HomeMy Public PortalAbout5433 SANTA ANITA AVE_Building__ 76A638A CE #803 1/71 - '
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 tvoe onl CROSS ST. -
BUILDING DIST.$ICT NO. GROIJ,P TYPE PROCESSED BY
ADDRESS y`x ✓/ CONST.
LOT NO. BLOCK
STATISTICAL CLASSIFICATION �; SEWER MAP
CLASS NO. -' DWELL,UNITS / SK PG
TRACT 4 USE ZONE MAP
NO.OF BLDGS. NO.
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER L. - NO. BLDG.SETBACK FROM
ADDRESS �' z 1 FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY i HIGHWAY WIDTH' FROM C.L.
ARCHITECT OR TEL. �"� } _
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET) C
TEL. TYPE OF EXISTING SETBACK HIGHWAY } RD = TOTAL C-'
CONTRACTOR NO. - HIGHWAY WIDTH FROM G.L. LL
LIC, u
ADDRESS - NO. t =
LIC. >
CITY - CLASS - CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER C
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
4
ADDRESS F
SQ. FT. NO. OF NO. OF NEW I
SIZE STORIES FAMILIESUSE OF ADD
STRUCTUREALTERSIGNATURE OF REPAIR
APPLICANT DEMOL
VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE
P,C. PMT, j FOUNDATION:
MATERIAA SIGN
FEE $ FEE $ �!. (:`T�
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 I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURAIfCE.
LATH, EXT.
SIGNATURE OF / i HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS r� _� I - .[
FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK, M O. CASH _ PERMIT VALIDATION CK. MO. CASH
DEPARTBIENT OF COUNTY ENGINEER
DIVISION OF BUnDING AND SAFETY
OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER
CASSATT D. GRIFFIN,"SUPIT OF BUILDING APPLICATI®
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING g- 9 D18TRIC 140. PLAN CK.OR.REc.No. PERMIT NO.
ADDRESS .�7 � �1 • �� � I f
LOCALITY DATE OF APPL. DATTE°ISSUED
NEAREST
CR088 ST
BUILDING
T
OWNER ADDRESS
MAILi � - LOCALITY . •
ADDRESS NEAREST
TEL. CROSS ST.
CITY o
ARCHITECT O TEL. FIRE I NO. OF I TYPE GROUP T
EN INFER NO. �� ZONE a PLANS w
BLDG. 0 RD. NO.
ADDRE88 I�--�- SETBACK LINE �O
TEL. USE APPROVED
NTRACTOR NO. + ZONE'I By DATE
ADDRESS ,® HOUSE NUMBERING
LEGAL MAP NUMBER 1.40$117MO. ASSIGNED BY
DESCRIPTION I LOT NO. B CK
J CORRECTIONS
TRACT
NO.OF BLOCS.
SIZE OF LOT r I NOW ON LOT
USE OF NO. OF
EXISTING BLDG. I FAMILIES
DFTION OF WOR$ . j,7vAri 405-S A -
NEW ALTERATION ADDITION c1bAnn 1000.0a
Q c�.�� :�d°d7 z
REPAIR DEMOLITION 1D••
Q. FT. No. OF .9geoAo4o do—w- >
SIZE ROOM8 STORIES
EXT. ROOF
COVEWALLRING I COVfiRINGQ��
USE OF 94RUCTURE
QAV44 44w&Z&42
APPROVAL'S
INSPECTCA'8 SIGNATURE DATE
FOUNDATION:LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT"I HAVE READ THIS AP- FRAME: FIRE STOPS, .
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
SRI A REE .TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE:LOCATION, e
AND STATE LAWS REGULATING BUILDING'CONSTRUCTION. GAS VENT. DUCTS
SIGNATURE OFLATH, INT. ®�®
PERMITTER 4
LATH. EXT.
ADDR v
PLASTER, INT.
AUTHORIZED ACT. °
P PLASTER, EXT.
'FEE 8 - HOUSE NUMBER COR-
' / RECT AND POSTED ,p
VALUATION ••FEE ffi I fD �' FINAL G�d o O'
78A888A '0888 .8-88 A
DNFARTMENT OF BUILDING AND SAFETY X1j"%0m a svam r vn KWASUM s A -r
COUNTY OF LOS ANGELESR` BUILDING
wm. J. FOX. CHIEF ENGINEER
BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDRESS 5459 N. Double Drive s'" A_CS-0�3�® /s`'7 Q Se'
LOCALITY T" le City. RECEIVED BY DATE CF ADPL. DATE IBBUED
CROBB BT. Freer Street U A
OWNER Carl R• and Auaa M. Kugler ADDRESS AX v
AMAIL '
DDRESS 5459 N. Double Drive LOCALITY T ra9f?/-P '4 •a
NEAREST � r
CITY Temple Ci No FO 8-?475 CRDBB ST. //a
ARCHITECT OR TEL. ZONE PLANSFIRE NO.or TYPE GROUP��'
ENGINEER -� NO. •h
BLDG. ORD.NO.
ADDRESSSETBACK LINE .� f �� y`1
APPROVED
TE
CONTRACTOR B-H Const. Ct NO~ EL 8-1257 BY BATE
USE APPROVED
ADDRESS 584 E. Meadecine St.y Altadem ZONE BY DATE
LEGAL -4-V rev CORRECTIONS
DESCRIPTION LOT NO. 5 BLOCK B
TRACT 10898 - Bk 189 page s 42&45 of]laps _ 11Cu%rf NO.OF BLDG �/
SIZE OF LOT 811 X 827 I NOW ON LOTS 5 +[C �1-Q 1 (01
USE or NO.orNo.or
EXISTING SLDGAGS & Gat FAMIL to 1 ROOMS 6 ..
DESCRIPTION O
NEW X ALTERATION ADDITION O
B
REPAIR MOVING DEMOLISH D
9 ZE 770 RD MB 4 STORIES 1
COVERING Stucco I COVERING oar Comp Shing
BUSE or NEW
UILDING Single-family dwelling f
i
` Y./
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS �.
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT INSPECTOR' DAVE'
FOUNDATION"LOCATION
• h. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS
+, AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME:FIRE STOPS.
SIGNATURE OF �q BRACING.BOLTS
PERMITTEE If '3t i _ �r
tip _ LATH. INT. D rJ
,�F Oi� �.r� �fdAt r
`r AUTHORIZED AOT LATH. EXT.' r
76A63BA-3 a-so• P. y. PLASTER.INT. /� •O ( �,Jd '
FEES STER.EXT.
,VALUATION. r FINAL
FEE