HomeMy Public PortalAbout5530 ROBINHOOD AVE_Building__ (25s 75A638A -
C■J803 IRIV.6178)
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND S FEIIY
AOR APPLICANT TO FILL IN AUDD� N 8
�V
BUILDINGC r ,
ADDRESS J LOCPl1T1
N EA REST
ZIP I p V CROSS ST. Iij� S
NO.OF BLDGS. t ASSESSOR
BDOK PAGE PARCH
SIZE OF LOT NOW ON LOT MAP
DSTRK7 GROUP TYPE FIRE PROCESSED BY
TRACT BLOCK LOT NO. ZONE
T 3
OWNER oa �-
C J CUSS NO. 2�STATISTKAL CLA551 UT SEWER MAP
ADDIZESS5 �
DWR I UNITS--jJ BK 1J PG
QTY ZIP
119
ARCHITECT OR TEf, VALUATION $ 3�O
ENGINEER NO.
ADDRESS
FRONT PROP.LINEOF (STREET)
CONT TEL HIGHNJAY. + YARD TOTAL SETBACK FROM TYPE OF EXISTING
LIC FRONT PROP.LINE HIGHWAY WIDTH
A "b + 7-0 - Z.to L-0 r
LIC
QTY BLDG.SETBACK FROM
CONSTRUCTION LENDER SIDE PROP.UNE OF (STREET)
NAME AND BRANCH TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD S4DE PROP UNE HIGHWAY WIDTH
ADDRESS QTY O
SQ.FT. NO.OF NO.OF CH ECIC + — U
SIZE I STORIES FAMILIES ONE 0
DESCRIPT10 WO NEW P.0 Fee S Permk Fee
22 ADD Issuance Fre
ALTER
REPAIR Total Fee
USE OFDEMOL
EXISTING BLDG. IF75Z
APPLICANT TEL
I PRI NT) O.
BY ISIGNATUREI
I HERBY THAT I HAVE READ THM, AND STATE
THAT THE ABOVE AND TO CQMP�Y,,, ORD4NAN�
AND LAWS REG1AATl BUII.DINCA �L C$2T1FY,_TW.f IN:Dq NG THE
WORK ALMHOOZED-HER!'9Y I WILL T H�PLOI ANY PEP-'ON II0 VOLATKJN OF -4349. 1 A
THE LABOR CODE OF THE ST_AT_E:OF 14
CAUFORA IN RELAT]NG Td YoewmaT-S COh4'
MI-ZATION INSURANCE i- .
SIGNATURE OF 4
P ERM(TT E E
ADDRESS 4 3 0 0 6
TEL
CITY NO. oA02-79
USE E ZrMAP
R1 No. L O >
n SPECIAL
CON D
FiBY
DATE ol /lz��
.
16AESBA CENSt3 B-SB APPLICATION FOR BUILDING ERMIT '
COU'NT'Y OF LOS ANGELES BUILDIN,3
DEPARTMENT OF COUNTY ENGINEER A DD R E99
BUILDING AND SAFETY DIVISION LOCALITY } _
'JOHN A. LAMBIE'. COONTY ENGINEER NEAREST 14,
COLEMAN W. JENKINSAUP'T OF ]BUILDING CROSS ST. r
DIST ICT N - O YPE._- P
FOR APPLICANT TO FILL IN CONJT.
DVILDINO STATISTICAL C SIFICATION .I• SFz E Alb
19
ADDRESS
CLASS- NO. DWEL-L UNI T9 B
LOT NO. FLOCK USE ONE MAP
TRACT / SP .
9P ECIAL
OF BL
DSS.
OF LOT , NO {
NOW ON LOT I _ �
USE OF
BLDG. SETBACK FROM^
llEL. -FRONT PROP. LIN[ OF (STREET)
OWNER r NO. TYPE OF EXISTING SETBACK_ H4 HWAIT ..YA71D' TOTAL' .
A D D R ES9 C L. '
CITY I +
BLDG. S[TgASK
ENGINEER
ARCHITECT R TEL SID[ PROF. LINE OF (STREET
O. _
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. _
T E + _
CON TRA CTO NO '
ADDRES �QM1"r.NO CORNER CUTOFF Y.E$ NO qqee
CLASS
'SEE REVERSE SIDE FOR SPECIALAPPROV'ALS O
DESCRIPTION OF WORK
NEW AD ALTER REPAIR DEMOLISH -
SCL FT. NO. OF NO. OF
SIZE ST-ORIES FAMILIES -
USE OF • i
STRUCTURE .-
SIGNATURtE O
APPLICANT -
VALUATION2. �� -APPROVALS DAT IMG 'G SIGNATURE
P.C. PMT. FOUNDATION, LOCATION 7
FEE$ FEE$ Y&u PO MS, MATERIALS �O� J
FRAME, FIRE STOPS,
I HER"Y ACKNOH
WLXDGE THAT I HAVE READ THIS A71-PLICATION B-RACINO BOLT
AND STAT[ THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS RYOULATI NG OAS VENT. DUCTS
SU ILDING CT
ONSTRUCTION. I CERTIFY HAT. IN DOING TH[ WORK -
Al
AUTHORIZED HFR[SY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH. INT.
TION OF THE LABOR'CODE OF TH[ STATE OF CALIFORNIA RELAT-
ING TOW.
.CO [NlA� INZSP1RA4N-tCL0N
X4 LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR- '
PERMITTEE= RE N P`QSTED
ADDRESS FI DIAL
JOHN F. LEWIS. P NCI AL STAL ENGINEER -
PLAN CF= VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O CASK
o.'�
0:5z8 MNR23 .,l D
APPLICATION ILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDINGS3 O- ia COUNTY OF LOS ANGEL
DES
ADRESS h DEPARTMENT OF COUNTY ENGINEER
CITY L-C f.;�j Z I P O BUH DING AND SAFETY pIVLSION
N OF BLDGS. BUILDING
SIZE OF LOT N ON LOT ADDRESS O (�
<7�7TRAC BLOCK LOT N LOCALITY • L
T TEL. NEAREST
OWNERZ. / NO. CROSS ST. r� '
ASSESSOR
ADDRESS O MAP BOOK PAGE EL
7 �7 t;
TR�ICCTT OUP TYPE FIRE IR E33ED BY
CITY (i ZIP ,� --W C� `fie¢
Fa
ARCHITECT O L TE _\�
ENGINEER NO.
STATISTICAL IFICATION SEWER MAP
ADDRESS CLASS NO DWELL.UNITS
CONTRACTOR TEL. ONE MAP
LIC. NO,
ADDRESS NO. SPECIA
CITY LIC. CONDI TI N3
CONSTRUCTION LENDER CLASS ROAD DEPARTMENT P .VAL REQUIRED YES❑ NO❑
NAME AND BRANCH BLDG.SETBACK FR
FRONT PROP.LINE OF (STREET)
ADDR CITY HIGHWAY + YARD - TOTAL SETBACK FROM TE OF TINGD(18
SQ. F NO. OF NO. OF CHECK FRO PROP. LINE H HWAY WIDTH
SIZE STORIES FAMILIES _ 'ONE
DES-C RIPTION OF WORK NEW ❑
DD BLDG,SETBACKFROM C�
SIDE PROP.LINE OF (STREET) CC
LTER ❑ [TOTAL SETBACK FROM TYPE OF EXISTING O
HIGHWAY } YARD = 8
EPAIR SIDE PROP. LANE I HIGHWAY WIDTH W
USE OFa
EXISTING BLDG. EMOL + Z_
APPLICANT^ �� /� if�L CORNER CUTOFF YES ❑ NO ❑
(PRINT) I �E,/ l.�JNO.
BY (SIONAT4R E)
OPEN SPACE .YES ❑ NO ❑
� '
IN COASTAL PERMIT ZONE YES NO ❑
VALUATION,$
1 HEREBY ACKNOWLEDSE THAT I HAVE READ THIS APPLICATION
AND STAT[ THAT THE ABOVE 12 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
GTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY Y PERSON IN VIOLATION OF THE
LABOR CODE OF TH[ fT^ OF -CALIFORNIA IN LATING TO
WORKMEN'! COMPENDATIO lURANCE.
SIGNATURE OF
PERMITTEE _
ADDRESS
FINAL
-7
CITY NOL �/ DATE
t �L/ 115Y
Q
KE CHECKS PAYABLE TO: PEE'* FEE_II�'�-
HARVEY T. BRANDT, COUNTY ENGINEER 1LFy�J QU
PLAN'CHECK VALIDATION CK. M.O. WH PERMIT VALIDATION CK. M.O. CASH
7 4 tw-'NOV '10 1 1 5.0
7GA438A Ct#903-5/74