HomeMy Public PortalAbout5120 DALEVIEW AVE_Building__ APPLICATION FOR- BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER gODRE55 ✓
BUILDING AND SAFETY DIVISION . Locgu Y
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUP'TOFBUILOwO CROSS ST.
DISTRICT NO. GROUP TYPE P CESSED BY
F.OR APPLICANT TO FILL IN _ I CONST. I !.
BUILDING iS� O��J SEWER MAP G
ADDRESS .Yf' STATISTICAL.C�LJASSIFICATION
CLASS.NO.42 ,l DWELL. UNITS LL' �D✓V
LOT NO. / BLOCK MAP STATE
1 ^ NUMBER - HWY. YES NOl
TRACT .I//O�I/ USEZONE SPECIAL
/4O y �j�(AI-NO.OF BLDGS. �/ CONDITIONS
SIZE OF LOT FyJ ./��).G /1 NOW ON LOT ,
EXISTING G BLDG. /O'I �, i rs1 BUILDING EXIST.
r SETBACK YARD HWY STREET NAME WIDTH
OWNER � _t1�d,G wFRONT
ADDRESS MAIL ,% f//I' //A �.��il/.l+.�i P./_S• SIDE
�= TEL.� P. L.
CITY
il� �7'vV NOA y/Yq, INSPECTION RECORD
ARCHITECT ORo' L� TEL./
ENGINEER11' ry
DDRE TEL. / ✓�-�/' /�^
CONTRACTOR / NO. �rI s/I / _ ./-
DD E % GG c-r
DESCRIPTION OF WORE
ADD ALTER REPAIR DEMOLISH
SO. FT. NO.OF NO.OF
SIZE STORIES
STORIES FAMILIES
USE OF STRUCTURE.
SIGNATUREOF APPROVALS
APPLICANT
ADDRESS FOUNDATION: ATE INSPECTOR'S SIGNATURE
FORMS.MATERIALS ON / �- /J /)..-_✓
P C. S FRAME: FIRE STOPS.
$ �y60 FEE BRACING. BOLTS G'/��5� •-I I'/-L/J.
VALUATION $ FURNACE: LOCATION,
FEE — GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH.EXT. L✓� 5 ��/��•
STATE LAWS REGULATTING.BUILDING CONSTRUCTION.
SIGNATURE OF rf •i+��dJl�l HOUSE NUMBER COR-
PERMITTERECT AND POSTED
ew �f -
ADDRESS FINALCLYDE N.N. DIRLAM. PRINCIPAL STRUCTURAL ENGMWER
,PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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