HomeMy Public PortalAbout5543 PAL MAL AVE_Building__ DIVISION OF BUILDING AND SAFETY ,,., BUILDING Department of County Fnglneer JUl J
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER law APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
NUI CK.LDIMG DIBTRI 6 PLAM R R[0 Nn PERMIT NO
ADDRESS J 3 Z
% D B
R IVCnATE O L^PPDAT[ISSUED
LOCALITY ` _
-3
I
NEAREST
OBB BUILDING
ADOR[80 O
OWNER
MAIL LOCALITY n
ADDRESS NEAREST V /L
TEL CAOBB ST
No or
61 ND, WPZ Zae PLANB P
ARCHITECT OR
TEL.
[NOINHER NO. BLDG
ADDRQSN SETBACK LIN[
UB[ / APPROVED
CONTRACTOR F TEL' ZONE Y DAT[
NO '� HOU C NUMBERING
ADO C MAP NUMBERJ NO ASGIGNED YJC
L[OAL oo ,, I
D[BORIPTION M O BLOCK 3 CO RECTIONS
TRACT
NO OF BLDG!.
BIZ[ OF LCTP6,4 / NOW CN LOT
UBE OF O OF
IX ISTIND NLDG FNAM I LIF"
DESCRIPTION OF WORK n°
a
NEW ALTERATION ADDITION 2
r
REPAIR DEMOLITION
Bq R NO Or
BIZQ ROOM! tr STORIES
EXT WALLpCar
COVERING COVERING rAkVi
UB O TUR[
4-' e
INSPECTION FOR APPROVALS
OCCUPANCYAB INSPECTOR'S SIGNATURE DATE
FOUNDATION LOCATION rda
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- SMB, MATERIALS
PLICATION AND STAT[ THAT THE INFORMATION GIVEN IB FRAM[ FIRESTOPS,
CORRECT BRACING, BOLTS
I AOR[[ G B FURNACE LOCATION
TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING
INC BTRU O GAS RN CE DUCTS
SIGNATURE OF Ix �y LATH, INT 12
PERMITTEE-
LATH. DKT
ADDRESS
AUTHORIZED AOT PLASTER. INT
PLABTEW EXT. p
+ S P O 10 O HOUSE NUMBER COR-
B�O FEE RECTANDPOSTED
VALUATION
F[[ 0 FINAL d yr f
7e 18A 0093 I-e3