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Home My Public Portal About5044 PERSIMMON AVE_Building__ at DEPARTMENT OF COUNTY ENGINEER DMSION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES B mum I L LF)"I N 'off WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE.USE ONLY �s� DISTRICT NO. PL/AN CK.oR rREc.N1o. PERMIT NO. BUILDINADDRESS ��7" f�rf�I�TJ°�IC�IIIDf�� .6 6: LOCALITYf ��R CEIVED�sY DATE OF APPL. DATE ISSUED NEAREST !' l,JGUt!'f/ �., CROSS ST • � � BUILDING �--� � � '^J•-��"� f�i J�C ADDRESS �� .✓f G OWNER /- `• _ �r /MAIL ��1++{l� / ) ADDRESS _J- J '1 L. !�S !i /1/ / LOCALITY r./ L.��.�./!:.�� 1.✓�+� _ f NEAREST CITY w�!'1/3 4.yr��IJ.�` �/ TEL. r�m' G f CROSS 8T. ARCHITECT OR TEL. f FIRE NO. OF TYPE - GROUP ENGINEER NO. ZONE I PLANS r- I r I + ADDRESS BLDG. 1 D. NO. �(�J � �y SETBACK LINEUSE +/ CONTRACTOR �/ -/ r� dI// IVOI. ✓ '� �1� ZONE�'t ` i APPROVED � DATE W S r—"!, �-�y ° f HOUSE'NUMBERING ADDRESS •� Os+ s��l� !s !,p/lwri 17 C LEGAL MAP NUMBER d ' NO. ASSIGNED BY DESCRIPTION I LOT NO. I BLOCK C,ORRECTIONS TRACT It ate' y�y� NO. OF LDGS. r' SIZE OF LOT�//} 00-2-7-1 NOW ON LOT �C� y USE OFI NO. EXISTING BLDG.. ^' FAMILIE - DESCRIPTION OF WORK o - RE AIR I DEMOLITION I—I TION ADDITION I Z r SQ. FT. NO. OF �o SIZE • I ROOMS fcs STORIES EXT.WALL ROOF COVERING � orf.Cf�Q COVERING daVil e USE OF STRUCTURE" APPROVALS INSPEZ R'S SIGNATURE DATE FOUNDATION:LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. i AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING �JBUILDING �CONSTRUCTION. GAS VENT, DUCTS C � SIGNATURE OF �! P: �' // ` {(� (,! LATH, INT. PERMITTE r Ivy t• Y °y ADDRFQa / LATH. EXT. PLASTER, INT. AUTHORIZED AGT / t` - � PLASTER, EXT. FEE HOUSE NUMBER COR- RECT AND POSTED / „ya'✓ `ra VALUATION +7'J O FEE FINAL `, •�i• �,/%` 55' 7643BA.- CE."aD3(RFsJl 1,r78) L�j 6 ✓f APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS Lj O r BUILDING ADDRESS -SG i/y �JZS/ii/�rJpy1 LOCALITY T NEAREST CITY ("!-y;.t �' 6/111 ZIP 11-71-6 CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT ?jr S° / NOW ON LOT . If MAP BOOK' PAGE I PARCEL /J /J DISTRICT GROUP TYPE FIRE PROCESSED BY TRACT / a / BLOCK LOT NO.. O `� CONST. _ ZONE ' tt .TEL. - v `J? OWNER 11;4AdoK, �IAf-Lvz R.. 2'.Zi O. ity4' �'jv7 /� STATISTICAL CLASSIFICATION SEWER MAP ADDRESS i� z` / f le!S%&I an Z - Al✓— CLASS NO. Ir rte, DWELL.UNITS BK 6PG J CITY7e»,w /� �;�., ZIP %/ ?�01 ARCHITECT OR TEL. VALUATION $ z/ (()D e�W ENGINEER �.�J NO. ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR NO. HIGHWAY + YARDTOTAL SETBACK FROM TYPE OF EXISTING . LIC. _ FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. ) O = LIC. + o{ �v CITY CLASS CONSTRUCTION E ER BLDG.SETBACK FROM NAME AND BRANCH SIDE.PROP.LINEOF )STREET) � HIGHWAY + YARD = 'TOTAL SETBACK FROM TYPE OF I EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. I NO.Of NO.OF CHECK + = V cc SIZE STORIES FAMILIES. ONE USE ZOO OP DESCRIPTION OF WORK E iv I�1 NEW ❑ I SPECIAL —Pi evw,.3 a 'A (=A/t'IGSe ADD a.�d CONDITIONS y vi ALTER ❑ FINAL C _ BY z f�O REPAIR DATE ❑ USE OF7 11 DEMOL ❑ EXISTING BLDG. 6-S ide-:, c ' Z APPLICANT r /� TEL 2 (PRINT) J J)NJ 13i !. �).L ! NO. Q A' BY ISIG _ I HEREBY A NOWLEDGE THAf I HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND-AGREE TO COMPLY WITH ALL ORDINANCES W AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE x 7:q 26 A WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF w THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- - z 0 c 0 0 0 1 PENSATION INSURANCE.' SIGNATURE OF 203400 PERMITTEE o 0 03[>,00 ADDRESS Z TEL. 2 G21 5-80 CITY NO.. :. P.C.Fee$ Permit Fee > r Issuance Fee ode W 2 d Total Fee V APPLICATION FOR BUILDING PERMIT_ FORSAPTqVAt. PL'I'�.ANT TO FILL IN (Print or type only) ABU I LD ING DDRESS �/'/°�/l® COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER CITY zIP BUILDING ANDS TY -DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT -7 NOW ON LOT ADDRESS�j_QL ' D TRACT pp7BLOCK LOT NO. LOCALITY NEAREST OWNER J•`r //I ,nNCROSS-ST. ADDRESS S /�S'iMCp MAP BOOK PAGE PARCEL 1 DISTRICT GROUP TYPE FIREESSED BY CITY ZIP O CONST,._- ZONE 1 ARCHITECT OR TEL. 161 as NO. STATISTICAL CLASSIFICATION SEWER AP ADDRESS r CLASS NO. /DWELL.UNITS --rBK,57PG CONTRACTOR rj.0iA (j s- ALr`'NO `,PS US ZONE MAP ADDRESS � �aLJ �l�a NO.-IL-C v I SPEC AL LIC. CONDITIONS CITY /I f44CLASS 46 , ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG. TRACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY AL SETBACK FROM TYPE OF EXISTING C TOT HIGHWA } YARD 12 SQ. FT. NO. OF a NO. OF � CHECK FRONT PROP. LINE HIGHWAY WIDTH p SIZE STORIES / FAMILIES ONE F } = C DESCRIPTION OF RK NEW ❑ a ADD ❑ BLDG.SETBAC ROM V (STREET) ? SIDE PROP.LINE OF LTER ❑ HIGHWAY } YARD TOTAL SETBACK FROM T OF EXISTING REPAIR SIDE PROP. LINE HIGH Y WIDTH USE OF NG BLDG, g$ ��+�p - DEMOL ❑ } EXISTING AP PRICAN� e /j��J / N01. 3-1 � �g CORNER CUTOFF YES ❑ NONT) ❑ BY IS i IN OPEN SPACE YES ❑ NO B Y IS I G N A TO ❑ s vm IN COASTAL ZONE YES ❑ NO ❑ Q C 3 VALUATION$ x D® -w— CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. 1 CERTIFY THAT IN-DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO _ WORKMEN'S COMPEN fURANC SIGNATURE PERMITTEEAt ADDRESS-�-:71-7 o TEL— R y(y [[ FINAL y BY CITY r NOZ! /`�17 DATE .NAK (:HL-CKS PAYABLE TO. FEE � FEE HARVEY T. BRANDT, COUNTY ENGINEER / PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. O. CASH r 76A638A CE#803 12/72 - ►. �� 3020%3 AUG 31 1 D 21 .75A 76A688A CE#608 6-68 APPLICATION FOR -BUILDING PERMIT LJ' COUNTY OF LOS ANGELES BUILDING �� ! DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / 'WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DISTRIC N GR TYPE BY FOR APPLICANT TO FILL IN coNsr. BUILDING �/ j� /� STATISTICAL CLA3 IF CATION SFWER MAP ADDRESS / ry`o/�'J7yJ Q•s` ` - CLASS.NO. DWELL.UNITS Bim` P LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE: TRACT g MAP HIGHWAY STATE MAJOR SECOND LOCAL NO.OF BLDGS. NO. " (CIRCLE) SIZE OF LOTf"? )( ,Q NOW ON LOT U O E SPECIAL USE OF q{� CONDITIONS EXISTING BLDG. U� TEL. A OWNER , /'JS. NO. S'8.3t� BU LDING YARD HWY STREET NAME EXIST. ADDRESS �i^S+� .j SETBACK WIDTH FRONT O + ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. ADDRESS TEL CONTRACTOR. Azw;jwl_NO_ 8 (� ADDRESS DESCRIPTION OF WORK (J i K NEW ADD AER REPAIR DEMOLISH &n(/ SQ.FT. LTNO.OF ' NO. OF A z SIZE �3 STORIES I FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT C VALUATIO hh r APPROVALrS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE FEE $ FORMS, MATERIALS o'uL .c* A FRAME: FIRE STOPS, 1 1 S� /JPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS 1/ fs/ x AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. {� WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS �. BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. 7 TION OF THE LABOR CODE OF THE STATE OF LIFORNIA RELAT. C INC TO WORKMEN'S COMPE ATION INSURAN LATH, EXT. SIGNATURE O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS Kc3.S FINAL GE° @lf-tom.s JOHN F. LEWIS. PRINCIPAL.STR '??{URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION c vv M.O. CASH L;4b 5. 3 5 3m 0GT2 8 1 D 1 5.00- v