HomeMy Public PortalAbout4847 GLICKMAN AVE_Building__ DE EQUIRED
hAA cRIAL SIOR T OR WORK
qq .DONE IN -it!E ROAD RI:;,--;I Or WAY
78A688A Cf:#.038_89 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES ADDRESS �
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. Z
DISTRICT NO. GROUP I TYPEP SSED BY
FOR APPLICANT TO FILL IN — CONST. _ G
BUILDING STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS eI BK �G
CLASS.NO.-<i- DWELL. UNITS��-
LOT NO. :Z BLOCK A MAP STATE
NUMBER ' HWY. YES �
TRACT USE ZONE ' SPECIAL
NO.OF BLDGS. CONDITIONS
_SIZE OF LOT;!,? 4 �3,;Z I NOW ON LOT
USE OF
EXISTING BLDG. BUILDINGEXIST.
SETBACK YARD HWY ET TAME WIDTH
OWNER 544 . / ice FRONT - f,
MAIL P.L.
ADDRESS SIDE
TEL. P.L.
CITY .�'.�.5+ ,F NO /L6!! INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS_
TEL.
CONTRACTOR NO.
Y'
ADDRESS p7",
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF - fA..
SIZE STORIES FAMILIES
USE OF
STRUCT
SIGNATURE
APPLICANT
APPROVALS D TE INSPECTOR'S SIGNATURE }--
ADDRESS �f,'/IJ, FOUNDATION: LOCATION
FORMS,MATERIALS �.1 "^
VALUATION I FRAME: FIRE STOPS,
BRACING, BOLTS
FURNACE: LOCATION,
FE $ FEE
P.C. PMT. z GAS VENT,DUCTS
E
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT.
LI
TION AND STATE THAT THE ABOVE IS CORRECT AND
E TO COMPLY WITH ALL COUNTY ORDINANCES AND
LAWS REGULA IG BUILDING ONSTRUCTION. LATH, EXT.
TURE HOUSE NUMBER COR-Iis RECT AND POSTED �'- >''C!+ESS ` f � HJT �' FINAL _
CLYDE N. DIRLAM, RINCIPAL ST C AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1 '7 1 JJid L 1 D ®'