HomeMy Public PortalAbout4931 ROBINHOOD AVE_Building__ ;APPLICATION FOIA W� DE AROiTI OF L05 ANGELE5
DE ARTMENT OF COUNTY ENGINEER
B U I.LID I N•G PERMIT BUILDING AND SAFETY DIVISION
BUILDING
FOR APPLICANT TO FILL IN ADDRESS %
BUILOING f
ADDRESS LOCALITYNEAREST
.
CITY �%t �� ZIP CROSS ST. 4�
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT I GROUP ITYPE I FIRE O ESSED BY
TRACT BLOCK LOT NO. ,Z✓O p CON b�lE
TEL V (J J
OWNER _ �.Wl NO. � � OR
CLASSIFICATION
SEWER MAP
ADDRESS PI- M= CLASS NO_5�13WELL•UNITS BK77PG
Z NE MAP ^ p�
CITY - ZIP NO. l!J
ARCHITECT OR /� NOL CSPECIAL
ONDIT ONS
ENGINEER �J_ S
ADDRESS ,$ 6j r .�. �, ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR NO, '�,yyrLF BLDG.SETBACK FROM
LICFRONT.PROP.LINE OF (STREET)
ADDRESS �.1 4j NO. /'L-10 HIGHWAY '+ YARD TOTAL SETBACK FROMI TYPE OF 1EXISTING
LIC.
FRONT PROP. LINE HIGHWAY WIDTH
CITY CLASSG•f 7 _
CONSTRUCTION LENDER +
NAME AND BRANCH
BLDG.SETBACK FROM '
ADDRESS CITY t' SIDE PROP.LINE OF (STREET) L
SQ. FT NO. OF NO. OF CHECK -HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING Cr
SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH
DESCRIPTION OF WORK NEW ❑ + CL
V� n ADD ❑ .CORNER CUTOFF YES ❑ NO ❑ Z
ALTER Cl
�DEMOL
❑ IN OPEN SPACE YES ❑- NO
EPAIR
❑
USE OF ❑ •IN COASTAL PERMIT ZONE YES ❑ NO E]EXISTING BLDG,
APPLICANT TEL ,�AGp ��,h 3
(PRINT) NO. •�/� �; u ,,D
BY (SIGNATURE)
1 HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS APPLICATION 3 (yL7 �i�9 �/��1:/'"• 7�,.
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY .-.-.7
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK-AUTHORIZED dT/Oj ,• C"� •. �:"„_
HEREBY 1WILL NOT EMPL Y ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE T CALIFORNIA-IN RE ATING TO '
WORKMEN'S COMPE NSA SU ANC E.
SIGNATURE•OF �_ (r FINAL BY,
PERMITTEE DATE
ADDRESS
TEL.
CITY NO. P.C. Fee$ /Q,S Permit Fee 390 A Is
Issuance Fee
VALUATION� ��
qt Tetql Fee
PLAN CHECK VALIDATION M.O. CASH m PERMIT VALIDA IO CK. M.O. ASH
2-x-6-•5 N�Nl4 4 2.1 '�. 10.58 A zpd
2, 6: 610" 4 1 0 52 5A98
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SASSSA CE#8G8.lo.SS APPLICATION l=O R .B U I L D I N O PERMIT .
BUILDING AND SAFETY DIVISION BUILDING f
ADDRESS
Department Of County Engine!
County of Los Aagelest,,s LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST
DISTRICT O.. GP I SPE I SEWER MAPPG
FOR APPLICANT TO FILL- IN
�� 9 p_/' � CONS .
I '� I—
�TI'O b STATISTICAL CLASSIFICATION
ADDRESS J
/�. BLOCK CLASS.NO.—/ DWELL.UNI
LOT NO.
MAP SYES
NUMBER HWy
TRACT Iq O
SPECIAL
C NO.OF BLDGS.AM �' CONDITIONS
SIZE OF LOT C-� X I NOW ON LOT
USE OF _
EXISTING BLDG. BUILDINGEXIST. .
.{ t` YARD HWY STREET NAME
OWNER �o h5 ` c1 d I�c� SIrt f' K SETBACK WIDTH
( ! FRONTL.
y �Q I .
AMAIL
DDRESS C-> 7C7 �J ,�c� ICS-4'!�1 �VC SIDE
P. L.
CITY Arc 2 j! a ITEC ( No'H� C�`� �1 INSPECTION RECORD
ARCENGIiNEERT OR ^C^ K 51 NO H �`�Z3L( 1
ADDRESS Z�c. '�j(o S `�2 I w 1 .. A V e�
TF
CONTRACTOR , •L jNOI
ADDRESS ? G S
X
DESCRIPTION OF WORK
NEW X ADD AL:-.§ DEMOLISH
SFL '
SIZE J RES FAMILIES `
- -
USE OF STRUCTURE
115: e4zw-a_'zr
SIGNATURE OF •���yq -�� �G •G APPROVALS
APPLICANTDATE INSPECTOR'S SIGNATURE
�
ADDRESS �oG � jI_Q�' ✓C•/a /� FOUNDATION:LOCATIONcF
FORMS. MATERIALS 1
S ,L �•C7 P. C. S .PRAM E: FIRE STOPS.
TQ �. _ FEE e�
BRACING, BOLTS �/7 y.�•?� //'.�. ��.�� /
FURNACE: LOCATION.
VALUATION
FEE �rr�' GAS VENT. DUCTS J,v�r Jr✓r�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT.
STATE' LAWS REGULATING, BU LDING CONSTRUCTIO t
SIGNATURE OF HOUSE NUMBER COR- '7
PERf�ITTEE 4 RECT AND POSTED rd/
ADDRESS FINAL 30 A9
OHN A.LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGIN ER
PLAN CHECK VALIDATION K. M.D. CASH PERMIT VALIDATION C M.O. CASH
.2.3.8 8�. SEP 18 1 6 2 5.Uh.2.5 4 2:x '90 2 3 z- 5 1 .00 .9®
APPLICATI N FOR BUILDING PERMIT
FQR APPLICANT TO FILL IN (Print or type only)
BUILDINGCOUNTY OF LOS ANGELES
ADDRESS (7Q ►� • DEPARTMENT OF COUNTY ENGINEER _
CITY ZIP O BUILDING AND SAFETY DIVISION
NO.OF BUILDING �9
SIZE OF LOT NOW ONN LOT LOT ADDRESS
TRACT 9rJ-�� BLOCK LOT NO. LOCALITY
TEL. NEAREST
OWNER`,()/h gtJ Sl NO. -6113 CROSSST.
ASSESSOR
ADDRESS MAP BOOK PAGE PARC
DISTRICT I GROUP j TYPE FIRE PRO ES ED BY
-CITYTe e On I ZIP 6 �✓ o p CO Z N
ARCHITECT OR TEL. CJ
ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO. ! o DWELL.UNITS KZ G
TEL.
CONTRACTOR NO. .USE MAP
LIC. /L NO. U
ADDRESS NO. SPECIAL
LIC. ONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE }
DESCRIPTION OF WORK NEW ❑ + O
ADD 7 BLDG.SETBACK FROM (STREET) O
SIDE PROP.LINE OF
ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
USE OF REPAIR ❑ SIDE PROP.LINE HIGHWAY WIDTH Z
EXISTING BLDG. DEMOL ❑ +
APPLICANT TEL CORNERCUTOFF YES ❑ NO ❑
(PRINT) NO.
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE)
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION ' �
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE g I
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE /Zi 6w -r-a, e5T e,4 Y -t _
WORK AUTH HEREBY I WILL NOT EMPLOY ANY SON IN VIOLATION OF
THE LABO DEO HE STATE OF CALIFORNIA IN RE I GTO WORKMEN'SCOM-
PENSATIO INSURAN E.
SIGNATUR /
PERMITTEE
ADDR
FINAL BY��
TEL. DATE
CITY NO.
MAKE CHECKS PAYABLE TO: P.CFEE. $ FEET $ r
LL—
HARVEY T.BRANDY,COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
01 OvI-0-juL 14 1 e 2 1.7
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