HomeMy Public PortalAbout10659 FAIRHALL ST_Building__ / DEPAIITMM OF COUNTY ENGMEER
/
_ DMSIO COUNTY OF LOS SAND SAFETY GELES BUILDING '
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WILLIAM J FOX, COUNTY ENGINEER _ ! APPLICATION
CASSATT D GRIFFIN, SUPT oP BUILDING
FOR APPLICANT TO FILL M FOR OFFIM USE ONLY
f r DISTRICT NO PLAN C(K��oR REC No PERMIT `NO'
ADDRES8G D� A�Qf4l�BUIN
� �4 3i(_ ,� H `T'1 U2-,
LOCALITY RECEIVED BY DATE OF APPL, Z
TE ISSUED
NEAREST 3
CROSS ST Ll, Av e-
BUILDIN
OWNER ADDRESS �� -F—I J
MAIL ( ((� (� _ LOCALITY I C
ADDRESS Z J+ t1 + NEAREST Ave,` `Sa �� l'�/� TO '
CITY
ARCHITECT OR TEL ZONE I I PLANS
N FIRE NO �+\iL/.►-I TYPE_ I !!I
ENGINEER
BLDG
ADDRESS SETBACKILI E 20
TEL USEi APPROVED
CONTRA OR / O ZONE SY' Q�ef�/�_ AT
ADDRESS {{ HOUSE
f NUMBERING
LEGAL n MAP NUMBER ` �//��/ NO ASSIGNED BY
DESCRIPTION I LOT NO 0 BLOCK
RR
r � � ECTIONS
, - r
TRACT
NO OF BLDGS d C 7J
SIZE OF LOT X NOW ON LOT _
USE OF NO OR
EXISTING BLDG FAMILIES
DESCRIPTION OF WORK -
0
REP IR DEMOLITIONTION ADDITION I L N J `+ O
r
SQ'FNo OF
SIZE T /077 —ROOMS- STORIES t
EXT WALL � G
ROOF
COVERING _C>
(?10
►M�)O
USE OF STRUCTURE
C9's _
APPROV -S
INSPECT '9 SIGNATURE DATE
FOUNDATION LOCATION /y
FORMS, MATERIALS i � �/GrsLLi..e, bG
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT B
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION, "yA
AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT, DUCTS'
SIGNATURE
PERMIITE OF /r V LATH, INT
2:7e LATH EXT
ADDRESS U �% I U
PLASTER, INT
AUTHORIZED AGT
PLASTER, EXT
d�
FEE !0 ! HOUSE NUMBER COR-OST
RECT AND PED �I
VALUATION • CAD
FEE SZ Z'-" FINAL `
78A838A 086 3 8-81