HomeMy Public PortalAbout5327 PAL MAL AVE_Building__.630A CE#005.10.56 APPLICATION FOR BUILDING PERMIT I
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
Department of County Engineer l
County of Los Angeles LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT O. GRIFFIN, SUPT OF B.ILDIH. CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I TYPE SEWBK MAP
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,R P /�A ) CONST.
ADDREB"LDSS 15 jy T r/ 1, ,MA i T �.
�1 STATISTICAL CLASS I F I CATION
LOT NO. Z/ BLOCK CLASS. NO. DWELL. 11ITS-1—I
MAP STATE YES O
NUMBER HWY
TRACT (J p�� USE ONE SPECIAL {7] /4Y�iL72 � ue Zo
�/ n •wry O. OF BLDGS. � CONDITIONS/'`_-�1/�j ,"F,+�/ 7
SIZE OF LOT TQ ISL /` 3 hO,W`O-N LOTUSE OF
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EXISTING BLDG. BUILDING EXIST.
/J I,, SETBACK YARD HWY STREET NAME EXIST.
MAl
OWNER oCAA ® FRONT
ADDRESS S S SIDE
CITY TE.44PLf C I L r NO. S
ARCHITECT OR TEL.6����JP L
INSPECTION RECORD
ENGINEER NO. �/O
ADDRESS 9
nw TEL.
CONTRACTOR S NO. —. ,S-
ADDRESS103/O E LmI U L 'r
1
DESCRIPTION OF WORK _G
NEW ADD ALTER REPAIR DEMOLISH J "
Sq. FT. �j NO. OF NO. OF
SIZE ( STORIES FAMILIES
USE OF STRUCTURE S/ A AA-
IG A 2 V A! T "4-", . I a ALS V
SIGNATURE OF
APPLICANT C DATE INSPECTORS SIGNATURE
ADORES OUNDATION:LOCATION
FORMS. MATERIALS
FRAME: FIRE STOPS.
FEE • BRACING. BOLTS
VALUATION s FURNACE:
GAS VENT. DUCTS i�
FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. "A
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT.
STATE LAWS REGULATING SUILDINCqVSTRUCTIOFA.
SIGNATURE OF HOUSE NUMBER COR-
P MITTEE 1 RECT AND POSTED 4-
A FINAL 2 - f7 I o ZG -.�!
JOHN A.LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRU URAL ENGINEER
PLAN CHECB VALIDATION (fgN.0. CASH PERMIT VALIDATION K. M.o. DAeH
_�3sas� OCT 211 6 11 .7519
3 5 4 9OCT 21 1 2t3 -5O n
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