HomeMy Public PortalAbout6217 LOMA AVE_Building__ A ROAD DEPT, PERMIT.,-IS_ REQUIRED
= OR, WORK .
DONE IN ' THE ROAD RIGriT OF WAY,
74Ad34A CE#0030.39 APPLICATION 'FOIA BUILDING. PERMIT -
BUILDING
PERMIT - '�=
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT-OF COUNTY ENGINEER i
BUILDING AND SAFETY DIVISION LOCALITY {
;'JOHN A..LAMBIE, COUNTY ENGINEER NEAREST -
-CASSATT D•GRIFFIN SUPT OF BUILDING CROSS ST
DISTRICT NO. GROO TYPE j. P E^�6E BY
FOR APPLICANT TO FILL IN �. CoNSr -
BUILDING - _ STATISTICAL CLASSIFICATION. _ WER MAP
ADDRESS - _ BK, ! PG,
CLASS.NO DWELL UNITS93
LOT NO' � r BLOCK - s
NUMBER DD :----HWY YES' NO
TRACT USE ZONE, SPECIAL -
O.O BLDGS CONDITIONS
SIZE OF.,LOT,' I• NOW ON LOT - / y
USE'OF,
EXISTING BLDG BUILDING- EXIST.
SETBACKI&D HW_Y STREET NAME _ WIDTH
OWNER - - FPOL T
MAIL
ADDRESS SIDE
TEL P L.
CITY N - INSPECTION RE ORD-
ARCHITECT OR TEL _
ENGINEER NO. ` ;}
ADDRESS
•TEL. ��•-G - 71Zz ...lcC
CONTRACTOR �.N -
ADDRESS 4�
DESCRIPTION OF WORK
NEW ��ADID '- -ALTER REPAIR - DEMOLISH -
SO' FT„ NO OF ,,���� JJJJO OF -
SIZE STORIES !T�'u6AMILIE - -
USE OF - - - -
STRUCTURE
SIGNATURE OF '
APPLICANT_ . -
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION*
ION
MATERIALS .�'/`/O ),s, • _n _ '
VALUATION,$• - �7Q O ,60 - FRAME' FIRE STOPS, /�FJO
BRACING,BOLTS
r FURNACE LOCATION,
FEE E, ..7 O I FEEPMT �� GAS VENT,-DUCTS 2=- (,�
=1 H RESY-ACKNOWLEDGE THAT IT HAVE READ,THIS AP-
PC'
P- LATH, NT.
, /,4 ,�f�•
PC:ICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES'AND 1
STATE LAWS REGULATING BUILDING CONST N. LATH,EXT.
SIGNATURE OF 11
HOUSE NUMBER COR- ��y
P,ERMITTE RECT AND POSTED /l I20 1J
ADDRESS FINAL - "' •
CLYDE N DIRL-AM-, PRINCIPAL ST CT AL ENGINEER
PLAN CHECK VALIDATIONCK. M.O. CASH PERMIT'VALIDATION CK. M O. CASH
I Ilo 1 0 0 MAY 1.8 2 A . 1 6.5 0 ,}
f �02203 ��A -14 . - 1 Q 33•.00 ,
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