HomeMy Public PortalAbout4906 PERSIMMON AVE_Building__ 6A6%?�:E.x'803.10-56 APPLICATION FOR BUILDING ERBVIIT
BUILDING AND SAFETY DIVISION BUILDING
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP I TYPE SE R MAP
BUILD
FOR APPLICANT TO FILL IN
ADD EISS ( j �L/ STATISTICAL CLASSIFICATION
LOT NO. , 2, 1
9' CF 40 BLOCK CLASS. NO.�DWELL. UNITS
MAP f,� HWY YES ' NO
It� � - �'
TRACT —NUMBERl�---/�... U E LONE SPECIALNO. OF BLOG .
SIZE OF LOT,J.��y/ x/ �Yq�NOW ON LOTSA ! CONDITIONS
USE OF �/
EXISTING BLDG. OSI -' BUILDING EXIST.
YARD HWY STREET NAME
� ��JJ SETBACK WIDTH
OWNER,,Z�i!,y-ZLd2.rL /�. 7J�i�l- , FRONT , 1?1 �
ADDAl LRESSQaL `C'M//gD� �ri - �7J SIDE '���������� ` /t
s TEL.G/ �// P. L.
CITY 7e G C NO. INSPECTION RECORD
ARCHITECT OR ,t���).�// TELA�`` ,�,,�JLL` '�77
ENGINEER Owls tr r— NO. /- q& /
ADDRESS f Al C, •/
TEL.
CONTRACTOR (;!�Jt.INC' / NO.
ADDRESS ,+M C- •� -
DESCRIPTION OF WORK
NEW ✓ ADD ALTER REPAIR DEMOLISH
S1. FSIZE T II 7.�"SC� l--J, STORIES ' FAMIOLIES l
USE OF STRUCTURE
�= r'h ed e•46E'' APPROVALS
SIGNATURE OF
APPLICANT( Ize DATE INSPECTORS SIGNATURE
ADDRESSTCj FOUNDATION: LOCATION
FORMS. MATERIALS
P.C. S FRAME: FIRE STOPS,
FEE /,J BRACING. BOLTS L
Ati FURNACE: LOCATION,
VALUATION FEE �� r GAS VENT, DUCTS 'W L
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 LATH. EXT.
STATE LAWS REGULA INC BUILDIN C TRUCTION.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEEp�� 1-(�; �ti' � RECT AND POSTED
ADDRESS FINAL
[OHN A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. H PERMIT VALIDATION CK. M.O. CASH
leo 2 8 1 5 r SEP 3 0 / 6 1 8.0 '1
�r�3045" OCT 7 1_ 36.00