HomeMy Public PortalAbout6138 BURTON AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES S ® � /w
G
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
��•• DISTRICT NO. PLAN 11.NO PERMIT NO,
BUILDING S ! A.A /�s:-: /Jn
ADDRESS wS
c�fN'
LOCALITY � - RECEIVED BY DATE OF APPL. IDATEISSUED
NEAREST
CROSS ST. lJL/
BUILDING
OWNER ,o(` •�/ �f" NSM � ADDRESS / /Aito�
MAIL =TLOCALITY
ADDRESS, NO.CITY 114,11IAJ C'4/"rw'X NEAREST
CROSS ST.
FIRE NO.❑F TYPE GROUP �f`�
ARCHITECT OR {per TEL. ZONE PLANS If',o
ENGINEER NO. s
BLDG. /� /.` I4! 4 NO.
ADDRESS SETBACK LINE /�� e �j O.1
CONTRACTOR TEL.
APPROVED
TEL.
OATE3�/ "L
NO.
USE A APPROVED
ADDRESS ZONE BY DATE
LEGALI q/ jtI CORRECTIONS
DESCRIPTTIOONNJ/+� LOT NO. BLOCK
��yyyy .,.r IIq NO.OF BL
SIZE
fiIZE OF LOT NOW ON LOT
USE OF NO.OF .ND.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW 0/r ALTERATION ADDITION
REPAIR I MOVING DEMOLISH
Sq.FT. tM NO.OF Z
SIZE [(/y ROO M3 STORIEfi y
WALLp /_ r
COVERING I COVERING &IIIMJAYAj
0 if
USE OF NEW
BUILDING ...cast%+ern.-d aillll, Q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMMS,S, IORW: LOCATION INSPECTOR �ATE�
FOMATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF �� BRACING,BOLTS
PERMITTEE ��Y�-I�� ^ot'Y
^�{q_{/-�.I �{�!J�� LATH, INT.
AUTHORIZED AG'r,22 ,�"w' y/ aNA+v>•��^- L«dA LATH, EXT.
/✓
75A63OA 9-4B
0..-3 SOM SETS $ P.C.$ PLASTER, INT.
FEE PLASTER.EXT.
VALUATION W/ / /y
FEE l b119 FINAL �(�/ 2 / 1.
DEPARTMENT OF BUILDING A*'D SAFETY "APPLICATION FOR PERMIT
COUNTY OF LOS ANfi�ER O(+r �7 15413 U I L D 1 N. G
WM. J. FOX, CHIEF ENGINEER b
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING y�0/{J� �L //� DIBTRICTNO. PLAN CK.NO. PERMIT NO.
ADDRESS ,� Ic l4fA/M9 ///.P //—/pQ�
LOCALITY RECEI,PPPVED S BY •rliz /i-DATE O(](APP�L. ' OIA�OIB/UEDI
NEAREST / (/ ® A _/ I/
CROSS 9T. L.�/�/LIA�{'/J��
BUILDING
ADORES, _J n //�/i��f!/)AT
OWNER / iL A/MAIL
ADDRESS
(�r //' /A/�L�LC�jJ LOCALITY
"TV,
ITY✓l d..v/ CROSS ST.
FIRE NO.OF TY`'PE„ GROUP
ARC HITECT OR, TEL ZONE PLAN, I// /f+ _
ENGINEER NO. -�
/) BLDG. / / 'rORD.ND.
ADDRESS II/l✓,�lQ� / SETBACK LINE '� 1'� / f^ �..
APPROVED
' TEL BY DATE
CONTRACTOR NO. APPROVEDUSE
ADDRESS ,�}}
ZONE/d I BYDATE
/V�Ii�.f./ -���
LEGAL � •,x�' CORRECTIONS
DESCRIPTION LDTNO.S/!R'// BLOCK `.-�-� /l �L
TRACT k- 9�.- /
SIZE OF LOT 'SO/Y } /7 NOW ON LOTS 1
USE OF I NO.OF I NO.OF
EXISTING BLDG. FAMIl1E0 / ROOMS
DESCRIPTION OF WORK
NEW i� ALTERATION ADDITION
O
a
REPAIR MOVING DEMOLISH p
BD.FT. NO.OF Z
SIZE �` ,,,,��=�ROOM, STORIES D
WALL 2a I ROOF
COVERT COVERING
UBC OF NEW J )
BUILDING'./% / ./A/�/ter
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE I, CORRECT FOUNDATION: LOCATION y, INa E - DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCE, FORMS,MATERIALS fL ��7/
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS, T
SIGNATURE OF ///JJJ JS �A / A BRACING,BOLTS
PERM ITTE /JH
AUTHORIZED AlT ��/O�r.in -lli M./J�-<t/
- � TM.EXT.:
oBs-3 50H SETS 1-48 $ p C.® PLASTER,INT.
�
1T FEE �4 PLASTER,EXT.
0 e0 a
Ty' ,8�O.O�O ,
VALUATION /�/ FEE '1 fl u FINAL 3