HomeMy Public PortalAbout5633 EL MONTE AVE_Building__ 76A63 -E$k603.1056gppLICATION FOR 8UILDING PERMIT 1�
BUILDING AND SAFETY DIVISION BUILDING _
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY '1 /7
JOHN A LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO GRO I~nPE SE�WBER MAP
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BUILDING
ADDRESS �G 33 I+ 1vfQ,4/7— /r STATISTICAL C IFICATION
LOT NO P911Z /`/I BLOCK CLASS NO DWELL UNITS
MAP STATE YES NO
NUMBER O HWY-
TRACT X)ONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OFI r s p� I)aI-r`
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EXISTING BLDG .✓ &VV V_ n. r BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
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CONTRACTOR (/ , NO
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DESCRIPTION OF WORK r
NEW ADD ALTER, REPAIR DEMOLISH
SO FT NO OF NO OF /'� kl t AAt49"S
SIZE STORIES FAMILIES
USE OF STRUCTURE
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SIGNATUREOFI.` V~�l"-'U!M l' ..� .�
DATE INSPECTOR'S SIGNATURE
FOUNDATION LOCATION
ADDRESS �C�4�l�tt_._
FORMS MATERIALS
P C S FRAME FIRE STOPS. f
FEE - BRACING BOLTSdPITJ ,.,, -
S FURNACE LOCATION. /J
VALUATION •� GAS VENT, DUCTS
FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT /2 Z rQ
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND -
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT I'
STATE LAWS REf TI G BU-IL�sDIN�G O�N/STRUCTION HOUSE NUMBER COR-
SIGNATURE OF / , 4i�C4' L..�. L/, yRECT AND POSTED
PERMITTEE[—,y IZ _
ADDRESS _ v VO1'r�' ' F1NAL
JOHN A LAMBIE, COUNTY ENGINEER CLYDE N DIRLAM. PRINCIPAL STRUCTURAL ENGINEER
PLAN GRECS VALIDATION GK MI
M O CASH PERT VALIDATION CK M O CASH
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76AS38A CE#'809 7.58 APPLICATION FOR BUILDING PERMIT �.
BUILDING AND SAFETY DIVISION BUILDING 2`
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY 11�JJ� t
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN, SUPT OF BUILDING ICROSS ST.
DISTRICT NO OUP I SEWER MAP
FOR APPLICANT TO FILL IN TYPE V K G
CONST
BUILDING .f2
ADDRESS nJ1(kx STATISTICAL CLASSIFICATION I c
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_ CLASS NO DWELL UNITS
LOT NO V7C! .CXX7 BLOCK MAP Lj�— STATE YES CT
NUMBER
TRACT USE ZONE SPECIAL
NO OF BLOGSCONDITIONS
SIZE OF LOT I NOW ON LOT l�
USE OF G/
EXISTING BLDG U40 BUILDINGEXIST
YARD HWY 'STREET NAM EXIST
� WIDTH
OWNER _� FRONT
MAIL /��.��� P L
ADDRESS .3 cull- SI
TELDE
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CITY NO INSPECrIOA RECORD
ARCHITECT OA TEL
ENGINEER "NO
ADDRESS
TEL
CONTRACTOR NO
ADDRESS ZL
DESCRIPTION OF WORK
NEW ADD ALTER EPA71 jf DEMOLISH V do Ld
SO FT NO O NO OF c�A�
SIZE STORIES FAMILIES
USE—OF STRUCTU t
I APPROVALS
SIGNATURE OF
APPLICANTDATE INSPECTOR S SIGNA URE
ADDRESS FOUNDATION
TION
FORMSM TERIALS _j,
P C S FRAME FIRE STOPS ✓ ]" // V
FEE BRACING BOLTS
FURNACE URNACE LOCATION
VALUATION S GAS VENT DUCTS
FEE
1 HEREBY ACKNOWLEDGE THAT 1 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
STATE LAWS REGU TING BU D G C ISTRUCTION
SIGNATURE OF - /, ', HOUSE NUMBER COR-
PERMITTEEC/-tiCn/r9d.V RECT AND POSTED
ADDRESS &ae �• FINAL
JOHN A LAMBIE, COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRUC URAL ENGINEER
PLAN CHECK VALIDATION CK m o CASH PERMIT VALIDATION K M O CASH
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