HomeMy Public PortalAbout5026 DOREEN AVE_Building_11/18/1971_]SA 638A CE 0803 1/7I � /' G _ / p���pp� �1
APPLICATION FOR BUILDING PERMIT Y fl
COUNTY OF LOS ANGELES I ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W. JENKINS, suer of BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
(Print or tv.. 0MO CROSS ST. �7/� /q
BUILDING / 00)? -e --cm
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DISTRICT NO. I GRCUP- 1'P PR SSE BY
ADDRESS, � 2G f/U 00 R -e �' [moi �77/I 9 L CONST.%
LOT NO /A.rd4/.._.n�IL% BLOCK �J
•TRACT
STICAL C XSSI FIC TION
MAP
CLASS NO.a�DWELL. UNITS
= BK
PG
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USE ZONE MAP
SIZE OF LOT 00 6 NOWONLOTS
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R / NO J'E
USE OF<
SPECIAL
%/K/}/% CONDITIONS
EXISTING BLDG. 1C
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OWNER /� l P M L.....e iN0• ♦ LIs ..'
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SETBACK FROM
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FRONT PROP. LINE OF
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TYPE A EXISTING SETBACK HIGHWAY
HIGHWAY WIDTH FROMC.L_I
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TOTAI
ARCHITECT OR TEL.
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ENGINEER NO.
BLDG. VBAC FROM /
ADDRESS
SIDE PROP, LINEOF _
(STREET)I
TEL.
CONTRA CTO NO.
TYPE OF E%I STING BACK HIGHWAY
HIGHWAY WIDTH ROM III. L.
} YARD =
TOTAL
LIC��II
ADDRESS NO. d%O II %
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CITY CLASS L7 l_
/ CORNER CUTOFF YES
❑ NO
❑
CONSTRUCTION LENDER
NAME AND BRANCH� ,I
ADDRESS U � 1
SO. FT/ NO. OF pq� OFNEW ElSIZE /� G-6 STORM S�ES 1
FA MIES
USE OF
STRUCTURE f) VeL CA ADD L51
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SIGNATURE
APPLICANT �i�/ DEMOL FlPAIR ❑
VALUATIONS �Jb
FEE S �tJ I FEE S
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF E OF 'C 1 RELATIN 0
WORKMEN'S COM ENSATIOf SIGNATURE OF
PERMITTEF- A -
ADDRESS
PLAN CHECK VALIDATION f Cy( 14 CASH _
SEE REVERSE SIDE FOR SPECIAL APPROVALS J
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f ,V
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P APPROVALS DATE INSPECTOR'S SIGNATUR[I
I FOUNDATION: LOCATION
FORMS. MATERIALS
FRAME: FIRE STOPS,
BRACING, BOLTS
FURNACE: LOCATION,
GAS VENT, DUCTS
LATH, INT.
LATH, EXT, I
HOUSE NUMBER COR-
RECT AND POSTED
FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PERMIT VALIDATION CK. M.O. CASH
L.,w 7 i- ? � raw 18 2 t 0 2 1.151
IIJ
J30
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6Q
A RED DATW)�--." TE :,DATE'-,.- 't7 7
S E NT, 'RETURNED APPROVED
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GRADING
GEOLOGI CAL
PEDESTRIAN PROTECTION
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SPECIAL" INSPECTION_,2N
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NO.
PLANS TO APPLICANT
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TO: RETURNED:
APP.R.OVEO'
NO DATE NO DATE
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