HomeMy Public PortalAbout6021 HART AVE_Building__ 76A638A DBS-3 12.54 APPLICATION,- FOR-: CJILD]ISG PERMIT
DIVISION OF BUILDING AND SAFETY. BUILDING
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY
WM. J. FOX, COUNTY ENGINEER NEAREST
CASSATT D: GRIFFIN, SUPT OF BUILDING CROSS ST. (_:�:•- �/'�% .�L/J
DISTRICT GROUP-OUP- SEWER MAP--
FOR APPLICANT TO FILL IN — I L (TYPEI SK PG-
CONSTADDREISS �(/ MAP - STATE
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NUMBER L.. 5°''•-�J ./ HWY '.
LOT NO. r,( ' - BLOCK USE ZONE SPECIAL '
_ '-•44� CONDITIONS
TRACT' -
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•SIZE OF LOT {J. /\ - [F�,T. I NOW ON LOT { ' BUILDING EXIST.
USE OF
SETBACK `YARD HWY STREET NAME WIDTH
EXISTING BLDQ. FRONT ,1 "
OWNER SIDE -
MAIL .. _ P. L.
ADDRESS
TEL. DWELL. I UNIT 5 INDUSTRIAL
CITY NO. - ..
2
ARCHITECT OR TEL. DUPLEX_UNIT 6 PUBLIC BLDG.
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ENGINEER 'NO. 3 APT. UNITS _ 7 ADDN.,ALT., ETC. -
ADDRESS- - - 4 COMMERCIAL 8 MISCEL.TE -
CONTRACTOR NO .7 I ' INSPECTION RECORD
ADDRESS _ '�'
. DESCRIPTION OF WORD.
NEW b�/ADD. ALTER REPAIR ' DEMOLISH //,i�{�,'-"J9�, ./Y,,) LL
SO. FT.' bT�k' NO. OF /I NO. OF �SS� //! Yrs / /�1J�/� Q�Z�,/7,F t+
SIZE. . I `.,'... STORIES 5�' FAMILIES r•a� IJIfI GV /Y 11'i •/\, � o�/
USE OF.STRUCTURE
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SIGNATURE OF - T-
APPLICANT -� 1, MP16o 1p APPY S 7oO CG E <0
ADDRESS _ - DATE INSPECTOR'S SIGNATURE G.
FOUNDATION: LOCATION
P. C. S / ( _FORMS, MATERIALS Jam•) `({r�/ ����^2,9:l��tl,/'�!/Jl�I-�� .-S.
-FEE
FRAME: FIRE STOPS, 7f7f
VALUATION � S i1 Ea BRACING, BOLTS AiTO I"Li.Y��
-� FEE FGAS V N LOCATION. :CLvb_�_
I HEREBY ACKNOWLEDGE THAT.1 HAVE READ THIS GAS VENT, DUCTS - L
APPLICATION AND STATE THAT .THE ABOVE IS CORRECT
ANDAGREE-T COMPLY W H ALL COUNTY ORDINANCES LATH. INT. 1�J �,?__�.` 1A w. 'S'• /1�I/'
AND STATE WS REGU ING BUILDING- CONSTRUC-
TION. LATH,-EXT.' "
SIGNATURE OF
HOUSE NUMBER.COR- �,�q �.iJ �f �hy,•�rA
PERMITTEE RECT AND POSTED
ADDRESS FINAL 2
WhL J. Fox; Cou ENGlkEER VALIDATION
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DEPUTY - DEPUTY
BY VI BY
� DEPUTY V�IDEPUTY