HomeMy Public PortalAbout6202 BURTON AVE_Building__ A ROAD DEPT. PMVIT IS REQUIRED
FOR ANY MATE !PL 51.^.-."•1J2 ;:.>, WORK _
DONE IN I hE <-AL) R-0 Cir 'JAY.
„q,...DeAPPLICATION FOR BUILDING PERMIT 1.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
.JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT O. GRIFFIN, SUPT DF BVILDING CROSS ST. -
_'RICT NO. GROUPYPE PR S
FOR APPLICANT TO FILL IN coNsr..}�
BUILDING -
I / [ TYr �yy STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS (.. a- BU Z
Ry CLASS.NO. DWELL. UNITS
I
LOT NO. N r BLOCK MAPO O STATE YES
C5- NUMBER HWY.
TRACT G5 USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT O G' X •3 u O V NOW ON LOT ^
USE OF T �'// �r .S BUM EXIST.
EXISTING BLDG YARD HWY STREET NAME
SETBACK WIDTH
OWNER ( Y FRONT I O
MAIL _ �s P. L. _
ADDRESS �VaP•-2-- IrGr<�d \ SIDE li
P.L.
CITY NO
INSPECTION RECORD
AROHITEC OR TEL.
ENGINEER NO.
ADDRESS
�1 TEL.
CONTRACTOR IY /I NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIRDEMOLISH
SO. FT. NO. OF NO.
SIZE STORIES FAMILIES
USE
STRUCTCT
URE
LSC/
SIGNATURE OF
APPLIC
APPROVALS DATE INSPECTOR'S SIGNATURE
ADD ESS FOUNDATION: LOCATION
FORMS,MATERIALS
VALUATION S ` FRAME: FIRE STOPS,
BRACING,BOLTS
FURNACE: LOCATION,
FEE t FEE f�
P:C. I PMT. GAS VENT, DUCTS
I
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP. LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH A L COUNTY ORDINANCES AND LATH, EXT.
STATE LAWS RE LATI BUILD�^CONSTRUCTION.
SIGNATURE OF HOUSE NUMBER COR-
PERMIT
OR-PERMITT - CAr RECT AND POSTED
ADDRE s FINAL G-20-Go 7,c,�.nl
CLYDE N. DIRLAM. PRINCIPAL STRUCT RAL ENGINEER
PLAN CHECK VALIDATIO w/K M. CASH PERMIT VALIDATION C.OK. M.O. CgBN
LIM5585e JAN25 1 A 3,00 ®,
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