HomeMy Public PortalAbout5013 GLICKMAN AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES u ' D '
WM. J. FOX, CHIEF ENGINEER
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
BUILDING DISTRICT NO. PLAN CK.NO. PERMIT NCL.
ADDRESS '
LOCALITY ''~� RE IVSD BY D F APPL. D ISSUED
NEAREST �• .(�,i r
CROSS ST.
BUILDING
OWNER - � ADDRE S - /S�'l� -r
MAIL Jam( ' LOCALITY
ADDRESS (�
' NEAREST a
TEL CROSS ST.
Y /
CIT .��.!'� '� NO.
FIRE No.OF TYPE r•- GROUP ��"�
ARCHITECT OR TEL. ZONE PLANS `�.
ENGINEER NO. �.-�+�
BLDG. ORD.NO.
ADDRESS SETBACK LINE
APPROVED
TEL.
BY DATE
CONTRACTOR NO.
USE APPROVED
ADDRESS ZONE / BY DATE
LEGAL I .,.� CORRECTIONS
` DESCRIPTION LOT NO. BLOCK
_TRACT
NO.OF 8LOGS.
_SIZE OF LOT I NOW ON LOT /
USE OF NO.OFNO.OF
EXISTING BLDG. I FAMILIES I ROOMS
DESCRIPTION OF WORK
NE_W ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISH
Sq.FT. NO.OF Z
_SIZE ROOMS STORIES
WALL ROOF
COVERING COVERING
USE OF NEW
BUILDING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF / ' BRACING,BOLTS
PERI "` , V "�� '� LATH,INT.:
AUTHORIZED AOT LATH,EXT.:
OBS-3 50M SETS 7-47 $ P.C S PLASTER, INT.
oc< FEE �D� PLASTER,EXT.
VALUATION
FEE FINAL '
v83-3 23M BETS 6-46
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES � � ''� � ® '
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING / DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESS C ,f �'�/G�'f I7'd i ..-.____
etc-�
LOCALITY �yf �7/e Cf��r REC1EIVED RY DATE OF APPL. DATE ISSUED
NEAREST l �f
CROSS ST.
BUILDING /�
OWNER .cam r`�1J�`a 5,,2azt?/et- ADDRESS i� ! � l..J�
ADDRESS
`/� �r,�,,� sa MAIL
LOCALITY //J /.a="1/J
CITY �'+"�; k" C]t l7�J l.�-/ TEL._ / i:. •. ,?r. CROSSNEARESST.
ARCHITEC.Z.OR TEL. j ZONE I FIRE PLANS( TYPE I GROUP -,
ENGINEER .r. NO r
BLDG. / ORD. NO.
ADDRESS SETBACK LINE 4 f 0—"
APPROVED
-+�
TEL
CONTRACTOR NO. BY DATE
-_. USE APPROVED
ADDRESS """ -- ZONE ' BY DATE
LEGAL CORRECTIONS
DESCRIPTION -I LOT NO. I BLOCK
TRACTAs111.+ I
IyC' ��D/7NO. SLOB
SIZE OF LOT :/f , I N13WOON LOTS (,,.1
USE OF NO.O/�..IL NO. Ori
EXISTING BLDG, ' I FAMILI[. 1_ ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
X
— O
REPAIR MOVINO DEMOLISH ^+ U ! 1
V 0
SQ. FT. NO.OP / D
SIZE ° ROOM■ HTORIEB k,7 �" "'"'
:'� '
WALL ROOF l
COVERING ( COVERING a /
USE OF NEW
BUILDING
f~ n
In
m
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR D/}TE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS p y
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, _
BRACING, BOLTS
SIGNATURE OF
OWNER ` // / LATH, INT.:
AUTHORIZED AGT' I V., LATH, EXT.: •�
P. C.R PLASTER, INT.
FE[ PLASTER, EXT.
VALUATION '7(
FE[ //Z "" FINAL
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES g U 1 L D ! N G
W M. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST /
CROSS ST. f _
BUILDING
_OWNER ADDRESS
MAIL
ADDRESS 8 9 S� ����� LOCALITY
NEAREST
CROSS ST.
CITY �q� NO.
FIRE NO.OF TYPE GROUP
ENGINEER
ARCHITECT
NG NEERT OR �� � 1 NEO. ZONE PLANE
w / BLDG. / / S� ORD.NO.
ADDRESS SETBACK LINE
APPROVED
CONTRACTOR Tplp. BY DATE
USE APPROVED
ADDRESS ZONE/" BY DATE
LEGAL �--' - - CORRECTIONS
DESCRIPTION LOT NO. BLOCK
e
TRACT -`-i.w-v-
NO.OF SLOGS.
SIZE OF LOT �' I NOW ON LOT
USE OF NO.OF NO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH A2
54.FT. NO.OF D
SIZE L' l." ROOMS STORIES
WALL ROOF r
COVERING 1 0 I COVERING
USE OF NEW j
BUILDING ✓
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
7 FRAME: FIRE STOPS,
SIGNATURE OFL w- "! BRACING,BOLTS
PERMITTEE '] iri/r // 'Y/i.C.VIr LATH, INT.
AUTHORIZED AGT LATH, EXT.
76A638A 9-48
DBS-3 SOM SETS $ P.C.$ PLASTER,I NT.
FEE PLASTER,EXT.
$
VALUATION
FINAL
FEE