HomeMy Public PortalAbout5427 SANTA ANITA AVE_Building__ 'BA698A C6#808-B-57 APPLICATION FOR BUILDING PERMIT �.
COUNTY OF LOS ANGELES BUILDING ^ "
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY -Tem le Cit
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST Dalnes Drive
tzx= CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DIS TR O. GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN -
CONST.
BUILDING
ADDRESS Z Double Drive STATISTICAL CLASSIFICATION
LOT NO., BLOCK B N
CLASS. O. DWELL.UNITSMAP I
Q p NUMBER U STATE YES NO
TRACT 10898 USE ZONE SPECIAL
p NO.OF BLDGS. CONDITIO
SIZE OF LOT 81 X 315 NOW ON LOT 2 /f �►+ O
USE OF Sing le family res. & Gar. 1 J
EXISTING BLDG. BUILDING EXIST:
SETBACK YARD HWY STREET NAME WIDTH
OWNER MAIL �+ aFRONT I
ADDRESS 29 N. Double.Drive P L.
5 -
SIDE ,
TEL. P.L.
[=ARCHITECT CITY Tem le Cit NO. INSPECTION RECORD
OR EL G+ NO.
TEL.
CONTRACTOR C NO. L
ADDRESS 2017 W. Garvey Blvd. W. Coy
DESCRIPTION OF WORK
NEW )c ^.•1 '.�•`� �-�,�� -�� /
ADD ALTER REPAIR DEMOLISH
SQ.FT. NO'OF / NO.OF
SIZE STORIES l FAMILIES = ,
USE OF STRUCTURE
SIGNATURE OF �� , AP„EROVALS
APPLICANT
ADDRESS `� �- DATE INSPECTOR'S SIGNATURE
FOTION
FORMS,MATER (J,
P. E $ FRAME: FIRE STOPS,
v✓ FEE BRACING.BOLTS
VALUATIO FEE $ Q 47-
X- LY/
FURNACE: LOCATION.
GAS VENT,DUCTS �(
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE AS E IS CORRECT AND
AGREE TO COMPLY WI ALL COU ORDINANCES AND LATH,EXT.
STATE LAWS RE 1NG BU DING CO RUCT ON.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRES _X FINAL -
12 N A KABIE.COUNTY ENGINEER CLYDE N.DIRLAM, PRINCIPAL STRggryRAL ENGINEER
11:VALIDATION C M.O. CASH PERMIT VALIDATION(cK. M.o. CASH
'At- 7073 ",Ay2623 A 15.00a � ®,
Aro7527ER XN 4 1 A •30.00
r 76A638A CE 4803 I/'APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tyDe only) CROSS ST.
[BUILDING - DIST.RLCT NO. _ GROUP TYPE PROCESSED BYDDRESS 1CONST.
fSTATISTICAL CLASSIFICATION SEWER MAP
OT NO. BLOCK -CLASS NO. � ,DWELL.UNITS BK PG
RACT - _ USE ZONE MAP
NO,OF SLOGS. NO.IZE OF LOT NOW ON LOT SPECIAL
USE OF -� CONDITIONS
EXISTING BLDG,
TEL.
OWNER NO. BLDG.SETBACK FROM
ADDRESS - FRONT PROP,LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. + _
ENGINEER NO.
BLDG.SETBACK FROM--,—
ADDRESS
RO ADDRESS SIDE PROP.LINE OF " (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL C-)
CONTRACTOR NO. - HIGHWAY WIDTH FROM C.L. J
ADDRESS - + = 4'
LIC.
CITY "-' - CLASS CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER p
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
W
ADDRESS r.
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES ❑
USE OF ADD
STRUCTURE.
ALTER ❑
SIGNATURE OF REPAIR❑
APPLICANT DEMOL
VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE
7PkcE
PMT, -� if-_�- FOUNDATION: LOCATION
S FEE S FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S OF
INSURANCE. LATH, EXT,
SIGNATURE OF J HOUSE COR-
PERMITTEE > UUSE SE NUMBER
POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. 110. CASH _ PERMIT VALIDATION CK. M.O. CASH