HomeMy Public PortalAbout5225 DOREEN AVE_Building__ ,aA<,.A=e as to APPLICATION FOR BUILDING P ,1T �.
COUNTY OF LOS ANGELES BUILDING !�
LO /
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER - NEAREST
CASSATT O. GRIFFIN, SUPT OF BUILDING CROSS ST.
DIST ICT NO. I GROUP TYPE P D
FOR APPLICANT TO FILL IN• CONST.
BUILDING �j STATISTICAL CLASSIFICATION SEWERMAP
ADDRESS�/� -R H e �v'e _ CLASS.NO.---/-DWELL.UNITS—/—I. BK09
LOT NO.�Jr m BLOCK MAPNUFMBEERg-, / STATE YES NO
SPECIAL
TRACT 1122• - US PI"I+ - COND TION
NO.OF.ONLBDGS �w1 / •�
SIZE OF LOT/ PAZILr
I NOW
USE OF +�•c�a•
EXISTING BLDG. ES - BUILDING YARD HWY` STREET NAME EXIST.
SETBACK WIDTH
OWNER ! FRONT D
MAIL -P.L.
ADDRESS O ' SIDE -
CITY o.' INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO. All 'r
. ADDRESS
��
CONTRACTOR a"✓I I, NO. "BZ U
.ADDRESS Jr. ip
DESCRIPTION OF OR
*, %
NEW ADD ALTER REPAIR DEMOLISH
SO.FT. �+ NO.OF, NO.OF
SIZE J STORIES - FAMILIES JFUSE OFSTRUCTURESIG ATIAPPLICANT/ q�.�- �D�'�-,�,(� p APPROVALS DATE INSPECTGR'S SIGNATURE
ADDRESS 1430 �WN✓✓'_ / �� FOUNDATION: LOCATION -
n
FORMS,MATERIALS
VALUATION $ FRAME: FIRE STOPS, G
BRACING BOLTS
Z X31-•.� 1 ( LT•
'] z 1 FURNACE:LOCATION.
F E T—
S 6 FEE s33 sl GASVENT,DU/JC�TS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. [•/�.I �/ '//Q
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGUL TING BUILDING =O STRUCTION. LATH.EXT.
_ SIGNATURE OF HOUSE NUMBER COR
PERMITTEF RECT AND POSTED
'ADDRESS L�3 FINAL
1c,'4SA_PeA,d CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CASH PERMIT VALIDATION =K M.o. CASH
o F 0 0 4 f601'2 32 3 A ' l 6.5,0:a
' 4G�$ a00DEC 2 1 A 33 .00