HomeMy Public PortalAbout4835 RIO HONDO AVE_Building__ 76A638A CE#803 5-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES 31JILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY f f r'—' �C r
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OP BUILDING CROSS ST. G>✓
DISTRACT NJOROUP TYPE Z Y—MSSED B /
FOR APPLICANT TO FILL IN t! , 'D✓ CONST. Y
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BUILDINGSTATISTICAL CLASSIFICATION S9WER MAP
C I ,8K G
ADDRESS �J I CLASS. NO. DWELL.UNITS1
LOT NO. BLOCK WATER NOT REQUIRED REe EIVED
CERTIFICATE: 5 Li
TRACT MAP HIGHWAY STATE MAJOR SECOND, LOCAL
NO.OF BLDGS. „__ NO. ' (CIRCLE)
�. SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS L
EXISTING BLDG.
T
OWNER BUILDING
SETBACK HWY STREET AME EXIST.
SrTBACK WIDTH
ADDRES :L C! FRONT
ARCHITECT OR TEL. P. L. K d
ENGINEER NO. SIDE O
P.L. 4L u
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ADDRESS T INSPECTI N RECORD
CONTRACTOR S Q `� �- L O
_ H
ADDRESS r W
DESCRIPTION OF WORK (7,- u' CL
NEW ADD ALTER REPAIR DEMOLISH
SO.FT. Z®� NO.OF NO.OF "
IZE STO IES FAMILIES
USE OF
STRUCTURE
� � o
SIGNATURE OF
APPLICANT
VALUATION$ f O ef J
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. O ( PMT. FOUNDATION: LOCATION
FEE $ •-� FEE $ -� " 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON VIoLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CAL�IFO RELAT- _
ING TO WORKMEN'S CO ENSATI i�INSURANCE. f'
LATH,EXT.
SIGNATUR F HOUSE NUMBER CORI '
PERMITTEF RECT AND POSTED
ADDRESS FINAL
i�
CLYDE N. DIRLA ,PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION 0. ' M.O. cAslf PERMIT VALIDATION cr_ m.o. cAeH
,� a c'c % 2 3 0
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NAB98A 0811809.1-9f APPLICATION' FOR BUILDING PERMIT
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALI 1
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN 8UP'T OF BUILDING CROSS ST.
_DGROUPICT NQ/ TYPE P ES BY
FOR APPLICANT TO FILL IN (a/ CONST.
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS HK PGCLASS.NO�WELL.UNITS
LOT NO. _r0 - GOY,�; BLOCK WATER NOT REQUIRED RECEIVED
TRACT -�
L CERTIFICATE: IIILLLJJJ
MAPHIGHWAY STATE MAJOR SECOND, OCAL
NO.OF BLDGS. NO. O (CIRCLE)
SIZE OF LOT I NOW ON LOT USE ZONE SPECIAL ..
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER Jp NO. BUILDING YARD HWY STREET NAME EXIST.
ADDRESS y�3S �P�a Ao lyda A/J.e SETBACK WIDTH
FRONT /
ARCHITECT TEL. P.L.
ENGINEER 21W21111mig SIDE �l
P.L. g
ADDRESS H;
TEL. INSPECTION RECORD p
CONTRACTOR NO. U
ADDRESS
O
DESCRIPTION OF WORK
W
d
NEW ADD ALTER REPAIR DEMOLISH rn
FT. NO.OF NO.OF ?
SIZE STORIES FAMILIES
USE OF s
STRUCT
SIGNATURE OF
APPLICANT • {
VALUATION
APPROV S DATE INSPECTOR'S SIGNATURE
PJC. PMT. d FOUNDATION:LOCATION
FEE $ FEES 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 ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. 1 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 CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH,EXT.
SIGNATURE OF HOUSE'NUMBER COR-
RERMITTE RECT AND POSTED V-16-r,14 ,5
f / / �_.�
ADDRESS FINAL. /r/%6-r/ 2 z<� l
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGII
PLAN CE=K VALIDATION CK. M.O. CASH PERM VALIDATION cK. m.o,�CASH J
L �t3 2 2 6 7GO MAR 19 1 D 4,00-
v
75AGSBA CE#803 1/71 ®r Cj )io
lu
APPLICATION FgR BUILDING H ER1�l! � �
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING �6,
ADDRESS G /jf S
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or type only) CROSS ST. to
gy��pf=lee 4L-4
�$
BUILDING
ADDRESS '57T�O. GR C SED
orJ
DO ..ST-
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. A&jad 0 j BLOCK
CLASS NO. ZaDWELL.UNITS BK PG
TRACT USE ZONE MAP ?0 /&
NO.OF B W 1 NO. C
SIZE OF LOT NOW ON LOTOT SPECIAL
'1 USE OF - CONDITIONS
EXISTING BLDG. /
OWNER - TEL.
+ NO - emery '1L1 BLDG.SETBACK FROM
ADDRESS @0 FRONT PROP.LINE OF � � (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWA WIDTH FROM C.L.
ARCHITECT OR TEL. ) C + _
ENGINEER f> NO. BLDG.SETBACK FROMJ (STREET)
ADDRESS SIDE PROP.LE INOF
TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL D
CONTRACTOR NO, HIGHWAY WIDTH FROM C.L. c
C
ADDRESS NO � +
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO ❑ y
CONSTRUCTION LENDER D
co
NAME AND BRANCH SEER VERSE SIDE FOR SPECIAL kPPROELS
ADDRESS
SQ. FT. NO. OF NO. OF NEW
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE
ALTER ❑
SIGNATURE OF REPAIR❑'
APPLICANT DEMOL E]VALUATION S f. /6 Q APPROVALS ATE INSP TOR'S SIGNATURE
FEE S FEE S �� FOUNDATION:
MATERIIALSON SCG 7 2_
a
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. IC
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'5 COMPENSATION INSURANCE. LATH, EXT.
SIGNATURE OF (/7 HOUSE NUMBER COR-
PERMITTEE�/ ! X. `r '�d� C RECT AND POSTED
ADDRESS 7"� 1( t�� A +
FINAL -
JOHN F. LEWIS. PRINCIPAL STRU TURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALI TION;' C.
M.O. CASH
CQ
L;L,OF 6 4 3 APR 2 4 1 D 6.c0
76A638A CEat60312/6APPLICATION FOR BUILDIN PERMI '� '
• COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS aez
COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY �_pjJ
FOR APPLICANT TO FILL IN NEAREST
Print or tvoe only) CROSS ST.
BUILDING DIST ICT NO G O TYPE
;w2 SS Y
ADDRESS CONST.
STATISTICALCLA SIFICATION SEWeR MAP
LOT NO. BLOCK CLASS NO. cp, DWELL,UNITS BK PG J
TRACT USE ZONE MAP
NO.OF BLDGS. NO.
SIZE OF LOT -N/per NOW ON LOTSPECIAL
USE OF CONDITIONS
EXISTING BLDG. 9�
OWNER TEL
NO. BLDG.SETBACK FROM
ADDRESS ■ FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETAACK IGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. = D
ENGINEER NO. BLDG. ETBACK FROM
ADDRESS' SIDE PROP,LINE OF (STREET)
T TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CONTRACTON O�j'� HIGHWAY WIDTH FROM C.L.
ADDRESS �� NL0/✓7 sy + _ i
LIC. c
CIT`/ CLASS CORNER CUTOFF YES ❑ NO ❑
CONSTR en=LENDE [
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
•
ADDRESS �� � L[
SQ. FT./ NO. OF NO, OF NEW + ��•+-+ C•'JtiLlrY'
SIZE /� STORIES FAMILIES t/
USE OFADD
STRUCTURE
ALTER
SIGNATURE OF REPAIR[-]
APPLICANT DEMOL ❑
VALUATIONS APPROVALS DATE INSPECTOR'S SIGNATURE
FEE S FEES a� � rOFORMS I MATERIALS
ON
r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS i
BRACING BOLTSaJ�e-
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. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED �y
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. I-I f✓I �� +n•
LABOR CODE OF THE STATE OF CALIFORNIA• IN RELATING TO
WORKMEN'S COMP ON I_%SURANCE. LATH, EXT. " ( [
![' °7!�
SIGNATURE HOUSE NUMBER COR-
PERMITT RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PFCINCIFkAL ST RAL ENGINEER
PLAN CHECK V =TION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
I ,err, 6 22 5 AUG 7 1 0 2 2.5 0VIT
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