HomeMy Public PortalAbout9016 RANCHO REAL RD_Building_5/27/1959_single garage 7BA039A C8#ecy,:o-ae• APPLICATION FOR B U I L..D I N GP 'Rl�I A .
COUNTY OF LOS'ANGELES BUILDIN O /
DEPARTMENT OF COUNTY ENGINEER A°DRE I
BUILDING AND SAFETY'DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST I•
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP I TYPE ROCE
FOR APPLICANT TQ FILL IN • A CONST:
BUILDING/ f/
ADDRESS STATISTICA'L CLASSIFICATION SEWER A
CLASS.NODWELL.UNITs� Il—
(0
LOT NO. BLOCK MAPH;ATSTAT
M'. YE
TRACT d.�rS
��y f � NUMBER.
,U EZONE SPECIAL.
NO,OF BLDGS. CONDITIONS
SIZE OF LOT / \J C I NOW ON LOT
USE TI &4) X �]
EXISTING BLDG. BUdLDINGYARD HWY EXIST.
STREET NAME-
/J SETBACK WIDTH '
OWNER FRONT
�•
MAIL
ADDRESS U-i' �e- SIDE
TEL. P.L.
CITY NO INSPECTION RECORD.
ARCHITECT OR TEL. � '
ENGINEER NO.
ADDRESS '
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION-OF WORK lo-r,
NEW ADD ALTER REPAIR DEMOLISH G'
T. NO.OF NO.OF
SIZE A STORIES FAMILIES
USE OF.STRUCTURE
v
SIGNATURE OF. � fI� j �I p��Li(� APPROVALS/;PJ9it�l/N6'S F/.qA--6{
APPLICANT �f
/� Q ./��_ /,•;srJ�y�/� DATE INSPECTOR'S SIGNATURE
ADDRESS (/ -tG�'IG�fjy`� Ems(/1 ! C✓ FOUNDATION: LOCATION
� �� •.. FORMS,MATERIALS
P.C. $ FRAME: FIRE STOPS. /1r
�QQ ��� FEE ' BRACING,BOLTS Y%�'ll� /
VALUATION g FURNACE: LOCATION,
m=j FEE GAS VENT,.DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.. "r
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND. y
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILD NG CONSTRUCTION. LATH,EXT..
SIGNATURE OF ( HRCOR
ECTAND POSTED
PERMITTE
ADDRESSQ/t1 J( / �c 1/�' (1 .CeYil / C iFINAL -
CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL E
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION •• CK. M.o. CASH
� Co 7.1 1 In" ',Ay 27 1 .A' Jr.0 0 �.:.
. _ ®p'