HomeMy Public PortalAbout5716 NOEL DR_Building__ 76AG26A CE#80810 e. APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES BUILDING
ADDRESV Q •
DEPARTMENT OF COUNTY ENGINEER +
MWING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST `A
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT NaGRO TYPE P SEED BY
FOR APPLICANT TO FILL IN
BUILDI S STATISTICAL CLASSIFICATION
ADSE IC R MAP
DRESS P
CLASS NO DWEI mL, uNiTS__
LOT NO BLOCK MAP STATE
NUMBER HyyY YES
TRACT USEZONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LO NOW ON LOT
USE OF
BLDG BUILDINGEXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER a Q FRONT
ADDRMAILESS w O SIDE
TE P L
" INSPECTION RECORD
ARCH ITECT OR TEL
ENGINEER NO
_ l
CONTRACTOR Ll.-) r A V NO F D *2
—Ams s v IL kCcS G-4r.7ci ^ COV PfA ,E O C/2
DESCREMON OF WORE QX _ G L
Sr
E a 7 7,1) I n PEAla gme
NEW ADD ALTER REPAIR DEMOLISH
SQ FTNO OF NO OF
SIZE STORIES FAMILIES I
USE OF STRUCTURE A
SIGNATURE OF APPROVALS
APPLICANT
5"17 / DATE INSPECTOR S SIGNATURE
ADDRESS FOUNDATION LOCATION
$ FORMS MATERIALS 4o i6ff*wM1v_
= I,Lfj
E IIIFRAME FIRE STOPS
FEE BRACING BOLTS
VALUATION FEE s �.s F GASRNyENT DUCTSCE " /
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT ' ' 0-0
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT
STATE LAWS REGULAT G BUILDING CONSTRUCTION
SIGNATURE OF uki HOUSE NUMBER COR /
PERMITTE RECT AND POSTED h
ADDRES ��vI Na FINAL
CLYDE N DIRLAM PRINCIPAL STR RAL ENGINEER
PLAN CH=VALIDATION CK. M O CAiH Now VALIDATION U M O CASH
I j,C 8 3 6 0 t4AR ?8 2 3 A 12001
OF
[ 9. 573 e'
on 20 1 A 2400