HomeMy Public PortalAbout5026 WILLMONTE AVE_Building__ A A63bA..CE 11803 12/69 �i�'!y/�i ✓ r �/�
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS O
COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY 1 I '
FOR APPLICANT TO FILL IN NEAREST ))
Print ort a onl CROSS ST. kPit//_ —
BUILDING '�} Q
DISTRICT NO. GROUP TY E PROCESSgD BY
ADDRESS /c��•• J� � � -�7 CONST.
(� ,- f0 W, i` . a U LIJ�i
c STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. �J. BLOCK CLASS NO. DWELL.UNITS BK PG
TRACT r USE ZONE MAP
NO.OF BLDGS. NO.
SIZE OF LOT rio NOW ON LOTSPECIA
USE OF n r CONDITIONS
EXISTING BLDG.
TO.EL. j
.�UYtQ ", it17/ti i N /
OWNER
BLpG.SETBACK FROM
ADDRESS J 1 / FR PROP.LINE OF (STREET)
_ w i �/
TY'EOFftWaINGj SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WID FROM G.L.
ARCHITECT OW TEL. + —_
ENGINEER NO.
BLDG.SETBACK FROMNS'
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWA + YARD = TOTAL
CONTRACTOR <-����ti!-� NO. HIGHWAY WIDTH FROM C.L.
13
/ ii y n LIC. +
ADDRESS , 0 1 l �l IJ I�J'��r. NO. = p
LIC. C
CITa' C1�-/1A-)L d�c-� CLASSL. n CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
u
ADDRESS p
v
SQ. FT. NO. OF NO. OF NEW
SIZE SS/TORIES FAMILIES
USE OFSTRUCTURE q�iJr l /t / Oc� ADD ❑
/��t �/�' �•r•�7� �I�r� �.� .. ALTER ❑
SIGNATURE OF REPAIR❑
APPLICANT «) DEMOL ❑
VALUATIONS �D APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. '7 FOUNDATION: LOCATION
FEES FEES 6 FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT. DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF •CALIF RNIA IN RELATING TO
WORKMEN'S COMP iS/1TION INSURANCE. /' LATH, EXT.
(/�/ , P W
SIGNATURE O �_ HOUSE NUMBER COR-
PERMITTEE ��� `- -yT� RECT AND POSTED
I �
ADDRESS-41,0')1-h s
FINAL
JOHN F. LEWIS. PRINCIPALSTR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH
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76A688A Cf 803 6_62.APPLICATION FOR BUILDING -PERMIT
{�1 COUNTY OF LOS ANGELES BUILDING
� DEPARTMENT OF COUNTY ENGINEER ADDRESS �rJ
+� BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST y
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
+ DISTRICT N TYPE ESSED BY
FOR APPLICANT TO FILL IN .� D ` CONST.
�—
BUILDINGY ,STATISTICAL CLASSIFICATION SkWER MAP
ADDRESS-1yZ� /I`/1i�p/V/� CLASS.NO. DWELL.UNITS K rJ
LOT NO.'?p it 7j&�V � pT � BLOCK WATER NOT REQUIRED.17 • RECEIVED ❑
CERTIFICATE:
TRACT MAP HIGHWAY
NO.OF BLDGS. NO. 'P(C1itCLE) STATE MAJOR SECOND, OCAL
SIZE OF LOT�'Q X 10 NOW ON LOT NbN USE ZONE SPECIAL /7
USE OF CONDITIONS L—
EXISTING BLDG.
TEL
OWNEETZjsx,,w11At WA J'i1 O: /403/' BUILDING YARD HWY STRE T AM£ EXIST.
SETBACK WIDTH
ADDRESS. /VI &C& $ NAAO Tti FRONT �O
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE }
P. L. O.
ADDRESS O
TEL
CONTRACTOR fi I NO. U
H
ADDRESS 219
O
DESCRIPTION OF WORK v
W
a
NEW U/ADD ALTER REPAIR DEMOLISH z
SQ.FT. NO.OF NO. OF.
SIZELySTORIES FAMILIES
USE OF
STRUCTURE
.x OXza ?AIPA F_c If
SIGNATURE OF
APPLICANT
VALUATION $
APPROVALS +DATEo INSPEcroRj,S SI[sN�T-uftE
P.C. ^In DI•D PMT. A FOUNDATION: LOCATION
FEE $ FEE'S `T O� FORMS, MATERIALS. I�
FRAME: FIRE STOPS, / ! '�) i
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS I.• "I .�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, (' /�/"�.+' -- s� ,/_ r • J
WITH ALL COUNTY ORDINANCES AND,STATE LAWS. REGULATING GAS VENT, DUCTS •• J
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZEHEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,:INT.
TION OF THD E LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. �Vl w `fes
SIGNATURE O . HOUSE NUMBER COR-
P E RMI
OR-PERMITTEE RECT AND POSTED
ADDRESS FINAL I V I r7, y r
JOHN F. LEWIS, PRINCIPAL STIR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
LALo 3 4 8 1' APR 1'7 2 3 D 32.00-1
&rt o 4 7 4 7 MAY 15 1 D 6 4.0 C �:
APPLICATION.. FO r COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING PERMIT BUILDING AND SAFETY DIVISION
BUILDING FOR APPLICANT TO FILL IN ADDRESS
Cay , /_� Nogg
BUILDING
ADDRESS G4, k W1 LLIMO&I - LOCALITY
{� 1 NEAREST r
CITY `'LIE ZIP CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK I PArE0 PARCEL
® oo /� DISTRICT GROUP TYPE FIRE P CE D BY
TRACT / (7 , BLOCK LOT {[_40"
-A �'�(�Gt T CONST / Zp
OWNER C )1[ NOL7�a543 STATISTICAL CLASSIFICATION ••a
) �^ / r�AWER MAP
ADDRESS Q It-IA y�/ G CLASS NO. �'• DWELL.UNITS BI J"G
CITY IS61 LC Cr �ZIP 'USE ZONE MAP
NO
ARCHITECT OR TEL. �/ SPECIAL
ENGINEER NO. CONDITIONS
ADDRESS `'/ l� ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR �LI �0ACJ1 NOLQg6tgff BLDG.SETBACK FROM
�'I I[/} NLIC
O. v'L�S (� FRONT PROP.LINE OF (STREET)
ADDRESS L HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF Y EXVISDTIHG
LIC. j FRONT PROP. LINE
CITY /_A, CLASS
CONSTRUCTION LENDER +
a
NAME AND BRANCH BLDG.SETBACK FROM V, C
ADDRESS CITY SIDE PROP.LINE OF (STREET)
SQ. FT. NO. OF ii NO. OF p CHECK HIGHWAY + YARD = TOT ETBACK FROM TYPE OF EXISTING C
SIZE STORIES 1 FAMILIES / ONE SI E PROP. LINE HIGHWAY WIDTH F
DESCRIPTION OF WORK NEW 1:1 + _ CL
LL sr ADD El CORNER CUTOFF vds ❑ NO ❑ z
D W /?,LT E R _
O`v REPAIR IN OPEN SPACE YES ❑ NO ❑
EXISUSE OT NG BLDG. SG EA 12 DEMOL ❑ IN COASTAL PERMIT E YES ❑ NO ❑
APPLICANT �� T
IPRINT)
BY ISIGN URE) `
I HE EB E T�' I HA R NIS APPL ATION
AND STATE THAT THE ABOE 15AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE W AUT RIZED
HEREBY 1 WILL NOT EM ANY PERSON I IOLA 10 OF THE
LABOR CODE E STATE OF CALIF O IN ATING TO
WORKMEN' OMPENSAT ION IN RANCE.
SIGNA URE OF FINAL /-�z'/f
BY
PERM( TEE DATE v
ADD SS
C
TEL. [�/���( P.C.Fee$ Permit Fee f aJ
CITY NO.
Issuance Fee
VALUATION
Total Fee
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT IALIDIATION K. . .0. CASH
087-MAY 4 1 12.00a�
76AS36A CE#8038 12/75