HomeMy Public PortalAbout8719 WENDON ST_Building__ 'BA638A �EilSDB B_ea APPLICATION FOR BUILDINGPERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. ROUP TYPE O ESSED BY
FOR APPLICANT TO FILL IN coNsr.
BUILDINGSTATISTICAL CL ICATION WER MAP
ADDRESS CLASS. NO. DWELL.UNITS T^ K 41G
-
LOT NO. BLOCK WATER NOT REQUIRED � RECEIVED
C -
ERTIFICATE:
TRACT107 NO. ICER
HIHWA fl
NO.OF BLDGS. LEI STATE MAJOR SECOND, OCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. i
J I. TEL
OWNER L j NO.. BUILDING EXIST.
E
SETBACK YARD HWY STRENAME WIDTH
ADDRESS '�, • FRONT rj
ARCHITECT OR TEL. P. L. V
ENGINEER NO. SIDE `
P. L•.
ADDRESS ` r
TEL. �` �^ O
CONTRACTOR NO. V
ADDRESS o
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH H
SQ.FT. r NO.OF NO.OF z
SIZE �jp' STORIES FAMILIES
USE OF ))
STRUCTUREI-ati
SIGNATURE OF
APPLICANT
VALUATION $
APPROVALS DATE INSPECTOR'S S19NATUR
P.C. PMT. FOUNDATION: LOCATION f, /y W � /.� -I
FEE $ FEE $ FORMS; MATERIALS f ar yr(/!
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. '
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING .GAS VENT. DUCTS f
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH.EXT.
SIGNATURE HOUSE NUMBER COR-' '
PERMITTEE' RECT AND POSTED
ADDRESSFla - FINAL
JOHN F. LEWIS. PRINCIPAL URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH
Lhbo 7 0 3 2:' of c 21 . ? n 6.00-
APPLICATION FOR
BUILDING PERMIT
FOR APPLICANT TO FILL IN ADIDRESS
BUILDING ,-
ADDRESS P L» .. !C�r'' Q LOCALITY
NEAREST
CITY "' s +C 1,. ZIP CROSS ST,
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PROCESSED BY
TRACT - BLOCK LOT NO, CONST. ZONE
TEL. F
OWNER �" •� - t \ rs,� +;1 NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS '`" d I 1!_-'C. CLASS NO. DWELL,UNITS BK PG
CITY11 Cs '� i= L ZIP USE ZONE MAP
ARCHITECT'OR TEL NO.
ENGINEER NO. SPECIAL
CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑
TEL .
CONTRACTOR i t;moi ". _.` - NO w ' ° 3 I BLDG,SETBACK FROM
LIC FRONT PROP.LINE Of )STREET)
ADDRESS ^'>t NO. HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP.LINE HIGHWAY WIDTH
CITY `,✓ + CLASS
CONSTRUCTION LENDER + -
NAME AND BRANCH BLDG.SETBACK FROM
ADDRESS CITY SIDE PROP.LINE OF (STREET)
SQ.FT3-�y -°j NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
SIZE .•s5 / STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH
DESCRIPTION OF WORK NEW ❑
-�-""i'%.•'ili.'1 SCP j,4 -� ADD n CORNER CUTOFF YES ❑ NO ❑
' � ;
ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
REPAIR ❑
USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. t,; DEMOL ❑
APPLICANT w TEL a
(PRINT) l f X ,� � 1-! `' NO? .4 'T`f O
U
.w✓ w
BY(SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES <
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE 0
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-
PENSATION INSURANCE.
SIGNATUREOF ! rr ✓' FINAL BY r
PERMITTEE r� fI DATE
ADDRESS y Sp
- �� TEL.Y P.C. Fee$ Permit Fee
CITY NO. �
Q Issuance Fee
VALUATION.p
Total Fee
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
:P)5 76A638B CE N803B 8/77