HomeMy Public PortalAbout8700 WENDON ST_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY
ZIP BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING
SIZE OF LO OW ON LOT ADDRESS g ,OQ e°,, w£/U ,f_ '
s
TRACT + BLOCK LOT NO LOCALIT
L. NEAREST
OWNER NO. CROSS ST.
ASSESSOR
ADDRESS r MAP BOOK PAGE IPARCEL
DISTRICT GROUP TYPE FIRE PROC SSED BY
CITY �"! ZIP ��(^�)Q .s• CONST. ZONE
,
ARCHITECT OR TEL. `.J/ �O
ENGINEER NO.
STATISTICAL CLASSIFICATION// EWER AP
ADDRESS CLASS NO(�L DWELL.UNITS B Z,PG
CONTRACTOR TEL i U ZONE MAP RR
NO 7- NO. V D
LIC. .r7
ADDRESS/19:5TIV, NO. ! y I SPECIAL
/
LIC. //7�,, - CONDITIONS
CITY m CLASS /J-
ROAD DE/rRTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG• TBACK FROM
FRON PROP.LINE OF (STREET) G
ADDRESS CITY C
HIGHWA �• VARD TOTAL SETBACK FROM TYPE OF EXISTING C'
SQ, FT. NO. C NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH p
SIZE STORIES FAMILIES , ONE F
C'
DESCRIPTION OF WORK NEW ❑ C
ADD ❑ BLDG,SETBA v
.; SIDE PROP.LINE OF (STREET) a
ALTER HIGHWAY + YARD = TCrrAI SETBA K FROM OF 1EXISTING
REPAIR❑ SIDE PROP. LINE HIGH WIDTH
USE OF
EXISTING BLDG. + DEMOL ❑ +
APPLICA TEL
CORNER CUTOFF YES ❑ NO ❑
(PRINT) 7'
BY (SIGNATUR A IN OPEN SPACE YES ❑ NO ❑
Q IN COASTAL ZONE YES ❑ NO ❑
VALUATION$ r . (�O CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSULNC (..
SIGNATURE OF 0
PERMITTEE
ADDRESS ` r f� � N r, Ay
8 FINAL
TEL. DATE
CITY NO.
MAKE CHECKS PAYABLE: 70: FEE � FEE I'
HARVEY T. BRANDT, COUNTY ENGINEER /
PLAN CHECK VALIDATION CK M 0. CASH J PERMIT VALIDATION CK M O. CASH
J- 2 4 ti pG L1 1 0 1.7 5 :-
78A838A CE9803 12/72