HomeMy Public PortalAbout5010 DALEVIEW AVE_Building__ APPLICATION FOR BUILDING ,PERMIT
COUNTY OF LOS ANGELES BAUlOR SS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST .
%CASSATT D.GRIFFIN,S.,T of BudOING CROSS ST.
DISTRICT N:O.j GR TYPE - P OCESSED,BY.
FORAPPLICANT TO FILL-IN I CONST,
BUILDING -T STATISTICAL SSIFICATION SEWER A
ADDRESS CJ/�. IK PG
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LOT NO.
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TRACT - I T V 2_0 ' USE ZONE SPECIAL '
i SIZE OF LOT S Jl O �' I NOW ON LOTNO.OF S CONDITIONS
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SETBACK YARD HWY - 'STREET'NAME WIDTH
OWNER .FRONT
ADDRESS /0 al l G SIDE
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ARCHITECTOR TEL. _
ENGINEER NO.
ADDRESS J� y� / / - - '
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/' DESCRIPTION OF WORK --
NEW ( ADD -ALTER REPAIR DEMOLISH _ -
SO:FT. - NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE- - - -
I
SIGNATUREOF APPROVALS
APPLICANT
DATE INSPECTOR'S.S! 1 TORE
ADDRESS- I -VL FOUNDATION: LOCATION
4 - FORMS:MATERIALS _
P.C. S FRAME: FIRE STOPS.
FEE BRACING, BOLTS
VALUATION S 0 FURNACE: LOCATION. -
FEE GAS VENT, DUCTS -
I HEREBY ACKNOW GE THAT 1 HAVE READ THIS AP- LATH.INT.
PLICATION AND STAT T- AT THE ABOVE IS CORRECT AND _
AGREE TO COMPLY ALL COUNTY;QR ANCES AND LATHrEXT. '
STATE' LAWS REG ING ILDIN ONSTRUCTION. '
SIGNATURE O HOUSE NUMBER COR-
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OR-
PERMITTE RECT AND POSTED
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ADORES5 '"t v FINAL - o
CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECKVALIDATION ,cK M.O. , H . - FEE=VALIDATIONCK. M.O. cwsH
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