HomeMy Public PortalAbout5008 PAL MAL AVE_Building__ 78A888A CE#80811-87 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES ADLDIN !aba Idol
DEPARTMENT OF COUNTY ENGINEER 1 C
BUILDING AND SAFETY DIVISION"` LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DIST NO. GR P TYPE :,,�,rEWER MAP
FOR APPLICANT TO FILL IN fp
_ CONST L BK
BUILDING r
ADDRESS J, $ STATISTICAL CLASSIFICATION
CLASS.NO--.L—DWELL.UNITS
LOT NO. BLOCK MAP — STATEI
NUMBER { ® HWY. YES
TRACT U E ZONE SPECIAL
J NO.OF BLDGS. J ,�I CONDITIONS
SIZE OF LOT C, ® D I NOW_ON LOT
USE OF r
EXISTING BLDG. S' '!r J BUILDING EXIST.
YARD HWY STREET NAME
SETBACK WIDTH
4 C e —�
OWNER g FRONT
AMAILDDRESS�J d L S® P L. ALV G�
SIDE
CITY. LF C+•�• T�d-T o G. INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO.
ADDRESS
,z h P SC TEL.,,�••
CONTRACTOR NO.lT• l
ADDRESS d SilS
DESCRIPTION OF WORK
NEW �FT. gADDD ALTER REPAIR DEMOLISH/
S ZE ® ®0 STOR ES /p FAMILIES/
USE OF STRUCTURE .L�
SIGNATURE OF o APPROVALS
APPLICANT +�
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS
FRAME: FIRE STOPS, c r
BRACING.BOLTS
VALUATION� � O_ FURNACE: LOCATION, r
FEE GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS;AP-
PLICATION AND STATE THAT THE ABOVE IS CORRECT�ANb LATH,INT. �.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND Y
STATE LAWS REGULATING BUILDIN TRUCTI LATH,EXT. i.
SIGNATURE OF
HOUSE-NUMBER COR-
PERMITTE RECT AND POSTED [�
ADDRES FINAL I`��•
CLYDE N.DIRLAM,PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PEDM VALIDATION cK M.O. CASH
I 4 4 6 g AUG 9 2 3 A 1.5.00 'Vol ®o
a o.� 5 2 :3.9; -30.00-`'