HomeMy Public PortalAbout5461 CLOVERLY AVE_Building__ 2
76AG38A CE#803 6-5'7-APPLICATION FOR BUILDING PERMIT-- 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
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BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
lomDISTRICTNOJ GROUP TYPE EWER MAP
FOR APPLICANT TO FILL IN __1BK_ SPG
CONST
BUILDING ADDRESS Q /� (f[/ N STATISTICAL CLASSIFICATION '
Qd=S
fo�1/ CLASS NO DWELL UNITS !�
LOT N / BLOCK MAP STATE `
r 11 NUMBER HWY YES N
TRACT �G USE ZOLsIE SPECIAL
NO OF BLDGS CONDITIONS `
SIZE OF LOT NOW ON
USE OF
EXISTING BLDG BUILDING EXIST
SETBACK_ YARD HWY STREET NAME WIDTH
OWNER - FRONT
MAILP L
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ADDRESS / /-/a SIDE -
P L
CITY c- Cz
TEL
INSPECTION RECORD
ARCHITECT76R ff TEL
ENGINEER NO
ADDRESS
J Tyy
CONTRACTOR .G NCEL -32 `
ADDRESS d Te '
DESCRIPTION Of WORK
NEW ADD ALTER REPAIR DEMOLISH _
SQ FT 'r NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
aoln
SIGNATURE OF APPROVALS
0�
APPLICANT DATE INSPECTOR SiSI'GNATURE
ADDRESS0 oil i' FOUNDATION LOCATION r
FORMS MATERIALS
$ P C S FRAME FIRE STOPS
FEE BRACING BOLTS
VALUATION $ FURNACE LOCATION
FEE GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REG NG BUILDING NSTRUCTION LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTE RECT AND POSTED -
ADDRESS /' FINAL
JOHN A LAMBIE COUNTY_ENGINEER CLYDE N DIRLAM PRINCIPAL STRUCTURAL`r G EER
PLAN CHECK VALIDATION CK M o CASH - PERMIT VALIDATION <NM o CASH
s, 5 2 6 7% DEc23 1 8.50 ®'