HomeMy Public PortalAbout5931 LOMA AVE_Building__ � I
DMSION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN BUILDING
BUILDING — -7
/ // �J LOCALITYADDRESS ♦ -
NEAREST
LOCALITY CROSS ST.
.. DISTRICT NO. PLAN CK. oR-REC. No. PERMIT NO.
NEAREST
CROSS ST. '32:
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f`>i ,.�A " RECEIVED BY "DATE OF APPL. DATTOE4ISSU5D
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MAIL
ADDRESS
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CITY NO. Ie, ./ - �'� . �—
ARCHITECT OR _ '' TEL. - DnTED
ENGINEER - NO. ���. AOPRIOVED BY-
ADDRESS SETBACK-LINE: r J" � K O/BUILDING N
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R//l ,iT^ `���'/y DATE
CONTRACTONO..,- J�n00 Y:
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ADDRESS ��/ iLt buI - �'�*+��% NO. ASSIGNED BY C -�
�g,�..�Q ; MAP NUMBER �v
LEGAL
DESCRIPTION �T NO f 3.5�� BLOCK
DATE CORRECTIONS INSPECTORS
TRACT
,/QI I NO. OF BLDGS.
SIZE OF LOT
NOW ON LOT'
EX USE STOING BLDG. I FAMIOLIES I / c?—S CJ �// I 0
DESCRIPTION OF WORK z
NEW ALTERATION ADDITION ., /V/22-A057 [� �( /TJX®L�� r .
REPAIR I I DEMOLITION
S ZEA EXT. A // /�ROOMS STORIES I �d��.S/S�EJei�b Co/✓��yFi:�
COVERING `7 �D`6�/G�' I COVERING I ;�f3/N AGC R41WO) "A a�
USE OF STRUCTURE
Arte. 6^..'A012111A012 -
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION t
1 HE EBY ACKNOWLEDGE THAT I HAVE READ THIS IS FRAME: FIRE STOPS,FORMS, MATERIALS / /
PLICATION'AND STATE THAT THE INFORMATION GIVEN IS - ( F
.CORRECT., BRACING, BOLTS 4 �
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS
//REGULATING
�IBUILDING"CONSTRUCTION. 'GAS VENT, DUCTS
SIGNATURE OFf// /_Il_ ,`;�7 r LATH,. INT.
PERMITTEE 1 ���vvv"'-y i�-�I/a'�""�S'y�, -
ADDRESS //f
f /4r/ f'ft � .LATH, EXT. .
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PLASTER, INT.
AUTHORIZED AGT. _
PLASTER, EXT:
C.$
FEE HOUSE NUMBER COR-
RECT AND POSTED
$
VALUATIONF-`
FEE � FINAL / �� �����•i�3
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