HomeMy Public PortalAbout5644 PAL MAL AVE_Building__ .Ao.A�.a.o.I... APPLICATION FOR� BUILDING PERMIT
COUNTY-OF LOS ANGELES -BUILDING-
DEPARTMENT OF COUNTY ENGINEER ADDRESS 0-
BUILDING
BUUAING AND SAFETY-DIVISION LOCALITY
JOHN A LAMSIE COUNTY ENGINEER ' - NEAREST
CASSATT D GRIFFIN, SUPT of BUILDING CROSS ST
DISTRICT O GROUP •TYPE yED BY
'FOR APPLICANT TO,FILL IN _ CONST
BUILDING • - STATI 'CAL CLA551 CATION ER MAP -
ADDRESS // PG
CLASS NO WELL UNIT6� 9
BLOCK +'' NUMBER MAP HyAIryE YES
+TRACT - USE ZONE SPECIAL r "
) �COND ITI ONS -•~ -SIZE OF X (/, 'No OIN LOTS / / 1
USE OF "'• i r
EXISTING BLDG W `/ BUILDING YARD HWY - ST EET NAM EXIST i
SETBACK WIDTH
OWNER "FRONT _
MAIL' ���J q, `P L
ADDRESS.` - 4.SIDE _ ,1
TEL P L f
CITY t No ti INSPECTION RECORD ,
ARCHITE OR,, - TEL
ENGINEER NO r
ADDRESS '•'-l- - '
CONTRACTOR,/I/r-' / . ,'wjiNO QAJ.?Oj -y
DESCRIPTION OF WORK
ADD ALTER- REPAIR DEMOLISH _
SO FT NO OF NO OFJFRAM
SIZE STORIES FAMILIUSE OF TSTRUCTURE ^ lxfSIGNATUREDAPPLICANT / -�,qPPROVALS DATE INSPE OR S SIGNATURE
ADORE TION LOCATION
` MATERIALSVALUATION $ FIRE STOPSNG BOLTSPC
F E s D I PMT
FEE ` FURNACEGASVENT DUCTS LOCATION
I 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 R U TING BUILD NG CONST GTION LATH EXT - s
SIGNATURE OF HOUSE NUMBER COR- r� �- - _ - _ •�
PERMITTEP RECT AND POSTED
'ADDRESS- - FINAL mr = It
CLYDE+N DIRLAM PRINCIPAL ST URAL ENGINEER
y
- PLAN CHECK VALIDATION cK mo unN, PERMIT VALIDATION c M o uaK s_
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