HomeMy Public PortalAbout5518 WELLAND AVE_Building__ CE p803(REV:4.1/78) '
APPLICATION FOR BUIL ING PERM I-
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADI
ADDRESS DRESS rs
BUILDING SSS 1,' 'L.L ,0 1 LOCALITY /r`
/ /JNEAREST 4"feLz�
CITY G (�f ZIP r O CROSS ST.
1 / NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE• PARCEL
DISTRICT GROUP TYPE FIRE PRO ED BY
TRACT BLOCK LOT NO.. y CONS/T./ ZONE
OWNER J �D NO3�c "(J� ��0 �'v� L/
`/ STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS / � ��fN
Gd [� CLASS NO.�DWELL.UNITS BK// G
CITY I'r Ls ZIP Q
ARCHITECT OR TEL. VALUATION $ j�QO
ENGINEER NO. `
ADDRESS 12141445 A S /9,90 V147 BLDG.SETBACK FROM �1
TEL. FRONT PROP.LINE OF !STREET)
CONTRACTOR NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XISTING .
LIC. FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS MGI As NO. �j
LIC. C/ + p _ a
CITY CLASS
CONSTRUCTION LENDER _ BLDG.SETBACK FROM
NAME AND BRANCH NOM5
SIDE PROP.LINE OF (STREET)
�
HIGHWAY + YARD = TOTAL SETBACK FROM I TYPE OF EXISTING �.
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH- r O
V
SO.FT. NO.OF r NO.OF CHECK +' -
SIZE STORIES 'FAMILIES ONE 0
USE ZONE MAP o
DESCRIPTION OF WORK NEW ❑ NO.SPECIAL
lJ �j
ADD CONDITIONS
ALTER ❑ FINAL 4 BY z
REPAIR ,❑ DATE �.J ��O
USE OF DEMOL
EXISTING BLDG. ❑ !Z
APPLICANT TEL 0
(PRINT) /i/J�/ K X00 NO. sii"Q G
BY)SIGNATURE).
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ICATION AND STATE Y
THAT THE.ABOVE-IS CORRECT,AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING.CONSTRUCTION.I CERTIFY THAT IN DOING THEf=J '9 3.7,7 A
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,. .. 2
PENSATION INSURANCE.' gf 0 0 0 0 0
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SIGNATURE OFZ
2 o o 3 k 0 0
PERMITTEE
GG 0 0 03&! 0G�
ADDRESS �5/ Z
� r- / . C 0�. 1 7-80
CITY Z ���
NO. JC�CI C
P.C.Fee$ Permit Fee >
Issuance Fee o�c
- W
6
Total Fee. -
76A638A CE 0803%71
` r ' � ` APPLICATION FOR. BUILDING PERM17
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING y
ADDRESS <JL�
COLEMAN W. JENKINS, SuP•T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST CD `
Print ort a onl CROSS ST.. 14_40
BUILDING DISTRJ,CT XO�' GRO TYPE
ADDRESS$ . 1- F � N
. - J CONST.`"
LOT NO. BLOCK
STATISTICAL CLA SIFI IATION 1/ SEWER MAP
2Z.- � .. � CLASS NO. � DWELL.UNITS BK PG ,
TRACT b USE ZONE MAP �7 �y
NO.OF BLDGS. NO. p\QJ� 0.
SIZE OF LOT 70' q0 NOW ON LOT SPECIAL
USE OF CON DI T_IONS
EXISTING BLDG. U, E
TEL.
OWNER NO. - BLDG.SETBACK FROM
ADDRESS �S' y FRONT PROP,LINE OF --(STREET)
� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY 7— HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. +
ENGINEER NO. BLDG.SETBACK FRO
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGH + YARD = TOTAL CL
CONTRACTOR "^ NO.
HIGHWAY WIDTH FROM C.L. _ C
LIC. + = C
ADDRESS NO.
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NOCONSTRUCT ❑ L+
NAME AND BRANCH CHON NDER` P� SEE REVERSE SIDE FOR SPECIAL APPROVALS z
A- ,
Q
ADDRESS
NO OF NA OF ❑ `
SIZE ZCJ STORIES FAMILIES NEW
USE OF ADD l��4�
STRUCTURE r-- I -
LTER
REPAIR[]
SIGNATURE OF
APPLICANT L ❑
VALUATIONS APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. �- FOUNDATION;. LOCATION
FEE S FEE$ /� 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 COMPENSATION INSURANCE. LATH, EXT, A
SIGNATURE OFA• HOUSE.NUMBER COR-
PERMITTEE ��t��—� RECT AND POSTED
ADDRESS'S 1 • C'A C j-0 FINAL
7
JOHN F. LEWIS. PRINCIPAL STRU URAL ENGINEER
PLAN'CHECK VALIDATION 11. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
LACO 5 6. R 6.N APR 2 6 1,7 5NCIO
DIVISION OF SUILDIIG AND SAFETY _
apartment.-of County Engineer - - �- .1 L 1 -
County of Los Angeles '
J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING a l li l/.Tp? ���� 0 DISTRICT NO. PLAN .� REO.NO.' ^OPER oNO.
ADDRESS
LOCALITY RECEIVED BY DATE OF APPL. ". ATE ISSUED
NEAREST /h �J 2- ` �— 5 -- -
CROBB 8T. BUILDING
ADDRESS S SI YJL��Q w� p
OWNER .s:;�eyes%{
MAIL ,_ / LOCALITY
ADDRESS .SS 2 0 h/en..(,gwb NEAREST 1
CROSS ST.
CITY /1'Ir/�.�.t�. (_/�"Y NO. FIRE NO.OF TYPEGROUP
ZONE I PLANS
ARCHITECT OR TEL
ENGINEER �•.-� NO. p
_ NO.
SETBACK LINE /r
ADDRESS /'' USE APPROVED
CONTRADTOR�e ,-'j 71 _ LONXJA- N&OW :3 ZONE, BY DATE
_ .r� HOUSE NUMBERING
-
?
NO. ASSIGNED BYADDRESS Sa
LEGAL db
CO/RRECTI S
_DEBORIPTION LOT NO. 7 BLOCK L'� 1 h Z
TRACT �e7 PAS- s I / �/ 6E -�� (O �✓
NO. DF BLDMIL
SIZE OF LOT fj/a XQ n I NOW ON LOT Z-7x-7"-3/ s�Pa/41u5rD 0��-71 , O 1��.1/C1 I
USOOF -C�, Y l_ �� J
EXISTING BLDG. C SffiCE FAMILIES
723 r
49A 0
DESCRIPTION OF WORK F; -
NEW ALTERATION ADDITION 3 Oryrver/2 Ga-Ittrp F-/yAivs �-G7/o, z
n r
REPAIR 1--DEMOLITION \
S ZE k'a 0 NO,OF
RO MB .� STORIES f !! /dL .wr.'�'�•o
d h!
EXT.WALL WDOf
COVERINGA, OOVER'ING,
USE OF STRUCTURE
INSPECTION FOR APPROVAI'S
OCCUPANCYAS INSPECTOROSSIGNATURE DATE,
FOUNDATION:LOCATION—
FORMS, MATERIALS �� ,��" _•_.e__. %a1�.+
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- i
PLICATION AND STATE THAT THE INFORMATION GIVEN 19 FRAME: FIRE 9TDp8'' - 3
CORRECT. BRACING,BOLTS V
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING G..y�hCO_NS/T/R_UCTION. GAS VENT,DUCTS
SIGNATURE OF LATH, INT.
PERMITTEE /
/' •''�� ,
-a— r ,� LATH. EXT.
ADDRESS - .
AUTHORIZED AMT. —v 7'LASTER, INT.
PLASTER, EXT.
FEE �� 0 HOUSE NUMBER COR- �
RECT AND POSTED 6 c if
VALUATION 4
FEE h FINAL �F/ / 7 `
a�f J
76A638A D883 1-53