HomeMy Public PortalAbout9542BISBY ST_Building D2PARTMENT OFOBUILDING AND SAF$TY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ' f�' BUILDING
.. WM. J. FOX, CHIEF ENGINEER
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
o/, (� DISTRICT NO. �P/LAN CK.�NNO. PERMIT NO.
UILDADDREING SS 7J 7 Z- � i SIJ / �/ I �<.� �..
RECEIVED BY DATE OF APPL. DATE ISSUED
LOCALITY
NEAREST q— 0 / I _ - 1
CROSS ST.T'IL-j O L,tv Li BUILDING�c ^ C/j ex
� ADDRESS ✓ f-,
OWNER M P-,,-
MAIL T LOCALITY QJj�5 1417 E,
ADDRESS QT NEAREST /
TEL. CROSS ST. A 0 4--.,-e.A ;r_ tJ S Q
CITY '�., '-"_ ..� C NO. FIRE NO. OF �j I v!
TYPE / / I GROUP
ARCHITECT OR TEL. ZONE PLANS L
ENGINEER NO. BLDG. „� �',p /!ORD. NO.
SETBACK LINE r- T
ADDRESS APPROVED
BY DATE
CONTRACTORM, r= dr( USENEAPPROVED
ZOBY DATE
r
ADDRESS -4 QL �� �.jr°� .' HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO. BLOCK MAP NUMBER—120/-$ —FIELD CHECK BY
TRACT ( NO. ASSIGNED BY__j!,5____DATF
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT NOW ON LOT . t;�< - -7
USE OF 1 NO. OF _
EXISTING BLDG. _.?!' I FAMILIES
DESCRIPTION OF WORK
,r• T�CAT.YF ;'
NEW Ix I ALTERATION I I ADDITION I _
0
REPAIR I I DEMOLITION I I I
SQ. FT. NO. OF I
SIZE 040 ROOMS STORIES _ Z
EXT. WALL. ROOF r
COVERING STV V�, I COVERING Wo 0 s h
U6 F STRUCTURE iw
1 Go IAS? T?) t✓RN►9C� i..i-
/7 D 4U.rJ-ra- _ sod
aM/3. /rt' Ta T-IC ,tvwo&#qr-
3 74-o' eF4 APPROVALS JO ' 'Fo'"N
�I er/Q _a INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS 4-
CORRECT.
I AGREE TOCOMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS R�L;tl.Llri NG BUILDING CONST CTION. FURNACE: LOCATION, ✓ ...�yJH'
�q p
SIGNATURE OFtl�jf GAS VENT, DUCTS
PERMITTE �t=t.�:' f��^"�
LATH, INT,
ADDRESS _
LATH, EXT.
AUT+#84%#8lDy►GT. ,
PLASTER, INT.
76w43ew cess Lo- ^ � P. E ; If
J /v/ FEE PLASTER, EXT.
VALUATION FEE S3� FINAL f t-"fi-/ r-,,,.
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