HomeMy Public PortalAbout4955 ROBINHOOD AVE_Building__ 6A688A C64808-f0.58 APPLICATION FOR BUILDING. PER-MIT �.=
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..BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
Department Of County Engine! + o
County Of Los Angeles LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS-ST.
DISTRICT NO. OUp I �,PE SEWER. MAP
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FOR APPLICANT TO FILL INBIC
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BUILDING /��^' eiy ao _1��e I
STATISTICAL CLASSIFICATION
ADDRESS LIL
CLASS.NO. DWELL. UNIT
LOT NO. BLOCK MAP STATE
NUMBER s H Y YES O. •-
TRACT USE Z NE SPECIAL
gCfG NO.OF BLDGS. •CONDITION8
SIZE OF LOT f0.0/OO 111, IQ, I NOW ON LOTOf
USE OF
EXISTING BLDG. '-r BUILDING. YARD' HWY STREET NAME EXIST.
WIDTH
SETBACK
OWNER ��' ,FRONT
MAIL `P.L.
ADDRESS SIDE _
TEL. /G P. L. OF
CITY.S NO G1 INSPECTION-RECORD
ARCHITECT OR TEL
ENGINEER NO.
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ADDRESS
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CONTRACTOR S NO.
ADDRESS /-
DESCRIPTION OF WORK
NEW y ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE - /✓,Pa STORIES FAMILIES
USE OF STRUCTURE
APPROVALS
SIGNATURE OF
APPLICANT DATE INSPECTOR'S S16NATURE
ADDRESS FOUNDATION:LOCATION pw�
FORMS.MATERIALS
P,C, •
5 7 FRAME: FIRE STOPS.
Q CI G FEE -
BRACING.BOLTS
FURNACE: LOCATION.
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VALUATION �7 GAS VENT.-DUCTSFE
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1 HEREBY ACKNOWLEDGE THAT 1 HA EEREAD THIS AP- LATH. INT. l/ �i s '' S',�
PLICATION AND STATE THAT THE ABOVE IS CORRE AND
AGREE TO COMPLY WITH AL OUNTY ORDINA AND ' �
STATE LAWS REGPLY WITH
UILDING ON CTAND LATH. EXT.
SIGNATURE OF HOUSE NUMBER C,OR- ^�', ` �+��J f/ /1•
PERMITTEE RECT AND POSTED
ADDRESS FINAL Ag� 4
OHN A.LAMBIE.COUNTY ENCH ER. CLYDE N.DIRLAM.PRINCIPAL.STRUCTURAL ENGINEER
PLAN CHECK VALIDATION M.o... CASH PERMIT VALIDATION M.O. Casa
:kC0 3 3 4- 4-- OCT 151 6 2 1 .7 5
1_ 03 4 78G; Ocr17 '1 43.50