HomeMy Public PortalAbout9837 WENDON ST_Building__ ' APPLICATION FOR BUILDING PERMIT �.
FOR APPLICANT, TO FILL IN (Print or type only)
BUILDING rJ �' COUNTY,OF LOS ANGELES
ADDRESS Gt'"�s DEPARTMENT OF COUNTY ENGINEER
CITY• zip /-7 BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING p
SIZE OF LOST(� I NOW ON LOT. ADDRESS
TRACT I3k,6 BLOCK LOT NO. ' LOCALITY c,,,,,�
t TEL. �/�( NEAREST
OWNE G ` NO. 70` CROSS ST.
d� / ASSESSOR
ADDRESS / 41?'jn n 1� MAP BOOK PAGE PARCEL
/p / �� DISTRICT. GROUP TYPE FIRE SSED BY
CITY �l' 1 ZIP �-.� CONST. Z�E l
ARCHITECT OR TEL.
ENGINEER NO.
STATISTICAL CLASSIFICATION _ SEWER MAp
ADDRESS / CLASS NO.�_DWELL•UNITS BKy PG
TEL.
CONTRACTOR NO E ZONE MAP .
LIC.
ADDRESS p)O; o SPECIAL
CITY LIC.. Y CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM J.
C
FRONT PROP.LINE OF (STREET) C
ADDRESS'- CITY HIGHWAY .+ YARD TOTAL SETBACK FROM TYPE OF EXISTING C
SQ_FT. NO. OF NO. OF CHECK . FRONT PROP. LINE HIGHWAY WIDTH c
SIZE STORIES FAMILIES ONE C,
+ 5 Joe
DESCRIPTION OF WORK _ NEW C]
'—ADD
BLDG.SETBACK FROM
ADD SIDE PROP.LINE OF (STREET)
ALTER ❑ HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
REPAIR❑ SIDE PROP.+LINE HIGHWAY WIDTH
USE EXISTING BLDG. ,��-• DEMOL ❑` +
LVALUATION
(P RNpLf�'A�c; —y � CORNER CUTOFF YES ❑ NO ❑
OR
IN OPEN SPACE YES ❑ NO ❑
�/ IN COASTAL ZONE YES ❑ NO ❑
, 0,0-a� .
CATEGORICAL EXEMPTION YES❑ NO'❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
_AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT E)EMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING' CON-
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO ,,r
WORKMEN'S CO ENSATION INSU ANG / /�®/3J.SI?�� AVr^�//:7.� .t� IV
SIGNATURE•O ./ -1 //� /�
PERMITTEE of
ADDRESS I n`'L � .5�. !'/ 04r7—.1A1..Siooz,_f-/0A Pt
CITY NOL FINAL ]J/ / BYA,
7`7►O L DATE
MAKE_ CHECKS PAYABLE TU: P.C. PMT.
HARVEY T. BRANDT. COUNTY ENGINEER FEE I, FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT'VALIDATION r. M.O. CASH
:O :3 1a:FEB -:.5 1 .D 15.0;Q A-%
78A838A CE#803 7/73