HomeMy Public PortalAbout5015 CLOVERLY AVE_Building__ }
76ASSBA C6`p9C56'6Y APPLICATION FOR BUILDING'-PEF� ry�
-COUNTY 'OF LOS-ANGELES BUILDING �f r
DEPARTMENT OF•COUNTY ENGINEER ADDRESS -
BUII:DING AND SAFETY DMSION LOCALITY IN Z2 `
JOHN A LAMBIE, COUNTY ENGINEER NEAREST -
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST'
DI, SLT XICTN G PE L P BY„
FOR APPLICANT TO FILL IN 1-1�) I 6 I CONST
BUILDING„ STATISTICAL CLA TSSEWER MAP t '
'ADDRESS D _ BKl
CLASS NO DWELL` UNITS` —14
LOT NO 42 BL MAP' ,, _STATE YE NO
NUMBER O '' HWY
TRACT( 13329' - USE ZONE rt
_ SPEC IAL--
SIZE ��`�'-
,kms-.=�- --+ NO OF'BCDGS� `�� CONDITIONS
OF LOT 2 KNOW ON LOT
USE OF
EXISTING BLDG BUILDING P - EXIST
SETBACK" YARD HWY STREET NAME_, WIDTH" '
OWNER Gordon Dean FRONT r 6
D /
MAIL P L
ADDRESS 5013 N,- Cloverly SIDE y -
r '
CITY Temple Cit P L NOLAt6O44 `INSPECTION REC
ARCHITECT OR TEL
CdD
ENGINEER 4 NO r JIB _ ///f /.1�.,/ //s.it I!',"✓/ �WCUJ
ADDRESS "2.
CONTR4CTORCapri H,mes .. T O 6 /n v `
ADDRESS 11902 Lower Azusa Rd .
DESCRIPTION OF WORK '
NEW J[ ADD ALTER REPAIR DEMOLISH
SQ FT ,. NO OF NO OFUSE 32 '
SIZESTORIES 1 FAMILIES JL
ST UOCTURE s n le famll residence ,
1 I r
SIGNATURE OF -577— --
APPLICANT
APPROVALS ZDATiE INSPECTOR S SIGNATURE
ADDRESS47,50 La
Madera - FOUNDATION
� TION
FORMS MATERIALS
VALUATION $ hr,I I ,�7 �� FRAME FIRE STOPS
tf �' BRACING BOLTS
a
PC '04V PMT r, y��yL' `FGAS VENT DUCTS LOCATION /
}' FEE '/ v(/ FEE -
I HEREBY ACKNOWLEDGE HAT 1 HAVE READ THIS AP- , LATH INT -
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND y�
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND Iv/, Y _ fir•
+ STATE LAWS REGULATIN�BUILDING'CONSTR_UC ION LATH EXT
SIGNATURE OF-------- HOUSE" HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
�+7 0 ADDREss La Mader a' m FINAL
n CLYDE N DIRLAM 'PRINCIPAL ST CT' RAL ENGINEER
PLAN CHECK VALIDATION �K M D SASH f PERMIT VALIDATION CK' M.0 CASH
0,15 2 3 P_JUN
c 't
�, 21 2 3 a. 1 s.o'o.
LA,o 1;.g 1,8�, JM 9- 1'-D Y 3,9.50~ 4
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