Loading...
HomeMy WebLinkAbout1646A (15) as 76A679A . � � . CE#803(REV.11/7B) .�..,-- ' . . . . _'__ .. _ . . _ _. .... .. - .. . APPLICATION.FOR BUILDING.PERMIT ' __ .. COUNTY OF LOS ANGELES____ _`,: BUILDING AND SAFETY. _ F�R APPLICANT TO FILL.IN_ no�aess° 3 p BUiIDINGy�2/.��I CGI�N(lCa,"L� • � A�DRE55 c���'XV LOCP.LITY NEAREST aT� �ay,�,.> ,�nY iiP %J7G ~ cao555T. C7ra NO.OF 8L�G5. / ASSESSOR S�ZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL --- ' - - -�- - Di51RIQ GROUP TYPE FIRE PROCESSEDHY � TRACT BIOCK LOTNO. �\O � CON� ZONE � h � � OWNER��r: '(� E U71IXSrC1 �1S ND.S�7'E,i i� I' b . .. SiAt15TI�ALCLA�SSIFi�CAIION � SEWERMAV A�DRE55 �j C'Clf �t/!_ : CLASSNO.�L.DWEIL.UNITS BK _. PG. . . � �p � � � a r-� CITV L�[�(1ii�+.�'� .c.Ci✓ ZIP ��/���J - � . . ARCHI�ECTOR /� I__ • iEt. 'VALUATIOl�I��� � � � ENGiNFER� �i-�r'�� NO. - � � ' • 1 ADDRE55. d G1''��J� BLDti.SE�BACK FkOM � ......_ . ... . .._" '_'. . , •. TEL. FRONTPROP.UNEOP �STREFfI CONiRACTOR NO. HIGHWAY + YARD = TOTALSET6ACKFROM TVPEOF EXISTING , LIC. fRONTPROP.LINE HIGHWAY WIDTH A��P.ESS NO. . '' ' -' '- LIC. + ' CITY CLASS BLDG.SETBACK FROM . CONS�RUC7tONLENDER - � ' " - " ' '"'- SI�EPROP.UNEOF ' �STREETI NAMEANDBRANCH � HIGFiWAY +�YARD �= iOfAISETBACKFROM TYPEOF EXIS7ING O . - - - -- ----� �-- - � SI�EPROP.LINE HIGNWAY W�DTH A�DRESS CITY SO.FT.'/ NO.OF NOAF CHECK ' ' + --�"Ca ' ' - -� �� -. -. U SIZE �/�O STORIES ' -- FAIAllIES"� - - ONE� - � /�� 115E ZONE MAP r 0r DESCRIPTION OF WORK (rAfrr j J EW.. .. NO....�. .- . . . � . .. � . . -_v.. SPECIAL W �n�f��✓ �� �Z,� ADD .- ... CONDITIONS. _ . . . .-.. . . .�a_.. `, ALTER ❑ FINAL � BV � Z � 2 7 I� . REPAIR O DATE . -.... . �-_,. -- � Cl�(A_W— USEOF 1!_M DEMOL . _. .. . _.' Z EXiSTINGBLDG. �ir� � -� . APPUCANi � }-- .-7... iEL � � � � . IPRINTI d�T ,� S. /�O � N0.77�I'Ei �b . . . '_ ". .. _ ..._ � . . . . . . _ . .. ._ BY ISIGNA�URE�' L� S L[7��/� . . - _ -- _ .. y -. _ � � .- I HEREBV A�KNOWLFDGE TNAT I HAVE READ iH15 APPLICATION AND$TATE Y � � iNAT TNE ABOVE IS CORRECT AN�AGREE TO COMC�Y WITH ALl ORDINANCES. ..� .. . . . ._.__ _. . �_.._ .. .- ANO lA W5 RFGULATING Bl1IlDING CONSiRUCTION.I CFRTIFV TNAi IN OOING THE V WORK AUiN0R12ED HEREBY I WILL NOT EMPIOY ANY GERSON IN VIOLAiION OF ' THELAB04CODEOFTHESTATEOF�P.UFpRN141NRELAIINGIOWORKMfNSCOM� .�,.. ,,, _ _ _ ,Z , _. „ _ , . �_ ___, PENSAiION INSURANCE.' S - • �. . . _ __ _ .. . _. _ _ . -�1646A . . : SIGNATURE OF /���s,�j� � . ' FERMITTEE AODRESS '�1"� I/! - . . . .� ._ .- �• • • •.�!�.. . 2 J ) -� rTEL._�..�f ._.. ' __' _. _._.._ _ _.. o - �I'• .�.1.00 f� �. CITY -/�Lllss�jr�L � -_NO." � •� ' Q .. . � . .. .._ .._. ... '_. . �. ' 1'�'�3�.�Qv � ..� P.C.Fee b Permit Fee �� � > . .. _.._._.__. .._. _ �5. . . 07.�"7—a0� , -- .` Iss�ance Fee eZ � . .... . .." '_ . 6 .. . ._. Totel Fee � Qa • O � S���nnn � � � F r� � T �o r' n�° i^l-d C7r q � = n� � '�� '.9 O. O� fi o' O Z 'O � � v '' . � 0�n �q M� _ .G1 G� p. 'o ; A > ^x fy � � � �� .�p . L" ` z�' �z' r '�" .I,. S� .O � ' T t Z v� � ��i+ � ,� Z � Y Z A y� �' �� S ZS m � n0 Q ' Gyi �^' 00 �' Z =- ` ��, my r f�°„r"'„ m �o � �Z < `� , �" ,�- .'°_cm "' �• _'�, t'•' , v+ �r �c �G n -FU-c O .c � ��-- 'l '��', �V '�. ';�`' -- � �., O T N +�� O Y � O N � � � � 1 ;x ' 'n _� � y O ` � O A a� � � � . '� ; . Q � .+ ,Z O � 1, � �'1 "' � �� � p ,` G x _ � � , �, v �.' D v �, ;l , ' O ..i ��, m � i � ^� v� -- - , •:'i .' Z _ `` ' _ �i - `� ., � �9� y\� ��. .. r.; N � � - ' �.. �t' �r�*� �) � � ' - � ., , `4. ppm - � O U � : ' m rn • ' t7 �o � ' O p � _ Z � �� .. �` 1 q� • , " G ` � i . •� m �� . � ' �. . �, --' � , � + • Z , , • ' � ' ' cn _ � '� , - -o . l � ' ��, ; m .� �� ._� _. , ' , :�, ,y '� ''� � . . . � - `� � `� ' '1 -� � � �� � �, + ,� � . ' � ' , (mJ� �, " � ; �i ''•; � ��` • , y� . � } ,� , � - �' i _ i � . - - . ,.:• " '� �.. 1 , � t � '" i . �,r , � �; . , � �� :;- . . ; - , . - : �.' ,. : , `,,� . �1 , , �