HomeMy Public PortalAbout8617 WORTHINGTON DR - Building - 1960-04-01 r A ROAD DEPT. PERMIT IS REQUIRED
� / FOR ANY MATEPI,'l S RA:32 OR WORK
DONE IN THE ROAD RIGHT OF WAY.
7GA888A CE:0098.n APPLICATION FOR BUILDINGPERMIT �.
COUNTY OF LOS ANGELES ADDRESS /P /BUILDING ,// /�/'
DEPARTMENT OF COUNTY ENGINEER y
-BU=lNG AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GRO TYPE" P ESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL CLASSIFICATION S WER MAP
ADDRES BK PG
CLASS.NO.J�DWELL.UNIT
LOT NO. 3 BLOCK MAP STATE YES NO
25,341 NUMBER HWY,
TRACT USE ZONE SPECIAL
NO.OF BLDGS. �j }� CONDITIONS �t
SIZE OF LO I NOW ON LOT (JBfr•
USE OF
EXISTING BLDG. BUILDINGYARD HW STREE EXIST. ti
Jack K11@Qn SETBACK NAME WIDTH
OWNER FRONT
MAIL P.L.
ADDRESS groxcaSIDE
P.L.
-
' CITY No SPECTION RECORD "
ARCHITECT OR TEL.
ENGINEER NO. I
,/l4
ADDRESS / �? /
TEL sL... /t �iti`Y� ` A/�Ev! i 1 .+.v
CONTRACTOR Jack Kileen NO
ADDRESS ' .s"t��
DESCRIPTION OF WORK �5--_ . 0.A. 7'O ,A�to/ A*o r�s�
NEW X ADD ALTER REPAIR DEMOLISH
SQ. FT.127 2 NO. OF 1 NO. OF
SIZE STORIES FAMILIES
USE OF r ^ v
STRUCTURE Residenee Gar
Attach ; "
SIGNATURE OF '
APPLICA
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRES _Tfj/9r9q Ave bijurge FOUNDATION:LOCATION p
FORMS,MATERIALS
VALUATION $ ��1 FRAME:FIRE STOPS,
BRACING,BOLTS n _/
P.C. 0.0 I PMT. FURNACE:LOCATION, G���'Gv 9'�•�I rYVV
FEE Soy "'► FEE $ GAS VENT,DUCTS
I
I HEREBY ACKNOWLEDG 'THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CdRRECT AND
AGREE TO COMPLY WITH ALWCOUNTYAORkNCES ANDLATH,EXT.
STATE LAWS REG ATIN BUILDINUCTION.
SIGNATURE OF HOUSE NUMBER COR-
PERMITT5 RECT AND POSTED r/ f r:? -�'1 '.•� '? /
ADD S lef- AF
FINAL �s r� a ✓..nom
CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION M.C• CASH A PERMIT VALIDATION CK: M.O. CASH
LA' 7 5 1 0 i r:R 9"2 3. A 2 4.0 0OF
78A838A'CE#8099-88 F 1 1,
. .APPLICATIONOR BUILD NG PERM1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
I
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSAUP-T OF BUILDING CROSS ST.
DISTRICT NO. GRD.YP-+ TYPE. PRpa
FOR APPLICANT TO FILL IN CONST.
BUILDINGJ �/ STATISTICAL SS FI CATION SEWER MAP
ADDRESS �/ D��`Y �/ CLASS NO. DWELL UNITS BK„�F�
LOT NO. BLOCK USE Z NE MAP �l
TRACT d V^3 NO. �J
SPECIAL , /
NO. OF SLOGS. CONDITIONS to
SIZE OF LOT NOW ON LOT
USE OF /w I� J
SXLSTING 116DG, •v BLDG. SETBACK FROM
OWNER f,` T L. FRONT PROP. LINE OF. _ -(STREET)
NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS HIGHWAY WI F OM C.L.
CITY ! BLDG. SETBACK FROM
ARCHI ECT O TEL. SIDE PROP. LINE OF (STREET)
ENGINEER /y[ NO. TYPE OF EKISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS �vr' �r ../! HIGHWAY WIDTH FROM C.L.
CONTRACTOR (Jl+f�I/1 � NO Zr� +
LIC
ADDRESS_ S. //e/-/S NO L,-3 � CORNER CUTOFF YES NO CC
CITY � cls (o/ SEE REVERSE SIDE FOR SPECIAL APPROVALS c
DESCRIPTION OF WORK L
C
NEW ADD ALTER REPAIR DEMOLISH
SO,FT. NO. OF NO. OF
SIZE L SSTORIIE`S FAMILIES
USOF
STR CTURE I (,e d��
SIGNATURE OF
APPLICANT
VALUATION$ I a; .00
� APPROVALS. DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ FORMS,MATERIALS -
FRAME, FIRE STOPS,•
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACEI LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE TATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSA ION 1 SURANCE.
C. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PE42MITTEE RE AND POSTED
ADDRESS Fl N A L
JOHN F.�L�}E�WIS. PRINCIPAL STRUCTURAL E
PLAN CHE K VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH
.82460 APR27 1 A 6.0 0- o