HomeMy Public PortalAbout5356 MCCULLOCH AVE_Building__ (2) 7BA638A CE-0803 4/72
APPLICATION FOR BUILDING PERMIT
_,��tT,Ij�1TY OF LOS ANGELES 'ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING !_ , e
a�S
BUILDING AND SAFETY DIVISION ADDRESS C C_ �4
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY "r
FOR APPLICANT TO FILL IN NEAREST
Print or tvDe onl CROSS ST. jll �
BUILDING DISTRICT NO. OUP TOP _eZOC�ESSED BY
ADDRESS__3� C ` CON 1�
P/vv1 ' STATISTICAL/CLASSIFICATION SEWER MAP
LOT NO.W.
"-T BLOCK CLASS NO.�_DWELL.UNITS BK PG
TRACT f /rL, LZ USE ZONE MAP
�t
_7L; NO.OF BLDGS. NO.
SIZE OF LOT 90)k-,7 NOW ON LOT SPECIAL
USE OF �b r��S CONDITIONS
EXISTING 15LDG.
OWNER TEL.
BLDG,SETBACK FROM
ADDRESS� j/ f , FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR • TEL.
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET) O
TEL. TYPE OF EXISTING SETBACK IGHWAY + YARD = TOTAL C.;CONTRACTOR NO. HIGHWAY WIDTH FROM$eC.1
C
IC
ADDRESS NO' + _ t
VV LIC CL
CITY '' CLASS CORNER CUTOFF YES ❑ NO ❑ Z
CONSTRUCTION LENDER t, qo�
NAME AND BRANCH '�J �� -.SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES NEW ❑ r�
USE OF r ADD ❑ 3f 12 . G 'T 2rtil
STRUCTURE >C S ALTER ❑ �L `
SIGNATURE O eao REPAIR G l c���
APPLICANT DEMOL ❑ 6 r ✓V
VALUATION S ,�Jx +
APPROVALS DATE INs cT 'S SIGNATURE
P.C. PMT. &a5,7 FOUNDATION: LOCATION
FEES FEES FORMS, MATERIALS
FRAME: FIRE STOPS, t�11 .�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS —.9A 7 '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, L�
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF •CALIFORNIA IN RELATING TO
WORKMEN'S OF
INSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATIONcK. M.O. CASH _ PERMIT VALIDATIM.O. CASH"
FEB 2 3 1 3 D 6.0 0-