HomeMy Public PortalAbout4533 CLOVERLY AVE_Building__ 76A.7.A CL 1003.. APPLICATION FOR BUILDING PERWT
COIINTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS Z
BUILDING AND SAFETY DIVMION LOCALITY.
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUF'T OF DUILDING CROSS ST.
DISTR N,p. GROUP TYPE SSED BY
FOR APPLICANT TO FILL INS} ^ oNsr. 1
BUILDING STATISTICAL CLASffMFCATION SEWER MAP
ADDRESS 4533 Clov rl . T.0• CLASS. NO.-_ DWELL. UNITS
LOT NO. �. '� BLOCK WATER NOT REQUIRED I RECEIVED
CERTIFICATE:
TRACT MAP HIGHWAY
NO.OF BLDGS.
NO. (cIRcLE) STATE MAJOR SECOND, CAL
SIZE OF LOT NOW ON LOT USE ZONE SPE IAL
USE OF
EX ST NG BLDG. Residence q / CONDITIONS
OWNERG. W Penn NO. BUILDING EJC IST.
2 n•7 SETBACK YARD HWY ,STREET NAM WIDTH
ADDRESS 4533 C lOVerl T.0 . FRONT
ARCHITECT OR TEL P. L
ENGINEER NO. SIpE
P. L
ADDRESS 4f
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DESCRIPTION OF WOMan Gab. a
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NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
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SIGN
AP
VALUATI S '� OG
P
c APPROVALS DATE IN/ [CTO R'■SIGNATURE
DATION: L
FEE S FEE S 6/00 FO FORMS. ATERIALSON
FRAME: FIRE STOPS;
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THC ABOVE I/ CORRECT AND AGR[[ TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY OIIDINANCEI AND STATE LAWS REGULATING GAS VENT. DUCTS
■UILDI NG CON/TRUCTI N. I CERTIFY T IN DOING THE WORK
AUTHORIZID H Y 1 ILL OT [M ANY PERSON IN VIOLA- LATH. INT.
TION OF TH[ D[ C F LIFORNIA RELAT-
ING TO WORKM '
LATH. EXT. _
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE Y4��a a REGI-AND POSTED
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ADDRESs600 S. San Gabr 1 Ba, d. FINAL
San Ga r al JOHN 7��+F..�L�E.WIS. P IIICIP}\L T 'RAL ENG ER.
PL.
PLAN CHECK VALIDATION CK. M.O. CASH _ RL�lll VAIMATIO CK. M.O. CADH
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