HomeMy Public PortalAbout10718 GRAND AVE_Building__ 76A638A 135'3-:3-5APPLICATION FOR BUILDING PERMIT 1
DAVISION OF BUILDING AND SAFETY ADDRESS /r / /
III Deportment of County Engineer
County of Los Angeles LOCALITY
WM.J. FOX, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. AGTYPE UP SEWER MAP
FOR APPLICANT TO FILL IN <"- I c I J SK $"� PG
R
CONST.--
BUILDING h MAP STATE -NO
ADDRESS !t f..'�r��� `� NUMBER HWY YES,'' NO
LOT N
4' ` Q (� BLOCK r+.r USE ZONE SPECIAL
CONDITIONS
TRACT
NO.OF BLDGS.&f BUILDINGEXIST.
SIZE OF LOT I NOW ON LOT� 40-f SETBACK YARD HWY STREET NAME WIDTH
USE TI �f` FRONT 00 ,C""��
EXISTING BLDG. P. L. .�C' /� ySI_
OWNER Fir-e-141 SIDE /A ,✓ /� .�.'. e^.'"a
P. L.
MAIL
ADDRESS O TRACT DWELL. I UNIT
5 INDUSTRIAL
TEL. 1 IWELL. I UNIT
CITY NO. 6 PUBLIC BLDG.
_
ARCHITECTO � TEL s 2 DUPLEX I UNIT 7 ADDN., ALT., ETC.
ENGINEER �` N J �.S 3 APT. UNITS
8 MISCEL.
ADDRESS 4 COMMERCIAL
_/ INSPECTION RECORD
CONTRACTO 4
ADDRESS
DESCRIPTION OF WORK i
NEW / ADD ALTER REPAIR DEMOLISH
Fuel/
SQ. FT. NO. OF NO.OF
SIZE STORIES FAMILIES
�... P v
USE OF STRUCTU O/ ��"
'41A I
SIGNATUR OF
APPLICAI 4APPROVALS
ADDRESS DATE INSPECTORS SIGNATURE
FOUNDATION: LOCATION
P.C. FORMS. MATERIALS
FEE FRAME: FIRE STOPS,
t BRACING. BOLTS
VALUATION
FEE $ / r FURNACE: LOCATION.
1 HEREBY A KNOWLEDGE THAT i HAVE READ THIS GAS VENT, DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITHA L COUNTY ORDINANCES LATH, INT.
AND STATE LAWS REGU TI BUILDING CONSTRUC-
TION. �T - -
LATH. EXT. �r
00
SIGNATURE OF I HOUSE NUMBER COR-
PERMITT L —�} RECT AND POSTED yzl� .+t
ADDRESS FINAL
WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR
i
I I4938 APR 1.0 16 9,� r IIn �
u '';° RM 11 1 g 0