APPLICATION FOR BUILDING PERMI vllt 1 SS'?sV^g /2.r/</ J LOCALITY DISTRICT NO. MAP NUMBER BUILDING YARD HWY 6-'

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2 \ APPLICATION FOR BUILDING PERMI vllt 1 SS'?sV^g /2.r/</ J COUNTY OF LOS ANGELES lepartment OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING < JOHN A. LAMBIE. County Engineer CASSATT D. GRIFFIN, Sup'T OF Building FOR APPLICANT TO FILL IN LOCALITY DISTRICT NO. ^YPE consa:--^' /Fi "Z'r LOT NO. /ta^ NO. OF BLDGS. NOW ON LOT MAP NUMBER..DWELL. UNITS SPECIAL CONDITIONS STATE HWY. ADDR ARCHfTECTOR ENGINEER CONTRACTOR no :'^3^ u'xcn TEL. NO. TEL. NO. DESCRIPTION OF WORK BUILDING YARD HWY EXIST. STREET NAME WIDTH FRONT P. L. 6-' INSPECTION RECORD?STS A/o ffc= NEW ADD ALTER REPAIR DEMOLISH SQ. SIZE FT. NO. OF fam?lies^2- SIGNATURE O APPLICANT /.i T P. C. FEE VALUATION I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS I^ULATING Bl^kEMNO COJ^Sf RUCTION. PERMITTEE. 1 FORMS. MATERIALS n=-rame: FIRE STOPS. BRACING. BOLTS FURNACE: LOCATION. jtr/ DATE apector's S)/nATURE V//^y GAS VENT. DUCTS f/^/kol\ /9 ^y. lath, I NT. LATH. EXT. 0 -^,c, -5,r HOUSE NUMBER COR- RECT AND POSTED : ^4^. FINAL 1. FLAN CHECK VALIDATION M.O. CASH PEBMIT VALIDATION O. CASH " CLYDE N. DIRLAM, Principal Structural Engineer f 4 13 JU:J l1 J'.vll C

3 76A657-CE APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES 1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. County Engineer CASSATT D. GRIFFIN. Sup T OF Building FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM WATER CLOSET BATH TUB SHOWER LAVATORY SINK DISHWASHER LAUNDRY TUB CLOTHES WASHER WATER HEATER GAS SYSTEM LOCALITY NEAREST ^ ^ CROSS ^ J OWNER CITY TEL. NO. CONTRACTOR y g» CONTRA^O^'S CITY /C ^ tel, no. /C7SW. ^ REGISTRATION NO. DIST R^CTNO. I G^P 1^^^ INDUSTRIAL WASTE. [ASTE,APPROVAL INSPECTION RECORD 7^ ~ 9 ~ STATE COUNTY READY FOR INSPECTION /c $1.00 PER ITEM OR FIXTURE PERMIT TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DFSCRIBLD RESIDENTIAL SIGNATURE OF PERMITTEE. - UNDER SLAB WORK ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST UTILITY CO. NOTIFIED FINAL ^^.--^LIDATION 6/ y' CK.'^ M. 0. CASH 9/^ /V5,.v 6,r.- n/ O,/ r/t INSPECTOR S SIGNATURE /..y" u / a i.-' / / /- ROBERT A. WOOD. V Supervising Mechanical Eng'R L/f ; )... u.,.i ^ ^

4 # «ce APPLICATION FOR ELECTRIC PERMIT-^ ^ BUILDING AND SAFETY DIVISION Department oi County Engineer County of Los Angeles JOHN A. LAMBIE. County Engineer CASSATT D. GRIFFIN. SUP'T OF BUILDING FOR APPLICANT TO FILL IN PERMIT FEES LIGHTS RECEPTACLES SWITCHES NUMBER ITEM EACH FEE 49 *.10 TOTAL OUTLETS» 4 9U 4 lii. ELEC. RANGES. WATER HEATERS, CLOTHES DRYERS ELEC. SPACE HEATERS, STAT Y. COOK ING UNITS, GARBAGE DISPOSERS, AUTO WASHERS, DISHWASHER LIGHTING FIXTURES MOTORS H.P. HORSEPOWER OVER INC. 1 'A Vz ft LESS.50 'A IB BO lO S.OO I apdr e's^ /rs~0 I LOCALITY Lawn dale (Goun^y) NEAREST CROSS ST. 15Qth St. OWNER Mr, Howard Du Carme 125 N. lt.uro CITY Hawthorne NO. OS ELECTRICIAN Blevins Electric Burl Ave Hawthorne OS TEL. NO. U9883 (C-10) STATE LICENSE NO. DISTRICT NO. 7 I GROUP I I ;2a^^><^vInspection record ZONE R7 READY FOR INSPECTION MISC. SIGNS 1 SERVICE O - 600V SERVICE OVER 600V WIRING PERMIT NO. TRANS NO. LAMPS uu FIXTURE PERMIT.50 SUPPLEMENTARY PERMIT TOTAL FEE I HEREBY ACKNOWL EDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE : ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY < ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRI ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI r 1 AH THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTItL PROPERTY. ^ ^ SIGNATURE OF PERMITTEE JOHN A. LAMBIE^ COUNTY Engineer s id 55 79A. CONDUIT 77T WIRING FIXTURES POWER YAUDATION /ck ymc CASH UTILITY CO. notified final DATE ^/o < n /y-sr A. t / INS^gCTOR^S SI6KATHRE A:-:,v ' '/A-^/ / ARTHUR C. VEIT. SUPERVISING Electrical Engineer ii 7 8 la JLL. n t 1 J.5 5

5 V-; 7SAC42D a ft E APPLICATION FOR PERMIT DIVISION OF BUILDING AND SAFETY Department of County Engineer Coimty of Los Angeles JOHN A. LAMBIE, COUNTY Engineer CASSATT D. GRIFFIN, SUP T OF BUILDING legal DESCRIPTION TION lot FOR APPUCANT TO FILL IN BLOCK * _ s > Urt NO. nc OF Di BLDGS. ripre is SIZE OF LOT^ )(/^0 NOW ON LOT L BUILDINGS USE OF CONTRACTOR / REGISTRATION NO. DESCRIPTION OF WORK HOUSE SEWER CONNECTING TO PUBLIC SEWER SEPTIC TANK. SEEPAGE PIT OR PITS AND/OR $ 3.00 OVERFLOW SEEPAGE PIT. DRAINFIELD $2.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL S 1.00 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE S 1.00 ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL $ 1,00 SEWER SEWAGE DISPOSAL NEAREST i CROSS ST. ( /<? 3F? /PdA / DISTRICT NO. TEL. ^ ^2-^ 2-~- GROUP 7 'X CONNECTION DATA TEL. vpl_ D 3 STATION DEPTH 5^' ^^^TTate " county BK MAP MANHOLE reference,. St. -O^ rewelt TYPE OF CONNECTIO CURB CO. IMP. NO. M7/ TRUNK PERMIT NO, STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL LENGTH FROM M.L. TO P.L. P. C. NO. JOB NO. ROAD PERMIT NO. cha^«s PG 1 OWNER'S AUTHORIZATION PERMIT TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. _ SIGNED THIS- -DAY 0F_ OWNER OR OWNERS AGENT- - CONNECTION CHARGE FJ REIMBURSEME NEW HOUSE SEWER CONNECT ADDITIONAL BUILDING OR WORK SEPTIC TANK, SEEP, PIT(S) AND/OR DRAINFIELD DATE INSPEpOR'S SIGNATURE dadjillix I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMIT CESSPOOL DRYWELL ALTER. REPAIR, SEWER OR SEWAGE DISPOSAL SYSTEM DISCONNECT PLUG AND ABANDON HOUSE SEWER BACKFILL SEPTICTANKSn SEEP. PIT(S) CESSPOOLS JOHN A. COUNTY Engineer ^ VALIDATION^->=^b ROBERT A. WOOD. CHIEF PLBO. INSPECTOR CK. M. C* " r'

6 FOR DEPARTMENT USE REQUffiED INFORMATION l.;^icate ALL BUILDINGS ON PROPIRTY. avi.- ^v-:;uar--t :o " 2. INDICATE AND DIMENSION SEWAGE DIS POSAL SYSTEM WITH TIE DISTANCES TO BUILDINGS AND PROPERTY LINES. ' 3. INDICATE SIZE OF SEPTIC TANK DEPTH OF SEEPAGE PmS) SIZE OF CESSPOOLIS). 4. -INDICATE NORTH DIRECTION ON PLOT. _. i ^ Sr ^ ^ Jfi.I: rjtt., k f. «t : i I JSL... ii-i-c.. 'Ci-xX \... 1 '. T' ---- r-----rr~>; <0'nct\"ir-j^T -f.inf... 0 ^u --S '.?>. a'.1. J 'i'j-3^3, '' n c: jj. : -.i.«,p ' v -ru4<ri-4 -,,»#; - ;.... 'Y 'Y I,;»T; v<«m.; L.; (.., if'i* Iw L» -,... ST. ALLEY R/W 1..-V. K- ; <- : ^ <'y- u-'^ i 1 i FIELD NOTES i ' '. H _ - *>/,'1 j.. * J. 5; s! ;.;»» ) - >.. - C' i " :!. ' 4p - '',, ' V, V: -. r.' i,..< 1... ^ 1, :;. /. A - ^ k ' ' V i

7 m CITY OF LAWNDALE COUNTY OF LOS ANGELES DEPARTMENT OF PUBUC WORKS BUILDING AND SAFETY DIVISION LEGAL ID: LAWNDALE ACRES S 50 FT OFLOT 3BLK 45 ASSESSOR INFORMATION NUMBER: OWNER: MONTOY A,NEMESIA AVIS AVE LAWNDALE, CA APPUCANT: DESCRIPTION WORK ITEMS: BURIN AVENUE LAWNDALE, CA PH: (310) Qty: UoM:Amt. Tot. Furnace {up to 100,000 BTU) 1.00 Each FEES: Issuance Fee Furnace (up to 100,000 BTU) Amt TOTAL FEES PAID: Mechanical Permit PERMIT NUMBER: PR Avis Avenue, Lawndale BUILDING : AVIS AVE LAWNDALE CA PROCESSED BY: CCorea PC.SUBMITAL ISSUED ON: 09 May 2012 FINAL DATE: FINAL BY: / rinmu D1 USE ZONE; GROUP: CONST. TYPE: V-B EXPIRES ON: 09>4q^2yj2 DIST: 7.01 FIRE ZONE: CONTRACTOR: Inter-City Energy Systems McCann Drive Santa Fe Springs, CA ARCHITECT OR ENGINEER: LICENCE NO: C LICENCE NO: STATISTICAL CLASSIFICATION: DESCRIPTION OF WORK: FAU change-out - Hall Closet Avis Avenue, Lawndale SPECIAL CONDITIONS: APPROVAL DATE. INSPECT Rough FINAL / O cc o ouj a. (O 2 LEAD HAZARD WARNING: Due to the possible presence of lead-based paint, lead-safe work practices are required for all repairs that disturb paint in pre-1979 buildings. Failure to do so could create lead hazards that violate California Health and Safety Code, Sections and with potential fines for violations up to $5,000 (Section [d] amended) or imprisonment for not more than 6 months in the county jail or both. For more information call LA-4-LEAD. THIS PERMIT WILL EXPIRE IF CONSTRUCTION IS NOT STARTED WITHIN SIX (6) MONTHS OF THE DATE APPROVED BY THE BUILDING OFFICIAL. CONSTRUCTION ACTIVITY MAY BE CONDUCTED BETWEEN THE HOURS OF 7 A.M. AND 7 P.M., MONDAY THROUGH FRIDAY (EXCEPT NATIONAL HOLIDAYS), AND 8 A.M. AND 5 P.M. SATURDAYS. CONSTRUCTION ACTIVITY IS PROHIBITED AT ALL OTHER HOURS AND ON SUNDAYS AND NATIONAL HOLIDAYS. Printed on: 09 May 2012