HomeMy Public PortalAbout5325 1/2 SANTA ANITA AVE_Building__ AL
APPLICATION FOR COUNTY OF LOS ANGELES
PERMIT DEPARTMENT OF COUNTY ENGINEER
BUILDING R :,PUJJM AND SAFETY`~, O
BUILDING J
7U'
R APPLICANT TO FILL IN ADDRES A.
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LOCALITYNEAREST
/P ` (�� ZIP CROSS ST.
140.OF BLDGS. �� ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCE
DISTRICT GROUP TYPE FIRE P OCE D BY
TRACV0.t BLOCK, LOT NO// -/ '� ��d� C NST. ONE
OWNER X11 / ! STEL. (/
NO. STATISTICAL CLASSIFICATION
P /
� N L
ADDRESS ^ 1 Q),Jai&dg ad CLASS NO. '3 ,1DWELL,UNITS BK G
CITY ZIP USE ZONE MAN 0.P
ARCHITEdT TEN SPECIAL
ENGINEER NO CONDITIONS
r ROAD DEPARTMENT APPROVAL REQUIRED YES NO
ADDRESS /A✓ //• ❑ ❑
CONTRACTOR - ! (J ' NELL//,/ "L/�(J BLDG.SETBACK FROM
LIC, FRONT PROP,LINE OF (STREET)
ADDRESS to
NO. HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP. LINE HIGHWAY WIDTH
CITY V� CLASS
CONSTAUCTION LENDER'` �� +
NAME AND BRANCH /!
BLDG,SETBACK FROM
ADDRESS f WI/41k? CITY 'TVdP/� f SIDE PROP.LINE OF (STREET) CD
SQ, FT, NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 9=
SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH CD
DESCRIPTION QF WORK gn
NEW ❑ + p„
�t r O� ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ^Z,,
ALTER ❑
TD
EPAIR❑ IN OPEN SPACE YES NOUSE OF
EXISTING BL`G.• EM�jOL t❑ I}
PRIN IN COASTAL PERMIT ZONE YES ,❑Q NO ❑ /
AP NTrDVV TEL
Z (J ^.//
[BY (SIGNATURE) T. E•
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OFTHE STATE IA IN RE ING TO
a
WORKMEN'S COMPENSATION INS NCE.
FINAL/6 .... BY
SIGNATURE OF wJ +
PERMITTEE DATE G
ADDRESS
TE
CITY ACIIA NO -1136 P.C.Fee$ Permit Fee
�
Issuance Fee
VALUATION
$e660
Total F
PLAN CHECK VALIDATION CK. CASH RMIT VALIDATION CK. M.O. CASH
0 2 1mi;��GCT 2.9 21 0 4.:5.8 a "
0 2.2 LZ OCT 29 1 D 4 8.7 5 n--",
76AGSBA CE#80301 12/75 - — �-