HomeMy Public PortalAbout9058 ACASO DR_Building_10/31/1955 76A888A D99. eA•PPLIC/ATION FOR BUILDING PERMIT ', �.'
DIVISION OF BUILDING.AND SAFETY BUILDING Os O
lbk
Deportment of County Engines! ADDRESS /r
County of Los Angeles LOCALITY SA N GT"
WM J FOX,COUNTY ENGINEER, NEAREST - �.
CASSATT D GRIFFIN,SUPT OF BUILDING CROSS ST. SPI.
DIBTRI T NO. GROUP SEWER MAP
FOR APPLICANT TO FILL IN I C0..TILDI TYPEB� PG
ADDREISS D�/ !_ -a E2 NUMABER 20 - STATE
HWY
YES N
LOT NO BLOCK ` USE ZON SPECIAL
ICONDITIONS
TRACTXg
+�✓ A NO OF BLDGB. BUI DING EXIST..
SIZE OF LOT yT x '�G.CO NOW ON LOT SETBACK YARD HWY+ STREET NAME. WIDTH
USE OF FRONT J�
EXISTING BLDG / P L V
OWNER r 'SIDE r
P L
MAIL
ADDRESS r0 C -c I O TRACT DWELL. I UNIT
_ 5 INDUSTRIAL
DWELL. 1 UNIT
CITY / 01�lirl& [-I NO 6 'PUBLIC BLDG r
2 DUPLEX I UNIT
ARCHITECT 6R TEL _ 7 ADDN ,ALT ETC
ENGINEER NO 3+ 'APT - UNITS
$ ISCEL.
ADDRESS 4 COMMERCIAL
TEL._
TRACTOR NO INSPECTION RECORD
CON '
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
80 FT NO OF r NO OF
SIZE ✓�o��0 STORIES / FAMILIES
USE OF STRUCTURE
SIGNATURE OF
APPLICAN APPROVALS
ADDRESS DATE SPEC R'S SIGNATURE -
FOUNDATION LOCATION
a 1pto P.C $ FORMS, MATERIALS
/ DD Dom• FEE : ® FRAME FIRE STOPS.
BRACING.BOLTS
VALUATION FEE FURNACE LOCATION, i
JF
1'HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT '
AND AGREETO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT.
AND STATE LAWS REGU INS BUILDING CONSTRUC-
TION. LATH,EXT.
. f
SIGNATURE OF HOUSE NUMBER COR- le ,
PERMITTEE RECT AND POSTED
ADDRESS FINAL
WM.J.FOX.COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSPECTOR
'. 169 5 3 01&rn' OCT31 1 600,- in
• ti .