HomeMy Public PortalAbout6165 HART AVE_Building__ 76AS38A DBS-3 3.55
APPLICA` I.ON F®P ' IL®9N� � T
DIVISION OF BUILDING AND SAFETY BUILDING � 0
ADDRESS O e
Department of County Engineer
County of Los Angeles LOCAL] }
WM.J. FOX, COUNTY ENGINEER NEAREST T1s { ® /�
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. �T�'lf[ !/J�?4ZA#.9J
l�� i DISTRICT NO. GROUP TYPE i SEWBER MAPP
FOR APPLICANT TO FILL IN I CONST I A !,
ADDRESS - /f. � �{ MAPBUILDINGSTATE YES`
_ NUMBER HWY - �'.,--*✓•
LOT NO. BLOCK USE ZONE SPECIAL'
CONDITIONS W� 014a-1
TRACT aCJv61 ®,VrIM(!j C6�"It
C OIC
Qf,AMW
NO. OF BLDGS. BUILDING EXIST.
_SIZE OF LOT�[-t' q / �� NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
USE
X STOING BLDG. � L••FIr FP.ESy
OWNER6&," 46L !IIW..�P..{V l "S,1t_.rA, .e�..i�rFL-s' P. L.
MAIL
ADDRESS /Pk^ rf '�W
e. ^ O TRACT-DWELL. , / UNIT
5 INDUSTRIAL'S
J�i ,y� �'} 1 DWELL. t UNIT
CITY .�-� �7!>t.!' A F®�+.e.rP_", NO. r i9 .'°f`d!d 6 PUBLIC BLDG:
ARCHITECT Ok fes^ TEL. - 2: DUPLEX I UNIT
ENGINEER " NO. - ADDN.,ALT.. ETC. * ,..
3• APT. -UNITS' MISCEL. � 6�/
ADDRESS 4: COMMERCIAL wa/-'
NO.TINSPECTION RECORD
CONTRACTOR
ADDRESS ,
DESCRIPTION OF WORK �!����-' � ®��-�y-�d
NEW 1,�ADD ALTER REPAIR DEMOLISH L)r 7i7 /� Ae f- -,r/A/
/ vA _T7—
SIZE T � 9 SNO. OF NO. OF
TORIES FAMILIES
L _!/ rG_ ' G 7rL/ �1/ /,[/,,.f/_/' �,I
USE STRUCTURE Q14. OIT /!11•f/,fD/Y Z
SIGNATURE Of/�1/ iil/Iti / !"eW .R.�.�l lllll lll6— DTJ 1• p-7-,E j
APPLICAN/T APPROVALS
ADDRESS G.R I' �'ltrl f f'-` DATE - INSPECTOR'S SIGNATURE
$. ..►+�""A`- FOUNDATION: LOCLASTION /� GIrF�� �
® /°/•'tr P. C. ffi �FORMS, MATERIA
G6�S/ FEE _ FRAME:_ BRACING, BOLTTS STOPS.
- VALUATION
FEE FURNACE: LOCATION. '
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS' GAS VENT,DUCTS _
APPLICATION AND STATE THAT THE ABOVE 15 CORRECT- n (� //p 14O/�
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION.
LATH. EXT.
SIGNATURE EV ✓��"✓'!<le �� .HOUSE NUMBER COR-
PERMITTEE .,. RECT AND POSTED
ADDRESS/Z - FINAL®J ��-7 eV1(1�.l..G ,1_
WM.J. FOX.COUNTY ENGINEER VALIDATION C. N. DIRLAM,CHIEF BLDG. INSPECTOR
Grp 6.0 tl ��
78A638ACE#803.8-57 APPLICA` ION FOR BUILDING PERM IT
COUNTY OF LOS ANGELES Bu1�DING
DEPARTMENT OF COUNTY ENGINEER ADDREss
BUILDING_ AND SAFETY DIVISION.. LOCALITY r,
JOHN A. LAM'BIE,COUNTY ENGINEER NEAREST'.--
CASSATT D.GRIFFIN,.SUP'T OF BUILDING CROSS ST.
DISTRICT NO. GROUP .TYPE SEWER -MAP
FOR APPLICANT. TO FILL IN CONST .[SEWER -MAP
;,- - .�
BUILDINGSTATISTICAL CLASSIFICATION
ADDRESS
rlc�.�" , BLOCK - CLASS:'NO. WELL. U�NI
LON 7S
' MAP- STATE
NUMBER" HWYc YES O
TRACT ® USE Z NE SPE AL_ -
NO.OF BLDGS. CONDITIONS
SIZE OF LOT�L� -, NOW ON.LOT -. _
USE OF
EXISTING BLD G. BUILDINGEXIST.
Y '
ARD HWY STREET NAME
- 1-66. i SETBACK. - _ WIDTH
OWN FRONT
MAIL / - - P.L. GAO _
ADDRESS :SIDE
TE 'P.L.
clTv NO INSPECTION RECORD
ARCHITECT TEL.
ENGINEER NO. -
TEL.
CONTRACTOR NO. - - - -
ADDRESS -
DESCRIPTION OF WORK
NEW ADD. -ALTER ' REPAIR DEMOLISH • - -
SQ,•FT. NO.OF NO.OF - -
SIZE STORIES - FAMILIES _USE OF STRUCTURE
SIGNATURE OF - - APPROVALS _
APPLICANT - DATE'. INSPECTOR'S SIGNATURE
ADDRESS• FOUNDATION: LOCATION -
_ - FORMS.MATERIALS -
$ �. P.C. $ �..y FRAME FIRE STOPS. - -
FEE .BRACING. BOLTS
$
VALUATION �.� FURNACE LOCATION.. .
- -
FEE 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
STATE LAWS EATING BUIL,DIsl UOCo C�•..-.�` LATH.EXT.
SIGNATURE.O `NUI!,,Dy HOUSE NUMBER COR-
PERMITTEE— RECT AND POSTED
ADDRESS FINAL 7//•s '
JOHN A. LAMBIE,COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK'VALIDATION CK. M.O. CASH PERMIT VALIDATION - CK. M.O. s
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