HomeMy Public PortalAbout5946 1/2 CLOVERLY AVE_Building__ 76A698A CE#SO,--6-57 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING ' CROSS ST
DISTRICT NOJ GRO,y�. SE ER MAP
CONST
FOR APPLICANT TO FILL IN / TYPE 42KI s--P
BUILDING
%ADDRESS STATISTICAL CLASSIFICATION
/
CLASS NO • DWELL UNITS
LOT NO /6 BLOCK MAP STATE
NUMBER O HWY YE5 N
TRACT USE ZONE SPECIAL
NO OF BLDGS _CONDITIONS `
SIZE OF LOTS'.0 l.!rO I NOW ON LOT
USE OF
EXISTING BLD BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT f Lv
MAIL P L /J
ADDRESS SIDE
TEL P L
CITY NO - INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO
ADDRESS
CONTRACTOR 1E. NO
ADDRESS
DESCRIPTION OF WORK s s7- RF_/9R R25MZY
WA
NEW ADD .. ALTER REPAIR DEMOLISH
SQ FT 29� ' NO OF NO OF
SIZE STORIES FAMILIES ,/
USE OFSTRUCTU 7ry-If- S�I/��,/ADj) TjQ/�E A///-1- /r/LJH6GJe-
I
SIGNATURE OF _ I APPROVALS U 7Z��L 9,,) URZ/,0
APPLICANT _
ADDRESS FOUNDATION LOCATION DATE p� IN4SPE,/CT�OfRAS/SI/G/NATURE
FORMS MATERIALS ��Sp
$ FRAME FIR
S
FBRACINGBOLTTSr�"L�r7'.l LhG;/Q/ xL/fI'UZPA�.kA
oll
VALU //ION URNACE LOCATION FEE GAS VENT DUCTS
•
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT Ll"Z.�G`JR
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _
AGREE TO CoMPL WITH ALL COUNTY ORDINANCES AND /A
STATE LAWS R LAT ILDI CONSTRUCTION LATH EXT _ Y
SIGNATURE OF HOUSE NUMBER COR
PERMITTE RECT AND POSTED
ADDRESS
JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPALS U URAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M o CASH
24 27 u MAR 2 7 1 A 8.5 0 a;