HomeMy Public PortalAbout5648 MCCULLOCH AVE_Building__ SA638A Ce*SOS.Io-se A P P LI CAT 10 N F®R BUIL-®I N G PERMIT - 1
BUILDING AND SAFETY DIVISION BUILDING 4CJ
Department of County Engineer ADDRESS 1
County of Los Angeles LOCALITY'
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST
DISTRICT GROUPI TYPE SEWER MAP.PG
• FOR APPLICANT TO FILL IN
�s coNsr
BUILDING��+eMr ull�lch �7 . STATISTICAL SSIFICATION
ADDRESS +g
LOT NO. &. CLASS.NO.�DWELL.UNITSMAP STATE
I
BLOCK
NUMBER W
R 40 o HW. YES O '
TRACT 120 USE Z0,N§ SPECIAL
NO.OF BLDGS. C NDITIONS
SIZE OF LOT 120 X26 I NOW ON LOT
USE OF _ / O 91
EXISTING BLDG.- Single Family RPs- ILDING YARD HY STREET NAME EXIST. -.
SEW
SETBACK WIDTH
OWNER J'? •'T FRONT /
MAIL P. L.
ADDRESS_5646 SIDE
Tem le Citi TEL. P. L.
CITY P y NO. -1301 INSPECTION RECORD-
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
amflese & TEL.
CONTRACTOR @ ���� NO. �4
ADDRESS10310 E-. Lower Amisa Rd.
DESCRIPTIONOF WORK
NEW A ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF 1
SIZE782 STORIES 1 FAMILIES
USE OF STRUCTURE
and
4 44 •
APPROVALS
SIGNATURE OF am ese & a erred
APPLICANT44-ir-iffr=Am
T DATE / INSPECTOR'S SIGIfATURE
ADDRESS O O L FFORMS,rMATERIALSION
FRAME: FIRE FIRE STOPS: /!-ryb o/�✓y'�
/ V G/ FEE $ BRACING.BOLTS
VALUATION
FURNACE: LOCATION,
FEE GAS VENT.•DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INSz
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT.
u•J' /"!
STATE LAWS REGULATING BUILDIN CONSTRUCT N.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE r!G%� Q RECT AND POSTED
ADDRESS FINAL
OHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.'-DIRLAM;PRINCIPAL.STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PEW=VALIDATIO TOR
M.O. CASH
LACo3 7 5 7tt—rb OCT25•1 6 11 .7 5 0
LAC0 3 7 5 8 OGT.2 5 1 2 3.5 0 M '