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HomeMy WebLinkAbout1552A 2450A (9) - _ __.. -- ----- — -- -. - I �"s 76A678q. _ '—. . _._ � CE k803(REV.11/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS o�� Do'L � ALCoa/ �� � BUIIDING ���MO�1.' , � I ADDRE55 � � CL] V.� L�CA��t� I�. GTY / • NEAREST � C����'OOT . Yv�.�T ZIP O� CRO55 Si. : SIZEOFLOT �+ 4GT�'1 NOW ON LOTS � MAF BOOK ' a[Q �. _ PAGE PARCEL �7_ OIS7RICf GROUP TYPE FIRE P SED BY ' �- TRACT,�pS HLOCK LOT NO. � • /� CONSL.,�^ ZOy�, + 1E � I?� - �� � OWNER � ^f h� —�IJ �� 'j� � STATISTICALCLASSIFICATION SEWER . A�DRESS S 41 G4. e. CLASSNO. �"� OWEIL.UNITS . `I CITY .. . ZIP � . � ARCHITECT OR {� TEI. - - ' � ; ENGWEER 60 NO. �` �' VAIUATION $��lA�,���+� � I ' ADDRESS BLDG.SEIBACKFROM . I TE� FRONTP20P.lINEOF � ISTREETI � � CONTRACTOR q, NO. TOTALSETBACKFROM TYPEOF EXISTING LIC. HIGHWAY + YARD FRONi PROP.LINE HIGHWAY WIDTH . . ADDRESS NO. i i uc - - -+ = 020 (oa.' ��. ; CITY CLA55 BL�G.SEf6ACKFqOM ��'��7� � CONSTRUCTIONLENDER � ' $I�EPROP.UNEOF � lSTREETI - ' NAME AND BRANCH TOTAlSETBACK FROM TYVE OF E%IS71NG '} � HIGHWAV' + VARO $IOEPROP.LINF HIGHWAV WIDTH Q � i ADDRESS CITV � V � �� SI�ZEF?S�� 5 OR�IE$ FAMI�LIES f ONE� + ` - � ! ��i DESCRIPTIONOFWORK � ��d� �' NEW USEZONE MAP �� � � R_� No. �-3�S �. ; � svK�nL/� 6 1 U ADD O�-J CONDITIONS y� ALTER FINAL e� � �� Z f� REPAIR ❑ DA7E � / ', USE OF C_ � Q _� - y� DEMOL ❑ 2S C� 7 ` _ � EXIS7ING BLDG �a F— - o � �1 5 F 2 F. ' � AGPLI�P.NT �� ' TEL < ' . � . IPRINT� � y� -/ . . .O .. � _ '�#i;., e • G.:J � BYISIGNAiUREI� ~ � • ..� ` • . > I � ��� �.�n I HEREBY '.O E TH NAVE /+D pGVIICAiION A ID STATE 'Y IITMAT iME ABOVE I RER JD AGREE TO COMPLY W17M All OR iNANCES Yi q'� 1 '� C^(�r-L � pND LAWS REGU ��G BU�IDING fANSTRUCT�Or1�CERTIFY IMAT IN pOING TME V , " WORK AtJTHORI_J HEREBV I WILL NOT EMMOY ANY PERSON IN VIOUTION OF ' ' iHE IABOR�ODE OF THE SiA�F OF CAIIFORNiq IN kElAi1NGT0 WORKMEN S COM� . Z -- D�I,�r I 'li i i � GENSAiION INSIIRANCE.' � .•_F��i.r.'.�!; SIGNATUREOF� � � �; c . ,�� � PERMITTEE � � � ADDRE55 � . .• . . . . .._�.�. � I !� Ll�,O U. I � � ^ � TEL . . . - -O ', ' � � i ICITY NO.� 's/S . . .. . Q a�.. � /: c.•.C t:�'.; - . ! O i P.C.Fee E ���•�F Permit Fee � > ('�...��`��.�-'. /�� � � IssuanceFee � Y' n � Tofo�Fee . 1�1 ;/�� . 6 /1/ i �/ . - - - -- _ _ _ � I PLANS TO APPLICANT IN5PECTOR'S NOTES � 10: . REiURN'_D, . , . . �ADPROVED � . NO DATE NO. DA1E . - ' . , • ,..� ,' . RE�UIREO DATERECEIVE� � �� APPROVALS YFS� NO ORAPPROVED ^ VJATER CERTIfICATE • ,, _ i ' _ . ' .. , i . . > � .. .. .. HEALTH DEPARTh1EN7 FIREOEPART6t;NT - . � I GRADING . _ ,. . , . . .. , . � GEOIOGIUI I ',_ � i . � PEOESTRi4NPROTECTION . ; IFENCEI ICANCPYI , , ' --- � SPECIAL WSPEC710N ICONC.1 IMASNRY.1 I W EIDG.I i lOT DRAINAGE. . . . . _ . PARKING �� - _ - � . � � -, t ' � . � APPROVALS � DATE �INSPECTOR'SSIGNATURE - . �. � � . IOCATION. • � . , . .. - . . ISETBAIX S YARD51 � � . ' ' FOUN�ATIONS � � � � ��"�� FRAME LA7H/DRYWAII . . � INTERIOR � �� � �LATH.E �a . S�O//�� HOUSE JM6ER� , • CORREQ E POS7ED�� '1� �� � - : ENERGY WSULATION :�t I7 � - ' _ � . _ � ' . .. .'. ` ` FINAL . , EN7ERONFFOYT ' - �� � � ' � � ' �� � � \ J�