HomeMy Public PortalAbout5623 PAL MAL AVE_Building__ TEAL 0A=IN0._0.ET APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BMDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUPT OF Su1LOINa CROSSST Z,614'
Q
DISTRICT NO SEWER MAP
FOR APPLICANT GROUP TO FlU IN b� TYPE V BK Po
CONST
BUILDING BTATIHTIGL SSIFICATION
ADDRESS A
CLASS NO E UNIT v
LOT NO 'a2 BLOCK MAP �j /� }� `STATE
TRACT NUMBER riper 1✓` HWY. YES
USE ZON SPECIAL
NO OF SLOGS S / CONDITIONS
SIZEOFLOT O - NOW ON LOT �C
VE OF
ISTI O BLD r• zo BU "
SET AGK YARD HWY STREET ME WIDTH
OWNER FRONT
MAIL - P L ''YY
ADDRESS d. SIDE
P L
TEL
TECT O TEL INSPECTION RECORD
A RCH I
ENGINEER NO
ADDRESS
TEL
CONTRACTOR NO
DD S
DESCRIPTION OF WORK
NEW A'�ADD ALTER REPAIR DEMOLISH
SO FT NO OF NO OF
SIZE STORIES FAMILIES
US OFSTRUCTURE
SIGNATURE OF APPROVALS
APPLICANT DATE INSPECTOR S SIGNATURE
ADDRESS FOUNDATION LOCATION
S P G FORMS MATERIALS
FRAME FIRE STOPS
PEE BRACING BOLTS
VALUATIONS.. —_ FURNACE LOCATION
FEE /� GAS VENT DUCTS LG
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CONSTRUCTION LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRe FINAL s _
JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM ARINCIPALSTRUMV11ALENGINEgIR
PLAN CHECK VALIDATION CK Y 0 c H PERMT VAL=nON cK. Y O Cwu1
LGr.2 6 2 OR fn 14 1 A 2.0 0 01
APPLICATION FOR BUILDING PERMIT ],
DIVISION OF BUILDING ANDSAFETY BUILDING
ADDRESS s[ja. ,I/ r'(J /UQ-/
DepaIrtment of County Fmglneer O�--
County o1 Los Angeles LOCALITY e y
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF B°ILCINc CROSS IT. 41v
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAP
7� BK PG
1 CONST.
BUILDINGNUMBER Q YES
ATE-
LOT NO. NO
ADDRESS• S4 d (/JL MAP SHWY
' e ° �O' o L07- SEZONE A`/Tr' 3CacK SPECIAL
/U�/ CONDITIONS
u Ll
TRACT
NO.OF SLOGS.
SIZE OF LOT NOW ON LOT c� BUILDING YARD HWY USE OF STREET NAME E%1ST.
SETBACK WIDTH
EXISTING BLDG. q- FRONT
( _ /)�� O /
Cl P. L. Qom/ ClJ1
OWNER ��. �� /' �I_. ' SSIDE
MAIL
ADDRESS, 3 n / � Q TRACT DWELL. 1 UNIT 5 INDUSTRIAL
TEL. 1 DWELL. V 1 UNIT
CITY P NO. � O O 8 PUBLIC BLDG.
ARCHITECT TEL. / Z DUPLEX 2 UNITS APT. _UNITS
ENGINEER $P NO. / 7 ADDN..ALT.. ETC.
'.�
8 MISCEL.
ADDRESS 4 COMMERCIAL
TEL.
--� INSPECTION RECORD /
CONTRACTOR P TO. , / �
ADDRESS t
I �
DESCRIPTION OF WORKI- h
I
NEW ADD ALTER REPAIR DEMOLISH � -
SO. FT. NO. OF NO. OF
SIZE GAO STORIES FAM ILI ES
USE OF STRUC RE
P
.n-Q.Jl.tl�
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS .a `1. DATE INSPECTOR'S SIGNATURE
$ 706
70 O P. C. f FFORMSTMATEROC�TION
/ FEE FRAME: FIRE STOPS. /, n
VALUATION S lL O BRACING. BOLTS
FEE FURNACE: LOCATION, '
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. �ZZ
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION, LATH, EXT. , /
�I SIGNATURE OF n HOUSE NUMBER COR.
PERMIlT-TEE
RECT AND POSTED o
AD DRESSX - K` • {'- -+� �` FINAL 2/ �
JOHN A.LAMBIE. COUNTY ENGINEER VAfIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR
CK NO SH j
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