HomeMy Public PortalAbout5313 CLOVERLY AVE_Building__ 78. SA DBS S S Be -
` 'APPLICATION FOR BUILDING PERMIT �.
'IFDIVISION OF BUILDING AND SAFETY BUILDING
` ADDRESS
DepoSt6ent of County Engineer
County of Los Angeles LOCALITY
WM J FOX COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT NO I G OUPTYPE .SEVVER
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FOR APPLICANT TO FILL IN i� r (CONST V +�%/BUI _
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ADDRESS 4 COMMERCIAL
CONTRACTOR CL((cQr- Trio_ T 6 INSPECTION RECORD
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DESCRIPTION'OF WORK
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NEW ADD ALTER-�`REPAIR DEMOLISH +
SQ NO OF NO OF -�
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USE OF STRUCTURE,-
SIGNATURE
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APPLICANT - `. APPROVALS
ADDRESS 1J .�o. ft-)4 I n tri _S IDATE INSPEC OR S SIGNATURE
$ _ FOUNDATION LOCATION
P C $ FORMS MATERIALS -'L� a 0„ .�.�..
FEE FRAME FIRE STOPS,
VALUATION tJ $ 9''D BRACING, BOLTS
FEE FURNACE LOCATION,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY,Y WITH ALL COUNTY ORDINANCES LATH INT
AND STATE LAWS REGULATING BUILD NO CONSTRUC-
TION
LATH. EXT
SIGNATURE OF ` HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRCSS FINAL 1d s1 d4 ,
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T WM.J FOX.COUNTY ENGINEER VALIDATION C N DIRLAM. CHIEF BLDG INSPECTOR
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76A686A DBB ,8-5APPLICATION
PPL.ICATION F®R BUILDING PERMIT
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DIVISION OF BUILDING AND SAFETY BUDREs6 C�ILDING ' /� 1.0-0 C-�
Depw ent of County Engmeer AD
County of Los Angeles LOCALITY
WM J FOX COUNTY ENGINEER NEAREST 1 r� GI�/i / c
CASSATT D GRIFFIN SUP T OF BUILDING CROSS STmommmamm 7`I 4
DISTRICT NO GROUP ,TYPE BEWER MAP
FOR APPLICANT TO FILL IN /r S' corlSTBUILDING BK
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ADDRESS
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ARCHITECT OR TEL 2 DUPLEX 1 UNIT ADDN ALT ETC
ENGINEER _ NO 3 APT UNITS ,
6 MISCEL
ADDRESS / 4 COMMERCIAL
CONTRACTOR ! C TNO
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INSPECTION RECORD
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DESCRIPTION OF WORK
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SIGNATURE OF
APPLICANT_
PPLICANT ^ APPROVALS
ADDRESS �S DATE INSP TOR S SIGNATURE
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P C ffi FFORMSTMATERIIALSION
DO 0 FEE FRAME FIRE STOPS i
VALUATION BRACING BOLTS
FEE FURNACE LOCATION
1 HEREBY ACKNOWLEDGE THAT I HAVE EAD THIS GAS VENT DUCTS y
APPLICATION AND ST,� THAT THE ABOVE I CO
QRECT
AND AGREE TO COMPLY WIT ALIL C _ NTY RDIN`KNcg LATH, INT
AND STATE LA B REGUL INGf IL IN CON T �;--
TION LATH, EXT
SIGNATURE F HOUSE NUMBER COR-
PERMIT EE d RECT AND POSTED
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ADDRES9 FINAL
WM J FOX,COUNTY ENGINEER VALIDATION C N DIRLAM CHIEF BLDG INSPECTOR
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��Co 1 9 8 1 JAN 17 1 -10.00 �
DEPARTMENT OF BUILDING AND SAFY� F"Y APPLICATION FOR PERMIT y � ,
{ Cc;UNTX OF LOS ANGELES ® ® ' ®L 'WM. J FOX, CHIEF ENGINEER 19rU1
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FOR APPLICANT-TO FILL IN FOR OFFICE USE ONLY
j DISTRICT NO } "PL:AN CK-NO` --PERMIT NO.
BUILDIN
ADDRESS + v 3 1
LOCALITY Z�l"y P,/ � j \ i 4 i V DATE ISSUED
Aq / �/ R ¢
IV,ED BY !' DATE OF APP _ 1
NEAREST l rI /�.0 1 / //& S Q
CROSS ST '
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OWNER j7 A/ f�cU (77'��///���b4101A a ADDRESSMAIL
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ENGINEER NO `
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APPROVED
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TE BY f I DATE t
USE 1 APPROVED
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LEGAL / ^
DESCRIPTION O CK ZOO/�o ; CORRECTIONS
TRACT
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NO OF BLDGEL 1
SIZE OF LOT -Xf 0 /,1�.y O �CfJ NOW ON LOT � 0 J /'A4 d /V
UBE OF I NO OF I NO OF E " // 0�_� - -•�4 L�
EXISTING BIDO y FAMILIES RDOM9
DESCRIPTION OF WORK 1 /, /Z6 20 7'� 6
NEW Y ALTERATION I ADDITION p
REPAIR MOVING DEMOLISH �//� / G3
SW FT NO OF /1i01' .�IF �4.' Z
SIZE �� ROOMS �9TORIES D
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COVERING COVERING
USE OF NEW
BUILDING
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I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION
6
AND STATE LAWS REGULATING BUILDING CONSTRUCTION FORMS, MATERIALS /
Ay A /�►// // FRAME FIRE STOPS,
SIGNAPERMTURE
E�OF /� (? f/ f�ifIV � BRACING, BOLTS
t 7 LATH, INT ,
AUTHORIZED AOT
LATH, EXT
76A6313A-3 113-50 $ _/ 70 Q P C 41 ? n C PLABTER, INT L1 J
FEE �J •_� PLASTER, EXT.
VALUATIONmwowzmqmm� Q' O
'J Z� FEE o FINAL