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570
76A638ACE#803,.,5 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT' OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GRUP TYPE
EW R MAP
FOR APPLICANT TO FILL IN �-� I CONST. K PGBUILDINGS
ADDRESS ) - `? STATISTICAL CLASSIFICATION I
LOT NO. BLOCK ijj
CLASS.NO. DWELL.UNITS
MAP STATE YES rN0
NUMBER ! HWY.
TRACT USEZONE SPECIAL
NO.OF BLDGS. } CONDITIONS
SIZE OF LOT ` !" 1 I NOW ON LOT r 1
USE OF
EXISTING BLDG. } '' ` BUILDINGEXIST.
SETBACK
7 Y4R'd HWY STREET NAME WIDTH
OWNER FRONT
MAIL 7 P.L.
ADDRESS } �` e SIDE
TEL. , P.L.
CITY `"` 4 No. " INSPECTION RECORD
Li
ARCHITECTOR TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR r �- '� , NO.
ADDRESS
DESCRIPTION OF WORK 7-
�EW ADD ALTER REPAIR DEMOLISH
NO.OF NO.OF
SIZE ^'� STORIES FAMILIES
USE OF S RUG"fURE
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS
$ P.C. t _ FRAME: FIRE STOPS. / /a
.% FEE BRACING.BOLTS 2 !/
VALUATION S FURNACE: LOCATION.
FEE GAS VENT,DUCTS
I 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
STATE LAWS REGULATING BUILDI G CONSTRUCTION. LATH,EXT. Z' -
SIGNAXUREOF7� a HOUSE NUMBER COR-
PERN17fiEF- �G � '�f d`'� � RECT AND POSTED
ADDRESS FINAL gWl1 d'--f` ft
CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL ENCyINE"
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. EASH
COUNTi
DIVISION OF HZ�Ja.D MO SAFETYB U I LD I N G
3� 'f COUNTY OF LOS ANGELS
WILLIAM J. FOX. COUNTY ENGINEER• �" APPLICATION
CASSATT D. GRIFFIN, SUPT OR BUILDING
�'] FOR APPLICANT TO FU IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PUN CK.OR Rbc.No. PERMIT NO.
ADDRESS + .tr'�v i o 4460671 4EI ?>34
LOCALITY x 1'��. �,(. (. `; RECEI D BY DATE OF AP L. DATE ISSUED
NEAREST1 / 2
CROSS ST -a"_ s' /_'�I��'r BUILDING
OWNER t9l 1 f ADDRESS Wespau Ave
MAIL LOCALITY
ADDRESS NEAREST
IV CITY ,�� .0pL• CROSS ST. �.
OR
ARCHITECT TSL. FIRE NO. OF TYPE GROUP
ENGINES O ZONE PLANS I I z
BLDG. OR O.
ADDRESS SETBACK LINE
B TEL
! USE APPROVED
CONTRACTOR ) n.eP e n ZONE 13Y ATE
I /I ` HOUSE NUM13ERINF t
ADDRESS �� � 'f' I n
LEGAL l MAP NUMBER-2.�y NO. ASSIGNED BY 7
vla
DESCRIPTION NO. BLOCK
CORRECTIONS
TRACT
NO.OF BLDGS.
SIZE OF LOT 14 NOW ON LOT
USE OF RAMNO.IL OF /� m
EXISTING BLDG. WHO V-Lrl)S�
DF„SCAi MON OF WORKo
NEW ALTERATION �P -
�,� {�C� 12;
REPAIR I DEMOLITION 1_.&ODITION 11
I ' ?4` �g-� Ate ' a
r
Q.
FT. NO.OF Y A.
6IZE ROOMS 15 STORIESEXT.WALL ROOF
,,
COVER NG .,eCOVERING�l� + ✓� (' S d �G`'/ C f�h� �/'
USE OF STRUCTURE
61 IVIRE 7d4A#/ J Z P
/t��//✓.s'P.N I'��r7'�..
f _ (Hi.•J I1:y._.APPROYALS.�,_. AloT JCIA10M
INSPECTOR.'S SIGNATURE DATE
FOUNDATION:LOCATION
FORMS. MATERIALS J �f
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS.
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING. BOLTS
CORRECT.
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCE6 FURNACE: LOCATION.
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT. DUCTS
91GNATUREPOF Ca f® jj�_ 1 -7
-"-� 1-ATH, INT. ',, is /
PERMITTE
ADDRESS '�/ r�/ J
I�Q1 , �j /� LATH. EXT.
PLASTER. INT.
AUTHORIZED AGT.
PLASTER, EXT.
FEE' E OO HOUSE NUMBER COR-
^� RECT AND POSTED A +
VALUATIONFEE FINAL / ! / `� �
® I/ 9�1 l/ 9;k
7"w"-DBS 8 8-88
r /, ,
76A69B. JE#603 9-68 /
APPLICATION FOR BUILDING RMIT
i COUNTY OF LOS ANGELES BUILDING
A✓F�O
w DEPARTMENT OF COUNTY ENGINEER ADDRESS V6*0 0
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. A.0 !I( W A
FOR APPLICANT TO FILL IN DISTRICT GROUP TYPE PROCESSED BY
(Print or type only) CONST.
BUILDING _ STATISTICAL CLASSIFICATION' SE R MAP
ADDRESS tri/ '. ki O R✓Iz CLASS NO. k DWELL.UNITS BW PC
LOT NO. BLOCK USE ZONE NO. r O 3
TRACTSPECIAL
r Q NO.OF BLDGS. 1CONDITIONS
SIZE OF LOT C NOW ON LOT
USE OF
EXISTING BLDG. 6og 4`46 it BLDG.SETBACK FROMFRONT NO. ' w'
TEL. T PE OF EX STINGIN SETBACK HIGHWAY + YARD —161VISTTOTALI
REET
OWNERA , S �� L /' Z /��(y�
ADDRESS g &,00V /7 VC HIGHWAY WIDTH FROM C.L.
/Z�I�tiJe C r 7 e—C.4— .6o no
CITY �O + = S^d
BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER 7I[0 ��- NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL'
ADDRESS
HIGHWAY WIDTH FROM C.L.
TEL. + F
CONTRACTOR 401 ry/� NO. � c
C
ADDRESS NO.• CORNER CUTOFF YES ❑ NO C
LIC, t
CITY CLASS SEE REVERSE SIDE FOR'SPECIAL APP AL i
CONSTRUCTION LENDER Cc
NAME AND BRANCH ,f (�` e'WTI
Cs ;
ADDRESS
SQ. FT. G NO. OF NO. OF NEW ❑
SIZE S5,VI a STORIES FAMILIES (
USE OF ADD
STRUCTURE If 11
ALTER ❑
SIGNATURE OF REPAIR[]
l
APPLICANT DEMOL ❑
VALUATION S A/P ROVALS DATE INSP TOR'S 515MATURE
FC.EE S FEES /�� rOFORMS,IMATERIIA SION
FRAME: FIRE STOPS, rs�!
1 HEREBY ACKNOWLEDGE THAT 1 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. 1 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.
SIGNATURE
PERMITTEE OF /lr HOUSE NUMBER
COR-
RECT AND POSTED
ADDRESS
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.C. CASH _ PERM VALIDATION CK. M.O. SH
L 4��$ 2 s% FEa14 1 D 1 2.0 0~ U
.A686A04soo-5.60 APPLICATION FOR BUIL® lilG PERIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGMM ADDRESS
BUILDING AND SAFETY-DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO GR 'P TYPE D B
FOR APPLICANT TO FILL IN Q I CONST..1f I p�
BUILDING STATISTICAL C SSIFICATION SEWERMAP
ADDRESS // it /v
- CLASS.NO. DWELL.UNITS
LOT NO. BLOCK MAP STATE YES O.
NUMBER CR HWY.
TRACT ZfOe,?A USEZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT O r NOW ON LOT
USE OF
EXISTING BLDG. BUILD NG YARD HWY STREET NAME. EXIST.
''//�i(O J TEL. SETBACK WIDTH
/P/V
OWNER i�II NO. FRONT O / /
ADDRESS 9749/ i✓�i1//]�iV SIDE
ARCHITECT OR TEL. P.L:
ENGINEER NO. INSPECTION RECORD
ADDRESS
CONTRACTOR Ogwex,677,9
/J0.
_ �,
ADDRESS,IlS '��!/L�/P.G�/ j/� �l/! + 0
O
DESCRIPTION OF WORK W
h
NEW LTE REPAIR DEMOLISH Z
SQ.FT. NO.OFNO.OF
SIZE ADO STORIES FAMILIES
USE OF Q
STRUCTURE /.GHQ
GNATURE OF yj
APPLICANT ✓✓
VALUATION$ a�
Q�� APPROVALS DATE INSPECTOR'S SIGNATURE
P C PMT. ,d.11 FOUNDATION:LOCATIONy/6�I q
FEE $ I FEE $ r (/ v ;FORMS..MATERIALS
FRAME:FIRE STOPS, _ ✓ 7n G� �
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT)ON BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE
-OF THE WORK FOR WHICH THIS PERMIT IS ISSUED 1 SHALL NOT LATH,.IN7. R1 ft.
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT yrvy�yrn,v-.
TO THE,WORKMEN'S COMPENSATION LAWS OF CALIFORNIA.. [„ATH,EXT.
SIGNATURE OF HOUSE NUMBER COR- '
PERMITTE D
RECT ANPOSTED
ADDRESS— / 'Y R FINAL
CLYDE N. DIRLAM, PRINCIPAL STRYeTYRAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH . PERMIT VALIDATION ,cK M.o. CABs
LACo 3 5 0 71 MAR �', 1 D �.� lip
76A638A CE#803 5-65 APPLICATION FOR BUILDING PERMIT / u
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY `
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSAUP'T,OF BUILDING CROSS ST.
DIST CT NO. G OUP TYPE. PROCEasEn.By
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL.CL SIFI ATION• SEWE MA'P
ADDRESS CLASS NO: DWELL UNITS BK PG
LOT NO. BLOCK USE ZONE MAP
NO. . ge
TRACT �c/ SPECIAL
N0. OF BLDGS. CONDITIONS _
SIZE OF LOT NOW ON LOT
USE.OF
EXISTING BLDG BLDG. SETBACK FROM ,
EL. FRONT PROP. LINE OF (STREET)
O' TYPE OF EXISTING SETBACK HIGHWAY + YARD' = TOTAL
ADDRESS HIGHWAY WIDTH 'FROM C.L.
CITY BLDG.t9TBACK FROM
ARCHITECT O TEL. SIDE PROP. LINE OF ,(STREET)
ENGINEER r TYPE OF EXISTING SETBACK HIGHWAY .i- YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TD +
C
C_n CORNER CUTOFF YES ❑ NO E] OU
A s -
CITY .0 ass ' SEE REVERSE SIDE FOR SPECIAL APPROVALS O"
DESCRIPTION OF WORK
CL
NEW ADD ALTER REPAIR DEMOLISHN
,gip•
SQ.FT. NO. OF NO. OP X y ?
SIZE STORIES FAMIL ES ��
USE OF
STRUCTURE
[iv. rrr4�sf- ,•-_!'ifs. .. °l`,t'le"`.��w. �- I� - lfi��lc(�.
�.
SIGNATURE OF r
APPLICANT
VALUATION$ —
APPROVALS DATE INSPE OR'SSIGNATURE
P.C. PMT. FOUNDATION, LOCATION r
FEE$ •�+ FEE$ FORMS, MATERIALS
- - FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACT NG BOLT
AND STATE THAT THE ABOVE IS CORRECTAND AGREE TO COMPLY FURNACE: LOCATION -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT.-IN-DOING THE WORK
AUTHORIZED HEREBY-I 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. ' 1 LATH. EXT.
SIGNATURE OFHOUSE NUMBER COR-•' � �+�t -
PERMITTEE P9,4.0elei AVW RECT AND POSTED
ADDRESS F I°N A L.
JOHN F..LEWIS, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION cK. .O. CASH _ PERMIT VALIDATION CK. M.0 CASH
l` 3 ,7 8 0'.. JUL 28 2 1 D 3..75^'
- Lt 373 7 8 ., Zzol JUL 2 8" 1 "D 1"5.0 0:-
a
WORKERS'COMPENSATION DECLARATION
y affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT cU%I1iiIi,1h-r,-b
r a certificate of Worr kers'Compensation Insurance,
$certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
dN licy No. Company BUILDING ci
^ i Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESSCertified copy copy is filed with the county building inspec- BUILDING�Q�� '� � �r��•
s tion department. ADDRESS
Date Applicant CITY-; ZIP /�;P�Q LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' ff,�, �}• NO OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT�i/X�y`� NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL. Q/�� USE ZONE MAP
I certify that in the performance of the work for which this �G�L/� NO. C1rP NO. >.
-permit is issued,I shall not employ a person in any m ner ,w,^�� 7�e. SPECIAL IL
so as to become subject to.the Wor rs'Compensati Laws. ADDRESS
��^� �1 �� CONDITIONS V
Dat�O Applica n � CITY /� ZIP j
ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PRO ES D BY O
NOTICE TO APPLICANT: If, afJ r making this Certificate o ENGINEER NO. CONST. ZONE {�j
Exemption, you should become subject to the Worke ' e tW
Compensation provisions of the Labor Code, you must fort ADDRESS 10 �l �
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION PT. CONDO. z
deemed revoked. CONTRACTOR NO.
LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC. 7
Professions Code, and my license is in full force and effect. CITY CLASS BK JkPGJ f VALIDATION
SQ. FT.. NO.OF J NO.OF CHECK
License Number Lic.Class SIZE O STORIES / FAMILIES / ONE
VALUATION
DESCRIPTION OF WORK NEW
Contractor Date $ Q Q V
ADD oil.❑ I am exempt under Sec. � CO�f �� ALTER El 08 7 0 p
B.BP.C. for this reason USE OF REPAIR E] $ # 0 0 0 0 0 1
I Date: EXISTING BLDG. DEMOL ❑ !' ° 2 2
Signature APPLICANT TEL. FINAL l/ Q
aoo
OWNER-BUILDER DECLARATION (PRINT) NO. DATE o 0 2 Z 8 O v
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
' 412-84
Professions Code): PRESENT BY
1
t ❑ BUILDING
I, as owner of the property, ormy employees with ADDRESS
wages as their sole compensation,will do the work and LOCALITY
the structure is not intended or offered for sale(Section
7044, Business and Professions Code). MOVING TEL.
t ❑ CONTRACTOR NO.
I,as owner of the property,am exclusively contracting
with licensed contractors to construct the project (Sec- EA
tion 7044, Business and Professions Code).
TOTAL SETBACK FROMCONSTRUCTION LENDING AGENCY YARD HWY PROP. LINEl hereby affirm that there is a construction lending agency for The performance of the work for which this permit is issued 3097, Civ. C.).Lender's Name �/r� ;� LDMA Ref. #
Permit Fee Lender's AddressI certify that I have read this application and state that the Issuance Fee J LDMA P/C#
above information is correct. I agree to comply with all County Fee
• ordinances and State laws relating to building construction, Total Fee LDMA Perm. #
J and hereby)vuthorize represe fatives of this County to enter
$ up//on the abb�o//v��AAe-men coned operty for inspection purposes.
` s l,G SEE REVERSE FOR EXPLANATORY LANGUAGE
10
Signature of Albplicant or Agent/ Date t