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Home My WebLink About1660A 1737A 1738A i , I, - __ -- - - .`` .. ____._, �S 76A638A "` ' // \ CE/8031�7EV.6/78) _ _, ,�/�� , - �\ /V � � ; - APPLICATION FOR BUILDING PERMIT �,� � COUNTY OF LOS ANGElES BUILDING AND SAFETY BUIIDING FOR APPLICANT TO FILL IN ADORESS /L�-�� G /L�--'�� ' euao�r,c • • � � ADDRESS LOCAIITY i NEAREST GTY ZIP CROSS 5T. � NO.OF BLDGS. ASSESSOR i SIZE OF LOT NOW ON LOi MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSEDBY ' TRACT BLOCK lOT NO. CONS�� ZONE E�. , /4 � o/ OWNERC JO., �� L�N�� STAiISTICALCLASSIFICATION SEWERMAP ADDRESS � � CLASS NO.' �� DWEII.UNIT$ BK PG i CITY ZIP � ARCHITECT OR TEL. yq�VATION � �(A� ' �J �I� � ENGINEER NO. �J / � �', ADDRES$ BIDG.SEiBACK FROM TE� FRONTPROP.IINEOF lSTREETi . CONTRACTOR 1�. NO., TOTAL SETBACK FROM TYPE Of EXISTING � LIC. HIGHWAY + YARD FRONT PROP.LINE HIGHWAY WIDTH i AODRE55 . NO • ; ��TY C o - «55� 3 + ' CONSTRUCTION�ENDER BI�G.SETBAGK FROM j SIDE PROP.LINE OF �STREETi NAMEANDBRANCH � • HIGHWAY t YARD TOTAL SEiBACK FROM TYPE OF EXISTING a � ADDRESS CITY � • SIDE PROP.UNE HIGHWAY WIDTH o �, SQ.FT. O.OF NO.OF CMECK � 4 . ' V '; SIZE D STORIES FAMILIES ONE O ; DESCRIPTION OF WORK /1Q NEW P.C.Fee 3 �C�� Permii Fee S7� [/ � � ' ADD. ❑ � D l�• U� Issuance Fee �• �v � _ ALTER / _ � REPAIR ❑ �� Totol fee C�� . j USE OF � OEMOL ❑ Z � 1 6 u Q A � EXISTING BLDG. . ' APPLICANT - . E� �d �� (�`�`?� - � � (PRINTI 9'' o {� e • . • '� '� i ,�,,J �Q. "'� o 0 � BY ISIGNATUREI •.�+ .l+a-�-��^'^-"'—, � �� b i I NEREBY ACKNOW�EDGE THAi 1 HAVE EAD THI$APPLICATION AND$1ATE ��1 �I� �.'�k� . u •�• •2 0, 1 6 U THAT 1HE ABOVE IS CORRECT AND AGREE TO COMPIY WITH ALL ORDINANCES o� s''I f 0 � AND LAWS REGUlA71NG BUILOING CONSTRUCTION.I CERiIFY THAi IN DOING THE r � 2 ' WORK AU?NORIZED HEREBY I WILI NOT EMPLOV ANY PERSON IN VIOIATION OF � J�� V �� 'j—7 C� � 1HELABORCODEOFTHESTATEOFCALIFORNIAINRELAiINGiOWORKMEN�SCOM. IVI��uJ�""��Z . � �, PENSATION INSURANCE. .. . . � � � 7 _�. I r1 -- . .. . !1 ` �1 � SIGNATURE OF . . . - �- #' e a s'�,e � - �' PERMITTEE � ADDRESS ZO I � • � �;U G 7EL. CITY NO. '� * '— x''-' 4 � ��` � � i.Cr C�.� �� l USE 20NE MAP . � � f • � �'� � ' NQ --� c ° • —+ ; U� � L— li' SPECIAL N `' -'' � �� r.. CONDITIONS � � - I ^ O • C�1 $ . FINAL r I � � BY J C O N (Y? W DATE +`E �'O -., �`-, _' _- 6 - � r.-� , I . .. _ . : . � � rJ yA ! I � '. �\Y' " ' t ' PLANS TO APPLICANT � INSPECTOR�S NOTES � � f0: RETURNED.• i. - � . , h ,� �..1,..'..^ .w.- `,. � . APPROVED NO DATE NO. . OATE'' . ' _. . . �. �'i 1 �_ � :..'.i�1:; � . . ' - . .. � . �. �_ . ` ' . � . .. ' _ . - -- .._ ��''..-� '),' , .! .r • ; . -.•\ .---- , , . � . , . � � . ,�' ; ;; . . . � : ' . ., . REQUiRED . DAiE RECEIVED � � ; -- ----- - .. -..... APPROVALS YES � NO � � '� � �� ORAPPROVED . _- - - � - , , .._�_-�• - - WATER CERTIFICATE �• ----•• . __•_ ' •-_._ -- '. - - _ ' � �•. , �, _ , .. • • , ^ , . . . .,.'i.+.�. i. ..l� ,� --••_ ' i HEALIH DEPARiMENT ' � �_ .. � �� i i`,1. t.t:� I•:��': FIRE�EPARTMENi . " , � � _ GRADiNG . ' -- -- -- - -- ��- -- � ----� � - -� , � GEOIOGiCAI . ._ _ . .. -- - - _ - - -- - --. - - � - - - - . . ,. ,- ��_ , )��: . . .��. ,�" (R _ '�; - -- PEDESTRIAN PRO7ECTION ' - '' - r� :. +. '..-� _ . . .__:`�,'�\:. _' ,. �FENCEI ICANOPYI "_� ' `� �','�-- . . _.. _ - - -- ----. . .. _ , ,. � �. . . -- - . . ._ . SPECIAL INSPECTION _ _ _ - ' � ' ' " ' � �CONC.IIMASNRY.I�WEIDG.I ` . - _. �------- -- _.. _ � . -- --- ---- _ - - - - - - _. _ lpi DRAINAGE , � . ;,�; I PARKING � � • � • : ' � � • � . �'. .- '--- .'.. ,��'_t . .__ � .. _ _. I � . ,. , �. - --- ----- -- - . . _ . _ . _ ` � - -- _ . . APPROVALS' -� ' � = OAiE INSPECTORSSIGNAiURE � ' ' , _ _ ___ ._____ . ._. ETBAGOKBYARD51 y �71�1�� . , . �},'�l{''�"'�..�, -•- - --..t. . '� _ _..� ..;: ... ,_. I FOUNDATIONS� - � ` � - . � , ' .- ----�--- - - ' � - . ._ . _ I FRAME • ' , � �, , . IATH/DRYWALC ' ` ' . ' . . I INTERIOR ' " I IAiH•EXTERIOR HOUSENUMBER. . ' --- - ------- -- - __ ..._ . _._ CORRECT�POSTED ENERGY INSULATtON FINAL- � --- .- __. .__.. . _ . ENTER ON FRONt � � �}� �!1 -i ! �1(''�^�`1 ri � � 'j�'1�"'..- ---- - � ---------�-�- - --- . . . _ . 'r � L l.{"�. . ... . . ._._ ._. "." ,1...... ... _ . .._ , ` .... _. __ . '_ � . - •1 ' ' `' l .ft'"�'.. .. .