HomeMy Public PortalAbout5341 SANTA ANITA AVE_Building__ 76ASSBAo88.3 APPLICATION FOR BUILDING PERMIT ],
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DIVISION OF BUILDING AND SAFETY BUILDING U1LD1NG
Department Of County Engineer ADDRESS- e
County Of L0s Angeles LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DisrRlcT a G, P CON SEWERMA
SK PG
V CONST.
BUILDING
fMAP STATE
ADDRESS yO t.�(!"�-� s�(�(Jr� S NUM ER@� HWY YES O
_LOT NO. / Q BLOCK j USE ZONE SPECIAL
f CONDITIONS
TRACT. J )6 0 '7 :,) !d
SIZE OF LOT7/ �� I NOW ON LOTNO.OF S +y BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
USE OF �-y-
EXISTING BLDG. FPROL T 10>i
OWNERSIDE
MAIL �j A n, P.L.
ADDRESS ) �l �( Y� .t a I�Q O TRACT DWELL. I UNIT
C;r �J TEL. 5 INDUSTRIAL
CiTY / NO. 0 �Cf7 I DWELL. 1 UNIT 6 PUBLIC BLDG.
ARCHITECT OR U TEL. 2 DUPLEX 2 UNITS 7 ADDN..ALT.. ETC.
ENGINEER NO. 3- APT. UNITS
8 •MISCEL.
ADDRESS 4 COMMERCIAL
TEL. INSPECTION RECORD
CONTRACTOR. }/ NO.
ADDRESS
DESCRIPTION OF WORK
NEW !---ADD ALTER REPAIR DEMOLISH
SC!.FT. NO. OF NO.OF
SIZE O ti TORIES FAMILIES Q
USE OF STRUCTURE
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SIGNATURE OF
APPLICANT r APPROVALS
ADDRES / ' DATE INSPECTOR'S SIGNATURE
$ e///D Q� FOUNDATION:LOCATION
PC
/J � P.C. S FORMS.MATERIALS
FEE FRAME: FIRE STOPS.
VALUATION $ (/ BRACING. BOLTS
FURNACE: LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 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 RE UttTI BUILD NG CONSTRUC-
TION. z- LATH. EXT. /611 A- L//
. SIGNATURE OF HOUSE NUMBER CORS I�
PERMITTEE RECT AND POSTED
I
e
ADDRESSOS� / FINAL 1.G(,vt-L�jG
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATIM. CLYDE N.DIRLAM, CHIEF BLDG. INSPECTOR
CK MC CASH
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G.. , 9-7 9 5110 AUGAU 3'1 1
76A638A CE#803 5-65 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY ® G/
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST-
COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST. f f�
DISTR CT N TYPE � PROCESSED BY
FOR APPLICANT TO FILL IN CONST CONST 7z7jvL
BUILDING t� STATISTICALjC�.�.ASSIFICATION SEWER MAP
ADDRESS / /�O(9 �6 /fin = CLASS NO. •v DWELL UNITSy
LOT NO. BLOCK USE ZONE MAP
NO. �V•i�V
TRACT �(� 3 SPECT
NO. OF
SIZE OF LOT
o+ 'GO NOW ON LOTg V CONDI IONS
USE OF c,,+ BLDG. SETBACK FROM
EXISTING BLDG. SrN"QCL`� ��
OWNER/5f, a„7 Ci`/G� NOL FRONT PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS � HIGHWAY WIDTH FROM C.L.
CITY G T/ BLDG. SETBACK FROM
ARCHITECT OR TEL.
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TE f + -
CONTRACTOEig. .� �j + NO / CI31
O
y ADDRESS/0 t/Jf Jr L'OCR, 70, CORNER CUTOFF YES NO V
Im
rNEW
JGL /r94&+✓`� 5 s SEE REVERSE SIDE FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK �J`��
.p r• 4J
d
ADD ALTER REPAIR DEMOLISH A � Z77 NO. OF NO. OF
`3ory ir STORIES FAMILIESUSE OF a
LPLICANT
. �rL/,
F
�✓ .��J�^� f � .,J�_,
Vv APPROVALS - ' DATE INSP TOR'S SIGNATURE
P.C. PMTFOUNDATION, LOCATION
FEE$ FEE$ G G FORMS, MATERIALS
FRAME, FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY. FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG CONSTRUCTION. I CERTIFY THAT, IN DOING THE WORK ^I.
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY ERSO,N IN VIOLA- LATH. INT.
TION OF THE LABOR DE OF THE STATE OF LIFORNIA RELAT-
ING TO WORKMEN'SPfPENSAT ON 1 R
LATH. EXT. /
SIGNATURE OF A HOUSE NUMBER COR ir
-
PE42M1TTEE _( RECT AND POSTED
k.
ADDRESS v•IF f I NAL
JOHN F. LEWIS, P NGIP TR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMT VA AT ON CK. M.O CASH
LACo 2 7 1 6:n 0
JUN 13 1 D 2.0 ~ 4
ISA638A DBS-3 8.88
FOR BUILDING ■ ER9V IT
DIVISION OF BUILDING AND SAFETY BUILDING ADDRESS 6— ou, p-
Deportment of Couniy F.ngiaeer
County of Los Angeles LOCALITY �•� -
WM.J.FOX,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DIST CT NO. GROUP TYPE r"" S BK MAP
FOR APPLICANT TO FILL IN , � I CONST. � I
BUILDING d -`�-4� NUMBERAG.r� HWY YES O
ADDRESS
LOT NO. BLOCK __ USE ZC�E SPECIAL
yq� mqp. CONDITIONS
TRACT
SIZE OF LOT& 51A4 I NO.OF SLOGS. q � B LDING EXIST.
NOW ON LOT !6' 8ETHACK YARD HWY STREET WIDTH
USE OF
EXISTING BLDG. U` /C�.4,.E° FRONT p�
P.L. 6`
OWNER OL' SIDE_
e JP.L.
MAIL r'
ADDRESS,.r f � a .trtP O TRACT DWELL. 1 UNIT 5 INDUSTRIAL
t ,p`
TEL �F„ 1 DWELL. 1 UNIT
CITY) —A A"40911 F` l� NO. P!• ��l 6 PUBLIC BLDG.
2 DUPLEX 1 UNIT
ARCHITECT OR TEL. 7� ADD� a.os+TC-. �
ENGINEER NO. 3 APT, UNITS
Ws MI9CEL.
ADDRESS 4 1 COMMERCIAL
TEL. INSPECTION RECORD
CONTRACTOR a°r NO.
ADDRESS —
DESCRIPTION OF WORK
NE ADD ALTER REPAIR DEMOLISH
Q. FT* 4AO STORIES FAMILIES
SIZE `
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT �}
ADDRESS -3 �f .�1_ DATE INSPECTORS SIGNATURE
FOUNDATION:LOCATION
P.C. S FORMS.MATERIALS
p FEE �9 FBSTOPS.
RACING.BOLTS
VALUATION ` + FEE $�V FURNACE:LOCATION.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COU.N. ORDINANCES LATH.INT.
AND STATE LAWS U�L�ANG- IL ING CONSTRUC-
TION. LATH.ERT.
SIGNATURE OE # HOUSE NUMBER COR-
PERMITTEE } A f RECT AND POSTED �+ 00 oper
ADDRESSZ 1 l�rIi.f r�' ✓f A.r�t L 1 FINAL /f ji� �`►N�y 6�'
WM.J.FOX,COUNTY ENGINEER VALIDATION C. N. IRLAM.CHIEF BLDG. INSPECTOR
r
ti3 0 0 1 FEB 16 ? 2.0 0 is
s r3 i
f
BUILDING ADDRESS
APPLICATION LOCALITY
DIVISION OF BUILDING AND SAFETY CROSSNEAREST C� � 5 Ate}
Department of County. Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles Sf ��
WM. J. FOX, COUNTY ENGINEER GROUP DATE.RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SUPIT or BUILDING _
FOR A1 '�`
PPLICANT TO FILL IN TYPE CONST. ) RECEIVED BY ynA I-S,U,E,DdGBY '
OWNER , / R L. �� 1
3-j
MAP r) iA ��� SHAATTE YSZ— O
MAIL
ADDRESS J 3 39 pm Gj ray gF p A ✓1. NUMBER f�. V
USE ZONE SPECIAL
/� TEL. r 1 CONDITIONS
CITY i/�� j• k� i NO. 'A- 1
.�
ARCHITECT OR TEL "V10j 0
ENGINEER NO.
- BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS ,,.. f -
TEL .n P.L.FRONT � r A
CONTRACTOR R f �/4/3�L+MT ND. / 7 S /l��'
SIDL.
E
ADDRE9H '�/1 !J G✓� �� �/4�/T�+'!' P.
BUILDING _ 2 DATE CORRECTIONS INSPECTOR
ADDRESS ` .0' I/I�1✓G
LOT NO. ��►►/ BLOCK ;
TRACT
NO.OF BLD1313,/y
BIZE OF LOT . .� �j`-I NOW ON LOT JYC 7
USE OF ki..h d!y A1.1 AA A 1/,rA
EXIRTING BLDG. '1 �, 0 /`_
DESCRIPTION OF WORK �aod wo°°'� • -'`"`" `'u/ A`do,o.
NEW ADD ALTER". REPAIR DEMOLISH f/�' ' Z
SQ.FT. - ....'d.OF NO.OF _&A Zd r uh r
SIZE1:1 6TOPIE9 r FAMILIES
USE or STRUCTURE
l�H Fla S -/+7--j/+e '/ r�(7 ,�` -b f Gf3�Jt, 1 irk• l�f . �
Ar
NO.OF
EMPLOYEES '
•I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN I9 APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.
IAGREE TO COMPLY Y WITH ALL COUNTORDINANCES FOUNDATION., LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS
FRAME: FIRE STOPS, Hid!
SIGNATURE OF / /� BRACING,BOLTS ///I•�iS�L �.-e� ''%�f",y
PERMITTEE FURNACE* LOCATION, / �J
ADDRESsIT�f?T �-7 W/ Y /T I GAS VENT,DUCTS r ( .tiGLt•�'� rY�4/�l�/
LATH, INT.
AUTHORIZED AOT.
LATH, EXT. McGsryL fZ/ 'may ry
$ jGW - P.C. HOUSE NUMBER CDR-
13 - •�
!1 ; S FEE 6a +� RECT AND PORTED
VALUATION $13
-itrt .,srr_ _ A FEE 1.+.V'_'V MAL z'''
76A638A'DES 3 Gib 5-54vi'
®s 76A638A �l :/C/ ' '
CE 9803 IREV.6/781
APPLICATION FOR' BUILDING PERMIT
COUNTY,OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS
BUILDING
ADDRESS S. SAJ,
LOCALITY ge
NEAREST
CITY-7-E P '(2ZIP ROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT ! e,P NOW ON LOT' MAP BOOK PAGE I PARCEL
TRACT O c/,= DISTRICT GROUP TYPE FIRE ROC ED BY
d BLOCK LOT.NO. J O 11-1016 _A.3 CONST.` ' JE
•� TEL. �� '�1 V
OWNER .L(p W 4 NO.'7R5N – �v'�
STATISTICAL CLASSIFICATION EWER MAP
ADDRESS S i �•S I 2,1 '�' CLASSNO. DWELL.UNITS—] TRBOO s�PG
CITY ZIP
ARCHITECT OR TEL. VALUATION $
ENGINEER "* t NO.
ADDRESS _ BLDG.SETBACK FROM'
_ FRONT PROP.LINE OF (STREET)
CONTRACTOR �` NO. HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
-LIC. - FRONT PROP.LINE HIGHWAYI WIDTH
ADDRESS NO.
LIC. + _
CITY CLASS
BLDG.SETBACK FROM
CONSTRUCTION LENDER ,
SIDE PROP.LINE OF (STREET).
NAME AND BRANCH.
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING. t
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH ---®
SO.FT -► NO.OF NO.OF CHECK +
SIZE 0 a STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW ❑ P.C.Fee$ Permit Fee_ t
x y
ADD Issuance Fee ( Ul
ALTER. ❑ z
REPAIR ❑ Total Fee
USE OF DEMOL ❑
EXISTING BLDG. G^S ZO
APPLICANT /�� TEL C f
(PRINT) tJ �'l r� NO. 3 s `'9 .3 _
BY(SIGNATURE) f >
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE' Y
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES Ag 5!9 a 5 A
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE _ {=J '
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z •#•o 0 0 0 0
PENSATION INSURANCE. :5
d 2 0 0 2 5 O O
SIGNATURE OF �*
PERMITTEE ��^'' �' ' 0 0 0 2 5 0'0 5
ADDRESS A d� � d
- 0 oao7-7-9
TEL. �
CITY NO.
USE ZONE
NOMAP
Ca V S o Q
`- SPECIAL
CONDITIONS
FINAL
DATE