HomeMy Public PortalAbout5017 GLICKMAN AVE_Building__ 7GA83BACE#80311-57 APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES ADD RESS cr/ 0/ ~77. ciT.lIl"n
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. �.Or'..`
DISTRICT NO. GROUP I TYPE �I SE fE MAP
FOR APPLICANT TO FILL IN K
BUILDING CONST.
ADD
LOT NO LOCK RES"
',� ; : �.r STATISTICAL CLASSIFICATION
CLASS.NO.—DWELL.DWELL.UNITS STATE
.. , /}y NO
J vc�_ -.�9:n 1 } -:. ' ...._ NUMBMAP ER O/ (i' HWY. YE
TRACT USE ZONE SPECIAL J
LL NO.OF BLDGS. ,., COND TIONS /
SIZE OF LOT u :: 255 NOW ON LOT r_
USE OFA � a
_ �
EXISTING BLDG. 'l) `E n BUILDING EXIST.
SETBACK YARD HWY REET NAME WIDTH
OWNER ITT •l FRONT
jl
MAIL P.L. ,2
ADDRESS �2� ii171'1P.T ,^ Iir� SIDE
TELT
CITY +3 NO. .r INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL,.
CONTRACTO -- - '1^ - NO:-1
ADDRESS —
DjEON OF WORK
r
NEW ' ADD REPAIR DEMOLISH
SQ.FT. _ NO.OF I NO.OF
SIZE .` -� STORIES FAMILIESI
USE OF STRUC
SIGNATU EOr p APPROVALS
APPLI �N !GG
_ DATE INSPECTOR'S SIGNATURE
ADDRES FOUNDATION: LOCATION ,FORMS,MATERIALS$ P. E $/� A� FRAME: FIRE STOPS. r ?
FEE BRACING. BOLTS ,J
VALUATION $ .'� FURNACE: LOCATION.
FEE GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH, INT.
PLICATION AND ST THAT THE ABOVE IS CORRECT AND
AGREE TO CO WI HALL COUNTY ORD NCES ND
STATE LAW!9 REGU TING BUJ. G STRU ON. LATH, EXT. -
SIGNAJRE HOUSE NUMBER COR-
RECT AND POSTED
OR-RECTANDPOSTED - -
ADD ss 1 ��" ,.. . _:.. FINAL -
t CLYDE N.DIRLAM, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION C M.O. CASH PERMIT VALIDATION CK M.O. CASH
ll�p 2 9 3 1 U JUL 1 7 2 3 A 1 3,0 0&
L,Af03 1 0 9 0R JUL 2 2 1 A 2 6 00 :9