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IA689,.CE#aOs.-- APPLICATION FOR- BUILDING PERMIT 1
BUILDING AND SAFETY DIVISION BUILDING +.,
Department of County Engine! ADDRESS C7
County of Los Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS ST
DISTRICT NO. GROUP ]TYPE SEWER MAP
FOR APPLICANT TO FILL IN ` CONSTBUILD .1y I P
EI
NG
ADDS3 P �. �6LL/7►� U6 STATISTICAL Cr SSIFICATION I
LOT NO. BLOCK CLASS.NO. DWELL. UNITS
�_. STATE YES NO
NU BER -40 HWY
TRACT ' 102O USE ZONE SPECIAL
NO.OF BLDGS. ` /4—/ - ONDITIONS
SIZE.OF LOT 77.9 16 I NOW ON LOT
USE OF �{/�Q' r G --��aa
EXISTING BLDG.SI�XLL RAMI LZ �Frs BUILDINGEXIST.
SETBACK YARD HWY J STf�REET NAME WIDTH
OWNER. 4 FRONT L.'
MAIL ���/ Ar- ���gK,' A 14 SIDE
ADDRESS iV ��T P. L. -
•
CITY ` TEL INSPECTION CORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS �{M
CONTRACTOR n1`� NO.V7'
ADDRESS O O �G
DESCRIPTION OF WORK '
NEW !-IDD ALTER REPAIR DEMOLISH
SQ. FT. 78y NO.OF ) NO.OF `
Sal �/ STORIES ( FAMILIES
USE OF STRUCTUREen'qt
P� APPROVALS'
SIGNATURE OF
APPLICANT 2, DATE INSPECTORS SIGNATURE
ADDRESS FOUNDATION:.LOCATION t
FORMS. MATERIALS. �� �'J �/.e.__ /•�I.bts /
FEE $y� �Sr FBRACING.BOLTTSFIRE S. Q- J ili IGlit�i ./
LOCA
FEE ,� FG S VENT. DUCTSNTIO � '
VALUATION $
I HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS AP- LATH. INT.
PLICATION AND"STATE THAT THE ABOVE IS CORRECT AND /
AGREE TO COMPLY WITH ALL,'COUNTY ORDINANCES AND LATH. EXT, 16r/�-Irl
STATE LAWS REGULATING•BUILDING ONS UCTION.
H
SIGNATURE OF OUSE NUMBER COR-
PERMITT E RECT AND POSTED � 6'I��j! .•/A'//04
^- `�-'�&�t�✓.
ADORES INAL 1/ '/ ! //// 4j�+s'"
OHN A.LA IE.COUNTY ENGINEE CLYDE Ni DIRLAM.PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK M.O. CASH PERKIT VALIDATION CK. M.O. CASH
_Co�0.91D; SEP 10 16 1 1 .75 e a ' _
2 0,.9 2-1 SEP 10 s 2 3:5 0 M
5A69SA;CE#803-10-SB APPLICATION FOR B U I L®INC PERMIT
:1
BUILDING AND SAFETY DIVISION ADDRESS
/J
Department of County Engineer ADOREss <® q
County of Los Angeles LOCALITY 4
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST.
DISTRICT NO. I GROUP jTypE ISEWER HMAPPG
FOR APPLICANT TO FILL IN K ,®
CONST.
BUILDING // /►/ /f/�Gl f
ADDRESS i`l/ �Y �/Gliv STATISTICAL CLASSIFICATION
CLASS.N C�j DWEEL®L.UNITS
LOT NO. BLOCK STATE
MAPTRACT d 2 NUMBER e>"��3 ` HWY YES NO 1
U E ZONE SPECIAL
vy y NO.OF BLDGS. —CONDITIONS
SIZE OF LOT ///I I NOW ON LOT
'USE OF ` r f� `�f �c
EXISTING BLDG. 51Md;L� /'�/YI r`�l ��J BUILDING YARD I HWY STREET NAME EXIST.
SETBACK WIDTH
OWNERL�LMAIL �,/!//®/7`- p-,5 �Jy FRONT ) y / •�
ADDRESS.14& /��/L�Gp`p}�/ SIDE
CTELIe�2--fi C/ ZY NO.GT! OV73� P.L.
ARCHITECT OR TEL, gg INSPECTION RECORD .,
ENGINEER NO. IJr'i���r ✓�v�"'y��'� �.� �r4.
ADDRESS
TEL
CONTRACTOR S `
ADDRESSIC C GD Z PS
DESCRIPTION OF WOR$
4/
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO.OF
SIZE ®® STORIES FAMILIES
USE OF STRUCTURE
Q• `� APPROVALS
SIGNATURE OF
APPLICANT,
PPLICAN DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION:LOCATION
FORMS. MATERIALS Y r.
$ FRAME: FIRE STOPS. / �%Q r G 1rv �
167-400 — FEE BRACING.BOLTS
FURNACE: LOCATION.
VALUATION $ GAS VENT. DUCTS
FEE 97 ,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. '^r
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND J / / !
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. r�!�S 9 /0 V,
STATE. LAWS RE LATING BUILDING N UCTION.
SIGNATURE OF HOUSE NUMBER COR- y
PERMITT RECT AND POSTED •/�ry/ / / Gf�VI red l✓4r
ADDRES '� r FINAL
OHN A.LA IE.COUNTY ENGINE CLYDE N. DIRLAM.PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
( ? 0..9 5s SEP 10 . '1 8.50
SA888A CE*809.10.38 APPLICATION FdR B U I.L®I N G-. PERMIT
1
BUILDING AND SAFETY DIVISION BUILDING .
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY LCJL• .
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS ST.
DISTRI T GROOP TYPE SEWER MAP
FOR APPLICANT TO FILL IN I BK PG CONST. 'I
BUILDING
ADDRESS 6 W&,kA.0g�/Q, ASTATISTICAL CLASSIFICATION
LOT NO. BLOCK - CLASS. NO. DWELL. UNITS I
MAP . STATE YES NO
NUMBER HWY
TRACT 0 USE Z NE SPECIAL
NO.OF BLDGS. / CONDITIONS
SIZE OF LOT 7 X „(r 7 I NOW ON LOT f®nom
USE OF
EXISTING BLDG. /¢IC /f Cs~ ILDINGYARD Hwy
STREET NAME EXIST.
ETBACK WIDTH '
OWNER - FRONT
MAIL 1P. L. `
-ADDRESS S a A( SIDE
CITY T�/rI PACE a/r}' NO.TELrP 8'-(o f k P. L. .
- INSPECTION RECORD -
ARCHITECT OR TEL.
ENGINEER NO. I
ADDRESS
TEL
CONTRACTOR NO.
i
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH ' �}� 1 Y `
SQ.FT. NO. OF N F
SIZE UCTURE STORIES FAMILIES
USE OF ST
7\ P• a
AKIII
APPROVALS. V PT P
SIGNATURE OF
APPLICANT n�-" ,�, DATE INSPECTOR`S SIGNATURE
ADDRESS S6// 74• wt�►+4 `J r.—. FOUNDATION:LOCATION
FORMS..MATERIALS
5 P,C. g FRAME: FIRE STOPS..
FEE BRACING.BOLTS
VALUATION $ ` FURNACE: LOCATION.
FEE GAS VENT. DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT.
STATE LAWS REGUL6TING BUILDING CONSTRUCTION.
SIGNATURE OF ;�+Ur HOUSE NUMBER.COR-
PERMITT$E RECT AND POSTED f !�
ADDRES �f// *ie,4�44v FINAL
OHN A.LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAIA.PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK. N.C. casx PERMIT VALIDATION cK. N.D. CASH
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2.2 4.3-E, SEP 12 1 1.00 �