HomeMy Public PortalAbout4855 ROBINHOOD AVE_Building__ 76AS38A CE#a032-63'/ 9 Y LAVA 9 ■®N FOR BUILDING,tl E,Y`MIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY' J
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN.SUPT OF BUILDING CROSS ST.
DIST.ftir.T N GROUP, YPE ESSED BY
FOR APPLICANT TO FILL IN colvsr.
BUILDING K STATISTICAL CLASSIFICATION EWER MAP
ADDRESS NO.�J— K !*G
p CLASS. '�
LOT NO. / y p T SV BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
MAP
TRACT / �O NO. =Y, STATE MAJOR'SECOND LOC L
9 NO.OF BLDGS. ,g11A
SIZE OF LOT &P 7C �/ NOW ON LOT S USE ZONE SPECIAL
USE OF. -For v��M1I�, CONDITIONS
EXISTING BL/DDG. .
s•J, /
OWNER � �K�� NO. Z BUILDINGEXIST.
� SETBACK YARD HWY ST ETN E WIDTH
ADDRESS'.2 O / � FRONT r
ARCHITECT OR; TEL P.
L.
J r
ENGINEER SIDE d
P. L. I
ADDRESS I u
TEL. n / A
CONTRACTOR NO.
ADDRESS" �s• +:r i U
ESCRIPTION OF WORK -- f "��
NEW AD ALTER r REPAIR DEMOLISH
SQ.FT. NO.OF NO. OF /Jrd J
SIZE �ZCJ STORIES FAMILIES
USE OF /���
STRUCTURE'/I/�'
SIGNATURE OF
APPLICANT }}��
VALUATION $ ��(J
..APPROVALS 1, D TE ' INSPECT R's sl E
P.C. PMT. FOUNDATION: LO�gI�T /
FEE $ FEE S FORMS. MATE
FRAME: FIRE STOPS, /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS N'
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.
TION OF THE LABOR CODE F•THE STATE OF CALIFORNIA AT, ////
ING TO WOR EN'S COMP S INS C LATH, EXT. ��� od
SIGNATUR HOUSE NUMBER COR
PERMITTE RECT AND POSTED.•• /�J ,
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUC'NURAL EN
PLAN CHECK VALIDATION 'CK. M.O. -CASH _ PERMIT'VALIDATION_ CK. M.o CAB
Ldi o 2 9 00 . 140V 2 6 2 D 8.�0
•� .::
'GA888ACEA08_e_,3, APPLICATION 'F®P BUJL DING PEk_MI`T' �. .
COUNTY OF LOS-ANGEI.ES' ABUILDING
DDRESS c � J D / N/
DEPARTMM OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION _.LOCALITY
JOHN A.LAMBIE,COUNTY ENGIN'EER NEAREST
CASSATT.D.GRIFFIN,SUPT OF BUILDING CROSS ST.
"S DISTRICT NO. GROUP I TYPE S ER MAP
FOR APPLICANT TO FILL\IDT,, K
BUILCfING CONST.
ADDRESS D af�, ' STATISTICAL CLASSIFICATION
2 CLASS.NO. DWELL.UNIT
LOT•NO. BY'QCK MAP STATE 'YES O NUMBER 40 HWY.
TRACT U.SF;Z NE SPE AL
NO.OF BLDG CONDITIONS
SIZE OF LOT j / I NOW ON LOT ,��q•
USE OF t7G
�E ISTING BLDG. BUILDING YARD H1NY STREET NAME EXIST.
a� SETBACK WIDTH
OWNER 1 J v 'FRONT
MAI i . P.L:
ADD R 5 SIDE
CITY` Q IP.. NO.�U .iS INSPECTION RECORD :I
AREHITECTOR• V TE
ENGINEER
ADDRESS
coNrRAcr O
ADDRESS /yJ�J�'1' .PY �ao'� } bLl� •./`".t baa b...� _Fi/r- ,� '--
LA DESCRIPTION OF WORK /° �•, .:r .11, r/ .. �/y�. J�Ci
NEW i ADD ALTER REPAIR DEMOLISH r. �' r •" /J//
SQ.FT. STORIES NO.OF - ��t�s4 �•�r ln.A.n r.X .*1/(
SIZE
USE off STRUCTURE Ej—j �>�J�Fi ,(/y4 1�0—Ltti��y,
SIGNATURE F APPROVALS
APPLICANT
r DATE /INSPECTOR'S SIGNATURE
ADDRESS
FOUNDATION: LOCATION ( "-
FORMS,MATERIALS
P.C $ FRAME: FIRE STOPS, /��
®� FEE BRACING.BOLTS �i >
VALUATION $ FURNACE: LOCA02 TION.
... FEE '1 GAS VENT.DUCTS (�UlrG
I HEREBY`ACKNOWLEDGE THAT I HAVE READ THIS AP-' LATH.INT. !;7-/0
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY ITH ALL COUNTY ORDINANCES AND Jf) i ,�� ' !'
STATE LAW LATING UIL G CO STRUCTION. LATH,EXT. //!J<<// !'
SIGNATURE OF r HOUSE NUMBER-COR-
PERM ITTERECT AND POSTED
41
ADDR E &Z FINAL
OHN A.LAMBIE,COUNTY ENGINEER. CLYDE N.DIRLAM, PR NCIPAL STRUCURAL ENGINEER
PLAN CHECK VALIDATION eq M.O. CASH PERMIT VALIDATION M.O. CASH
LFCO25:.071 w31. 1 6 A 24.25LAfoA �.
2 6 4'4 1 APR 7 1 A 4 850
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