HomeMy Public PortalAbout10066 GREEN ST_Building__ DIVISION OF BUILDING AND SAFETY BUILDING
Department of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
ILD
FOR APPLICANT TO FILL IN ADDRESS
BUILDING / .-.�... ----
ADDRESS LOCALITY
NEAREST ..
LOCALITY CROSS ST.
NEAREST
DISTRICT NO. PLAN CK. on REc. No. PERMIT NO.
CROSS ST.
OWNER RECEIVED BY DATE OF APPL. DATE ISSUED
MAIL , • -..
ADDRESS
USE ZONE� NO. OF I TYPE I GROUP I FIRE ZONE
TEL. ,'� ,;'" PLANS
CITY �'o 1.. � ) n Lam. NO.
ARCHITECT OR TEL. ZONING pATEn
ENGINEER NO. - APPROVED BY-
BUILDING ORD.No.
ADDRESS SETBACK LINE:
TEL.+'. APPROVED DATE
CONTRACTOR �" NO. i- BY: -
HOUSE NUMBERING
ADDRESS
LEGALMAP NUMBER NO. ASSIGNED BY
L
DESCRIPTION LOT NO. ",F - j.'_`� BLOCK
DATE CORRECTIONS I INSPECTOR
TRACT ✓ C/' [��1 !_ J//1) I�k _ J`
NO. OF .L L
l
SIZE OF LOT �l J NOW ON LOTT
USE OF ^' , i r° NO. OF
EXISTING BLDG. I FAMILIES I L/7/G.+C r-� .: i�,fG� O
DESCRIPTION OF WORK
z
NEW ALTERATION ADDITION
REPAIR I DEMOLITION Y
d
SQ. FT. NO. OF ��
SIZE ROOMS ,� STORIES
EXT. WALL�.V C ROOF Zs..a t" +C: —I,
_ COVERING <,-,D I iJ I COVERING 1 `
USE OF STRUCTURE —�
I I
APPROVALS
INSPECTOR'S SIGNATURE D4TE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ TH15 AP- FRAME: FIRE STOPS, '
PLICATION AND STATE THAT THE INFORMATION GIVEN IS
CORRECT. _ BRACING, BOLTS
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF ,.y LATH, INT. ! '
PERMITTEE `
' LATH. EXT. /
ADDRESS (-� ._: •J � �ter) , .
PLASTER, INT.
AUTHORIZED AGT.
P. E C-$ H
PLASTER, EXT.
OUSE NUMBER
FE
RECT AND POSTED
VALUATION FEE [ FINAL - -
76AS38A DBS 8 2-88
L J