HomeMy Public PortalAbout5829 CLOVERLY AVE_Building__ A RG6D D, P' �/1Y ISF�^UIREb` f
FOR A.,( I S' E .?R WGRK
DONE IN THE RC-A, N vn f OF WAY. -
7CA638A CE#803a e9 APPLICATION FOR BUILDING PERMIT r 1
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT OF COUNTY ENGINEER ,
n BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CA93ATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT NOOUP TYPE PR SSED BY
FOR APPLICANT TO FILL IN CONST
BUILDING A STATISTICAL CLASSIFICATION„ SE ER MAP ,
ADDRESS V - 7 b BK P
TT CLASS NO DWELL UNITS —'
LOT NO - BLOCKJ1 MAPSTATE
NUMBER y HWY YES
TRACT " USE ZONE SPECIAL
NO OF BLOGS CONDITIONS +
SIZE OF LOT I NOW ON LOT
USE OF
EXISTING BLDG BUILDING EXIST
IV
�j �r SETBACK YARD AME
HWY STREET NWIDTH
OWNER` APO IV C G "'W� FRONT
MAIL U
ADDRESS _ -� P L -
SIDE
TEL P^L
CITY - NO INSPECTION RECORD -
ARCHITECT.OR TEL
ENGINEER - r NO
ADDRESS
O �� NO � Alf f FF
CONTRACTOR ,
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH -
SQ FT rt NO OF NO OF
SIZE STORIES FAMILIES
USE STRUCOF
SIGNATURE'OF a 7�b �/�/�� IFP r�P� ✓rr �i .r
APPLICANTS -
APPROVALS DATE INSPECTOR S SIGNATURE
ADDRESS _ < FOUNDATION LOCATION /9I fG -
FORMS MATERIALS t)
VALUATIONwe FRAME FIRE STOPS
BRACING BOLTSMOW
PC _ PMT FURNACE LOCATION -
FEE S y FEE S GAS VENT DUCTS
I HEREBY`ACKNOWLEDGE THAT 1 HAVE READ THIS AP-` LATH INT �`D 1�1 O��
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WIT ALL COUNTY ORDINANCES AND
STATELAWS UL _NG BUILDRIG CONSTRUCTION LATH EXT
RE OF HOUSE NUMBER COR-
SIGNATUt =
IGNA
TRECT AND POSTED
ADDRESS 2!!!fr t FINAL
CLYDE N DIRLAM PRINCIPAL STRUCTURAL Eta in
PLAN CHECK VALIDATION CK M CASH f -PERMIT VALIDATION cK M o CASH
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