HomeMy Public PortalAbout5520 GLICKMAN AVE_Building__ 76AWI. A CE 9803 4/70 �f �+✓r /"�G'f� `►f
APPLICATION FOR BUILDIN16 PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING ��
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS N _ s
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITYyl
FOR APPLICANT TO FILL IN NEAREST 10,
Print or type only) CROSS ST.
BUILDING DISTRICT NO. GR TYPE PR SS�E`D BY
ADDRESS- �' L� + CONST.
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STATISTICAL CLASSIFICATION !SEWER MAP
LOT NO- BLOCK. CLASS NO.C0 DWELL,UNITS-- B "mfr
TRACT sq� - ��j U///S���E ZONE MAP
SIZE OF LOT �foc.� I NO.OF BLDGS. /J j SPECIAL _
X ALO NOW ON LOT 'E`i' 1 v
USE OF CONDITIONS
EXISTING BLDG. Give
J TEL. _
OWNER 'Y'ry �f !!,, >< NO. .,7 l0 BLDG.SETBACK FROM
ADDRESS c .ST ,J,,q,, �L= o�Calr.� 01 FRONT PROP.LINE OF (STREET)
TYPE OF SETBACK 3
Y"/- A57 / /� HIGHWAYS WIDTIHG FROM C.L. HIGHWAY + YARD = TOTAL
CITY n �[; r 3G! Cf�/r7"
ARCHITECT OR TEL. + -
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
_ TYPE OF EXISTING SET HIGHWAY + YARD = TOTAL
CONTRACTOR - L1 i9GJFIG L G-3O-5Er� HIGHWAY WIDTHM C.L.
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ADDRESS/ S. PAp,-71f OiaiLY aiVa No�5�10/qA + U
CITY PAY- '✓c(zf%Y Lr`�I �` CLASS CORNER CUTOFF YES ❑ NO ❑ CIr_,
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS w
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ADDRESS _
SQ. FT. NO. OF NO. OF tr1171'7� 01[_4r dUPy, c /,;, L/1,11`NI N
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SIZE STORIES FAMILIES NEW
D•USE OF _ I ADD
STRUCTURE =E tri 17 c//J++ pG-�a ° ALTER ❑
l °J- rp/� '1
Qr � ,� ii ec�0r 0'f- O r /'• h REPAIR❑
SIGNATURE OF /
APPLICANT .; y�C�rC/ DEMOL ❑
VALUATIONS SQCQ� APPROVALS DATE INSPECTOR'S SIGNATURE
CFOUNDATION: LOCATION
FEE $ - FEE $ ��� L FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING TH WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CA X, IA IN '£LA?ING TO
WORKMEN'S COMPEN N IRAN J�
! LATH, EXT.
SIGNATURE 0 HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED /,z
ADDRESS
FINAL ?
JOHN F. LEWIS. PRINCIPAL STUCK. M.O.
L ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CASH
7 6 3 7 NOV 16 2 3 D 1 9.801
�� 1 Lr 2 6 6 5c NOV18 1 D 3 3,00- v