HomeMy Public PortalAbout5411 CLOVERLY AVE_Building__ .� 12 g�eq( Yq( 1
7"638A DBS812 54
APPLICATION FOR 6 BUIL®ING PERMIT y
DIVISION OF BUILDING AND SAFETY BUILDING IV Y e 4:::�y Q V 5 / Y
Department of County Engineer ADDRESS �^ t
- County of Los Angeles LOCALITY / �/YM
WM J FOX COUNTY ENGINEER D ` I�_
CASSATT D GRIFFIN SUP TaOF BUILDING NEAREST
CROSS ST �/
FOR APPLICANT TO FILL IN DISTRI T No I GROUP ;pS � SEWER MAPYK
BUILDING r���---/+++ CONST/ at
ADDRESS `' � NJMAP
ER v - STATE YES
NO
WY
LOT NO /��}�i T D L- r LIQ BLOCK U.E ZONE SPECIAL `
I CONDITIONS
TRACT J S Sl ry _ A v /yE �'4
SNO OF' LDG
O
SIZE OF LOT/7 S / N
_
,
EXIST
YARD HWY STREET NAME
USE OF
SETBACK WIDTH
EXISTING BLDG .,�yi F_ LL /NG,S' FRONT
OWNERy'0 SFiRA� L l ,�.(. ?�✓Y 9,/7611 9k , SIDE
- MAIC 15- 7 /Y f C.i L D y hl� L y P L
ADDRESS TFL
CITY /Yl/"L ,�• (�..' // J NO �� � 1 DWELL 1 UNIT 5 INDUSTRIAL
2 DUPLEX UNIT Y 6 PUBLIC BLDG
ARCHITECT OR TEL -
ENGINEER NO I 3 APT UNITS 7 ^ADDN , ALT, ETC
ADDRESS - q COMMERCIAL S MISCEL
}� NO T
CONTRACTOR rEL INSPECTION RECORD _
J
ADDRESS ` ea 4*
DESCRIPTION OF WORK �-
NEW ADD ALTER i REPAIR DEMOLISH _
SQ FT NO OF NO OF I
SIZE STORIES FAMILIES I
USE OF STRUCTURE
SIGNATURE OF 44
APPLICANT �//rr'' GLLL APPROVALS '
_ADDRESS DATE INSPECTOR S SIGNATURE
LVALUATION
FOUNDATION LOCATIONWrY�j� P C_ S FORMS MATERIALS � I 'S e V �.,(A.,vvFEEFRAME FIRE STOPOLTS p0 BRACING BOLTS- FURNACE LOCATION
FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT DUCTS
APPLICATION AND STATE THAT THE ABOVE"IS CORRECT LATH INT
AND AGREE TO COMPLY WITH ALL COUNTY-ORDINANCES
s AND STATE LAWS REGULATING BUILDING CONSTRUC-
TIONr (/7� r LATH EXT
SIGNATURE OF 1p'''eve' HOUSE NUMBER COR- �
PERMITTEE RECT AND POSTED .�A�
ADDRESS
vtrM. J. FOX. Counry F.NGLNEm VALIDATION
BY Z"--I- 'FEB 15 "1` "6:0{0
DEPUTY - DEPUTY
� M1 T y
BY ,BY
® DEPUTY- /� /J DEPUTY