HomeMy Public PortalAbout4941 ARDSLEY DR_Building__ 76A638A 058.33-8APPLICATION FOR BUILDING PERMIT 1
1
DIVISION OF BUILDING AND SAFETY BUDRESS'LDINa
Department of County Engineer
County of LOS Angeles LOCALITY re
WWI.J. FOX. COUNTY ENGINEER NEAREST S /• tl� r-
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST.35
FOR APPLICANT TO FILL IN. DISTRICT GRQ1}?� I TYPE �SEWER MAP
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CONST. -
ADDREP '- STATE
l A 1/ 'I WS
_Vic, N MA ER Af 4 HWY
LOT NO. BLOCK UI NE SPECIAL -
/ CONDITIONS
TRACT ( (fir -
/ f ✓ NO. OF BLDGS. "'� 1
SIZE OF LOT G*/ ^ / ` ® I NOW ON LOT SETBABUILDICK NG YARD HWY STREET NAME WIDTH
USE OFi
EXISTING BLDG. ..- U �. l'relA a 9, FRONT
IP.L. ,
OWNER J9 V1^ (/�/T e� SIDE
MAIL
ADDRESS I ! '[ /Y /Q(pS�4'/ !//C� O TRACT DWELL. I UNIT
f ` TEL T/� 1 DWELL. 1 UNIT 5 INDUSTRIAL _
CITY'I e-lrt p fp di • 1 NO.��/""' �� 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 7�UNIT
7 ADDN..ALT., ETC.
ENGINEER NO. 8 APT. UNITS
f ISCEL.
ADDRESS '"� 4 COMMERCIAL
CONTRACTOR p0 VAIN e H {{ NO.��r'c F-S�` INSPECTION RECORD
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES J FAMILIES
USE0 $TJt CTU�7,§_
Ga�z4
SIGNATURE OF
APPLICANT p /� APPROVALS
ADDRESS ( It .DATE INSPECTOR'S SIGNATURE
$ FOUNDATION; LOCATION I '
P.C. $ FORMS. MATERIALS
101, o FEE FRAME: FIRE STOPS, Sy�-hJ(('U/} �f!'
VALUATION $ .f!p� BRACING.BOLTS 1k 2-11,55 hldj,._._
FEE FURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION.
LATH. EXT.
SIGNATUREOF ` HOUSE NUMBER COR-
PERMITTEE 1- RECT AND POSTED A
ADDRESS Aaz '� FINAL - 1`5 �
WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM,CHIEF BLDG. INSPECTOR
7GA688A CE#80910.88 APPLICATION FOR BUILDING PERNI-IT 1
COUNTY OF LOS ANGELES BUILDING ���,��
DEPARTMENT OF COUNTY ENGINEER ADDRESS.
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GRpUPpE (A/ - PR SED BY
FOR APPLICANT TO.FILL IN �� _fes I coNSTT- I
BUILDING STATISTICAL C S FICATION ISEWER MAP
BK PG
ADDRESS �I
_CLASS.NO. -•7 DWE/LL.UNITS
STATE
FLOT NO. / BLOCK N MAER CXO�Id HWY. YES
TRACT / / USE ZO SPECIAL CONDITIONS
SIZE OF LOT (O�— I NOW ON LOTS
USE OF
EXISTING BLDG. ILDING YARD -HWY STREET NAME EXIST.
ETBACK WIDTH
OWNER,.— FRONT r p
MAIL - P.L. xe
ADDRESS SIDE
Zvi TEL. P.L.
CITY NO. INSPECTION RECORD
ARCHITECT CrR TEL,
ENGINEER NO• J�•��J�S 6 Or` W UK I
ADDRESS
CONTRACTO O
ADDRESS
DESCRIPTION OF WORK -
NEW ADD ALTER REPAIR DEMOLISH - -
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNAT RE O
APPLICANT a APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS .
VALUATION FRAME:FIRE STOPS, -� s
BRACING,BOLTS Lv S� �• �'
FURNACE:LOCATION.
FEE $ I FEE $ �? I - GAS VENT,-DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGU ATING BUILDING CO,STRUCTION. LATH,EXT. '
SIGNATURE OF / ' HOUSE NUMBER COR- ,
PERMITTEE I RECT AND POSTED
ADDRESS FINAL -.
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENR
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O CASH
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1'912- 8 fA AUG 31 11A 9:0.0