HomeMy Public PortalAbout5928 CLOVERLY AVE_Building__ DBS-3 25M BETS 6-46 '
DEPARTMENT OF BUILDING AND SAFETY ? APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ' ® ®�Pe
WM. J. FOX, CHIEF ENGINEER V V
FOR -APPLICANT TO FILL IN FOR OFFICE USE ONLY
A' /,{� DISTRICT NO PLAN CK NO - PERMIT O
ADORES BUILDIN" Z �� -- 7 I
F'
r 1
LOCALITY V�'p 1-1 u R EIVED�/n BY �7q/�4TE OF APPL/ DATE/ISSUED
NEAREST
CROSS BT
_ BUILDING
ti OWNER � M A�T� �n�L� ADDREBBMAIL
ADDRESS I �.�oy 2�,.y SQ` LOCALITY
^�.� z f NEAREST
CITY "� TEL`I. No cRDss BT
ARCHITECT OR I TEL ZONE INRE PLANS I TYPE i I GROUP
ENGINEER- NO 1
BLDG ` ORD NO
„'ADDRESS ry SETBACK LINE F IJ<`� .
r I APPROVED '
CONTRACTOR -NO BY DATE
USE APPROVED r +
ADDREBB + " ZONE BY - DATE
LEGAL J--- CORRECTIONS
DESCRIPTIIO'�NQQ I LOT NO 29 G I BLOCK
TRACT 4V e. _
�+��OF vNO OF BLOBS 11
SIZE OF LOT A , �� I NOW ON LOT t
USE OF I NO OF 1 I NO OF '
EXISTING BLDG t�Q I�/1 !a FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION I ADDITION
REPAIR MOVING DEMOLISH O' 1 '
so FT �, NO OF �' J
SIZE ROOMS STORIES
WALL ROOF
COVERING+ (,�L'C,p I COVERING S}/1•N4x C-b
U6E,OF
BUILDING NEW � ��,/p t d$ jC�f,p� � ,
APPROVALS —
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE,18 CORRECT FOUNDATION LOCATION, INSPECTOR ATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
• AND STATE LAWS REGULATING BUILDINGCONSTRUCTION FRA ME* FIRE STOPB, ..�
aSIGNATURE OF / BRACING, BOLTS
OWNER �C!'C -..r LATH, INT:
AUTHORIZED AGT' - "�� LATH, EXT GT
w - P C.a PLASTER, INT
FEE PLASTER, EXT
~-
VALUATION FEE 6�ay - FINAL