HomeMy Public PortalAbout6166 LOMA AVE_Building__ DEPARTMENT OF BUILDING AND'SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES '
WM. J. FOX..CHIEF ENGINEER -
UILi
FOR' APPLICANT TO FILL N FOR OFFICE USE.ONLY
DISTR((ICO:. . PLANCK. IVO. - PERMIT NO.
BUILDING. .� �. J ��/,,,,• C•-7.
ADDRESS
RgVEIVED Y - DATE OF APPL. DATE ISSUED
LOCALITY - -
NEAREST - ., C �;�.•y� - / ..�(''']
CROSSST.: - /� ,v BUILDING
'.�.. .. ADDRESS
OWNER r -
MAIL - _ LOCALITY `//-G
.ADDRESS, NEAREST. J,'�/s�'
- S TEL. - ,!- CROSS ST. i �O"''/i '0,/J, �f 1
CITYNO. FIRE NO. OF TY GRO fr
ARCHITECT OR - _ -TEL. ZONE _ PLANS I' I
ENGINEER - - NO: BLDG.
! LGf't"��-�15�- '
SETBACK
CEDINE
ADDRESS -
TEL. J.+: BY DATE
CONTRACTOR, -NO. (f USE - APPROVED
ZONE BY DATE
ADDRESS �� � _ �� HOUSE-,NUMBERING. -
LEGAL
-DESCRIPTION', I LOT NO.' I BLOCK MAP NUMBER d FIELD-CHECK BY '
r�
TRACT �,• - - NO. ASSIGNED BATE '
NO.-OF BLDGS. CORRECTIONS
s SIZE OF LOT.• O- I NOW ON LO_T.
USE OFO. OF
EXISTING BLDG, '�'►.L -
DESCRIPTION OF WORE
NEW :I [ALTERATION ] I ADDITION - I. 12-e—=j T 1S SHE 7 or 1C p
REPAIR I„ -` I DEMOLITION
SQ. FT. NO. OF
SIZE ' ; './ ROOMS. STORIES'
EXT. WALL, ROOF -
r
COVERING 1 r” -..I COVERING USE OF ST R TU
v
APPROVALS
- INSPECTOR'S SIGNATURE '-DATE
1' HEREBY,ACKNOWLEDGE THAT I HAVE READTHISAP-.• FOUNDATION: LOCATION /
PLICATION AND :STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS_
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS ,LISTED FRAME: FIRE STOPS,.
HEREON AND .WITH ALL COUNTY ORDINANCES.AND STATE BRACING, BOLTS. �ajj
LAWS"REGULATING BUI G CONSTRUCTION. �.✓v'• -
_ I FURNACE: LOCATION,
SIGNATURE OF
GAS VENT, DUCTS
PERMITTE 't
- V LATH, INT.. STi�I
ADDRESS-. j; O
LAT ,.EXT. ,
AUTHORIZEDAGT.
PLASTER, INT.,
76AG38A I DBSa '10-a0 ,$ P. C. $ -
O _ FEE PLASTER, EXT. t VALUATIONr """ _ $
FEE FINAL