HomeMy Public PortalAbout4935 HELEO AVE_Building__ Y A'-ROAD DEPT. PERMIT IS REQUIRED
FOR ANY b1A :ERIAL STORA-- OR .WORK:
,DONE IN THE ROAD RIGHT, OF ,WAY. '
76A189A CE. eo9.a_e, APPLICATION FOR ,.BUILDING PERMIT .. �. .
COUNTY OF LOS ANGELES BUILDING'
A°DREss
DEPARTMENT OF COUNTY ENGINEER e
BUILDING AND SAFETY DIVISION LOCALITY -
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUP, OF BUI L'DING CROSS ST• -
DISTRICT NO. GROUP TYPE PR ESSED BY '
FOR APPLICANT TO FILL INS I CONSr Y.
.:606LDING'iL[�� _ STATISTICAL CLASSIFICATION. - / • SEWER MAP,
ADDRESS // CLASS.NO.-t—DWELL.UNITS—E_ L►K C)
LOT. NO. - ,BLOCK MAP - STATE :- -- , -•
NUMBER lee .HWY YES•' NO ,
TRACT'' -"�- - USE ZONE- SPEC AL
^ '-
/ - NO.OF'BLDGS. ,l CONDITIONS Q<` .�
SIZE OF LOT D `�-.y U I NOW ON LOT
'^ 'USE OF
o EXISTING BLD BUILDING `- - EXIST. -
_ - - - SETBACK YARD '-HWY TREET NAME WIDTH
OWNER FRONTPI Lm
MAIL-
ADDRESS .SIDE - -`• --
rc, P..L.
CITY INSPECTION RECORD.
ARCHIT CT O "TEL. -
ENGINEER - NO.
ADDRESS'
7--
CONTRACTOR
ADDRESS Y - /- r - ..
DESCRIPTION OF'WORKell
6° �' •
NEW 4_�_ADD ALTE EPAIR DEMOLISH
SC. FT- OF NO. OF...
SIZE '�" STORIES FAMILI
USE'OF C ._. -f +G/ .S '�C�• Ci'�'$.
STRUCTURE - - _ -
C:4:7
SIGNATURE OF,L/G?^C C: .��-
APPLICANT
• ll// - APPR VALS DATE .INSPECTOR'S•SIGNATURE
ADDRESS </Y•'- - FOUNDAT.IOW LOCATION / / .-. �, -
FORMS',MATERIALS /Tl�/ vz(,d.0......
VALUATION $.,3 –� FRAME:FIRE STOPS, i p N av
`BRACING,BOLTSmauT
P.C. PMT. FURNACE: LOCATION, r��',/ - /
/J�,yv� GAS VENT,DUCTS 6; - ,,,4
FEE St-"�• I FEE " -S mal .-
I HEREBY-ACKNOWLEDG. THAT I HAVE READ THIS AP ' LATH, INT. 1•,
'PLICATION AND STATE THAT THE ABOVE IS CORRECT AND-- - - -
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE .LAWS,REGULATING BUILDING CONST t N,�- iLATH,EXT. -
SIGNATURE OF HOUSE NUMBER COR-
SIGNATU RECT AND POSTEDPERMI
ADDRESS 21-rFINAL ✓v f� l�GC �CY
CLYDE N.:DIRLAM,.PRINCIPAL STPydCTqRAL ENGINEER,
PLAN CHECK.VALIDATION' CK-- M.O. CASH PERMIT VALIDATION.' 'CK. M.o..' CASH
I��IJ O .6 6 1 ' ?VkY 1 1; 2.-3 A % 2.5 '
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