HomeMy Public PortalAbout5628 HELEO AVE_Building__ A ROAD DEPT. PERMIT IS REQUIRED
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.......cm#.•.... APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELESBUILDING
DEPARTMENT OF COUNTY ENGINEER AooRESs
BUILDING AND SAFETY DIVISION LOCALITY f ,
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST c
CASSATT D. GRIFFIN SUPT OF BUILDING CROSS ST.
* - DISTRIC O. - RO P TYPE P SSED BY '
FOR APPLIC T TO FILL CONST.
BUILDING STATISTICAL CLASSIFICATION.. S ER MAP
ADDRESS / BK PG
CLASS.NO. DWELL. UNITS
LOT NO. BLOCK MAP - �p STATE YES NUMBER �, HWY. (N O
TRACT 7-;?-� Z— USE ZONE SPECIAL
NO.OF SLDGS. CONDITONS
SIZE OF LOT k I� I NOW ON LOT "
USE OF
EXISTING BLDG. BUILDING EXIT.-
�`�� SETBACK YARD HWY STREET NAME WIDTH
OWNEAN00�X' 17.Z-6cr-k9A FRONT —
MAILR
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ADDRESS - e2 I AI, SA R I(3 � SIDE
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P.L.
CITY (Z 6 Y / �`' Z y INSPECTION RECORD
ARCHITECT OR 1 11 T
ENGINEERJ 1. nr- /� _
ADDREs4 ilI AL. At pE--r' ze. I
CON rL•(FC.P'Y_♦�_-O) �O �'/ � .
ADDRESSZ-�r�/ZI7tc
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
NO-
SIZE �A? O TORIES ..FA`M[LLI ES
USE OF
STRUCTURE
9 7�0
SIGNATURE OF
APPLICANTAPPROVALS
ADDRESS � "" �•�OC'•l - FOUN ATION: L CATION DATE INSPIICTOR'S SIGNATURE
FORMS,MATERIALS (go
VALUATION S FRAME: FIRE STOPS,
BRACING,BOLTS
`PMT. FURNACE: LOCATION,
P.C. GAS VENT,DUCTS
FEE f FEE f _
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP. LATH. INT. OI Ap.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND �••
AGREE TO COMPLY WIT ALL COUNTY OR INANCES AND
STATE LAWS EGUL INC B ILDI NSTRUCTION LATH, EXT.
SIGNATURE OF - HOUSE NUMBER COR•
PERMITTE RECT AND POSTED I AIA
L L �J.VVYv 1
ADDRESS (FINAL
CLYDE N. DIRLAM. PRINCIPAL STR T RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION =K. M.D. —H
5'9.48cS .FEB 22 3 A 22.501
L''�ob068FEB4 1 A 45.0.0 . E