HomeMy Public PortalAbout5818- 5818 1/2 CLOVERLY AVE_Building__ BUILD
` BUILDING ADD EISS /
APPLICATION LOCALITY
NEAREST V
DIVISION OF BUILDING AND SAFETY CROBB ST
Department of County Engineer DISTRICT NO RECEIPT NO. PERMIT NO
County of Los Angeles e5— ' �714 ? / 7'•C] 7 0 -/
WM. J. FOX, COUNTY ENGINEER GROUP, DATE RECEIVED DATE IBSUED
CASBATT D GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN TYPET. RECEE��o 7r
OWNER ` �C� '/ ATE
MAIL C�U / / /g G /� B� �,. _ /J NUMBER p( O MAP STATE YES O
ADDRESS
TEL. U ZOv` SPECIAL
CONDITIONS
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ARCHITEGINEECT ORP_ -0 �/ TEL_-, l� • v BUILDING YARD HWY STREET NAME EXIST.
ADDRESS SETBACK WIDTH
FRONT
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CONTRACTOR4L_L" NO. o, P..5� x
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ADDRESS�id7A' / � • , PI DL
QJ DATE CORRECTIONS INSPECTOR
BUILDING
ADDRESS
LOT NO.�G^�. '7 (/ BLOCK
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TRACT
�`'' NO OF BLOBS L-� NT NI�Lmtr1T AG,o U SSo..L
SIZE OF LOTJ I.X ,NOW ON LOTUSE or
B 1.1 AILS �9�G'f" D�+T�IT
EXISTING BG 'ZJZI� +^^'C/ -
- DESCRIPTION OF/WORK ^� °
NEW X ADD ALTER REPAIR DEMOLISH - _
BO FT No OF NO OF r
BIZE D STORIES FAMILIES - - - --
USE OF STRUCTURE
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t
NO OF - -
EMPLOYEEB
I HEREBY ACKNOWLED13E THAT-1 HAVE READ THIS AP-I
PLICATION AND STATE THAT THE INFORMATION GIVEN IS 1
CORRECT J APPROVALS INSPE TOR'B SIGNATURE DATE
_
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION. LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION FORMS,MATERIALS
,L? /y j FRAME FIRE STOPS, �1 A
SIGNATURE OF/ifs_ _ / j�• t BRACING,BOLTS
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PERMITTE Zi FURNACE LOCATION. µ V ;
?Iwo � ��k OAS VENT,DUCTS
ADDRESS J"�—
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AUTHORIZED AGT IF - A ^'•
EXT. Di L,.LwF..• t -,a
/ v P•D �/ •� I 1 HOUSE NUMBER CDR-
VALUATION -
✓ �(/(/ "�� FEE 00(� RECT AND POSTED
/ FEE BOG '
FINAL
76AS38A OBS 3 4-84