HomeMy Public PortalAbout5133 PAL MAL AVE_Building__ FOA885A CE#80811-57 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,!UFT OF BUILDING CROSS ST.
JWM
DISTRICT NO. GROUPTYPE SEWER MAP
FOR APPLICANT TO FILL IN -� �' BK PG
CONST
ESS .
BUILDING L STATISTICAL I
ADDR .�� 1-
LOT NO. BLOCK CLASS.NO. DWELL.UNITS
MAP ot� D STATE YES O
TRACT NUMBER aHWY.
d. \7 USE ZONE SPECIAL
NO.OF BLDGS. �I CONDITIONS
SIZE OF LOT 7J NOW ON LOT
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
,./ SETBACK WIDTH
OWNER � / Y FRONT d7 / /
MAILP.L. 26
ADDRESS %.4—,1.3.3 SIDE
CITY `a/`. J NE /L 3 -3 P L
ARCHITECT OR TEL. INSPECTION RECORD
ENGINEER NO. _
ADDRESS
CONTRACTOR TEL.NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE Q STORIES FAMILIES
USE OF STRUCTURE
SIGNATUR OF APPROVALS V
APPLI CA
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS
$
'3006
O �y
MFEE ��
FRAME: FIRE STOPS.
' BRACING.BOLTS
VALUATION FURNACE: LOCATION,
GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE REA15 THIS AP- LATH,INT.
PLICATION AND ST THAT THE ABOPODINSATNC
CORRECT AND
AGREE TO Crll�EGU
WI ALL C LINTAND
STATE LAW ING LDIONR T LATH,EXT.
SIGNATURE HOUSE NUMBER COR-
PERMITT RE CT AND POSTED
ADDRESS--- FINAL
CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1
[ACO 3129N JM23 1 A 11.00 M ®,
eA�;eA�e�aone... APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS' ANGELES BUILDING `
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY. / \
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE PRO SED BY
FOR APPLICANT TO FILL IN JG" CONST,,
BUILDING r// �I/ /.7 f
ADDRESS d! STATISTICAL CLASSIFICATION SE ER MAP
CLASS.NO. DWE/LL.UNITS
I / 3 P3
LOT NO. H BLOCK NUMAPMBER' / HAT YES O'
TRACT USE ZONE SPECIAL
!i NO.OF BLDGS. / CONDITIONS
.SIZE OF'LOT �7 NOW ON LOT
USE OF
EXISTING BLDG. /T BUILDING YARD HWY ST EET NAME ExIiF'
,����j SETBACK 1 WIDTH
OWNER e%P�Y es'l/!' +" by/ FRONT y7 0
ADDRESS J'? 3 / 9// SIDE
CITY ��)7 Bid�' I �df NOL w �• P.L.
ARCHITECT OR TEL INSPECTION RECORD
ENGINEER NO. //11
ADDRESS g ^
TEL �' r./ L/� (l Pj .J•t��..^
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF .WORK
NEW ADD ALTER REPAIR DEMOLISH
SO.FT. NO.OF NO.OF
SIZE A149 STORIES ` FAMILIES /
USE OF STRUCTURE
e.,d
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS La FOUNDATION: LOCATION
FORMS.MATERIALS /11:e
�f P.C. $ FRAME: FIRE STOPS.
FEE BRACING.BOLTS
VALUATION FURNACE: LOCATION, `
FEE d GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. 7 /(7� J p/!/`?•t�!
PLICATION.AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH.EXT,
STATE LAWS REG LAYING BU LDING CO STRU ION.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
. a.dIs
ADDRES - � FINAL
CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL EN PER
PLAN CHECK VALIDATION cm M.c. CASH PERMIT VALIDATION ' cK. M.O. s
L�Co 5 5 5 9 OCT 7 1 A 15-00 M