HomeMy Public PortalAbout6158-6164 BURTON AVE_Building__ A ROAD DEPT. PERMIT IS REQUIRED
FOR ANY MA ER',4L STO-, ,CE OR WORK
DONE IN Ti1E ROAD R:,;.;f OF WAY. - -
7.A.I.A APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING '/ _ 6
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALIT
.JOHN A. LAMSIE. COUNTY ENGINEER' NEAREBt
CASSATT D. GRIFFIN, Suv-T of BUILDING CROSS ST.
- DISTRIAL NO. GRP pE P j BY
FOR APPLICANT TO FILL IN
BUILDING ` /� L STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS Z/ L �tr��~� CLASS. NO. /✓c/qDWELL. UNITS-1
LOT NO. BLOCK MAP
NUMBER WC/Q (� HYE
cy YES O
TRACT 0 �� USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONS
USE OF
SIZE OF LOT/UC � tt I NOW ON LOT
EXISTING BLDG. p d- BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER /� C Q GiI
FRONT �YD�
AMAILDDRESS&&` `l � YO f �(
SIDE
P.L.
CITY ' l�/ �� T/ /• NE. -3��� INSPECTION RECORD -
ARC ITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL. f< r G/N i= C A pl-
A 4'Vn n.✓F_
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK ��I C AFl 'f1 l 97 —J
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE - -
SIGNATURE OF
APPLICA�7
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS 7 FOUNDATION: LOCATION
FORMS, MATERIALS
VALUATION $ oO r FRAME: FIRE STOPS, -
BRACING, BOLTS
P.C. I PMT. O,�'Ci I FURNAOE: LOUCTS
CATION, -
FEE 5 FEE GAS VENT, D
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH LL COUNTY ORDINANCES AND
STATE LAWS REG ATI G BUILDINNSTRUCTION. LATH. EXT.
SIGNATURE OF _ HOUSE NUMBER COR-
PERM= ` t RECTANDPOSTED
p
ADDRESS FINAL 1,2'/1-60
t'�f�✓(' CLYDE N. DIRLAM, PRINCIPAL STRUC RAL ENGINEER
PLAN CHECK VALIDATION =KyM:a• CASH PERMIT VALIDATION CK. M.O. CASH
M5 5 8 '2S JAN 2 5 1 A 3 .0 0 no,