HomeMy Public PortalAbout5450 SARA MAR LN_Building__ V'r�Boo lAly 16nel
�!• APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS J Cl
BUILDING '• Sa � ZAplLo LOCALITY
ADDRESS
CITY / ( NEAREST
ZIP �7�� CROSS Si
O OF BLDGS / ASSESSOR
SIZE OF LOT S, NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE $SED BY
RACE • L L N� Q CON
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OWNER 14�L( AGL�J NO 2-J'6 71/71/ O `3
ADDRESS 5'TS� S/q 2A � / 4^A 1-1
ST CLAS CALC`�LA IFIf2ON ER MAP
P-+Y CLASS N(3►R DWELL UNITS BK
CITY /Zi /p (' ZIP 9 7�0
ENGINEER ITECTOR Sc NO TEL
VALUATION $ 3O D
ADDRESS LOG SETBACK FROM
�/7TEL FRONT PROP LINE OF ISTREETI
CONTRACTOR SGOT NO Y'P
TOTAL SETBACK FROM TEOF EXISTING
LIC HIGHWAY + YARD FRONT PROP LINE HIG Y WIDTH
ADDRESS NO �A
LIC + aC
CITY CLASS
CONSTRUCTION LENDER BLDG SETBACK FROM
TREED
NAME AND BRANCH SGL SIDE PROP LINE OF lSSTING
HIGHWAY + YARD TOTALSETBACKLINE
TVPEOF EXISTING -0
ADDRESS CITY SIDE PROP LINE HIGH WAV WIDTH O
SO FT NO OF NO OF CHECK + - u
SIZE 000
STORIESFAMILIES ONE OI
DESCRIPTION OF WORK RTI D 4o NEW PC Fee S Perm It Fee r
G /,S /^' Sf/N uiC ADD Issuance Fee 1d
<4j 6.41 p4p,.) ALTER-iroa
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d REPAIR El Total Fee
USE OF fl DE
ElEXISTING BLDG CS/-�eti CN_ 2
APPLICANT ^ 18'G7Y)V G
IPRIN (0/4 L/J' MF{6�o NO QQ
BY ISIGNATURV [,r• \ ` X • `
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE yY
THAT THE ABOVE ISICORRECT AND AGREE TO COMPLY WITH ALL ORDINANCE n U
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE S
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIC ATION OF V
THE LABOR CODE OF THE STATE OF UUFOR141A IN REiATING TO WORKMEN S COM 247 7 5 A
PENSATION INSURANCE -1 I
SIGNATURE OF /�/�
PERMITTEE .�'9f� . , - 2 • • 6 1 0 0
ADDRESS _
CITU No ` • • • 6 csi
L_ ✓� > 0606-79 ,
L1CF�ZONE MAP _ .AL L
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t/EF/ NO •_
CONDITIONS
FINAL BY
DATE Ir'1 •�( —�1' Imo',-��/
T.A.uAOEM••'APPLICATION FO-R BUILDING PERMIT Z
DIVISION OF BUILDING AND SAFETY BUILDING N
ADDRESS
Dlpas�wt of CoanfY EIIg1IIRor
CDDIIty of Los AIIBaLRE LOCALrTT
WM J FOX COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN,SUP T OF BU CB
FOR APPLICANT TO FILL IN DISTRICT GROUP ICONOT TYPE a BK MAI.
BUILDING
ADO.BBB NUMB ER Ob STATE
LOT NO 25; BLOCK use ZONE SPECIAL
IF '/�/_ CONDITIONS
TRACT
NO OF SLOGS BUILDING EXIST
SIZE OF LOT NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
UBS OF FRONT -z-o"1 IN BLDG P L
OWNCR SIDE
MAILADDRESS /� O TRACT DWELL 1 UNIT
3 INDUSTRIAL
TEL DWELL 1UNIT
CITY NO 6 PUBLIC BLDG
ARCHITECT O TSL 2
DUPLEX 1 UNIT 7 ADDN ALT ETC
ENGINEER NO APT __UNITS
8 MIBCEL
A D ESS 4 COMMERCIAL
CONCONTRACTORN
THL INSPECTION RECORD
O
ADDRESS to1 2n4 S Y __
DESCRTION OF WOES oti o "rA S
D?
NEW ADD ALTER REPAIR DEMOLISH 7 I 'O n 1
NO OF
BZE STOGIE FAMILIES
USE OF 6TIIp7URE r
tv
SIGNATURE OF r APPROVALS
APPLICANTder
ADDRESS 41 GaH-O, �---p,&,TE INSP CTOR 9SIGNArURE
—CATS :Ig
C B SO FFORMST MATERIALS 101 SS a...
20`= FEE FRAME FIRE STOPS. ♦ 1
VALUATION V B 0 BRACING BOLTS Ce CC
FURNACE LOCATION
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS G/18 VENT DUCTS I
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT L1 21 t
AND STATE LAWS REGULATING BUILDING CONSTRUCT
TION LATH EXT A �•
SIOER COR-
PIZRMIRTTHS HOUSE
AND BPOSTED 9 S(P
ADDRESS cl FINAL
WM.J FOX,COUNTY ENGINKM VALIDATION C. N.DIRLAM.CHIEF BLDG. INEPEcroR
Co9 1,0 6 OCT 18 1 6 _ 1 10 0 e._.'ro9 1 6 01S OCT 19 1 2-200
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