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DEPARTMENT OF COUNTY ENGINEER
DIVISION OF WELDING AND SAFETY'
" COUNTY OF LOS ANGELES
WILLIAM J FOX. COUNTY ENGINEER APPLICATION
CASSATT D GRIFFIN, SUPT OP BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO PLAN CK OR REC No PERMIT NO
BUING
ADDRESS f r e�4 �[H � !
�� RECEIVE BY DATE OF APPL bAT I S ED
LOCALITY
NEAREST
CROSS ST {� �� BUILDING
OWNER [{ssS��f.� ^_G,� Q'_��D..-,, ,'J �°�Ari'.tZ,Rl,�f/l�.qJ ADDRESSMAIL /
NEAREST
—ADDRE .-di /PA • .�V'�k�`I�I" II, �.V� � �,�i LOCALITY C����')
p �y� tI q CROSS ST
CITY- f .lam/a n,.�+-^+rl ,s TO - #`1 !
ARCHITECT OR TEL ZONE I PLANS I TMPFIRE NO OF E ^/ GROUP 'T
ENGINEER NO �...L..L I N
- L ORD NO
ADDRESS SET ACK LINE P
CONTRACTOR J T � f;/�a USE APPROVED
ZONE BY DATE
HOUSE NUMBERING
ADDRESS
LEGAL MAP NUMBER NO ASSIGNED BY
DESCRIPTION LOT NO BLOCK
CORRECTIONS
TRACT NO OF BL pp / i
,
SIZE OF LOT ¢n O {p I V A r
NOW ON LOT
USE OF NO OF
EXISTING BLDG FAMILIES
DESCRIPTION OF WORK o -
ALTERATION __
RNEW
AIRI DEMOLITION ADDITION 6A� Zr
SO FT A q„ ® NO OF
SIZE N a4 ROOMS STORIES
EXT WALL I ROOF '
COVERING COVERING
USE OF STRUCTURE
� b o��� APPROV S
INSPECTOR'S SIGNATURE DATE
�,�y�, FOUNDATION LOCATION
FORM8, MATERIALS tib--4V
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRE STOPS, /
PLICATION AND STATE THAT THE
IN
GIVEN IS BRACING, BOLTS " �, ''� ''�
CORRECT -
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAB VENT, DUCTS
I
SIGNATURfi F LATH, INT
PERMITTE
ADDRESSm"D xl LATH EXT
PLASTER, INT
AUTHORIZED AGT
DPLASTER, EXT
FEE !$--- HOUSE NUMBER COR-
RECT AND POSTED /
VALUATION FEE $ FINALj! �� y
7GA688A DB5 3 9-52 ' r d
DEPARTMENT OF BUILDING AND SAFETY ' APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
3 WM. J. FOX, CHIEF ENGINEER
rAD
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN-
LD
BUILDING
SS 7DISTRICT NO PLANCK NO PERMITNO
ITY ���d/ ,-�- / RECEIVEIBY DATE OF APPL- DATEISSUEDST !ST. ADDRESS/,'L� /C� �-
MAIL f /rI ' 1 '1 (/ LOCALITY
ADDRESS
NEAREST
TES CROSS ST /
CITY NO.
FIRE NO OF TYPE =UP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO
BLDG ORD NO
ADDRESS SETBACK LINE
APPROVED
TEL - BY / �_ DATE
CONTRACTOR NO. _
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT //�{� WQ .l PS 0/7NO OF
SIZE OF LOT I v O I NOW ON LOTSUSE OF
-EXISTING BLDG /1/l.i/."Yy.Q� FAMOFE9 ROOMS v
DESCRIPTION OF WORK / /J
le
NEW ALTERATION ADDITION y ( ,fly
r O
REPAIR MOVING NO OF �/ DEMOLISH
SQ FS ZE T d ROOMS `f- STORIES D
WALL ROOF r
COVERING ,1J/`-Wsvl�/40,1AOVERINO
r
USE OF NEW p _
BUILDING /� /�/�
C
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION "`111
FRAME: FIRE STOPS,
SIGNATURE OFs BRACING,BOLTS w .V S �� _ !y'
r
OWNER LATH,INT.:
AUTHORIZED AOT ��'"a'� '�V1 • LATH,EXT.:
DBS-3 25M SETS 4-47 $ P C PLASTER,INT.
1
��6 8 FEE PLASTER,EXT.
_ --__ FEE �� I FINAL
D69-3 25M SETS B-45 l • 1 'T —i (�w
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
P
CA13NTY OF LOS ANGELES _ LD IN
`� WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY T-;,"2�.�d to-'1•' �yRECEIVED BY DATE OF APPL. /j DATE ISSUED
NEAREST yam` / l[r� /I` ~"'
—CROSS sr. tP �<�t ��:<-�'�m..cs'l.�ca tr �'!,�e„I".y��/S
BUILDING
OWNER ADDRESS
Jp � Cr/ � ,PM's C-�C`°`�'
AMAIL
DDRESS ,� ,.(� -LOCALITY ,�5-''�t'�.AA�,� 4:'♦<� If
NEAREST h'C,. 0�F*t t S'
TEL CROSS ST G•'
CITY NO
FIRE I NO OF I TYPE �I GROUP
ARCHITECT OR _ TEL ZONE PLANS l/"�
ENGINEER NO
BLDG ORD. NO
ADDRESS SETBACK LINE
APPROVED
TEL. y BY DATE
CONTRACTOR NO
USE ,APPROVED
ADDRESS �" ZONE? / BY DATE
LEGAL CORRECTIONS
DESCRIPTION I LOOT NO. 43 1 BLOCK /J l2� + ,p
TRACT �I `T d:... I 0 1.PrAJ� e
Ny
NO OF BLDGS.
SIZE OF LOT at (� I NOW ON LOT 9 f �-ffi y� e'd g a
EXI OF I FAM IES OF I NO OF
ROOMS
EXISTING BLDG '
DESCRIPTION OF WORK "
NEW ALTERATION ADDITION
A
REPAIR %}/� MOVING DEMOLISH
SQ.
FT V V 1 NO.OF ' j �!/ k Chi fi` y, �YC S � O. I� D
SIZE ROOMS STORIES r
WALL ROOF COVERING�(�' (ec[,r-tC'!�'�o" I COVERING Ale a
USE OF NEW -
B U I L D I N G
APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME. FIRE STOPS,
BRACING, BOLTS
SIGNATURE OF
OWNER LATH, INT: _
AUTHORIZED AOT &tZl �.�el.,t 41 "t-4ii1.7,� aL'ATH. EXT:
$ _ F-C �-PLASTER, INT
a
� FEE PLASTER, EXT. /
VALUATION
FEE ,FINAL