HomeMy Public PortalAbout5023 GLICKMAN AVE_Building__ �- D IC.N OF BUILDING AND SAFETY � ' ® �
Department of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. OR REC.No. PERMIT NO.
BUILDING
ADDRESS V •-'�.J \Y��� /4'�.l i4rtJ�' .. ` 1�
LOCALITY / RECEIVE[?BY DATE OF APPL DATE ISSUED
✓� 0.fV `�"
NEARESTtt
CROSS ST, f� &a,* BUILDING ^ ^�
ADDRESS a~O Z•3 - __
OWNER
MAIL (1 LOCALITY
ADDRESS J NEAREST
—�r TEL CROSS ST.
CITY J i9 N 2. BA/ L NO. FIRE NO.OF TYPE `, GROUP j
ARCHITECT OR TEZONE —" PLANS
L
ENGINEER NO. BLDG. /� / �RD� NO.
SETBACK LINE L YY
ADDRESS
USE
�/ APPROVED
CONTRACTORJ.Q_/Nq�•'F{�}�, jEp/� ZON BV DATE
e�r L4�i4 // Q HOUSE NUMBERING
ADDRESS MAP NUMBER Z 6 NO. ASSIGNED BY_
LEGAL CORRECTIONS,
DESCRIPTION LOT NO. BLOCK
TRACT D. 87
NOF BLDGS. �,�tt J
SIZE OF LOT I NOW ON LOT /YO:Ur r.: ... d J ,_�
USE OF I NO. OF
EXISTING BLDG. FAMILIES `.) N ��
,�EEo O
DESCRIPTION OF WORK w c
AX a
NEW ALTERATION ADDITION _ Z
D
REPAIR DEMOLITION r
SQ.FT.3 NO.OF /
SIZE I ROOMS STORIES
EXT.WALL // ROF ---
COVERING 7'RI.GG I COVERIONG
USE OFSTRUCTURE
A.I L.
i L
INSPECTION FOR APPROVALS
OCCUPANCYAS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
FORMS, MATERIALS
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS,
CORRECT. BRACING, BOLTS
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGFURNACE: LOCATION,ULATING BUILDING CONSTRU TION. GAS VENT, DUCTS
SIGNATURE O LATH, INT.
PERMITTE
LATH, EXT. `
ADDRES
PLASTER, INT.
AUTHORIZED AOT.
PLASTER, EXT.
Q o P.C.0 SL G
..,�� PEC / .I HOUSE NUMBER COR-
06 RECT AND POSTED
VALUATION FEE + �- -"" FINAL
76A63SA DBS 3 1-52