HomeMy Public PortalAbout10056 GREEN ST_Building__ 76AG38A CE#8098-58 APPLICATION FOR BUILDING PERM T 1
COUNTY OF LOS ANGELES BUILDIN /�
DEPARTMENT OF COUNTY ENGINEER ADORES (/ O a
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING I CROSS ST. 500
DISTRICT NQ. PE P ESSED B
FOR APPLICANT TO FILL IN cDNST.e I
s= S WE MAP
BUILDIN
ADORES r� STATISTICAL CLASSIFICATION BK PG
CLASS. NO.--t—DWELL. UNITS I I
LOT NO. 0 BLOCK MAP I ��qq STATE O
NUMBER UWY.
TRACT Aye USE ZONE SPECIA
SIZE OF LOTi/ � /" I NOW ON LOT �L�( CONDITIO 1
USE OF �1
EXISTING BLDG. BUILDING EXIST.
SETBACK YAR HWY STREET WIDTH
OWN +� �G' `ri FRONT q--
MAIL P.
ADDRESS (�'�' v SIDE
Ott— P.L.
CITY '` ITvo �� INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO.
ADDRESS
IA J ,7
CONTRACT r• {:%C_T'' t"" Z
ADDRESS 7
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH ti rr iI
SQ.FT. L~ NO.OF NO.OF Igo
SIZE STORIES / FAMILIES /
USE OF"STRUCTURE �g
SIGNATURE O4 r APPROVALS �� r- r _s',zr
APPLICANT
DATE INSPECT 'S SIGNATURE
ADDRESS h -`� -fC (A•{, FOUNDATION: LOCATION
�Q ' FORMS,MATERIALS
$ `�• `ZJ
FE
CE. $ FRAME: FIRE STOPS.
Q BRACING. BOLTS
VALUATIO� FURNACE: LOCATION
.
FEE GAS VENT,DUCTS r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PL,
CATION AND STATE THAT THE ABOVE IS CORRECT AND
LATH,INT. of
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND O
STATE LAWS qE(1 LATING BU Dl Es CONSTRUCT N. LATH,EXT.
SIGNATURE OF �*. �* <- p ,. HOUSE NUMBER COR-
PERMITTE RECT AND "% u� - —
POSTED
ADDRESS L�2
/!' FINAL ♦� l"
CLYDE N.DIRLAM, PRINCIPAL STRYMURAL ENGINEER
PLAN CHECK VALIDATION M.O. SH PERMIT VALIDATION cK M.O. CASH
5 6 6 0 OCT 10 2 3 A 21SI 0 8 u O'T 2 G 1 A
45-00r"®F