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76A638A CE,.8032-63 �AP�PLICATI N,�FOUR .B[J I LD.I NG PE'RMIT.%/z•.
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COUNTY OF.LOS ANGELES''` BUILDING
24
DEPARTMENT OF COUNTY''ENGINEER ADDRESS, -
-BUILDING. AND SAFETYDIVISION t '-'. LOCALITY
JOHNInrn AAJENBSENCSUPrTTOF BUY �Nk'GINcER';. NEAREST, '.•
LDINI .n. .•CROS$ST. ,
• •- - DISTRICT NO 'GROUP' :TYPE `PR ESSED'BY
FOR APPLICANT. TO FILL.IN. p ,(b�: `' CONST
BUILDING `' '$TATISTICALCLASSIFICATION E ER�MAP • - -
.'ADDRESS,'.
•`•CLASS. NO. W.
' DELL.,UNIT
. S
LOTNO. .. - '-• BLOCK' -WATER _
"CERTIFICATE: NOT REQULR�ED RECEIVED,"❑
v �l3
.TRA T ..MAP. / HIGHWAY
i.�•'- ' '(CIRCLE).`: STATE-MAJORSECONCI: -OCAL•
- NO:'OF-BLDGS:;.,
..SIZE OF,,LOT, ' NOW,_ON LOT'•', _
USE°ZONE 'SPECIAL
F USE OF ' '.•' - .CONDITIONS '
EXISTING BLDG C I / /1L - a i
�/j TEL
OWNER- (�'� Cu.J NO. r. U,ItDING ,.EXIST. '-
YARD ''HWY ..STREET. ME
-.s. 'SETB'ACK, '-WIDTH
ADDRESS ._ FRONT
ARCHITECT OREL. ? L -
• -ENGINEER ANO. SIDE
P. L I C1 •_ ate..
ADDRESS _ - I
- - TEL..-
CONTRACTOR - NO.
ADDRESS. - - - ✓. O
DESCRIPTION OF.WORK' W..
NEW ADDS ALTER. REPAIR- DEMOLISH // - ✓ -•./ _ .f• Z
.. SQ. FT.' NO. OF NO. OF
SIZE,. , ' ^, _ STOR.IES FAMILIES_,
U.SE,OF ` .. .. - . .s.. _ ..
STRRUCCT�U'yR�E�.j - -
SIGNATURE OF - - _ -
APPLICANT`
VALUATI ON $,, /G��..'� X - ;< ;;•,
APPROVALS' DATE,. ,INSPECTOR'S'SIGNATURE
'•' 'FOUNDATION:- LOCATION.- _
P.C. �,�� - PMT.
FEE - FEE . FORMS, MATERI"ALS -
"'. $ _ $ - � � -
_..•.
- - - FRAME: FIRE'STOPS._
I-HEREBY ACKNOWLEDGE TH AT.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 -
` - - ✓ '
• BUILDING CONSTRUCTION. I CERTIFY,THAT.IN .DOING THE WORK GAS VENT. DUCTS
AUTHORIZED HEREBY I•W.ILL NOT EMPLOY ANY PERSON IN.VIOLA- LATH...INT.` -
TION OF THE LABOR CODE OF THE STATE OF RELAT-
ING? 'CALIFORNIA- .,�
TO.WORKMEWS'COMPENSATION INSURANCE.'
._• ;.. . . .- LATH,..EXT. :.
SIGNATURE OF `) HOUSE NUMBER COR -
�.' PERMITTEE' `v ,RECT AND POSTED '
'1XDDRESS aFINAL
JOHN F? LEWIS. PRINCIPAL STRUCTU'RA'L ENGI / ER. -_
PLAN.CHECK VALIDATION cK.. M.O. CASH _ ,.PERMIT VALIDATION CK. M:; . . cASH
'; 3 .8.(ND
76A638A CE#8032-63 AP.PLI.CATION FOR- _BUILDING PERMIT
COUNTY OF LOS ANGELES . BUILDING
DEPARTMENT OF COUNTY ENGINEER. ADDRESS 01GY
- BUILDING AND-SAFETY- DIVISION LOCALITY - C/
-JOHN A. LAMBIE;COUNrY ENGINEER NEAREST
WILLIAM A. JENSEN,SUP'7 of BUILDING - _CROSS ST. /,{� '
DISTRICT NO. j-',GROUP -TYPE PROC ESSED(BY '
FOR APPLICANT TO FILL. IN 3 , Q PcoNsr`�
BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP
ADDRESS ,;��. ° - BK P
CLASS. NO. DWELL. UNITS"
LOT NO. )� 2 'BLOCK WATER NOT REQUIRED a
CERTIFICATE: - RECEIVED
TRACT. � ' MAP HIGHWAY STATE MAJOR SECOND, LOCAL -
"y� N.O. OF BLDGS.' NO. . / (CIRCLE)
SIZE OF LOT �l� / NOW.ON LOT USE ZONE SPECIAL
USE O "°�� / „CONDITIONS
; '
EXSTING BLDG.
�� ( -
TEL. '
OWNER j NO.. BUILDING EXIST.
ETBACK -YARD HWY STREET NAME Vy)DTl'
ADDRESS , �li / -FRONT
ARCHITECT OR - TEL. P. L.
ENGINEER NO. SIRE
P. L. CL
ADDRESS _ -O_
TEL.
CONTRACTOR NO. - -
ADDRESS - O
DESCRIPTION OF WORK w
0-
V)
NEW A D ALTER REPAIR-. DEMOLISH'
SQ. FT. - NO.OF NO. OF
SIZE - STORI S FAMILIES
USE OF
STRUCTURE (�iT
'SIGNATURE OF -
APPLICANT -
VALUATION
APPROVALS DATE .,-INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION - • �,� Fl -
41AFORMS,E MATERIALS
FEFEE $
FRAME: FIRE STOPS, -
I HEREBYACKNOWLEDGE'THAT 1 HAVE READ THIS APPLICATION - BRACING, BOLTS r ''fI
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. !♦ y
WITH ALL COUNTY-ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK w. ;I _
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH. INT. �.
ING''TO-WORKMEN'S CO NSATION INSURANCE
i LATH. EXT. .
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE 'HOUSE
AND POSTED
ADDRESS FINAL
• JOHN F. LEWIS. PRINCIPAL STRUCTURAL JLNGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION S4'-/--
ti
440 D
5 2 0 C U 'FEB
r� '
COUNTY OF LOS ANGELES:
WM. �J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. C -PERMIT NO.
BUILDING. 7/0
?� S •� - �( 7 Jf`.�_._.•
ADDRESS � f LJ C/
LOCALITY RECEIVED BY .. _ DATE OFAPP'L.. DATE ISSUED
NEAREST
CROSS ST.
-- ` BUILDING �• ,y,�/} r
OWNER �Oa'.7�a� f ADDRESS �y/�'/ lJ �'" IQ,�d"�SQ"�"",�.- '`✓ Q f�
MAIL p LOCALITY
'ADDRESS. �� / .A� _
NEAREST
TEL.
CITY .�_.0��sd>.7�hs-s�S6 /• ,
NO. CROSS ST. �b'-'�'�""" "�
" FIRE _ NO.OF TYPE ,�.
f/1GROUP
ARCHITECT OR "' TEL - ZONE PLANS !
.'ENGINEER
BLDG. ! T j� ORD.NO.
�/{
ADDRESS ed: .a.Ro-4./f S 9 SETBACK LINE
y APPROVED
,;j -oc� !ND' _ BY DATE
CONTRACTOR rte.-+s� r ,. "
USE / APPROVED
ADDRESS ^ ZONES/ BY DATE
LEGAL �..+in�-4. I �..- CORRECTIONS
DESCRIPTION LOT'NO. ! BLOCK _
'TRACTNO.OF BLDG
/:..-)
SIZE OF LOT (,l p4 •�".�J .i.;l I NOW ON LOTS 0-0— -
OF
EXISTING BLDG. w�, r"�..�/J•/] I FAMILLI NO.I
FAES ROOMS
DE�S/CRIPTION OF WORK
NEW X ALTERATION ADDITION
O
m
REPAIR MOVING DEMOLISH _ - Ll
-SIZE ANO OF�. V� RO MS. STORIES
Z
D
WALL ROOF
COVERING (/d'`�'"rd r`U�L.r' ( COVERING si �
RIING 444' l
61
BUILDUSOING W
k
1 HEREBY. ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION:LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
�f FRAME: FIRE STOPS,
SIGNATURE OF • BRACING,BOLTS
PERMITTEE
LATH,INT.:
.AUTHORIZED AGT _
LATH,EXT.:
DBS-3SOM SETS 7-47 $ P.6 $ --PLASTER,INT.
-,FEEPLASTER,EXT.
VALUATION FEE _ FINAL `
E A M£NT OF BUILDING AND SEXY- .� ��P LICATION{FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
i BUILDING �j DISTRICTNO. PLAN CK. NO. �yPERMIT NO.
ADDRESS e
171
LOCALITY RE-�CdE.EaIV�ED lBY DATE OF
APPPL. DATE ISSUED
NEAREST /-J 3
CROSS ST. /-"v � J /7
^T/
BUILDING ` q
OWNER Aexx l C/®® lwe R kL e • ADDRESS 'pasy r J��Z.•%'!/'�" F?•4
MAIL /• j��// • LOCALITY ,- a
ADDRESS ']" / /'7rVC
NEAREST
/D �� �U
CITY / /7 NO.� 22 CROSS 9T. 6•
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE I PLANS I I `
ENGINEER NO.
BLDG. c� ORD. NO,
ADDRESS SETBACK LINE ' 1A �' A '�� 4•B
APPROVED f
TEL' BY DATE
CONTRACTOR NO:
USE APPROVED
ADDRESS ZONEA 1 BY DATE
LEGAL
/'DESCRIPTION aroI BLOCK
CORRECTIONS
TRACT CRNO. OF
1" SIZE OF LO 1f �Q ,I NOW ON LOTTSUSE F
NO. OF
EXISTINGBLDG.ost[i `fi IFADMILI eOF ---�I ROOMS '51z 141;
DESCRIPTION OF WORK P„ '
� d
NEW ALTERATION ADDITION /d G f' `� � ez C
- z
REPAIR_ MOVING; DEMOLISH L]
SW. FT. j NO.OF . D
SIZE /fid- _ ROOMS � 'W STORIES / _ IF
'WALL kJ iiC� ROOF
"
COVERING - a�yrt��I COVERING
USE OF NEW
BUILDING . "-•./, ���c� ASL.-1' _.hfi. A I ,
APPROVALS ,
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS2 2. 7
AND STATE LAWS REGUq�L•ATING.✓�/(B kc ND CONSTRUCTION. FRAME: FIRE STOPS
SIGNATURE OF
OWNER L
,W` BRACING, BOLTS t _
�/ f ATH, INT.:
AUTHORIZED AGT-X
LATH, EXT.:
$ P. p, s PLASTER, INT.
A�a o FEE PLASTER, EXT.
S
VALUATIONFEE �'- FINAL IL