HomeMy Public PortalAbout9558 WEDGEWOOD ST_Building__ 7GA638A ENSOS3-6 APPLICATION FOk.'BUILDI G PERIVII"'r'
COUNTY OF LOS ANGELES BUILDIN
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY.DIVISION L O C A L'I T r
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING "'CROSS ST.
DIST T N 6:. TYPE.'. : RO
FOR APPLICANT TO FILL IN R CONST..
BUILDING STATISTICAL SSIFICATION' SEWER P
ADDRESS CLASS NO. -DWELL UNITS BK RG �
LOT NO. BL K USE ZONE -
MAP
NO
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N01 CONDITIONS'
OW6F SLOGS.
SIZEOF LOT Y
ON LOT
USE OF
SLOG."SETBACK PROM
TEL. � .FRONT PROP.:LINE OF - (STREET)
OWNER +� •NO TYPE OFEXISTING. TRACK HIGHWAY + D TOTAL
ADDRE HIGH Y D FROM C.L.
CITY •
AaRCNITECT R T,EL. BLDG.
SEDC
ACI(FROM _
ENGINEER NO. SIDE PROOP. LINE OF STREET)
TYPE EXISTING ISETBACK HIGHWAY + . YARD = NeTIR7
ADDRESS IV HIGH WIDTH PROM C.L.
TEL.
CONTRACTOR NO -
LIC
ADDRESS NO CORNER.CUTOF)='+ YES O NO
C
c1rY . CIC SEE REVERSE SIDE FOR SPECIAL APPROVALS a
DESCRIPTION OF WORK c, r C
NEW 6 TER REPAIR DEMOLISH � , 11_
SQ.FT. O. OF NO. OF
SIZE [ I 3 1 Sa FAMILIES
USE OF
S,T,RUCTURE q
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SIGNATURE OF r'
APPLICANT
VALUATION$ Go0
_ .APPROVALS DATE , INSPECTO....... RE
P.C. PMT. FOUNDATION, LOCATION
FEE$ • .FEE•$ FORMS,MATERIALS
FRAME, FIRE STOPS,'
I HEREBY ACKNOWLEDGE THAT 1 HAVE'READ THIS APPLICATION BRACING.BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UIlDING CONSTRUCTION. 1 CE FY THAT; IN, DOI G THE WORK -
AUTHORIZED HERE '1 WI NOT MPLO NY PE N IN VIOLA- {LATH. INT. �.� t�c
TION OF THE LA COD OF T - TA F CAL. RNIA ELAT• _
IN6 TO WORKME 'S MP SATIO SU cE. - LATH. EXT. -xewt'
:.
SIGNATURE OF HOUSE NUMBER COR- °
PERMITTEE RE AND POSTED dna
ADDRESS -Fl NAL.- " + r
- JOHN�F..�L�E�WIS. PRINCIPAL STRUCTURAL ENGI
PLAN CHECK VALIDATION CK. M.O. CASH , PGiY�iAA WMATION CK. M.O CABN
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DEPARTMENT OF BUILDING AND SAFETY APPLICATION FORS PERMIT
COUNTY OF LOS ANGELES ®I
WM. J. FOXt CHIEF ENGINEER
NG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
/'` ih DISTRICT NO. PLAN CCK. NO. � �PPERMIT NO.
ADDRESS�J�+� V � U�� ! t3 /.JJ f4.�
c
RECEIVED BY DATE OF APPL. DATE ISSUED
LOCALITY W.- ( /�'�l/,f / y
i NEAREST �IV� � '.7
CROSS ST. BUILDING �+
OWNER �ry
h ADDRESS r> 4-A(F t�l/at)n
S MAIL \ LOCALITY =-/n-= fj P,L iv (-/T Y
I ADDRESS � 'NHAREST
CROSS ST. �� WF y t�
TEL.
CITY NO. NO. OF
ONE I PLANS I TYPE I GROUP
ARCHITE T OR TEL.
ENGINEER NO. BLDG. f
SETBACK.LI•NE'—= 0 !r
ADDRESS �'
R ABYP OVED
TEL c DATE 1
CONTRACTOR NO. p usAPPROVED �/ ,.f,/��I DATE aflj'�
ADDRESS / =�1 1 4 ZO E BY "C r +
C/L V l [ HOUSE NUMBERING �✓
LEGAL
DESCRIPTION I LOT I BLOCK M P NUMBER '2 nn .FIELD CHET BY
TRACT f )— O. ASSIGNED BY nATG
NO.OF LDGS. 1 CORRECTIONS
SIZE OF LOT , NOW ONBLOT
USE OF I NO. OF ,
EXISTING BLDG. FAMILIES
i.
D CRIPTION OF WORK
IL R�eJ a
NEW I yl ALTERATION I I ADDITION I
rs lO
–lAQ °a
REPAIR I I DEMOLITION I I I
anc a ay _ al
SPo
Q. FT. - NO. OF 12 a
SIZE ROOMS STORIES �00 Z
fit)/ion a
EXT. WALL / ROOF c • �� / 1'
= COVERING tj 0 COVERING el
USE OF STRUC URE `�f�
I�,
l� / ��G�'
2 '
ER e�o— A p APPROVALS?
INSPECTO "8 SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATIO
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS c-- 'e
CORRECT. n�"ieI'---
I AGREE TO COMPLY WITH THECORRECTIO LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY DINANCES D STATE BRACING, BOLTS ��'
LAWS REGULATING BUI NG C TRUCTIO FURNACE: LOCATI01
I SIGNATURE OF GAS VENT, DUCTS J /
PERMITTE _
LATH, INT.
ADDRESS.
LATH, EXT.
AUTHORIZED AGT. �
PLASTER, INT.
78A838A• DESS 10-60 $ P. C. $
FEE !Z'Zi�� PLASTER, EXT.
VALUATION / /) �r! $C/��� J�tLGa.c �" )�
FEE P-r �.- FINAL 8�C Cp Z•r/