HomeMy Public PortalAbout10240 GREEN ST_Building__ 76AS38A CE#803.6.5, APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY `
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. ''JZ/
DISTRICT NO. I GROUP TYPE ! SEWER MAP
FOR APPLICANT TO FILL IN -16 SK PG
CONST.
BUILDING STATISTICAL CLASSIFICATION I
ADDRESS Q�� � -_ s- ��
CLASS.NO. DWELL.UNITS
LOT NO. D MAP STATE
NUMBER HWY. YES O
TRACT - I UZ�NE SPECIAL
11691 A. {, .OF BLOGS. a/ CONDITIONS Ud
SIZE OF LOT ' /L/ I N LOT Lam`
USE OF 5'000
EXISTING BLDG. BUILDING YARD HWY ST T NAME EXIST.
SETBACK WIDTH
OWNE FRONT
MAIL P.L. av
ADDRESS / ,/f .Q Vvel SIDE
CITY 51 NO ,9.727 P.L.
ARCHITECT OR TEL. INSPECTION RECORD
ENGINEER NO.
ADDRESS
' CONTRACTO G- NEO 3I Z7
ADDRESS 4 1,L A 3.4
DESCRIPTION OF WORK
ADD ALTER REPAIR DEMOLISH
NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURI loorAPPROVALS
APPLICAN
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
/� FORMS,MATERIALS - I' .t.-
$ /Z D ff(1 P.C. S -/ FRAME: FIRE STOPS.
FEE BRACING.BOLTS '"' ' y /( -
VALUATION $ FURNACE: LOCATION, .:
FEE GAS VENT,DUCTS -
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH, INT.
AGREE TO COMPLY WITH ALL COUNTY INANCES AND
STATE LAWS RE ING BUILD CONSTRUCTION. LATH,EXT.
SIGNATURE O HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDREss FINAL ��+
JOHN A. LAMBIE.COUNTY ENGINEER. -02 CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION (C9 M.O. CASH PERMIT VALIDATION K M.O. CASH
1 2 '3 2-uY' 7 l 1 6.75
I- 2 0 0 4 ri MAR 14 1 A 3 3.5 0 A