HomeMy Public PortalAbout9045 ACASO DR_Building_10/3/1952_01132 DIVISION OF BUILDING AND SAFETY
Department of County Engineer
�v County of Los Angeles BUILDING
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NQ PLAN CK OR RED No PERMIT NO.
BUILDING o!/
ADDRESS
LOCALITY
RECEIVED Y DATE orAPPL DAT { UED
� � Apw
NEAREST t7 i
CROS BUKLDINM
ADDRESS
OWNER Z2 aedn�
M _AIL LODALITY
ADDR V10 NEAREST
TEL CROSS ST.
CITY NO. +FIRE NO.OF TYPE _ SRO P
ZONE PLANE
ARCHITECT R- TEL
ENGINEER NC. 1 9LD'BALINE `�C>1 ORD. NO.
E7CK
ADDRESS
_ USEAPPROVED
TEL ZON SY DATE
CONTRACTOR
ESS NO. ' s HOUSE NUMBERING
ADDRi� MAP NUMBE `�! NO ASSIGNED BY ,_-
Le°AL i ' CORRECTIONS
DESCRIPTION LO/T�NO. BLOCK ti
TRACT • (� �� 3
Na. OF yBLDBS.
SIZE.OF LOT a I NOW ON LOT
USE OF //ff�� NO.OF
EXISTING BLDG. (/[tea FAMILIEO
DESCRIPTION OF WORK
NEW ALTERATION ADDITION Z
s
REPAIR DEMOLITION r
u
Bq.FT. No.or e
SIZE ROOMS STORIES /
EXT WALL4®RE i I ROOF 1:
COVERING COVERING o-USE OF BTRUCT s
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INSPECTION FOR APPROVALS
OCCUPANCYAS INSPECTOR'S SIGNATURE DATE
FOUNDATION. LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-! �
PLIOATION AND STATE THAT THE INFORMATION GIVEN IS, FRAME: FIRESTOPS, -ell �/'/Z
CORRECT BRACING,BOLTS .+�GG�4-.c•-r.
I'AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -�"-
AND STATE LAWS REGULATING BUILDING CONSTRUCTION t FURNACE. LOCATION,F
( GAS VENT,DUCTS
SIGNATURE OF LATH. INT.
PERMITTEAM �` `
ADDRESS
LATH, EXT.
AUTHORIZED AOT. PI-ASTER, INT.
PLASTER, DCT. \
FEE HOUSE NUMBER COR-
RECT AND
OR-
RECTAND POSTED
VALUATION FEE O FINAL
7SA638A DOS 3 1-S2
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