HomeMy Public PortalAbout5350 MCCULLOCH AVE_Building__ ,SA696A CIS#0081,_07 APPLICATION FOR WILDING PERMIT 1
COUNTY OF LOS ANGELES BOILDING s-3�`�
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. G OUP SEWER MAP
FOR APPLICANT TO FILL IN �—� = TYPE }}` m /0
FA
�•l .�• • CONST, �"�
ADDRESS 3 SC �BUILDING - �i O STATISTICAL C�ASSIFICATION I
LOT NO. OCK CLASS.NO._ DWELL.UNITS
MAPr2 � STATE YES
NUMBER 4��•O HWY.TRACTE ZONE SPECIAL
A//.� I NO.OF BLDGS. nt
—j
SIZE OF LOT CONDITION
1)41 Asa NOW ON LOT ,w"'
EX STUSEOING BLDG. }C: ,
BUILDING YARD HWY STREET NAME EXIST.
s�A 1 SETBACK WIDTH
OWNERY`� . CAI/r! FRONT
ADDRESS 6 6. Q lB C_I� S —.SIDE (J
CITY .eA4 � C G4 NO NO.' / r ` P L INSPECTION RECORD
ARCHITECT OR ,I'r �I�!
ENGINEER `• /
ADDRESS t
r p] t gTEL!;..133 r.,
CONTRACTOR, . :1!11 +_ 4 e, I'%� .NO.� 3 I _
ADDRESS• i1 •+`/C+FIJI • ,
e-_'n9 RIPTION OF WORE
JNE ADD ALTER REPAIR DEMOLISH
NO.RI
SQ.FT. NO.OF
SIZE g 7 / STORIES FAMILIES,
USE OF STRUCTURE
If' APPROVALS
SIGNATUREOF`%`4'¢f'j,` %� <ti; ��
APPLICANT-. i'
DATE INSPE OR'S SIGNATURE
ADDRESS ' C� .L'e? 1 ' FOUNDATION: LOCATION
o U _FORMS,MATERIALS
PCS
P.C. b U FRAME: FIRE STOPS.
t7_5_0 FEE !V _BRACING.BOLTS / •rel.: �L�1i.�^� . a
VALUATION (� FURNACE: LOCATION.
FEE S-3 GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT. �I�•C+ ! ,`•' , ,��'�
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND r
STATE LAWS R L•1, TING UILD G CONSTRUCTION. LATH,EXT. N q/
SIGNATURE
OF,
fl HOUSE NUMBER COR
SIGNATURE
yr 1.�- i 7.-i�i'Ir''/+� RECT AND POSTED
ADDRESS FINALQ
CLYDE N.DIRLAM, PRI CIPAL STR URAL ENGINEER
PLILN CHECK VALIDATIONCASH VALIDATION M.O. CASH
3 4 1 1 CEC 9 2 3 A 15.0 0 1 P
IT07473 , DEC 11 1 A 3 0.0 0
.&t4,- _ I