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ISA888A CE#808-8-87 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER AD°REss
BUILDING AND SAFETY DIVISION LOCALITY i
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DIS.TRI NO. GROUP TYPE EWER MAP
FOR APPLICANT TO FILL IN �'� CONST. BK PG
BUILDING g4 ` / STi4TISTICAL CLASSIFICATION
ADDRESS / , w '
q CLASS.NO.�DWELL.UNITS
LOT NO. O BLOCK MAP. STATE
NUMBER HWY. YES NO
TRACT USE ZONE SPECIAL
lq
NO.OF BLDGS. CONDITIONS
SIZE OF LOT A I U O I NOW ON LOT A)
USE OF
EXISTING BLDG. BUILDING EXIST.
SETBACK YARD HWY STREET N ME WIDTH
OWNERMAIL �j �r rd's / l FRONT
ADDRESS SDE
TEL - P.L.
CITY `c NO
OS3 INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO. 1
ADDRESS
CONTRACTOR �����NO OS3I
^� 5' , /� ' 1
ADDRESS/Z����SQ� t' rte /
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE -STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT
ADDRESS z�2��s SQK e�- / DATE INSPECTOR'S SIGNATURE
FORMS,MATERIALS F!
��09 P•C E FRAME: FIRE STOPS�25 , f�
CTC. FEE BRACING,BOLTS .I'j/y
VALUATION 8 FURNACE:.LOCATION,
FEE GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT/AND
AGREE TO COMPLY WIT L NT ORDI NC AND
STATE LAWS REGU DI C ST CTION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE I RECT AND POSTED t
ADDRES rg 7Z �i, '� 'g FINAL "i A'1
IOHN A.I X_MRIT= COUNTY ENGINEER. CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL E R
PLAN CEBCS VALIDATION CK. M.O. CASH PEMW VALIDATION CK. M.O. CASH
L&0. 2 .9r. IS Aff 10 1 A 2'D O
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SA68�CE#808•I0.58 A P P L I C AT I O N FOR BUILDING PERM
M
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BUILDING ASAFETY DIVISION BUILDING
Deportment of County Engineer ADDREss
County of Los Angeles LOCALITY
JOHN A.LAMBIE, COUNTY ENGINEER 'NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP. TYPEST3 WER MAP
FOR APPLICANT TO FILL IN CONBK PG
/.1 }}��vv�� .
ADD EISS /G 9 3 9 w I� b E L 0 UJ �. I�.iyn STATISTICAL CLASSIFICATION I
LOT NO. BLOCK CLASS.NO. DWELL. UNIT
MAP STATE YES
TRACT O'•
y 4 q NUMBER HWY
/l USZ NE SPECIAL
Y- NO.OF BLDGS. CONDITIONS
SIZE OF LOT T Y ® NOW ON LOT �dN
USE OF
EXISTING BLDG. BUILDINGEXIST.
J }sem^
SETBACK WIDTH
HWY STREET AME WIDTH
OWNER ..► I pI ING �R FRONT
MAIL
ADDRESS NT ���v�yyy�(•r��j�-�
MAIL �Y �� � IYpJ�� gL�DA• SIDE
_
CITY %�Alll TEc -AT 7x.1'3/ INSPECTION RECORD
ARCHITECT OR_ TEL
ENGINEER NO.
ADDRESS
EL-
CONTRACTOR _ /
�. U NO. 1 I W j I
r
ADDRESS111
DESCRIPTION OF WORE Ala
NEW V AD)D ALTER REPAIR DEMOLISHSQ.FT '
SIZE / !7 d STORIES FAMNO. OF NO.
OF
IES
USE OF STRUCTURE
T
APPROVALS
SIGNATURE OF
APPLICANT DATE INSPECTORS SIGNATURE
ADDRES 2 �y SOe v,4/I L FOUNDATION:LOCATION '� // Ile"
FORMS.MATERIALS G ✓/ `7 ✓�1i r L'f"
$ P.C. S FRAME: FIRE STOPS, 11
ire 0 FEE BRACING.BOLTS �� 1 Y 17 .r.•w'•�AilL<•�
$ FURNACE: LOCATION,
FEE f/ e i -j '�•! •1 �:
VALUATION GAS VENT. DUCTS
- / C
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. /�" ��✓�
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WIT L CO NTY ORDINANCES-AND LATH. EXT. II�aY'7
STATE LAWS REGU 1 C T TION.
SIGNATURE OF OUSE NUMBER COR-
RE
OR- ij�
PERMITTE RECT AND POSTED
ADDRESS FINAL '�✓'�`��
OHN A.LAMBIE.COUNTY ENGINEER, CLYDE N.DIRLAM.PRINCIPAL STRUCTURAL ENGINEER
PLAN CHWK VALIDATION m.o. CASH PERMIT VALIDATION m.o. CASH
UAUO 3 2 3 0 OCT 11 16 9.0 0 6 M
i 3 4 3 9 OCi'17 1 '3'6.0 0 M
76AGSBA CE. 8081-62 APPLICATION FOR BUILDING PERMC �
COUNTY OF;LOS ANGELES BUILDING 4
DEPARTMENT OF. COUNTY ENGINEER ADDRESS 10939 Wildflower
BUILDING AND,SAFETY DMSION LOCALITY Temple Cit
JOHN A. LAMWE, COUNTY ENGINEER NEAREST �1
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. \
DISTRICT N OU TYPE -17
C ED B7
FOR APPLICANT TO FILL IN CONST--
,7
®� BK
BUILDING STATISTICAL CLASSIFICATION S R MAP
'ADDRESS Rd
110939Iilaflower
CLASS. NO. DWELL.UNITS
LOT NO. BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT 239 9
MAP 'J O HIGHWAY STATE MAJOR SECON LOCAL
NO.OF BLDGS. w� NO. p� ICIRCLEI
SIZE OF LOT NOW ON LOT G USE ZONE SPECIAL
USE OFHOS a and ar8p�a CONDITIONS
EXISTING BLDG. g O {�
DO ® teele TEL I
OWNER NO. BUILDING EXIST.
A Wildflower e a emp a ETBACK. YARD HWY STREET NAME WIDTH
FRONT D
ARCHITECT OR TEL. P. L. 21
ENGINEER NO. SIDESTANDAM '
P. L.
O
ADDRESS
CONT CTOp oC `g9 ne e p TEL 60
ADD SS NO
fres 11e 4 ee �!f%W/Ce e_ :..r,i"'�YiLtLild� +'�!?=t•: :k'=I c,; ;� .
DESCRIPTION OF WORK •A .4 u
NEW X ADD ALTER REPAIR DEMOLISH ]
NO.OF NO. OFSQ.FT. �� `
SIZE 432 TORIES
e
FAMILIES `
USE OF -
STRUCTURE Private swim pool.
Standardan 120 -
SIGNATURE OF A-
APPLICANT
VALUATION $2,50000 I /
APPROVALS DATE_I INSPE 4.6.GNATUR
//// T. i✓ �D-0 FOUNDATION: LOCATION
P E �,,. FEE $ V r V V FORMS, MATERIALS -
FEE $�/
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION -BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. �' 11
WITH ALL COUNTY ORDINANCES AND STATE LAWS ULATING GAS VENT. DUC � _
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOI T E WORK
AUTHORIZED HEREBY 1 WILL EMPLOY AN P O IN VIOLA- LATH, INT.
TION OF THE LABOR CODE THE STAT O LIF NIA RELAT.
INC TO WORKMEN'S P ATyp INSU LATH.EXT. \
SIGNATURE OUSE NU B COR-
PER (jT /Flres e 7-AN OSTED
ADD ES FINA
JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. ' CASH _ PERMIT VALIDATION CK. M.O." CASH
l 3 6 l Qi JM 10 2 3. D 3.75 -0,
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