HomeMy Public PortalAbout5519 PAL MAL AVE_Building__ .......a.�.a._,o APPLICATION FOR BUILDING PERMIT, Z
COUNTY OF LOS ANGELES BUILDING
UI ADDRESS U
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY (�
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST [�
CASSATT D. GRIFFIN, SUPT of BUILDING CROSS ST.
DISTRICT NO. GRf;y1P TYPE P CEBBED BY
FOR APPLICANT TO FILL IN J� 1_ I CONST.�I , li
BUILDING - M STATISTICAL CLASSIFICATION I SEWERMAP
ADDRESS c} . a ��/j�' 1 j>,L �E C:IT �/,J— BK P�+
C a CLASS.NO. DWELL.UNITS I^�S
C
LOT NO. "I T c+ t BLOCK NUM ER ��d HW
MAP 7 LOT YES NO
TRACT USE ZONE SPECIAL
CONDITIONS
I NO.OF.BLDGS
SIZE OF LOT �C 7.0 NOW ON LOT � -I
USE OF
EXIST,NGSLDG. KSIOENCE BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS 57,o RC It,'I-AN p VL SIDE
TEL. P.L.
CITY ( LE GIT No. T L•2 IQ INSPECTION RECORD
ARCHITENGINEER OR �/ TEL. /y' r ✓.
ENGINEER y E TE
ADDRESS
CONTRACTOR ``II TEL. T^ � Q
YB NO.
a, i:
ADDRESS f
DESCRIPTION OF WORK kv 3 F
NEW ,/ ADD 1� ALTER REPAIR DEMOLISH
BQ.FT. NO.OF NO.OF
SIZE 1 STORIES FAMILIES
USE OF �UR r
STRUCTURE
SIGNA UREOF
APPLICANT - _ 11��,, APPR ALS DATE INSPECTOR'S SIGNATURE
ADDRESS 0�ry �-^bU I�N IGa: R CIG FPORMSTI N:LOCATION _� C 'f:> „•-. ._-
VALUATION$ ) 'IU FBRACING BOLTS STOOPS —I r L7
(*L FURNACE: CATION.
P.C. PMT.
FEE S I FEE $ •:y' I GAS VENT, UCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH.INT.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND rG�tC ' y:, I .
STATE LAWS REGULATING BUILDING CONSTRU TION. LATH,EXT.
SIGNATURE OF + HOUSE NUMBER CO
PERMITTE RECT AND PORTED !
ADDRESS c $I- .{ i. I .i FINAL
CLYDE N. DIRLAM, PRINc L,St VIRAL.ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH
9f 8 2 9 7 —; DEC 1 A 6.0 U [tl