HomeMy Public PortalAbout4965 PERSIMMON AVE_Building__ J C aj z
:6A698A CE #,903;%.APPLICATION%FOR BUILDIN6 PERMIT
COUNTY OF LOS ANGELES ASSESSOR
r 'DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING awl-
ADDRESS t
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tvoe onIvl CROSS ST.
BUILDING � DISTRICT N GROUP TYPE MP
S BY
ADDRESS _ l!/J�'p t CONST.
.. STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. IV13SBLOCK
CLASS NO.��DWELL,UNIT- SK TPG
TRACT DUSE ZONE MAP
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT SPENO.CIAL
USE OF a CONDITIONS
EXISTING BLDG, '
EL.
T
OWNER NO. BLDG,SETBACK FROM
ADDRESS,,T__ ` FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL.
D } = Q
ENGINEER NO. BLDG,SETBACKFROM
ADDRESS _ SIDE PROP.LINE OF (STREET)
TE TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL O}.
CONTRACTOR NO HIGHWAY WIDTH FROM C.L. C
LICC:
. _
ADDRESS Np t — C
CITY , CLASS CORNER CUTOFF YES ❑ NO ❑ 4
CONSTRUCTION LEND CL
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ, FT. . NO. 0IF ' NO. OF NEW ❑ _r� '' , igefl J i<.r r—,L o e-a R :r s 9:t'
STRUCTURESIZE S Es FAMILIES
e%�'�
USE OF ADD
ALTER ❑ �yf ,' ! �! `
REPAIR❑
IGNATURE OF
APPLICANT /f DEMOL ❑
VALUATION SC® 'ee) APPROVALS DATE INSPECTOR'S SIGNATURE
P,C, j� PMT. •�� FOUNDATION: LOCATION
FEE$ 3s3(�� FEE SJ5�� FORMS, MATERIALS
FRAME: FISTOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACIRE NG BOLTS
AND STATETHAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS /1
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THELATH, INT.
LABOR ODE OF THE STATE OF 'CALIFORNIA IN RELATING TO JWORKMEN MPENSATI INSURANCE. LATH, EXT,
SIGNATURE HOUSE NUMBER COR-
PERMITT RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STR TURAL ENGINEER
PLAN CHECK VALIDATION cK M.O CASH _ PERMIT VALIDATIO CK.- M.O. CASH
P,�' . 1 4 7 3� jliL1 p 2 3 D A�e l 3 7:� ,;.L 1 D 5 �.JI�
BA888A C6 808.9.60 /81PPLI'CATION I OR BUILDING .PERMIT' ` -
COUNTY OF LOS ANGELES ' BUILD[NGo
ADDRESS `',
DEPARTMENT OF COUNTY ENGINEER ,,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST +=
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT. O. ;y I GR TYPE ESSED BY
` 'IFOR APPLICANT TO FILL IN Sir �'. 'I CONST. .
BUILDING ` n Ave..II STATISTICAL CLASSIFICATION. + W R MAP
P[�l
ADDRESS.�•� 5 Pers unman Ve.a CLASS.NO. DWELL.UNITS �J
LOT NO. 3'5• r a N 45'/ BLOCK �' MAP I' STATE,
/�((��902 n f NUMBER HWY,
TRACT 4 U!FE0tjE ....SPECIAL
+�
�1)tX17��2V I NO'.OF BLDGS.n� CONDITIONS ! r '" r
SIZE OF LOT I NOW ON LOT 1Y.Cr}Q + : - i.,•¢;j s
USE OF
EXISTING BLDG: BUILDING .EXIST." �
� TEL. YARD HWY' ST.R EET;Ni4Iv1E %, '
nr SETBACK �a: -'R,. WIDTH ,
OWNER L/. Nblt,ol NO. FRONT
P. L.
ADDRESS SIDE -
ARCHITECT OR TEL. P•L-
ENGINEER
ENGINEER No. ]NftdTION RECO fD fi'v }^
ADDRESS :! �' p rr i. `� _a
�+ y, -� � T LI�� ��}} T ✓ 'R!�/+51�.. ,y'•'y' ....1'.i��•�� N�'�`'LT'e>'�'��
CONTRACTOR'S ii 11 '+BrOs'i N�L.iO�09 / ' "�� Ar T! ��
ADDRESS 9203, D'e: c a.leiia S•t 'Rsmc3
DESCRIPTION. OF WORK r -s - A L`' `�"� O
NEW x' ADD ALTER REPAIR DEMOLISH
SQ:FT. NO.OF >� NO.OF T /� Y//o /f 47
SIZE" . 1�$ STORIES Z FAMILIES Z I+ /`4r "' r'• ` ! _ tires{
USIOF
STRUCTURE Res idenke. With all Attac,
d. Dara' e.. size- T$"$ x22t T: =�!'�t l'r :.. :.�-r•�:.? j }�,, ,�:f���•.. r'`' ,
SIGNATURE OF /\ - s` -.:=:•!". . . ->:r''��� -'1:I ::;'J•'�err.
APPLICANT
VALUATIONS /i 3A"�!NlrI�g
APPROVALS D' TE ANSPEG I� URE
P.C. PMT. ��. FOUNDATION:LOCATION
FEE $ I FEE $
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, /� ! 1I- -•••%� ''��r7 '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE !OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATS_.:INT.'
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKMEN'S OMPENSA'�ON AWS OF GALTF6RNIA. -
LATH,EXT.;
SIGNATURE OF. HOUSE NUMBER COR-
PERMITTEE
RECT AND POSTED 3 1C✓�,`..
`,.
ADDRESS FINAL
CLYDE N. DIRLAM, R1NCIPAL STR RAL ENGINEER,
PLAN CHECg ALIDATION ox ia.o. CASs PERMIT VALIDATION cK M.o. cASN
n5 3 . 1 .t V �• ,"2 3'DI 9.50A
>.r ^ N!
5.5.4 $v 'caQu: 9 1 o. '39.00