HomeMy Public PortalAbout5642 MCCULLOCH AVE_Building__ VA688ACE#808-10.86 APPLICATION FO:R BUILDING PERMIT �.
BUILDING AND SAFETY DIVISION BUILDINGSqZ Ai
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY V
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST °•
CASSATT D.GRIFFIN, SUPT OF BUILDING_ - CROSS ST
DISTRICT O. GROUP' TYPE SEWER- MAP
P
FOR-APPLICANT TO FILL IN e �r I CONST. I •
BDDREs "42-McCullock S . J/
ADDRESS.? STATISTICAL CLASSIFlCAT10N SSI
r7 pp� 8�} CLASS.NO. DWELL.UNIT
LOT NO. / CX; O BLOCK MAP STATE YES O
TRACT 120 SEM ONE SPECIAL BER HWY
NO.OF BLDGS. 1 /t i CONDITIONS
SIZE OF LOT I NOW ON LOT o
USE OF _
EXISTING BLDG. Single Family' Res BUILDING YARD HWY, STREET NAME EXIST.
SETBACK WIDTH
OWNERJack T FRONT qQI 3p
MAIL JJ�� P.
L.
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ADDRESS•56W6• McCuliock Ste SIDE
C,TyTemple City NOL. 7- 101 P. L.
AINSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER No.
ADDRESS
CONTRACTORam e s e & TEL P
� I
y NO.
ADDRESS 10310• E. Lower Azusa Rd.
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO.OF
SIZE STORIES 1 FAMILIES
USE OF STRUCTURE
6i
_nalma T-Ramilly Res. and
21611
SIGNATURE OF
e c APPROVALS
APPLICANT DATE INSPECTOR'S SIGNATURE
T FOUNDATION:LOCATION
ADDRESS J s3 �f
FORMS, MATERIALS
FRAME: STOPS.
BRACING.BOLTS
FEE
VALUATION '/ FEE S:2 31 FURNACE:GASVENT. DUCTSNF F • -l� vyZ-b"11
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. •%T1 3.>•'� //*iF_!• �7y.61/.}�
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH, EXT. llf•%` �f
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGATUREULATING BUILDI CON TION. 7 /
SIGPERM TTEEII � HRECT AND P POSTOUSE NUMBER ED
ADDRES YFINAL
OHN A.LAMBIE. COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION -� m.o. cash PERMIT VALIDATION 50 m.o. CASH
�to37 5 M; OCT 25 _1 6 11 .75 -0
':(.lac 3 7 5 4 L OCT 2 5. 2 3.5 0 0