONS 8---.L4,—�i �"�(S--[r1 APPROVALS DATE INSPEC R'SSIGNATURE
P.C. PMT. // '�� FOUNDATION, LOCATION
FEE$ FEES [i -�'- FORMS, MATERIALS
FRAME, FIRE STOPS, L
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS 1 of PA!•
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS £ L rL'--: ~
9UILOI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK ter+
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA ELAT.
ING TO WORK M I'S COM ENSATION INSURANCE.
LATH. EXT.
wS
SIHOUSE NUMBER COR-
"'I'mITT RECT AND POSTED
ADDRESS F I N A L
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION (::C:Kj M O. CASH PERMIT VALIDATION (CK. M.0 CASH
F_a1123D 30. 5
}^v L;i3O 0 84 6- 1`4AR2 p
�- 6 7.5 0—
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76A638A CE,803 5-65 APPLICATION FORUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS w-5.�M�'V�o✓`
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST N
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. 'C2 yid
DISTRICbNO I Gr TYPE PR SY
FOR APPLICANT TO FILL IN `3. CONST.
BUILDADDREING SS I-- �-��S�M v�.♦ STATISTICAL CLASSIFICATION- SL PG
CLASS NO. DWELL UNITS
LOT NO. .� BLOCK US ZONE MAP D
1
TRACT SPECIAL
NO. OF BLDGS. CONDITIONS
SIZE OF LOTQeD NOW ON LOT
USE OF \�
EXISTING v BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF (STREET)
OWNERNO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS O V 1�J "xV &'_- HIGHWAY WIDTH FROM C.L.
CITY alk Z-1 -sU -� .1� 'c- i + -
BLDG. SETBACK FROM
ARCHITECT OR TEL.
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR
ADDRESS �C C NO CORNER CUTOFF YES NO
L'C
+ OC
CITY CLASS 1 SEE REVERSE SIDE FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK v
W
0-
NEW
NEW ADD ALTER REPAIR EMO CISH Z
SQ.FT. NO. OF
SIZE L--"TORIES AMILIFS
USE OF R
STRUCTURE
E C_
SIGNATURE OF
APPLICANT
VALUATION$ �► APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. � FOUNDATION, LOCATION
FEE$ FEE$ r� V F O RMS, MATERIALS
FRAME, FIRE STOPS,
I HER EBV ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORN
ING TO WORKME MPENSATION INSURANCE. LATH. EXT.
SIGNATURE \ HOUSE NUMBER CDR
-
PE,RMITTEE RECT AND POSTED
ADDRESS
JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH
1 0 6 6" APR 7 1 D 4.0 0-
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