HomeMy Public PortalAbout5208 PERSIMMON AVE_Building__ 76A688A CE0809 9-67 I I
` APPLICATION FOR BUILDINe.AERMIT IuI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
DISTRICT N GRO TYPE PRO S Y
FOR APPLICANT TO FILL IN CONST,
Pri type only) I 0l V
BUILDING d STATISTICAL CLA IFICATION SEWER MAP
ADDRESS CLASS NO. DWELL,UNITS B PG
LOT NO. BLOCK USE ZONE MAP
TRACT SPECIAL
NO.OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. at-G BLDG.SETBACK FROM
TEL FRONT PROP.LINE OF (STREET).
OWNE rj'. NO. ��• TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS �p2 e e —1y HI Y WIDTH FROM C.L. '
CIT
BLDG.SETBAC M
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HI Y + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR NO.TEL. +
ADDRESS NO. CORNER CUTOFF YES ❑ ❑ =
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS t3
DESCRIPTION OF WORK y
z_
NEW ADD TER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF `
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE$ FEE$ FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANITTATE
STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION• I THATIN DOING THE WORK
AUTHORIZED HEREBY 1 WILLLOYANYN IN VIOLA• LATH, INT.
TION OF THE LABOR CO E CALI RNIA RELAT•ING TO WORKMEN'S P SU CE.
LATH, EXT.
SIGNATU HOUSE NUMBER COR-
PERMITT RECT AND POSTED
ADDRESS isfta
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
Lil I IJ 5-2 4'D. •uL 1.8 Z D 62.00- a
'BA88BA CE*809.10.56 APPLICATION FOR BUILDING -PERMIT ].
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS -] 7 // 7.�• v � / Yt/ V ` ��� ll
Department of County Engineer - - f�
County of Los Angeles LOCALITY / ..,s�.Com/C� �•.1 d'- '/,
•T 4/
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. -97616-11
DISTR TYPE- SEWER MAP
WM
FOR APPLICANT TO FILL IN I'CONST. P-K
BUILDINGSTATISTICAL CLASSIFICATION
ADDRESS > b I \
LOT NO. �ry BLOCK CLASS.NO. DWELL. UNITS I "
MAP STATE YES O
NUMBER HWY
TRACT / 7 Ly 7 USE ZONE SPECIAL
NO.OF BLDGS. / CONDITIONS
SIZE OF LOT,' �Ar / I NOW ON LOT / O
USE OF
EXISTING BLDG. ^DIV-,: l.YrT iC_1 G I1-DINGEX13T.
E
YARD HWY STREET NAM
s— SETBACK WIDTH
OWNER t...�• l'- t• E� Al/�Y!_ ir' FRONT /+ s
MAIL P. L. 491.
ADDRESS ,�ir it�I C- SIDE
TEL. P.L.
"-,
CITY 7"o ..1 _I 3n l�. ", �:Tvo. INSPECTION RECORD
ARCHITECT OR `TEL.
ENGINEER NO. C� ' " 7 (? /�`/--
c>I d-A_i /
ADDRESS
zl � TENL.
CONTRACTOR bALA.. t 4°rL�f!1 I �� �3.
ADDRESS,) 1,J.All,, A.A
DESCRIPTION OF WORK
N: . ' A'DD ALTER REPAIR DEMOLISH
SC.FT. NO. OF NO.OF
SIZE X ��� STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF / ✓ f
GAPPROVALS
APPLICANT ! ��:' / /�� '"��f�• /r\ DATE INSPECTOR'S SIGNATURE
ADDRESS.?7 Z ie-/Q . rA.4 a�(!a F 1,, t-�U/i ,liAl FOUNDATION:LOCATION
FORMS, MATERIALS
P.C. gFRAME: FIRE STOPS.
_ FEE �,�� BRACING.BOLTS
}� _ FURNACE: LOCATION.
VALUATION (J FEE $ d `D D GAS VENT, DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH yL-L COUNTY ORDINANCES AND
STATE LAWS REGULATJNGI BUI_L•DING CONSTRUCTION. STH. EXT.
SIGNATURE OF ldr ~ `'/ 1 ( / HOUSE NUMBER COR-
PERMITTEE �/ -'���/ ft 'i... !:: !", /C�l�.;, .•,RECT AND POSTED
'7 d-1r 1� C. 1�'I %'.�Vl�lK•l b C L� /'/ ��/��t�v✓'�
ADDRESS l r . /Y/� n f. ._r r, / ;F.•INAL•C
OHN A.LAMBIE, COUNTY ENGINEER, %' CLYDE N.DIRLAM.PRINCIPAL ST UCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.y. cAs PERMIT VALIDATION' CK. M.O. N
9 4 05 0,„ J'UM 1 1 6 2.5 0
� ,ro 5 JUM19 ' 1 1.0.00 U
78A888A DB8.8
APPLICATION ISO R BUILDING PER9111IT
11.88 .
DIVISION OF BUILDING AND SAFETY ADD ESS •6'2 v Tv Pe rs;AA M O/J
Deportment of County Engineer' r
County of los Angeles LOCALITY.
JOHN A.LAMBIE, COUNTY ENGINEER. NEAREST
CASSATT D.GRIFFIN,SUP+T OF BUILDING• CROSS ST.
FOR APPLICANT TO FILL IN'P DIST T NO. GROUP ,TYPE BK PG
SEWER 'MAP
1 CONST
BUILDING 5'fyd$ IPeirbimmon Ave-
ADDRESS
NUMBER 1- 06 S}TjyWY YES NO
LOT NO. / a BLOCK USE ZONE SPECIAL
Q �^ CONDITIONS
TRACT D CEJ'
1 r I NO.OF BLDGS.
SIZE OF LOT X '� NOW ON LOT 1 BUILDING EXIST.
SETBACK WARD HWY STREET NAME
USE OF WIDTH `
EXISTING BLDG. FPROLNT /Jv G 0
OWNER W-0.11ef F-QV• Arrr Ii• y I6-4GZ' SIDE
MAILP.L.
ADDRESS 52a'8 '- eircir1' Mon /4YE O TRACT DWELL. I UNIT
/ _ TEL5 INDUSTRIAL
CITY ^dVY1piQ C�it NO•FO••S•j*0.92 1 DWELL. I UNIT 6 PUBLIC BLDG.
ARCHITECT Oft �= TEL _ Z DUPLEX 2 UNITS
ENGINEER (y{QA�1 �' ��� NO. O_I 7"3-�••` 3 APT. UNIT Ar)DN.,ALT., ETC.
ADDRESS (�1 C N tZ�oalr r14 Wj �J�-V 8 MISCEL.
4 COMMERCIAL
CONTRACTOR NO. Jr- �. � INSPECTION RECTEL
ORD
ADDRESS ` -
DESCRIPTION OF WORK dr
NEW /ADD]. ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO.OF
SIZE '' la STORIES FAMILIES �
USE OF RUCTURE /� �! ' Z ' ` r J/ d�
n�P G1 Y17� /TGl�
SIGNATURE OF
APPLICANT------ `` APPROVALS (�
ADDRESS .� �}{� ���`$�W1Yg01A '1'� DATE INSPECTOR'S SIGNATURE _
MUM FOUNDATION:LOCATION F r^''.� f(•
$ O o =FEE
FORMS.MATERIALS
FRAME: FIRE STOPS.
VALUATION UBRACING. BOLTSFURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS
APPLICATION AND STATE THAT THE ABOVE;IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH,INT.
AND STATE LAWS REGULATING BU N6—G'6 TRUC-
TION. LATH. EXT.
SIGNATURE OF Q' �, -ten (�, HOUSE NUMBER COR-
PERMITTEE N "v RECT AND POSTED.
ADDREsFINAL
JOHN A.LAMB•lE,COUNTY ENGINEER ATION CLYDE N.DIRLAM.CHIEF BLDG_. INSPECTOR
CK MO CASH
kCO 5 7. 4 6- MAY 7 1 8.0 0 m
}�
�Az4
' DBpARTNffiNT OF COUNTY ENGINEER - BUILDING
� .i-DMSION OF BUILDING AND"SAFETY
�SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX: COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN. SUPT OF BUILDING
FOR APPLICANT TO TILL IN FOR OFFICE USE ONLY
DISTRICT NO. PUN CK,oft REc.No. PERMIT NO.
ADDRESLDINS -
LOCALPrY �'�� ��. �/f' RECEIV/ED BY DATE OF APLPL. DATE ISSUED
NEAREST e-�rC?
CROSS 9T /JADDRESS
BUILDING
h -
OWNERMAIL
A DRESS
ADDRESS �? "'� �d H �(d/i/r/ LOCALITYB�µ/fJr�
NEAREST ( 7-
/ TEL. ` +�2 CROSS ST. Z C�7L ll�/
CITY.+,3�:''.� A-.) (p+�G'.Ta I E-_,: O ����
EARC
NGIi1EER OR N ZONE r I PLANE I NO. OF TYPE I GROUP] 1
ADDRESS BLDG. L b r O OJ.
,y� SETBACK LINE !✓
CONTRA D/..11✓1 NO. -I �y�Lr USE / 13YPROVED DA
r �s ZON
TE
ADDRESS `? r�`' `J /Gf��/ `C�l�/ { HOUSE NUMBERING
LEGAL MAP NUMBER Q / NO. ASSIGNED BY
DESCRIPTION I LOT NO. BLOCK
7 / CORRECTIQNS ^
TRACT 7 l)�
SIZE OF LOT �7 /11(D a. ZI- NO.OF BLDGB. 'la
`)
N ON LOT
USE OF I NO. OF _
EXISTING BLDG, FAMILIES Y'
DE,SCAZpTION OF WORK o -
NEW TERATION ADDITION Q
Z
REPAIR DEMOLITION.
SQ. FT. NO.OF
SIZE L!, zf ROOMS L^ STORIES )
COVNS./L✓C LI D I COV
ER GER N 1�, 1
USE OF STRUCTURE
APPROV LS
INSPECT 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 18, BRACING, BOLTS / n
CORRAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING aBUILDING CONS UCTION. GAS VENT, DUCTS
SIGNATURE OF / / L � LATH, INT.
PERMITT
LATH:EXT.
ADDR rte+ J%i,?�. .J G% !T •?14114r. .
_J PLASTER, INT.
AUTHORIZED ACT. l r f9 r--
d� PLASTER, EXT. �
$ 7 D FEE C.
$ 5 HOUSE NUMBER COR-
RECT AND POSTED A
VALUATION
FEE �L /b FINAL
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