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HomeMy Public PortalAbout6057 CLOVERLY AVE_Building__ J DMSION OF BUILDING AND SAFETY Depwbnent of County Engineer 16.0 1 LaiI Coun{p of Los Angeles r, 1 WM. J. FOX, COUNTY ENGINEER - APPLICATION FOR APPLICANT TO FILL-IN ADD ESS BUILDING // LOCALITY' ADDRESS LO 0.5 7 a C!O NEAREST 'tLOCALITY - _ CROSS BT x - DISTRICT NO. PLAN CK. OR REC. No. PERMIT NO. ' -NEAREST / CROSS ST. I' G,0 J Yr L57 -J OWNER /0,2_5'� S s/• `oma t'. RECEIVED BY DATE OF APPL'. DATEISSUED � ADDRESS loeS7 �/r_ <q MAIL USE ZONEJNO OF TYPE 1 6R0UjP FIRE ZONE' CITM I EIT7 /e VL/J NO.TEL 1,(p 3OJ / !jam PLANS ARCHITECT OR TEL. T 5� ZONING ENGINEER NO. APPROVED BY- �I —erZ BUILDING _ .1 ^ ``�; i•' A O D:No ADDRESS SETBACK LINE: TEL. - 'APPROVED /J _ -� TE tr••y� , CONTRACTOR ,� NO By- tel/Ln-G ^�CSL• M r HOUSE NUMBERING l ADDRESS "• �1 A % ` LEGAL I / MAP NUMBER AQ NO ASSIGNED BY DESCRIPTION LOT NO. Q BLOCK" ` 4 / DATE I• 'CORRECTIONS I INSPECTOR , TRACT - ` 1 ' ' SIZE OF LOT tj _ I NO.',OF SLOGS. NOW ON LOT' EXISTUSE ING BLDG 'FAMIOLFES DESCRIPTION OF WORK ��'1�C _ -V E NEW ALTERATION ADDITION -�13 0-SQL • '�/I/✓F�l� Nom ' I //�O��f I ; — r REPAIR DEMOLITION J�I' ��' S^C�. -�/�,(�Y ^ SQ FTp •NOF- SIZE �Q / O ROOMS / STORIES EXT WALL ROOF COVERING ../�!/e&-rz> COVERING USE OF STRUCTURE-- APPROVALS INSPECTOR'S SIGNATURE +DATE a - FOUNDATION LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- - r r PLICATION AND.STATE THAT THE INFORMATION GIVEN IB FRAME FIRE STOPS, - CORRECT . BRACING,'BOLTS `�- 40, I'AGREE TO COMPLY WITH ALL COUNTY ORDINANCE'S' FURNACE _LOCATION, ` AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS' SIGNATURE OF r •'�! + LATH, INT r► ��D �,�.`� PERMITTE -�•� Q" /(�� LATH. EXT. - ADDRES �( PLASTER, INT AUTHO ZED AGT PLASTER" EXT _ Gl /� FEE HOUSE NUMBER COR- O(, RECT AND POSTED VALUATION- FEE B"8 FINAL 78A688A DB88 2-E9• _ r ` s .� f /• ' 78A688A OB!-3 8.88 rj 'APPLICATION .-FOR-:-BUILDING PERNI'IT 1 DIVISION.OF BUILDING-AND SAFETY BUILDINGp ADDRESS ofIV-.. - ,d Department of County Engineer County Of LOS Angeles LOCALITY " WM.J. FOX,'COUNTY ENGINEER NEAREST t 1 CASSATT D. GRIFFIN, SUPT OF BUILDING -'CROSS ST. ' DISTRICT NO. GROUP TYPE - SEWER MAP .> FOR APPLICAN7- N!N _ A'r)oI cbrlsr. I�• �' _ G 91 BUILDING MAP y �9 �9 - � STATE- ? YESNOADDRESS �� NUMBER `OZ 6 6 / .HLOT NO. • 1� ©- BLOCK UqE� - SPECIAL'J�/6� CONDITIONS' TRACTh,. �QLDGS.�SIZE OF LOT' D 1� LOT 9ETBAICK 'STREET NAMEyyX,DTHUSE'OF -_EXISTING BLDG - N�•/C� ®f�//�® F'POINT '`y 'OWNER e+ •i - SIDEP L. AIL - -ADDRESS40� P C TRACT DWELL. I'UNIT TEL. /�..Y I _ INDUSTRIAL CITY L�` / + NO DWELL. .1.UNIT 6 `PUBLIC,BLDG. 2, oDUPLEX{ I UNIT ARCHITECT O _ TEL: T _ 7.. ADDN.,`ALT. ETC.. gip"tf ENGINEER `- NO. $ APT. UNITS .0)) E�, 6 d -MISCL. 4 AL ° 6 ,ADDRESS ' Ao+7/10 .r TEL. ANSP,ECTION RECORD. CONTRACTOR NO. z' - ADDRESS DESCRIPTION OF WORK L' ' 1 E _ADD ALTER -REPAIR - i DEMOLISH C ,(• F �' I J ` SO. FT. / `_ NO. OF NO. OF SIZE- NO. FAMILIES _ ,5-- D, USE OF STRUCTURE' /' _ _ rl' + SIGNATURE OF _;-r � _ - +,3+' R g•."`- -`+"M - � - - APPLICANT ` - APPROVALS • ` ADDRESS y �^ a� _ - i �f DATE ANSPECTOR'S�SIGNATURE 7 _ FOUNDATION: LOCATION �y c _ • P. C." $' - FORMS. MATERIALS `_S•l� h _ V Y d ,-• - •- - FEE - ,FRAME FIRE'STOPS, _ VALUATIO - _ 'BRACING,BOLTS $ r- - � N - '` •FEE .0 FURNACE: LOCATION. 1 HEREBY ACKNOWLEDGE THAT '[ HAVE READ THIS GAS VENT, DUCTS- APPLICATION A D STATE THAT THE ABOVE IS CORRECT, AND AC3REE-TO OMPLY WITH LL COUNTY ORDINANCES LATH; INT.AND STATE LA S 'RE LAT BUILDING CONSTRUC-' >•, _ - 4, •TION. _ LATH. EXT. SIGNATURE OF HOUSE NUMBER,COR- _ PERMITTEE RECT AND POSTED - .r ` ADDRESS Az aFINAL mm;J.`FO OUNTY ENGINEER VALIDATION C 'N.ptRLAMu CHIEF RI DG. INSPECTOR �o`6 5 4 3�J AUG��1' 1 ,�_ 2:0'�� inj.