HomeMy Public PortalAbout10932 WILDFLOWER RD_Building__ 76A638A CENS03 B-64 APPLICATION FOR BUILDING 16ERMIT
COUNTY OF LOS ANGELES ;BUILDING
ADDRESS D
DEPARTMENT OF COUNTY-ENGINEER
BUILDING AND SAFETY DMSION LOCALITY i
JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP-T.OF BUILDING CROSS ST. t
DISTR T O. G OUP TYPE.: P SSED BY
FOR APPLICANT TO FILL IN 'I �' CONST.
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AP
ADDRESS 10932- �• W��'O�LOWE1� �Y. STATISTICAL CLASSIFICATION SBKER MPG
CLASS. NO. .DWELL UNITS
LOT NO. 10 BLOCK USE ZONE MAP faf'a0�
�) NO. oliV
TRACT 3 (/yam .eECIAL
,r� NO. OF BLD09. v V CONDITIONS
SIZE OF LOT V x too NOW ON LOT pAol
USE OF
EXISTIG "ame BLDG. SETBACK FROM
TEL. �{�� FRONT PROP. LINE.OF ' ' (STREET)
OWNER RONALD O E NO. 444-6`zz TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS O (LLD L HIGHWAY D P OM C.L.
CITY IrM LE. GiT �" +
ARCHITECT OR TEL. BLDG. SETBACK FROM
ENGINEER d N C NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS ��1 HIGHWAY WIDTH FROM C.L. D.
TEL. + = 0
CONTRACTOR ��-� NO
ADDRESS °—� NO CORNER CUTOFF YES Ej NO Ej LIC 0
LIG ~
CITY ., 'SEE SEE REVERSE SIDE FOR SPECIAL APPROVALSCL
DESCRIPTION OF WORK : I� GU)
NEW ADD ALTER REPAIR DEMOLISH ` �� rt
Ifts
FT. ��rr NO. OF NO. OF �3f� �Xl T •0.- ZT-OIs56STORIES FAMILIES 1
U
SE OF
1 0 U 14 �� 68� l I.�C+. a T Ol uJQ-tU_`'r6
C t� & e L.)( rt4 M 2".. 3 .LIS s-�� oerr!n1�
SIGNATURE'O F -
NT
ION$ �O
APPROVALS DATE INSPECTOR'S SIGNATURE
PMT. FOUNDATION, LOCATION `FEE. p. FORMS,-.MATERIALS 7 -P�i�`v� ,w,FRAME, FIRE STOPS, -BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINGBOLT E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATIONL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION. I 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. LATH. EXT.
SIGNATURE OP� ° HOUSE NUMBER CDR I
PERMITTEE VVVvvV REC AND POSTED. ` 1 _
ADDRESS dF F I N A L 1 /'-5/4,
JOHN F. LEWIS.-PRI.NCI'PAL ST RZENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LA-Col-3 4-5 5- JUL 8 1 D 6°0 0
'SAHBj;A E*803 10.156 APPLICATION FO.R . BUIL®I NG PERMIT. - �..
BUILDING AND SAFETY DIVISION . BUILDING 3
ADDRESS
Deportment of County Engineer
County of Los Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP
ITEWHK MAP.
FOR APPLICANT TO FILL INIr
EBUILDI
NG
ADDSS ( ;/Z W irk A I-k o WER ��� STATISTICAL CLASSIFICATION �I
LOT NO. O BLOCK. . CLASS.NO. DWELL.UNIT
MAP STATE_, YES O
33 NUMBER HWY
TRACT J US Z N_E ' SPECIAL
/�,.� NO.OF BLDGS. CONDITIONS. "
SIZE OF LOT . / '. I• NOW ON LOT if
USE OF OD V'
EXISTING BLDG. BUILDING
YARD HWY. STREET• E EXIST.
SETBACK WIDTH
OWNER st 1A) FRONT
Pj/
MAIL
ADDRESS S 0. /,+ PRxf 7LUcISIDE
p TEL. P. L.
CITY vs,(* No. �1:7os3/. INSPECTION RECORD.
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS7
�C -�,
'
CONTRACTOR �a! r�/�W �No.�/T�/L7�i,�I //•
ADDRESS CSA}01G r.
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. / NO.OF NO.OF
SIZE !� .' STORIES FAMILIES
USE OF STRUCTURE JS
Y � 41 NJ
APPROVALS
SIGNATURE OF
APPLICANT �+, BA/ p� DATE INSPECTORS SIGNATURE
ADDRESS 7 7 ���1 P d�rl# 0A'p5, B� �, FOUNDATION:LOCATION
FORMS. MATERIALS / v.!;)
A�ll,✓t� •:e.�.r%!
P, $ FRAME: FIRE STOPS.
J
FEE
^ BRACING.BOLTS
VALUATION $ s FURNACE: LOCATION.
FEE GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH. EXT.
AGREE TO COMPLY WITH COUNTY ORDIN NCE ND i
STATE LAWS REGU IN R ION.
SIGNATURE OF RUSF NUMBER COR-
ECT AND POSTED
PERMITTE y� / /�,/ d
ADDRE FINAL ria �.3rl /06-.�� �
OHN A.LAMBIE.COUNTY ENGINEER, CLYDE N. DIRLAM.PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECE VALIDATION m.o. CASH - PMUOT VALIDATION N.D. CASH
3 2 3 2,7;`. OCT- 1 1 6 9.0 G d '9
a
3 4 3. 5°� -UCT 17 1 3 .�0 M
CE/808(REV.6/78) �/� 3 c__v
APPLICATION FO ' BUIL G PERMIT
COUNTY OF LOS ANGELES BUI ING AND SAFETY
FOR APPLICANT TO FILL IN ADIDRESS +
BUILDING )
ADDRESS Q LOCALITY
NEAREST
CITY ZIP CROSS ST. '
/ OF BLDGS. ASSESSOR
SIZE OF LOTAA,( [ NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE SSED BY
TRACT-2:3qBLOCK LOT NO. -� CONST. ZONE ,
/,. TEL.
OWNER / Q, it,
NO.
STATISTICAL CLASSIFICATION SEWER MAP/
ADDRESS ^ �+��' CLASS NO. DWELL.UNITS BK PG
CITY ZIP
ARCHITECT OR TEL. VALUATION
ENGINEER NO. 1, /
ADDRESS BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
CONTRACTOR NO = TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD
LIC A FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS N !// _
LIC. / +
CITY CLASS13 [
BLDG.SETBACK FROM
CONSTRUCTION LENDER
NAME AND BRANCH SIDE PROP.LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING d
ADDRESS •'—"CITY SIDE PROP.LINE HIGHWAY WIDTH
SQ.FT. NO.OF NO.OF CHECK + _ v
SIZE STORIES FAMILIES ONEcc
DESCRIPTION OF WORK NEW ❑ P.C.Fee$ Permit Fee 7J---
/' U
m
ADD Issuance Fee tn
ALTER ❑ `?�
REPAIR ❑ Total Fee J
USE OF DEMOL ❑
EXISTING BLDG. G
APPLICANT TEL
(PRINT) NO.
• O
BY(SIGNATUREI >
IHEREBY ACKNOWLEDGE THAT I H E READ THIS APPLICATION AND STATE bd
THAT THE ABOVE IS CORRECT AN EE% TO COMPLY WITH ALL ORDINANCES L, 9 �,4 A
AND LAWS REGULATING BUILDING STRUCTION.I CERTIFY THAT IN DOING THE - m
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'SCOM. Z # o 0 ,0 0 0 1
PENSATION INSURANCE. p
208� a00
SIGNATURE OF —�
PERMITTEE 0 0 0 0 0
ADDRESS rr�� r/ p
TE O 2 2,� / O
CITY NO. Q
'O
USE ZONE MAP
A
NO.
I SPECIAL
CONDITIONS
FINAL BY 'I d
DATE 41Z J '/ "I''.'I , •!