HomeMy Public PortalAbout10124 GREEN ST_Building__ 78 ASAJACE*aos.10-SB APPLICATION FOR BUILDING PEFMIT 1
BUILDING AND SAFETY DIVISION BUILDING
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY e
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISGROUTRICT NO. .TYPE SEWER MAP
FOR APPLICANT TO FILL IN BK PG
CONST.
BUILDING rg I
ADDRESS G STATISTICAL CLASSIFICATION /
L O. BLOCK CLASS. NO. DWELL. UNITS
MAP STATE YES
NUMBER HWY
TRACT USE Z NE SPECIAL
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NO. OF BLDGS. CONDITIONS
SIZE OF LOT V Q 6 x�g�, I NOW ON LOT
USE OF
EXISTING BLDG. /'( W I BUILDING EXIST.
}� J /� SETBACK YARD HWY ST EET NAME WIDTH
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CITY 7-P—M p�e e iT'Y NO. P L
_ INSPECTION RECORD
ARCHITECTOR-q-
ENGINEERAewe// 1NO.
ADDRESS � '_'t'
54 '_'t'/ r1}}N SP_
CONTRACTOR/Y e 1.V(),/ e_1;A>/ NO.V-1 3
ADDRESS / /M Q !I
D SCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH ) _
SQ. FT. NO. OF NO.OF // t
SIZE STORIES nFAMILIES/
USE OF"too 1,0
h APPROVALS r
SIGNA RE OF
APPLICANT DATE INSPECTORS SIGNATURE
ADDRESS ` FOUNDATION: LOCATION
FORMS, MATERIALS
P. C. S d FRAME: FIRE STOPS. ,r -
(! GV v FEE BRACING. BOLTS
S ` FURNACE: LOCATION,
FEE L(!��
VALUATION (/[i .� GAS VENT, DUCTS "(
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. i / vW _ ;•'
STATE LAWS REGUJkATING AUILDING CON TRUCTION.
SIGNATURE OF �QC) n HOUSE NUMBER COR- `
PERMITTEE �a RECT AND POSTED Y +..c"..
ADDRESS V FINAL
JOHN A. LAMBIE. COUNTY ENGI EER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATIONM.O. CASH PERMIT VALIDATION4c M.O. CASH
13 2 4 5 °° JUL 2 8 2 3 A 1 3.0 0 A
tAC03 3 6 0S .x- 30 1 A 2 6.0 0