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DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES I"%IN ®�
WM..J. FOX, CHIEF ENGINEER
FOR APPLNT O FOR OFFICE USE ONLY.
IC FILL IN
BUILDING gft ' DIST O., PLANCK. NO. PER IT l�]O
ADDRESS (( ° l G o
LOCALITY RECa1V BY DATE OF APPL. DATE ISSUED
NEAREST.. l9 BUILDING � " 11-3--S7
/�S7 IJ^ —,g'/�/
CROSS • ADDRESS ff��
OWNER w _
MAIL g Q� LOCALITY �° `
ADDRESS (/ +�� a CNEAREST
ROSS ST. a o L.•�3
CITY ,! NO.
8 FIREI GROU
NO. OF I TYPE P
f ARCHITEC Oft TEL. ZONE -� I PLANS
ENGINEER ` NO.- �_ BLDG. n ORD. NO.
SETBACK LINE /=T TOM �G /�USEfI?EHA
ADDRESS "�" �� APPROVED
TEL. BY DATE
CONTRACTOR, /: NO. USE / APPROVED
ZONE ( BY DATE
ADDRESS �� H r-r Of HOUSE NUMBERING
LEGAL
DESCRIPTION LOT NO. al
BLOCK '� MAP NUMBER 2'-0� FIELD CHECK BY
TRACT �� �( NO. ASSIGNED BY DATE
NO. OF SLOGS. CORRECTIONS
SIZE OF LOT �( J I NOW ON LOT n(�i
USE OFNO. OF
EXISTING BLDG,/� V U SF_ f 6 R I FAMILIES / -
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION I(/
ly iiFge Aly7- Iss6Tj o
REPAIR I I DEMOLITION I I I X
SQ. FT. Q NO. OF 2
S ZE V ® ROOMS STORIES +�� n Z
COVWALL I ERING s� G�J l COVERING ar/ �,( h.. WILL •R�7'uc241 r
rl�f//YG 'Lcc M/��12a i.,/To ra,M
USE OF STRUCTURE
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APPROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-' FOUNDATION: LOCATION `✓`�!, !!
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.'
I AGREE *TO COMPLY WITH 'THE CORRECTIONS LISTED FRAME: FIRE STOPS, )� L
HEREON AND WITH ALL COUNTY-ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING • STRUCT . 1% �I
FURNACE: LOCATION,
SIGNATURE OF GAS VENT, DUCTS
PERMITTE •
LATH, INT.
ADDRESS I
} LATH, EXT. :.l (i i!' 2�s•'��4-S r
AUTHORIZED AGT.
q - PLASTER, INT.
.. 76AGSBA• Dasa -,,o-BD $ P. C. III
FEE PLASTER, EXT.
VALUATION $
FEE .r� (�? FINAL
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DEPARTMENT OF BUILDING ANIS SAFETY AP -A' Ii "FOgt PERM'"IT
COUNTY, OF LOS ANGELES BUILDING 1
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING r gl/ . / DISTRICT NO.� PLAN CK.NO. PERMIT NO.
ADDRESS' �►/ 4i'' frlk/l
LOCALITY {/ y ' RE��'�VEED,B v DAT OOF//AQPPPL .q3 DATE/IISSSSUED
NEA ESTCROBS 9f.�.• /// Lf.Al/ {..!111 4F
OWNER � �� �5- 'ice4Y�+ • ADDRESS _ 7 ! a.��`I �t` �
MAIL �}
ADDRESS �� LOCALITY
CITY Ifl'`�1 f TEL NEAREST
ORO88 ST.
;FIRE O.OF TYPE, / GROUP
ARCHITECT OR TEL. ZONE N
I PLANS
ENGINEER NO.
BLDG. �-y.t NO.
ADDRESS SETBACK LINE
j TEL. APPROVED
CONTRACTOR tr"(A� N� NO. BY DATE
USE APPROVED
ADDRESS ZONE—/ BY DATE
LEGAL
DESCRIPTION- I LOTNO. � BLOCK CORRECTIONS
Q _
TRACT � /�^Q( iy- � ��.-
No.OF SLOGS.
SIZE OF LOT /� / pV I NOW ON LOT �s" �-
USE OF �,f I.�NO.OF A I NO.OF
G
EXISTINBLDGJ� 4' 'j Pl Yi 4yE'FAMILIES k ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH �
SqG NO.OF
FT.
'"] Z
SIZE 40 ROOMS STORIES ( ,( ' ' y
WALL, ROOF �
r
COVERING C ^C VERING ,P�"
USEF NEW
BUILDING O
BUILDING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION: LOCATION 5PECTOR DATE .
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS J t/ r
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. A !N
s
FRAME: FIRE STOPS,
SIGNATURE OF + BRACING,BOLTS
OWNER A
f LATH,INT.:
AUTHORIZED ADT.
' LATH,EXT.:
04 V
P.C.$�~ PLASTER. INT.
` .ea
FEE ' PLASTER,EXT. 2
VALUATION FEE (3��� •FINALS -)'Al
)DEPARTMENT OF BUIL--151NG AND SAF PLICATION FOR PERMIT
� COUNTY OF•LOS ANGELES
l
VIM. J. FOX, CHIEF ENGINEER
FOR APPLICANT_TO FILL IN FOR OFFICE USE ONLY
BUILDING IIA . 6� DISTRI NO. PLAN CK. NO. PERMIT NO.
ADDRESS ��- + !�`O
LOCALITY �RrECEI+['VE....D�� BY DATE OF APPLl.L -{/ DATE ISSUED
CROSS
NEARS 9T. ��s .te d.? E (L V_
[,�(J BUILDING
�'(�}
OWNER ADDRESS
MAIL , LOCALITY I
ADDRESS c �
TEL. /�,f
CITY NO. �y� NEAREST
m �` � CROSS ST.
FIRE NO.OF 0TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS eI
ENGINEER f - NO.
BLDG. ORD. NO.
ADDRESS SETBACK LINE
TEL. APPROVED
CONTRACTOR NO, BY DATE
\ USE APPROVED
ADDRESS 1 f� ZONE -/ BY DATE
LEGAL
DESCRIPTION LOT NO.J- 7 91 BLOCK CORRECTIONS
TRACT '/ D q- -
L NO. OF BLDG9.
SIZE OF LO v ® �1�J� I NOW ON NILOF /LOT
USE OF ` F6'�FAMI IXB / I ROOMS
or
EXISTING BLDG.
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
N
REPAIR MOVING DEMOLISH p
9q. FT. NO.OF Z
SIZE �� ROOMS � STORIES J. r
WALL OOF ��q
COVERING "�AWN I CROVERING QV
USE OF NEW
BUILDING 11
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, 1 SPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,
SIGNATURE DF BRACING, BOLTS
OWNER
[,rte LATH, INT.,
AUTHORIZED AGT LATH, EXT.,
P. C, 10 PLASTER, INT.
(� FEE 9 75 PLASTER, EXT.
VALUATION C �/f
FEE �� FINAL
DIVISION OF BUILDING AND SAFETY
]D � ' ® '
Department of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.OR REO.No, Q PERMIT NO.
BUILDING
ADDREBB 61Xf A g"ra
RECEIVE�YL.DATE OFAPPDATEIBSUED
LOCALITY 5~
NEAREBT
CROBS9T. i 9 P BUILDING /,:5
J r /
ADDREBB �GY
DWNER ♦ r �, l�i�C,1
MAIL ,,�.A LOCALITY
ADDRESS B OVy (fV� ��w�rls � NEAREST:rj v
AL
CROSS BT.
TE
CITY r1i NOL �' FIRE V1 NO.OF TYPE I GROUP
ZONE -- PLANS
ARCHITECT OR TEL
ENGINEER NO. /
BLDG. �y � D/NO.
ADDRESS SETBACK LINE /
USE APPROVED
TEL ZONE/(—I I BY DATE
CONTRACTOR NO. HOUSE NUMBERING
ADDRESS MAP NUMBER 1'.0Q NO. ASSIGNED BY
LEGALCORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT 6-
$► NO. DF ELDGB.
SIZE OF LOT r-@ I NOW ON LOT
USE OF I NO.OF S
EXISTING BLDG. 0 FAMILIES
DESCRIPTION OF WORK , °M
0
NEW ALTMATIONLJ ADDITION Z
a
REPAIR DEMOLITION r
SQ.FT. NO.OF
SIZE ROOMS STORIES
EXT.WALL ROOF J,
COVERING COVERING
USE OF STRUCTURE
n
,
INSPECTION FOR APPROVALS
OCOUPANCYAS INSPECTOR'S SIGNATURE DATE
FOUNDATION:LOCATION
FORMS, MATERIALS
1 HEREBY ACKNCWLEDGE THAT 1 HAVE READ THIS AP-
PLICATIDN AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPB, 1/
CORRECT. BRACING,BOLTS
I AGREE TO COMPLY WITH ALL 13ROINANDES
AND STATE LAWS REGULATING BU DOING UNTY INSTRUCTION.
PURNACEI LOCATION,
a. p
GA13 VENT,DUCTS
SIGNATURE CF LATH, INT.
PERMITTE ir-r� �`
7j Vi/ % I
ADDRESS �n LATH, EXT.
PLABTER, INT.
AUTHORIZED AOT.
PLASTER, EXT.
00
P.FEES S
p� O O HOUSE NUMBER COR-
D 49 0 RECT AND POSTED
VALUATION SZ FINAL �j�()� 12_-r J'3
FEE
7GA63EIA DB9 3 1-52