Loading...
HomeMy Public PortalAbout5726 RIO HONDO AVE_Building__ — TEMPLE FRoM GVE-per MOM CZ#B03z/60 APPLICATION FOR BUILDING PERMIT 1 COUNTY'OF LOS ANGELES6UILDING DEPARTYIENT OF COUNTY ENGINEER ADDREss BUILDING AND SAFETY DIVISION LOCALITY P� JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A..JENSEN Sur+T OF BUILDING CROSS ST. DISTRICT NO. G I�.pE S5.1313Y FOR APPLICANT TO FILL IN ' ®• TYPE BUILDING STATISTI'CALC 1 TION SE MAP, ADDRESS "l /OZ 7Af3 WQL .(U ss ///O CLASS.NO //_y gqDWELL.UNITS LOT NO. E4LdCK• NUMBMAPER. V V HWYE YES KNO _ TRACT' V USE ZONE SPECIAL SIZE OF LOT NO.OF BLDGS. r7 CONDITIONS NOW ON LOT !! pt USE OF r " EXISTING BLDG, d o d �/ y BUILDING EXIST. L. ! SETBACK YARD HWY STREET NAME 1DTH OWNER ("91,0512-' f"r �/ u f NO. FRONT' �!y •. /j P.L. ADDRESS SIDE ARCHITECT OR TEL - P.L. ENGINEER No. INSPECTION RECORD ADDRESS - CONTRACTORI,J s• -u rrF&^ NO. O ADDRESS f,0frd-/1/ lale,-y DESCRIPTION OF WORK B. lOdr✓ -X/s�'/�>'Iy L '� E E 0P4 NEW ADD)/ALTER REPAIR . DEMOLISH / '� �y r� SQ. -NO.OF / NO.OF 3-Zn iij .W11561 F V12W�E a SIZE STORIES / FAMILIES J�� N USE OF / 1=0�rS� L!/IGL. tl/F 161 STRUCTURE rl c ' ! /OL Xv , SIGNATURE OF 9-, ' &6,p APPLICANT / VALUATION$ yO OLAYP N APPROVALS DATE INSPECTOR'S SIGNATURE FP.C. PMTEE '$ FEE FOUNDATION:LOCATION V-0 FORMS,MATERIALS FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS AP- BRACING,BOLTS PLICATION AND STATE THAT THE ABOVE 1S CORRECT AND FURNACE:LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT. WILL NOT EMPLOY NY PERSON IN VIOLATION OF THE WORKMEN:S 'COMP SATIOIFORNIA. LATH,EXT. SIGNATURE OF ,y HOUSE NUMBER COR- J PERMI !!ECT AND POSTED / ADDRES �� r 1 F114AL J'� �w _. ..f' Jh'-1..::. CLYDE N. DIRLAM,- RINCIPAL STWU_CCTURAL E R PLAN CHECK VALIDATION cli..' M.O. .CASH PERMIT VALIDATION cK. ,m.o. cases � . a 3 -f 3 2 � 1S;R 1 D ' 6.C�;O. • ®P i DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES: U I L ED I . G WM. J. FOX, CHIEF ENGINEER I ' FOR APPLICANT TO FILL IN. FOR OFFICE USE ONLY BUILDING F�, DIS-p-I•CT NO. PLAN CK. NO. PERM( NO. + ADDRESS rJ / eC ' J.f1 /�/G7 !� el 7 LOCALITY �� CEIVED COY DATE OF APPL. `DATE ISSUEEI I9r E �It✓� UVJ Y �`� NEAREST � CROSS OT, BUILDING ' y�y Win/ GG ADDRESS ��C 0%,P OWNER MAIL .�I r 6 LOCALITY L / ADDRESS 9. a f eib! �q�•// -)LA-d , NEAREST I TEL. CROSS ST. CITY .I.'II.LL(:f TCL/ NO. i FIRE NO. OFI TYPE I GROUP ARCHITECT OR'I TEL ZONE PLANS ENGINEER NO. BLDG. ORD. NO. SETBACK LINE ADDRESS ) APPROVED �J TEL. �, / BY DATE CONTRACTOR 1rluAr10 Q (r{yt►p�!( NO. USE APPROVED- BY DATE ADDRESS °a 9 /! � ,-L.',.P,LN eQ.ri � �f��- 1.+ HOUSE NUMBERING LEGAL DESCRIPTION LOT NO. i I BLOCK MAP NUMBER FIELD CHECK BY TRACT NO. ASSIGNED BY BATF NO. OF BLDGS. CORRECTIONS SIZE OF LOT NOW ON LOT USE OF I NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK NEW I ALTERATION I I ADDITION file ldo-e— REPAIR I DEMOLITION I I I _X SQ. FT. NO. OF 'n SIZE ROOMS STORIES Y EXT. WALL ROOF r COVERING ( COVERING p USE OF STRUCTURE � / i i•l.di-t(.,4G � � �0•� •D .l''t�u.r, f.tf-u I� � . a APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- 'FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HERRN AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CA STRU -10'N. �s FURNACE: LOCATION. SIGNATURE OF / �. ®� GAS VENT, DUCTS PERMITTER _ s LATH, INT. ADDRESS LATH, EXT. AUTHORIZED aat 1 �`" akc✓ts PLASTER, INT. 7GAssaA-D092 ' 10-50 $ - C. $ r4/� © �-d FEP.E U PLASTER, EXT. VALUATION �� $ FEE FINAL .�►�'