HomeMy Public PortalAbout5557 PAL MAL AVE_Building__ APPLICATION FOR BUILDING PER
IT I
COUNTY OF LOS ANGELES BUILD'NG S
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SOFT OF BUILDING CROSS ST.
DISTRICT O. GROUP I TYPE � P SSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING SEWER MAP
ADDRESS STATISTICAL CLASSIFICATION
BKPG
/ CLASS. NO. / DWELL. UNITS ` I MT
LOT NOS. FSO QQ/Y6 �U A.-O BLOCK MAP TATE
NUMBER HJ
pp YES NO
TRACT USE ZONE SPECIAL
D NO.OF S CONDITIONS
SIZE OF LOT O Y / I NOW ON LOTLL
USE OF
EXI T NG BLD . 6�� BUILDING EXIST.
SETBACK YARD HWY RE ETN �E/J y(y/^1�DTH
OWNER FRONT
MAIL /'/� cL'� P.L.
ADDRESS .7J SIDE
CITY t No. /O ARCHITECT OR TEL. INSPECTION RECORD
ENGINEER NO. p
ADDRESS /� �(
CONTRACTOR //('.''pal.-C _ LSO NO/a DoZ lR6J
DESCRIPTION dt WORK
NEW'4 ADD ALTER REPAIR DEMOLISH _
SO.FT. o NO.OF NO.OF -
SIZE p 3 G7 STORIES FAMILIESI
USEOF STRUCTURE
,p.,-�(L.-..ter. -c— 6't __ _ L►. _. . _
SIGNATUREOF ' APPROVALS
APPLICAN i.
C� q,� L DATE INSPECTOR'S SIGNATURE
ADDRESS
FOUNDATION:MATERIALS CATION '
FORMS. MATERIALS
P.C. Y i C9 FRAME: FIRE STOPS.
VALUATION Svc FEE S v FURACINGL OLTSON. -/ ? .) ,�
FEE
T/ GAS VENT.DUCTS I 4&,>-T_J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT•
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WI ALL COUNTY ORDINIkNCES AND
STATE LAWS REG NO BUILD G CONSTRUCTION. LATH,EXT.
SIGNATURE HOUSE NUMBER COR-
PERMIT ���`-- RECT AND POSTED ID -L7 - J ! /{iy-rte,
ADDRESS FINAL
CLYDE N.DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CAaH PERM VALIDATION CK. M.O. CABH
1 5 A _ 5.C, I" z
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