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HomeMy WebLinkAbout1311A 3879A 3878A (7) �P�s 76A638A � CE#803(REV.11/78) APPLICATIC)N FOR BIJILDING PERM [T COUNTY OF LOS ANGELES BUIIDING AND SAFETY FOR APPLICANT TO FILL IN ,ga��oRess���� �. /` � �� ,f"���• BUILDING �� j� .�'+_� " ADDRE55 �+ LOCALITY �s -C-°' NEAREST arv ' ��.� � �. ziP ceosssr �°a•...�.e ' P UO OF BLDGS. ASSESSOR SIZE 0=LOT � �t�k NOW ON LOT -- � ^' MAP BOOK PAGE PARCEL pISTRICT GRCUP TYPE FIRE FR�CESSED BY TRACT, ., BLOCK LOT NO. CONSj,.---" �ZONE TEL. .Z B �� �� � p/ OWNER �, c� �y,�� � +.piy NO. '� ' �}�: t p -p! STATISTICAL CLASSIFICATION SEWER MAP ADDRE55 � &!� d $•�0 �� "�' CLASS NO._1:��_.�WELL.UNITS � /�oi BK PG CITY e. . '�� ZIP . �, ARCHITECT OR� g T�L �q,;' VAWATION �i '� ENGINEER / L '�u � .�'"NO. . ^�p�,y ��`� � ADDRESS�y� yv�;'�",�y�-»"�x�� �� �?fi ������ BLDG.SFTBACK FROM , , - � g T=L. 'xd FRONTPROP.LWEOf ISTREETI CONTRACTGR ,y ,�r � ip "" ;1 + � h'O. " `� y,GHWAY + YARD TOTAlSETBACK FROM TYPE OF EXISTWG ADDRES � �, � �� ' �0 '�i.� �$ FRONT PROP.IINE HIGH'��AY WIDTH LIC. + arv F 'y,'��� s ��,�a� c�ass CONSTRUCTION LENDE BLDG.SEiBACK FROM ! SIDE PROP.LINE OF (STREET) NAMEANDBRANCH � �: �`�" "�p+ HIGHWAY + YARD - TOTALSETBACKFROM TYPEOF EXISTING � ADDRESS ^-("j .� CIT" —O °-- SIDE PROP.LINE HIGHWAY WIDTH SQ.F. � NO.OF NO.OF CHECK + _ � SIZE ,) � STORIES `�v'' FAMI.IES . '� ONE � USE ZONE MAP DESCRIPTION OF�JORK t � NEW J� ,� N�' '���_"°��� �7 SPECIAL � �j��, f �_� ADD ❑ �e�� ��'`� CONDITIONS �Y y� - ALTER ❑ FINAL '�� `^y� �e „�_ REPAIR � DATE � ?'� T"�� --�.,�.� USEOF � EXISTINGBLDG DEMOL ❑ Z c�. � v 1, �I"� APPLICANT �, TEL A p 0 � I'RItiTi � � ' NO. ..4"y� �A Q � e � •.,a ^�Jz . O J BY(S��.GNATURE! '� r � ,�„_, , � ��� `3 6�g CI IH_REBY ACKNOWLEDGE THAT I -IAVE READ THIS APPLICATION AND STA'E V .m.� �� ���'�� THAT TNE ABOVE IS CORRECT AND AGREE TO COM�LV WITH ALL ORDINANtiES �u . . . AND LAWS REGULATING BUI.DING CONSTRUCTION.I CERTIFY THAT IN DOING'HE S WORK AU'HORIZED HEREBY I WILL NOT EMPLO�ANY PEftSON IN VIOLATION OF V O �, CJ � �+g� THE LABOR COCE OF THE SPA'E OF CALIfORNIA IN RELATING TO WORKMEN'S COA1� z PENSATION �SURANCF.' � SIGNATURE Of i �'��,1���''`+ PERMITTEE _ � "� � ��.� � ����� � ADDRESS� � B �� � - ''�-F. '^ �, '^- �*- Z . � 1...' TEL. 7 ='° o a m f113 � CITY �' 'd::'1✓'`�� 1_NO. �-�i�I O C.�'1 ;Jt s C,,*: a iI �,���{J�b tTt ti7 �S'J � (:X� p �/- p: n� tv � ;,a -a ° �,2�,�c�,(J(j� P.C.Fee S �' • r� d �ermit Fee � � Cxi �a r: N C� j .�--�f , � O Gf � �- �{ �,�i�.l-^-c�'>�1 � p � ��'3 L�� Iss�once Fee �� ��" � W : Ge�' G Total Fee �'3 I.�.M.�.-.�.. ..._.._..•,.._....,,..,.�,.�..�...�,.,.. ..�.�_._._...._.,_._...,____..pLfoN5T0 APPLICA�IT — Ii�fS!'ECiJR'S NOTES ,TO: �RETURIVED APPROVED N�' �ATE tU�, pATE _ � � � � REC2uiRE� ' p,qTE RECE3`JED �,�PROVALS QR APPROVED YES h2c7 �� . VVP,T�R Cc3:Tl�lCfiTE � ----� �---- �� FlEklTi�UrPA.RTNteNT � i �iRE DEPART;VI�!�IT jGRADIM1lG ^ � GEOLC3GPCAL � , � . . . ... --y . � i ; f"cL'ESl RIAIV PROTECTI�hF � I�ENCct ICr^,l�S�.`�.PY! ISPECfr�i.lNSS�6�Tl6t�1 ' - ; : ;: .. ... , , ' � fCONC.I IMASNRY.1 I�NELDG.1 � � � . LOT DRAIhAGE � �� � [�ARKI�lG , a �_� � ,� � �_.._���-�� � �� -��-�� �.��:� I a � APP�('3`✓F�tl5 . �, ; �AT� � IiVSPECTOR'SSi� . URE� . !� � LOC,�TION p � 1 9 iSETBACk&YAFDSI� �-�� . ,-' ; j FCUPdDATiCSN� , > ��� I �l2fiAAE ' � %D � I �� _ ._..______I_ { !.'r1 i H/D2�tiJFaLL �/ / `, !t\ ERiOR�� `7"�/�,/ J 15 �' .__� a � ?.faFH-EXT'cRtO�"�. � � {7 v . J �;,._,t._ _ �FiOUSE NJM6ER- � � f CO°R`CT 2:PC)S7�D _ � SNERGY ISV513LF�TION ����''r�`,� �%/,�C���,'k--,�� �f � � f ¢�Aj�s— . . � �� � ��R Jiv t=�;CSN7 l(�c��'.3'�}y`�� a��r .� ...__.___�-.-{ j � r � � �___a________...v.�._m_ � _ .�__._�