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HomeMy Public PortalAbout5720 ROSEMEAD BLVD_Building__ "A63BA e.0803 I-67APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 5-7w o DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY 7k C/T-y JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSAUP'T OF BUILDING CROSS ST. I DISTRICT NO. GROUP TYPE PROCES D BY FOR APPLICANT TO FILL IN �, 0 8 �Q-N CONST. BUILDING 1 [+/� �] STATISTICAL CLASSIFICATION EVAP ADDRESS (JJ 4 /� /✓ CLASS NO. DWELL UNITS BK �G rO LOT NO. 7 BLOCK USE ZONE MAP .2•00 7 No.TRACT // xv.7 z SPECIAL ✓ • N0. OF BLOBS. CONDI IONS SIZE OF LOT NOW ON LOT USE OF CA� —L� }. NT BLDG. SETBACK FROMNo BLOC, r TEL. FROPROP. LINE OF (STREET) OWNER /^ NO. TYPE OF EXISTING SETBACK HIGHWAY + .YARD = TOTAL ADDRESS kfr= / HIGHWAY PROM•C.L. CITY 7? 2_6 G/ D ADO + ARCHITECT OR TEL BLDG. 9ETBACK'RROM ENGINEER NO. 91.E PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. i- CON TRA CTOR NOEL TO EL. ADDRESS ^� �Np —Q CORNER CUTOFF YES NO E] CITY fflQ_L0 Llc C SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF SIZE STORIES FAMILIES STRUCTURE 4 SZAL L APPow /6-Al SIGNATURE OF APPLICANT VALUATION$ '�¢0 .00 /� _ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. JPMTFEE$ FEE$ (O r O D ION,UNDAT MATERIALSON FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 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 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 CO O THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S C EN ION URAN LATH. EXT. SIGNATURE OF HOUSE NUMBER COR_ PERMITTEE REC AND POSTED oa ADDRESS FIN AL • r JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN CASH PLAN CHECK VALIDATION CK. M.O. CASH _ PERM VALIDATION CK. M.O ll,o i i 6 G. OCT 10 1 D 6 v O N 76A688A CE#808 6-62 ADPL- ICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER 'ADDRESS / BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER r, NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. S' DISTR CT UP TYPE) SPED BY FADDRE -R APPLICANT TO FILL INS f sr. . 7�� - �'EM��j1,� STATISTICAL CLAS CATJON SEBA R MAP CLASS. NO-EqDWELL.UNITS ' L� / BLOCK WATER CERTIFICA'gE: ,.NOT REQUIRED RECEIVED ❑ TRACTZz 2z 57 MAP J HIGHWAY NO.'OF BLDGS. NO. (CIRCLE) ATE AJOR SECOND,LOCAL SIZE OF LOT NOW ON LOT U:iE ZON -II SPECIAL USE OF 13`NDITIONS EXISTING BLDG. OWNER fA'9S ,q V NO. 1'. BUILDING YARD HWY STREET NAM EXIST. ADDRESS�!NJ �,JFA r AO SETBACK WIDTH FRONT ARCHITECT ORTEL. P. L. ENGINEER D NO. SIDE I } P. L. d ADDRESS Q CONTRACTO T/ON ii E�� NOV L- pS_lo/ y ADDRESS ,ve—g- O DESCRIPTION OF WORK W a NEW ADD X ALTER REPAIR DEMOLISH N SQ.FT. NO.OF NO. OF ? SIZE 3D STORIES FAMILIES USE OF n STRUCTURE OG v �ll�Y�S SIGNATURE OF APPLI CANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE PMT PC FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 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 GAS'VENT, DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. ' TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S C PENSATION INSURAN LATH, EXT. f r SIGNATURE OF;;-C HOUSE NUMBER COR- / PERMITTEE 1 RECT AND POSTED. t / ADDRESS / ///� /-fe-e G FINAL 1-4a/I� DUj�JL •d/L`� JOHN F. LEWIS. PRINCIPAL STRW4STURAL ENGINEER PLAN CHECK VALIDATION CK. M:O. CASH _ . PERMIT VALIDATION UK. M.O. CASH LAGo 9 9 4 , JAN 21 4 4 D •CI 0 LAUO 9 9 4 2 IJAN 21 1 D 6.0 0-' r4PPLT(:;AT10N FOR BUILDING PERMIT Fd'R APPLIc-A-T_TO FILL IN (Print or type only) BUILDING51 Z i v Cr•I� COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY � e c'k ZIP BUILDING AND TY DIVISION YO.OF BLDGS. BUILDING / SIZE OF LOT 1/4pW ON LOT ADDRESS �7,20 ` TRACT L CK LOT NO. LOCALITY NEAREST u OWNER �L��S g T yl SOL CROSS ST. ASSESSOR ADDRESS g b, MAP BOOK PAGE ARCEL DISTRICT GROUTYPE FIRE PRO ESSED Y CITY ZIP ,,� ONS T. ZONE ARCHITECT OR , TEL. dD ENGINEER �`°�'�� NO �,1-3G�j t STATISTICAL CLASSIFICATION SEWER MAP ADDRESS V�' ('LA `l��t-"°`�l CLASS NO. ��OWELL.UNITS BK'S_bPG CONTRACTOR TC `U ,�.C��pl 6s�S USE ZONE MAP 1 Xy �/ OVaL., C6 LIC. Zv1�l r� NO. SPECIAL IC ADDRESS LCONDI TIONS CITY �- LIC. � 1 CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH n BLDjj.SETBACK FROM FRO T PROP.LINE OF (STREET) CITY C ADDRESS _ TOTAL SETBACK FROM TYPE OF EXISTING C SQ. FT. NO. OF NO. OF CHECK HIGH Y + YARD - FRONT PROP. LINE HIGHWAY WIDTH p SIZE STORIES FAMILIES ONE F t DESCRIPTION OF WORK NEW ❑ G ❑ BLDG.SETBACKFROM b ADD SIDE PROP.LINE OF (STREET) �_ ALTER ❑ HIGHWAY + YARD _ItV TOTAL SETBACK FROM TYP HIGHW WIDTH F EXISTING REPAIR SIDE PROP. LINE USE EXISTING NG BLDG. S"��' DEMOL ❑ + n�-� CORNER CUTOFF YES 13 NO C]APPLICANT � /-vim TEL (PRINT) �wTl� � NO. BY (SIGNATURE) All ` IN OPEN SPACE YES [INO ❑ IN COASTAL ZONE YES ❑ NO ❑ Q G VALUATION i' 1 CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OF �AA-T(�K"� PERMITTEE ADDRESS L{.,-�• FINAL /� �7 BY { CITY �b NO. s` "a e DATE Q / r 2 r Q D MAKE KE C.HEC KS PA I'A BL-C: TO: FEE p FEE HARVEY T. BRANDT, COUNTY ENGINEER lo2 /►Q PLAN CHECK VALIDATION CK. M.O. CASH o PERMIT VALIDATIO ' M..O. CASH 3 1 1 L'2-JRN 14 1 D 1 2.0 0 A98 76AG38A CE#803 12/72 �� ®5 7GA638A CE/803(REV.6/78) 4 '�""'� 1 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFET FOR APPLICANT TO FILL IN ADDRESS �7 210 BUILDING S �-� e(�� LOCALITY ADDRESS �^ NEAREST CITY 1 to4a C/`,-v ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL 2 f 3 DISTRICT GROUP TYPE FIRE SSED BY TRACT t po BLOCK LOT NO. �,� CONST. ZONE OWNER l �,Lt� N TEL � y ✓,. D �2► < .y� STATISTICAL CLASSIFICATION _ EWER ADDRESS /►� � CLASS NO. 2— DWELL.UNITS--A BKO PG CITY ZIP ARCHITECT OR TEL.. r/q U U ENGINEER I0 NO. - VALUATION / ADDRESS BLDG.SETBACK FROM ��� TEL. (f/ Q 3 FRONT PROP.LINE OF (STREET) 'CONTRACTOR. " `jK. N i1V40, HIGHWAY + YARD = TOTAL SETBACK,FROM TYPEOF EXISTING FRONT PROP.LINE HIGHWAY1 WIDTH ADDRESS CITY reIN., C.�f7 CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM f Jt�jr� SIDE PROP.LINE OF (STREET( NAME AND BRANCH v v(� ;:.�. HIGHWAY + YARD = TOTAL SETBACK FROM TYPEOF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT.. I NO.OF NO.OF CHECK + – U SIZE STORIES y- �y FAMILIES ONE 09 DESCRIPTION OF WORKAL/ t/CA 7 6 NEW, ❑ P.C.Fee$ Permit Fee t j L< [Z '� ADD Cl Issuance Fee ALTER fo REPAIR ❑ Total Fee USE OF EXISTING BLDG. lfS 7,74,j4(11,'j DEMOL ❑ O APPLICANT ��_!�_ i { ,( +� /' (� (PRINT( [; 5; ��t'ri�f_c (SIGNATURE)/� r � io-O/_,-I7 IHEREBY ACKNOWLEDGE THAT I HAVE READ THI KAT AP ION AND STATE bc THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES bd AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF ;'.7 i f% I A THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z PENSATION INSURANCE. g o 0 0 0 0 l d Ar SIGNATURE O� 2 ° - 2200 PERMITTEE ADDRESS Z o`o n 2 2 Q Q O CITY NO. Q 1 0,25-79 USE ZONE MAP D ^� lJ Q NO. C/ / • L SPECIAL l� CONDITIONS FINAL BY DATE m GA689A C6#00310-49 APPLICATION ION FOR BUILDING PERMIT : 'COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS w Y BUILDING AND SAFETY DIVISION ` . LOCALITY r `JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN 8uF•T OF BUILDING CROSS ST. a -` ' Dl$TRIC NO. G O P gypE P SSED BY FOR APPLICANT TO FILL IN I CONST. BUILDING�r� �j_ STATISTICAL CLASSIFICATION. I KR MAP ADDRESS PG ]' �i[�f CLASS.NO. DWELL.UNITS — LOT NO. BLOCK MAP STATE - / NUMBER Wy, YES NO TRACT / ��/ USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF-LOT INOW ON LOT 1 USE OF EXISTING BLDG. BUILDING .YARD HWY STREET NAME DIST' SETBACK WIDTH OWNER FRONT MAIL " . P.L. ADDRESS SIDE - ° I TEL: P.L. CITY ANo. ARCHITECT OR TEL. INSPECTION RECORD ENGINEER NO. ADDRESS _ CONTRACTOR �� "� � � � TEL. 5 /// I) �. Biu // i"�✓iQ��$ C�J�(.�'H�'/L/ NO. ADDRESS - DESCRIPTION OF WORK ' = � �9 ' �%' .D/Y'F /ll//•?=:i c.+.��t�S NEW ADD LTi,�E— REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF.STRUCTURE - SIGNATURE OF APPROVALS APPLICANT- DATE INSPECTOR'S.SIGNATURE ADDRESS FOUNDATION: LOCATION $ r FORMS.MATERIALS P.C. $ FRAME: FIRE STOPS. . FEE BRACING.BOLTS VALUATION 6 r g FURNACE: LOCATION. r .. FEE GAS VENT.DUCTS 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 NANCES AND LATH,EXT. STATE,..LAWS REGULATIIk UILDIN C NSTRU ION. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL I/O-P9- CLYDE `3s9 CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL EWe±ff&R PLAN CHECK VALIDATION CK. M.O. CASH PESMLT VALIDATION CK: M.O. CASH _ ' ��06 0 6.4 MAY A 5.0 C'' Lei -•iiXMn4ENT OF BUILDING AND SAFETY srrLak a i AVA s Va rz&%Avu A COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL INFOR OFFICE USE ONLY A1 DISTRICT NO. PLAN CK.NO. PERMIT NO. mu ADDREIN lI`�t A LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUECD NEA RESBT"p4cs�'` d�•���J~Q CRO9B T. Ul NER �' -P' j�:'s.��l•s ADDREIBB ~� Q / MAIL / �r ! f ILOCALITY 't 7 e / k ADDRESS j' .� Jd.r�.f / ,� T 1 //l CROBB ST. z-4.5 MEANEST ITY !! .-F=S,'�1't..:" ya'::r•C.- NO. �cl�V `C ARCHITECT OR TEL. ZONE PLANS .FIRE No.or 2 TM rmu ' ENGINEER NO. / BLDG. `� / /ORD NIL A DREGS j i!In---t SETBACK LINO o < �T I TEL. BYPROVE r^ rD/4TBb 17', CONTRACTOR No- USE yy APPROVED �f 9 .�/ \ ZONE�iL BY /J 7�(, ,r�yY DATE! '-) �.i ADDRESS �,.��[ LEGAL �U d CORRECTIONS DESCRIPTION LOT NO. BLOCK / f TRACT DESCRIPTION 6"pAlo O� ��6`�Nov BLOB 91ZE OF LOT NOW ON LOTS USE OF NO.OF NO.OF EXISTING BLDG. FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH 9 9q.FT. aa�� No.or / SIZE d ROOMS STORIES WALLCOVERING _(7�/1+�1.f I oar RING Arta 1 0 USE OF NEW BUILDING /+t 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION:LOCATION SPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS � AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ; .s FRAME: FIRE STOPS, 9104TURE OF 's BRACING.BOLTS PERMITTEE : e .o2 I. �/^ �' i�• - v� ti•� r LATH. INT. AUTHORIZED AMT-' r U7, LATH, EXT. 76A6313q-3 2-50 P.C.m IJ WPLASTER.INT. FEE PLASTER.EXT. O � ( VALUATION FEE S/ oeQ'`_ FINALJ4 1 ' FOR ANY 141 AERIAL SIORAGE Olt Vv_,K ti I ©ONE IN THE ROAD RIGHT OF lmWAY. p J� 76AWBA CP#803 8-39 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY / 102�1 JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. L DISTRICT NO. GROUP] T•YpESRO E� SED BY FOR APPLICANT TO FILL IN /`r CONST.= ; �Gr ,, f BUILDING 8 P� STATISTICAL CLASSIFICATION S R MAP ADDRESS OsyY!a,AyKj CLASS.NO. DWELL.UNITS LOT NO. BLOCK MAP NUMBER _ / STATE YES NO HWY. TRACT USE ZONE SPECIAL NO.OF BLDGS. :.-� CONDITIONS SIZE OF LOT NOW ON LOTJ(), USE OF EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK a WIDTH OWNER FRONT MAIL P.L. ADDRESS sip ° SIDE y TEL. CITY ND• INSPECTION RECORD ARCHITECT TEL. ENGINEER NO. ADDRESS /� � CONTRACTOR/ 6,W-Kms?/L TELNO .,. ADDRESS a2 ^DESCRIPTION OF WORK NEW ADDr ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF t STRUCTURE ]JAL" 06211L, r " SIGNATURE OF APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION174r, r �a I - O O Q I FORMS,MATERIALS �JJ 19,,� VALUATION $ FRAME:FIRE STOPS, BRACING,BOLTS P.C. PMT. Ca FURNACE:LOCATION, - FEE $ I FEE $� `®I GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH,EXT. SIGNATURE OHOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL /Z-27,60 ?,:• �p,�/' CLYDE N. DIRLAM, PRINCIPAL S'rR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LeCt00869��O 17 l' A iAMrt i 6 C) 0 �fY 4 76A688A CE#BDes•BIAPPLICATION FOR ,BUIL ING PERM COUNTY OF 'LOS ANGELES BUILDING DEPARTMENT OF COUNTY .ENGlNM_ AD°REss I BUILDING AND SAFETY DMSION LOCALI t2i JOHN A. LAMBIE, COUNTY ENGINEER NEAREST =9' WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. 7 DIST CT NO GRCWP I T ypE rR CESS )BY,- FOR APPLICANT TO,FILL IN CoN•sT. • BUILDING ��•I D S �v STATIST ddICAL CLASSIFICATION — SEA SEWER M ADDRESS CLASS.NO.-DWELL.UNITS- LOT NO. BLOCK WATER NOT REQUIRED IJC I RECEIVED CERTIFICATE: w I Lj TRACT MAP �7 ♦ HIGHWAY // NO.OF BLDGS. NO. 22 O d (CIRCLE) STATE MAJOR SECOND, LOCAL SIZE OF LOT (�O I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS 'EXISTING BLDG. / TEL.t/ 1✓ OWNER /C . L I N )./�� ® BUILDING YARD HWY S EET.NAME EXIST. SETBACK WIDTH ADDRESS FRONT ARCHITECT OR TEL. P.L. C/ ENGINEER NO. SIDE P.L. O ADDRESS V TEL INSPECTION RECORD ; ,r oG CONTRACTOR NO. /f rte" r 7 0 -7 ®•�.^o �;a ;° :!r--- ---V ADDRESSrW DESCRIPTION OF WORK U)'- NEW AD ALTER REPAIR DEMOLISH n SQ.FT. NO.OF NO.OF" / /A✓ fil+"� // IZ10 STORIES FAMILIES USE OF ) Q A / J(I /a- ?. STRUCTURE s ' SIGNATURE OF APPLICANT VALUATION$ � rj//J APPROVALS D T INSP T,OR-441INATURE FOUNDATION:LOCATION /(Of / FEE $ FEE $ '�— FORMS.MATERIALS FRAME:FIRE STOPS, I.HEREBY ACK WLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY' FURNACE:LOCATION, y WITH ALL COUNTV'ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS. /I BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING-THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH,INT. ss% TION OF THE LABOR CODE OF.THE STATE OF'CALIFORNIA RELAT. " ING TO WORKMEN'S COMPENSATI INSU LATH,EXT. �! l7C. ,�•�_'!j� i 7 •,.•' _y-f .,i+jy�' � d-�_..:..-:/'Y�'`✓T 1s+�"• SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED ` L_.!DDRESS FINAL ;f .: .Is�i''=r' �-�.• 1 CLYDE N. DIRLAM•, PRINCIPAL STRUCTURAL ErGR PLAN CHECK VALIDATIONH PERM VALIDATION CK. m.o. 8 4 4 0 LACoO 5 9.8 0• JUN22 . 1 D 8.00'K 4 IBA88BA CE#809 8-88 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS oC .1n ed i3 Lv BUILDING AND SAFETY DIVISION LOCALITY �+ JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN.SUPT OF BUILDING CROSS ST. DI$SB.,I:CT N GROYP TYPE FOR APPLICANT TO FILL IN 11,5 ,. Q otucoNsr. BUILDINGSTATISTICAL CLASSIFICA I N S ER MAP ADDRESS - zfzv4' �BK pr CLASS. NO. DWELL.UNITS _`7 o CJ LOT NO. 41 BLOCK WATER NOT REQUIRED CERTIFICATE: RECEIVED ElCERTIFICATE: TRACT ,2NOP, C�OMA (C RCWE, STATE AJOR SECOND,LOCAL NO.OF BLDGS. SIZE OF LOT NOW ON LOT USE ZONE (SPECIAL USE OFI CONDITIOT4S , EXISTING BLDG. e L/nv`� l / TEL. l I It (p OWNER NO BUILDING EXIST. SETBACK YARD HW STREET NAME WIDTH ADDRESS SA A4 0, FRONT ARCHITECT ORTEL. P. L. ENGINEER LN 4 SIDE � n ADDRESS,3/ oL /�,J C., �' O Zt CONTRACTOR,4 ,"x .. J r^ T u _ V ADDRESS C7.��US.7 (J L/— Z Z 3O DESCRIPTION OF WORK ri IL NEW ADD ALTER REPAIR DEMOLISH N SQ.FT. NO.OF NO. OF z SIZE STORIES FAMILIES USE OF STRUCTURE (, (� SIGNATURE OF APPLICANT VALUATIONS _wat �^"��y APPROVALS DATE I INSPECTOR'S SIGNATURE P.C. PMT. ^ Q FOUNDATION: LOCATION { FEES FEE $ y �'f�f FORMS, MATERIALS f, FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS I 1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. ;• WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS ./ J BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT, TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- INGTO WORKMEN'S COMPENSATION INSURANCE. LATH.EXT. SIGNATURE //� HOUSE NUMBER COR. PERMITTEE L �- i RECT AND POSTED ) ,r ADDRESS!F_SM2 XV, (_2 1ZFidW d i Au-e. FINAL We JOHN F. LEWIS. PRINCIPAL STRIyCTURAL'EN PLAN CHECK VALIDATION PERMIT VALIDATION CK. M. CASH LI,uo S 4 o 4 6 4 4 D ,C,0 A :' ',Y:, 1-4 1 D 4.00" L.,1'-J J 76A.".1-0 C' #BOg.6TAPPLICATION F R BUIL NG PERMIT COUNTY OF LOS ANGELESBUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 2 d R. Ro e e � BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER P ` COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. JJVJ3 FOR APPLICANT TO FILL IN DISTRICT NO. G P TYPE PR s BY Print or type only) t �!) CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS d 1 6 Cc7 CLASS NO. DWELL.UNITS` BK�P s LOT NO. BLOCK USE ZONE MANO.P TRACT 111 +' SPECIAL C� CONDITIONS c SIZE OF LOT (Od/G NOW ON LQO DGS. USE OF EXISTING BLDG. i BLDG.SETBACK FROM 7 TEL. FRONT PROP.LINE OF (STREET) OWNER J NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FROM C.L. ADDRESS Z D N. O A4 t- �Z l 1 CITY �l� `"1-4 + _ ARCHITECT OR TEL. 'SLDC.SETBACK FROM ENGINEER NO. IDE PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TE . _ CONTRACTOR 1 v--^¢f Com<C, NO.L2. C' Z,V,S' + O ADDRESS r0/* L LNO. 2IC. CORNER.CUTOFF YES ❑ NO v C3 CITY /<�p)v C/C CLASS 13-1 SEE REVERSE_SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK 01 NEW < DD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. QF SIZE STORIES FA IES USE OF mss. .A STRUCTUREp �✓ SIGNATURE OF J , J APPLICANT A�'i(D� n I ndVALUATION S /O c U C. 6 APPROVALS _*E I F OR'3 SIG TURF P.C. PMT �UFOUNDATION- LOCATION FEES FEES FORMS, MATERIALS Y FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 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 GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL Na EM LOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE TATE OF ALIFORNIA RELAT- LATH, INT. INC TO WORKMEN'S COMPENSATION .SURA E. LATH, EXT. ' SIGNATURE OFu�,iy,�1� HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS O/ �" FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIONCK:� M.O. CASH LF', 3 $ 4k2 APR1 D 9:0 0 8AS38A 038.3 318 •\ P LICATI®N FOR BUILDING PERMIT T 1 DIVISIO ';OF\ ADDRESS BUMDING AND SAFETY BUILDING p Dep e t of County Engineer County.,of Los Angeles LOCALITY , WM.J.FOX,COUNTY ENGINEER NEAREST CASSATT D:-GRIFFIN.SUPT of BUILDING CROSS ST. DISTRIPT NO. GROUP I TYPE C� I S BK`A p6 FOR APPLICANT TO FILI: IN CONST. �a BUILDING .�J� �J /� MAP STATE ADDRESS /i����CJ�q//L7� "ice �_./ N MBER HWY YEB�NO LOT NO. BLOCK USE ZONE SPECIAL �J CONDITIONS TRACT cNO.OF BLDG SIZE OF LOT I NOW ON LOTS BUILDING YARD HWY STREET NAME SETBACK WIDTH USE OF FRONT J EXISTING BLDG. P.L. S70 OWNER SIDE P.L. MAIL ADDRES d4e!&0;,rJ_ O TRACT DWELL. I UNIT 5 INDUSTRIAL TEL. 1 DWELL. I UNIT CITY NO. 6 PUBLIC BLDG. ARC ITECT O TEL. 2 DUPLEX I UNIT 7 ADDN..ALT.. ETC. ENGINEER NO. 3' APT. UNITS S M18CEL. _ ADDRESS 4 COMMERCIAL TEL CONTRACTOR NO.. INSPECTION RECORD ADDRESS DESCRIPTION OF WORK 7L.2c IM111 • /V &2 - NEW _400 ALTER REPAIR DEMOLISH �+� f� 7 SQ. FT. NO.OF NO.OF t SIZE STORIES FAMILIES //7..J. ��.+ 7-//,' x7! �/� USE OF STRUCTURE mig \R r7 ' SIGNATURE O 11 ^ APPLICANT APPROVALS U /IFS41 ADDRESS Q 'wr Hap ,fin, DATE INSPECTORS SIGNATURE S P.C. S FFORMS.rMATERIALSION FEE FRAME: FIRE STOPS. VALUATION OD• d� IB •�%'?=f' BRACING.BOLTS EE ;• FURNACE:LOCATION. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. AND STATE LAWS REGULATING B ILDING CONSTRUC- TI(�l�l. LATH.EXT. SIGN URE O HOUSE NUMBER COR- PERAITTEE - RECT AND POSTED (%t ADDRESS 44 11 IL FINAL WM.J.FOX,CO Y GINEER ALIDATION C.N.DIRLAM.CHIEF BLDG. INSPECTOR ACO 2 3 0 SEP 21 1 2.0 0 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OFLOS ANGELES. ' WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY UILDING (_, �. DISTRICT NO. PLANCK.,NO." PERMIT NO. [CITY DDRESS -1-5; �'0 r•'- RECE•1•VED BY/ DATE OF ADPL. DATE ISSUED CALITY RE8T OSS ST, )� ? ! U r7 -� 13UIL-UIN6 ) ADDRESS 's �Zt� /fin o'C �.�•r-r F�J WNER � -" ! �� lJf �Lf✓ O�,AIL r, LOCALITY T L. 7 7 i Y(° `.JBLrn�vLry;( NEAREST TEL. CROSS ST.( , NO. FIRE NO. OF I TYPEI GRjtP ARCHITECT OR TEL. ZONE PLANS &-6N ENGINEER NO. BLDG. ORD. NO. SETBACK LINE 7CD Y ADDRESS, APPROVED �^ �' BY DATE CONTRACTOR,5 Y ��1S�\ NO.� AI � Z".) I J USE APPROVED '7 7 is"'rtiti�+-• _ �• p ZONE G- ZBY DATE ADDRESS, I U z L EV &N C A r7�It C HOUSE NUMBERING LEGAL ' DESCRIPTION I LOT NO. BLOCK MAP NUMBER F IELD CHECK BY TRACT NO. ASSIGNED BY SATE NO. OF SLDGS. CORRECTIONS SIZE OF LOT I NOW ON LOT USE OF I NO. OF EXISTING BLDG. FAMILIES .� DESCRIPTION OF WORK NEW 31q h I- <ALTERATION I I.ADDITION REPAIR I 1 DEMOLITION I I I SQ. FT. NO. OF 'n SIZE ROOMS STORIES D EXT. WALL ROOF r COVERING I COVERING USE OF STRUCTU en on APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY"ACKNOWLEDGE THAT 1 HAVE READ THIS AP- . FOUNDATION; LOCATION PLICATION AND STATE,THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND, WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUI DING CONSTRUCTION. - �) / FURNACE: LOCATION, SIGNATURE OF / ! .(�,•/� �� 4f i�4__ GAS VENT, DUCTS PERMITTTEE G!A �n ` ADDREGS + _I 7 ` �,Y (.�-.�•' LATH, INT. vA Av' &L ; LATH, EXT. AUTHORIZED Art. PLASTER, INT. 76Aaa8A• DHaa 10.50 P. C. S ® �r 0. FEE PLASTER, EXT. �I VALUATION / V FEE $ ,� FINAL ;rr' '4'.' I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERNII= COUNTY OF LOS ANGELES BUILDING WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.NO. PERMIT NO. s�/� A� r �®- n ADDRESS bN LOCALITY RECEIVED BY DATE OF APPL. DATE IBBUED NrA jx C R BNT BUILDING OWNER w ADDRESSMAIL �� ADDRESS �� F LOCALITY ! b" NEAREST CITY l2mTEL. CROBB ST. v?ca ala d O. FIRE O:OF TY o qua ARCHITEOT Dif TEL ZONE PLANS ENGINEER NO. BLDG. ®® / RD. . ADDRESS SETBACK LINE J APPROVED TE CONTRACTOR NOL.. BY DATE UBE �t APPROVED ADD-RE Bam ! /® c ZON�a a Y DATE LEGAL � CORRECTIONS DESCRIPTION LaO�'`T NO. BLOCK �^ TRACT e �QQ S �p V NO.OF SLOGS. SIZE OF LOT �y /� OW ON LOT UBE OF .OF O.OF c EXISTINS BLDG. ° AMILISB �GOMB DESC ION OF WORK ' NEW ALTERATION ADDITION C S REPAIR MOVING i DEMOLISH p SQ.FT. NO.OF Z SIZE ROOMS STORIES Y WALL ROOK r COVERING COVERING USE OF NEW BUILDING p 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,MATERIALB AND STATE LAWS REGULATING BUILDI CONSTRUCTION. FRAME:FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTKIC LATH, INT. AUTHORIZED AST LATH, EXT. 76AGMEA-9 2-50 $ P.it.® PLASTER.INT. FEE PLASTER,EXT. Q VALUATION FEE �9 G', FINAL 14IM38A GIC#8=IG-89 APPLICATION FOR BUILDING PERMIT -•. 1 COUNTY OF LOS ANGELES BUILDING , Al, DEPARTN�NT OF COUNTY ENG24M ADDRESS C BUILDING AND SAFETY DIVISION LOCALITY JOHN.A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. FAWALDISTRICT NO. IG OUP TYPE PP203ESSED BY. FOR APPLICANT TO FILL-IN CON BUIRESS G'Q LDING�q. '�a _/ STATISTICAL C FICATION I S WBK PG ADDR MAP CLASS.N WELL.UN1Ts �� '. LOT NO. BLOCKMAP p.J . NUMBER is / HWY. YES ATE TRACT USE ZONE SPECIAL NO.OF.HLDGS CONDITIONS SIZE OF LOT r I NOW ON LOT c USE OF EXISTING BLDG. BUILDING YARD 'HWY STREET NAME EXIST. SETBACK WIDTH r OWNER FRONTMAIL ADDRESS_s-_ Qd SIP.DE L. v (J TEL CITY INSPECTION RECORD ARCHITECT OR TEL. L. ENGINEER NO. ADDRESS rB ��gg TEL O ' CONTRACTOR 9-10 N �� ADDRESS LSA DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH r SQ.FT. NO.OF ILIO.OF SIZE STORIES FAMILIES USE OF STRUCTURE r i SIGNATURE OF APPLICANTof OLp APPROVALS DATE INSPECTOR'S SIGNATURE ot ADDRESS LID FOUNDATION:LOCATION FORMS,MATERIALS I VALUATION$ FRAME:FIRE STOPS, BRACING,BOLTS Pmt. FURNACE:LOCATION. FEE $ t-� I FEE Sr �`� I GAS VENT,DUCTS 1 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 STATE LAWS REGU� LATIN BUILDING CONSTRUCTION. LATH,EXT. SIGNATURE OF_11"`W���✓✓✓/ .�� 10HOUSE NUMBER RECTAND POSTED PERMITTEE p� • ADDRESS FINAL 0 �, CLYDE N. DIRLAM, PRIr4cipAL STRUCTURAL EN8tlq25fR PLAN-CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CCASGH J 0 15 9 9 0" A03 3 1 A 5.0 0 11�P DIVISION OF BUILDING AND SAFETY 1 ® I NG Department of County Engineer '� County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING 1 DISTRICT NO. PLAN CKO_R REG.No. PERMIT NO. ADDRESS eS EC+4 5� LOCALITY e- /Ea RECEIVED Y DATEDOOFAPPL. DATEISSUED NEARESTf ' I -0 Z CROSS ST. BUILD�// ADDREING SS 7 Z(] �a 5 C M(FAD OWNER / I/r �C� MAIL LOCALITY E NA (..Z C r TY ADDRESS- Q_A-A j N)EAREST /� S u N A 5 CROSS ST. CITY CI 111-AA0_ NO. ZIRE "' I PLANS TYPE GROUP ARCHITECT OR TEL ENGINEER NO. SBLDG.ETBACK LINE SG ST+ce�'� I �ORG4.`NO. ADDRESS USE C- Z APPROVED CONTRACTOR/& I;nl f eaki 1%4KP Q �iXl/�7ZONE BY DATE ,'` 7-00 HOUSE NUMBERING ADDRESS ��� (/{�'GLI'l OG �,� 1/°'P V � � MAP NUMBER 2 O � 7 NO. ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION LOT NO. � BLOCK TRACT 117- 1 3 NCL OF SIZE OF LOT 66P, l65' I NOW ONBLDBEL LOT USE OF , NO.OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK A Ll NEW ALTERATION I ADDITION I Z a REPAIR DEMOLITION r S ZE ROOMS STORIES EXT.WALL ROOr COVERING I OOVENING USE OF STRUCTURE INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR'S SIGNATURE DATE FOUNDATION.*LOCATION I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FORME6 MATERIALS PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME, FIRE STOPS, CORRECT. BRACING,BOLTS 1A®REE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE L.AWB � EL�U�TING BUI�y_DING CONSTR .*TIO FURNACE:VENT .DUOTS N� SP RMITTE OF LATH, INT. ADDRESB_r / � I DWI.. 0.cr LATH, EXT. AUTHORIZED AOT. PLASTER, INT. PLASTER, EXT. FEE HOUSE NUMBER COR- 4i RECT AND POSTED n VALUATION p7 FEE 76A638A 0883 1-82 WORKERS'COMPENSATION DECLARATION ' Y 11L��5 hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate'of Workers'Comp stion Insurance,or a certified copy thereof(Sec. 3800, La COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No� _Compon Certified co is hereby urnished. r BUILDING yy PY � y .FOR APPLICANT TO FILL IN ADDRESS � 7eJr� Certified copy is filed with the unty building inspec- BUILDING �+ tion department. ADDRESS �„7 Z� LOCALITY NEARE Datel�v Applicant /�P�/• CIT ZIP CROSS ST. / CERTIFICATE OF EXEMP ON FROM WORKERS' ! NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP O G hundred dollars ($100)or less.) TRACT B K LOT NO. NO. � TEL. 7�+ G r�- SPECIAL �`' O. I certify that in the performance of the work for which this OWN E NO.// �?+ CONDITIONS ' Q permit is issued, I shall not employ any person in any manner /'�/ DISTRICT GROUP TYPE FIRE P OCESSED BY �' U so as to become subject to the Workers'Compensation Laws. ADDRESS 1 d CONST. ZONE 99 CITY l"Q� 0 ZIP �� I-. Date Applicant STATISTICAL CLASSIFICATION CONDO. U NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. LJLU Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO.�DWELL.UNITS rA Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Z with comply with such provisions or this permit shall be TEL. p deemed revoked. CONTRACTOR NO. O— BK. G, VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chaptw 9 ADDRESS �3 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS L $ SQ. FT. NO.OF NO.OF CHECK o License Numb"e Q S Lic.Class SIZE STORIES IFAMILIES ONE �-/ Cj $ Contactor Date DESCRIPTION OF WORK NEW D1 am exempt from the licensing requirements as I am a P ADD 4aglicensed architect or a registered professional engineer ALTER FINAL y acting in my professional capacity (Section 7051, REPAIR DATE ��-� Business and Professions Code). USE OF FINAL EXISTING BLDG., DEMOL By ... �_� Lic.or Re No. _Date APPLICANT TEL g OWNER-BUILDER DECLARATION (PRINT •C�EE'R1 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT F1BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section [ADDI LITY 7044, Business and Professions Code). ING TEL. I, as owner of the property, am exclusively contracting TRACTOR NO. '41 7 9 R with licensed contractors to construct the project (Sec- ESS #f o 0 0 0 0 1 tion 7044, Business and Professions Code.). UIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY BACK YARD HWY PROP. LINE WIDTH 2 0 o J 8,5 O` I hereby affirm that there is a construction lending agency for ONT the performance of the work for which this permit is issued o 0 o j 5 L1 U (Sec. 3097, Civ. C.). E Lender's Nome 4��0 1 -8 2 $ Fee$ Permit Fee 3n/ Lender's Address -I certif that I have read this a lication and state that the Y PP Issuance Fee above information is correct. I agree to comply with all County tigation Fee v ordinances and State laws relating to building construction, Total Fee a reby authorize representatives of this County to enter upon t e above-mention e erty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE o I ®s . Signature o Applica or Agent Dote I f DEPARTMENT OF BUILDING AND SAFETY PPLICATION FOR PERMIT f } COUNTY OF LOS ANGELES JBUILDING WM. . FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. aUILDING ADDRESS _..e �l Ol b LOCALITY RECEWED BY DATE OF APPL. DATE ISSUED NEAREST CROSS ST. BUILDING - ADDRESS '� Z OWNER MAIL LOCALITY ADDRESS NEAREST TEL. CROSS ST. CITY NO. FIRE NO. OF I TYPE._ I GRQUP ARCHITECT OR TEL. ZONE PLANS �l ENGINEER NO. BLDG. `^ ORD. NO. SETBACK LINE ADDRESS APPROVED TEL. - BY DATE CONTRACTOR NO. USE APPROVED ; .r r ZONE BY DATE ADDRESS 411 HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO. BLOCK MAP NUMBER `��'b FIELD CHECK BY TRACT NO. ASSIGNED BY----------DA E NO. OF BLDGS. CORRECTIONS SIZE OF LOT NOW ON LOT US[OF I NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK NEW y I.q I ALTERATION I I ADDITION O REPAIR I 1 DEMOLITION I I I A SQ. FT. NO. OF O SIZE ROOMS STORIES Z EXT. WALL ROOF r COVERING COVERING USE OF STRUCTURS--_) r-- r 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. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS I] BUILDING REGULATING UILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS PERMITTEE LATH, INT. ADDRESS LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 7SAaaaA- osaS 10-50 S P. C. S D - FEE PLASTER, EXT. VALUATION - FEE S �-•— FINAL