HomeMy Public PortalAbout5429 CAMBURY AVE_Building__ ... APPLICATION FOR BUILDING PERMIT " �.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST - -'
CASSATT D. GRIFFIN SUPT OF BUILDIn
GIN9E CROSS ST.
DISTRICT NO, ,GROUP pE PR SSED BY
FOR APPLICANT TO FILL IN coNsr.
BUILDING STATISTICAL CLASSIFICATION SEWER MAP5aa/�`��
ADDRESS ' lI ��• K O
.CLASS.NO. DWELL. UNITS �� O
LOT NO. 1 BLOCK MAP STATE YES O
..11nn >> NUMBER HWY.
TRACT VV• �L USE ZONE SPECIAL
r /� NO.OF BLDGS. CONDITIONS
SIZE OF LOT 6 J L 12-0 NOW ON LOT � � ' -
USE OF
EXISTING-BLDG. r l�f( I {/],� BUILpING - EXIST.
YARD HWY STREET NAME
I SETBAOK - WIDTH
OWNER GI r FRONT
MAIL iice_� �J P. L _ _
ADDRESS- 54,2 2 7PIDE
CITY I _h', e'_ T a- INSPECTION RECORD .
ARCHITECT O TEL.
ENGINEER NO. `}.
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ADDRESS - t
CONTRACTOR � 0r• - -
ADDRESS B �•t t
DESCRIPTION OF WORK
NEW. D ALTER, REPAIR DEMOLISH
Sq. FT. NO. OF NO. OF -
SIZE STORIES FAMILIES
USE OF
STRUCTURE &0do
SIGNATURE OF
APPLICANT '-
APPROVALS DATE/ �(INSPE�C�T�O{R'S
�SIGNATURE
ADDRESS /�y. �'- FFr ION
—FORMS, MATERIALS
VALUATION $ B-�(/ FRAME:BRACING.BOLTS S W IOD "�f llr�t/
P.O. PMT. FURNACE LOCATION,
/vO F . ✓ 7.'z.�-G�" I`� �naiT1Y-GOO'
FEE $ i FEE GAS VENT, DUCTS
S�SJ '�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. O JA/ .fi
PLICATION AND STATE THAT THE ABOVE IS'CORRECT-AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS RE LATING BUILDI G CONSTRUCTION. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR.
PERMIT EE RECT
ADDRESS ` FINAL
CLYDE N. DIRLAM, PRINCIPAL STR C RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. cX5H PERMIT VALIDATION =K ` m. CASH
Ir,08 7 s s 0EC 1 1 1 A1 5 . - 0 M®.
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
't COUNTY OF LOS ANGELES � IS A 0Do"
WM. J. FOX. CHIEF .ENGINEER �J
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING U (/•�R. �w II DISTRICT NO. PLAN CK:NO, PERMIT NO.
ADDRESS "/ O — 5. `a wt (A vv ve - � y.36 /, i
LOCALITY p4-N F Cl RECEIVED BY DATE OF APPL. DATEISSUED
NEAREST
CROSS FIT, BUILDNo
u << p .p ✓»�
) ADDRESS, 416 JD.
OWNER i L. {-/.
MAIL LOCALITY ' C I I
ADDRESS Zy -S_ Grp GbGlB �
. NEAREST-
TEL
CITY CROSS ST.
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-
FIRENO.OF TYPE GROUP.�g
ARCHITECT OR TEL. ZONE PLAN9 •�
ENGINEER NO.
SLOG. I ORD.NO-
ADDRESS
.ADDRESS SETBACK LINE .LO / ' . � !'
> APPROVED
CONTRACTOR^f �9�lVu NO - / BY 1 I DATE
Ulla BYPROVED I DATE
LEGAL ^ � g CORRECTIONS
DESCRIPTION LOT NO. BLOCK /// y
TRACTF 9L
SIZE OF LOT �X�Z Q I Na.OW ON LOTS AIn H pYa
XEOP NO.OF NO,OF
E
EXISTING BLDG. O.DFs ROOMS JJ C1YL
DESCRIPTION OF WORK
NEW ALTERATIDN ADDITION O
A_
REPAIR MOVING DEMOLISH O
SO.FT. NO.OF (� ,M D
SIZE 1� wROOM$ ..,7 STORIES d i/^�� F
WALLROOF
COVERING J i4_d r 6 I COVERING
USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
r APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION PipPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY,ORDINANCES FORMS. MATERIALS
-AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
' FIRE G,BOLTS `7
`
SIGNATURE OF / C BRACING, STOP
PERMITTEE
-� LATH, INT.
AUTHORIZED AGT LATH, EXT.
96AB RA-3 v-as $� �Sd� SLS PLASTER. INT.
FEE • PLASTER, EXT. /
VALUATION FEE �3 � FINAL ��
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