HomeMy Public PortalAbout5120 PERSIMMON AVE_Building__ (2) ,-. DEPARTMENT OF COUNTY .ENGINEER - BUILDING ..
„ • � DIVISION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. COUNTY ENGINEER APPLICATION ,
CASSATT D. GRIFFIN, SUPT OR BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK..oR REC.No. PERMIT NO.
BUILDING
ADDREe. r �
LOCALITY
— O I
11 RECEI_VEED_BY DATE OFGAPPL. DATE ISSUED
NEAREST ` ✓v I�J�- L� S Jr+
CROBB ST ��'+ '/ r c L ` BUILDING
OWNER r C �if// ADDRESSMAIL
.
ADDRESS .��.� `� 5 414 1-1_ A e./ LOCALITY
NEARE8T
EL. / ' LCROSS ST
.TO CITY •
FIRE
CNO.,OF 7-TYPE
ARHITECT OR TEL• ZONE .�� I PLANS GROUP
ENGINEER NO. 1�1
ADDRESS SETBACKLINE
N L• .� ,�b� USE APPROVED
CONTRACTOR ���,,,/// ZONE BY . ATE
HOUSE NUMBERING
ADDRESS Z6��J ./�►'LL.. c.r b //Lf'.
LEGAL MAP NUMBER °� / NO'. ASSIGNED BY
DESCRIPTION I •LOT
NO. BLOCK
CORRECTIONS .
TRACT JL e/�}�
SIZE OF LOT .� /L/ r ZLl- NOW ON LOTS. . G1.1
USE OF I NO. OF _
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK o
NEW ALTERATION ADDITION Q
REPAIR DEMOLITION I I I r Z
r
Q. FT. .NO. OF
SIZEVc ROOMS STORIESEXT.WALL ®yam
COVERING .f `J CI I v I CRO ERIN 69,01.YA15-1-
USE OF STRUCTURE
APPROVALS
INSPECTOR'S SIGNATURE DATE
'FOUNDATION:LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-: FRAME: FIRE STOP9,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS n
CORRECT.
I AGREE TO COMPLY WITH ALL.COUNTY ORDINANCES FURNACE: LOCATION.
AND STATE LAWS REGULATING BUILDING CONSTRUCTION-_ GAS VENT. DUCTS
SIG
PERMITTEE F �Nk IY ; LATH. INT. ��„�
�j / I r LATH..EXT.
PLASTER. INT
AUTHORIZED ACsT�
PLASTER, EXT. '
$ d O P. C. E
F•E
�1 E ��° HOUSE NUMBER COR-
7 '00 RECT AND POSTED +
VALUATION / FEE lji FINAL ,.