HomeMy Public PortalAbout5135 SANTA ANITA AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ®�
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLANCK. NO. PERMIT NO.
AUILDING
DDRESS Q / r+' 2.;
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LOCALITY ��fr ; e �/ RECEIVED BY DATE OF APPL. / DATE ISSUED
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CR08S ST. 13DXDI?td r .
ADDRESS
OWNER
MAIL LOCALITY
ADDRE58 ;V- NEAREST
_ TEL. CROSS ST. p1_,,J
CITY jfrJ �/7 /� NO. 4d •✓!✓(/,. FIRE NO. OF TYPLJ GLOP
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ARCHITECT OR TEL. ZONE I PLANS
ENGINEER • NO. BLDG. ORD. NO.
SETBACKLINE �� r Ste/ a/ i C/
ADDRESS APPROVED
CONTRACTOR r./t
TEL ,/sem a i USE
DATE
Lf! jL��//yf/,�j�'NO.�7 /�l��v USE /7/ BYPROVED
ZONE
DATE
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ADDRESS& �/ )dv� ,/d4/!J�Av. l� /y��J&� // : HOUSE NUMBERING
j LEGAL
DESCRIPTION I LOT NO. [BLOCK MAP NUMBER -e-v )—Z--FIELD CHECK BY
TRACT/ s NO. ASSIGNED Bvf� DATE
NO. OF BLDGS. / CORRECTIONS
SIZE OF LOT _ � �( 7 I NOW ON LOT
USE OF NO. OF '-•'�' /�." (" �)/r..... .r-.. 'i.(JLa-✓
EXISTING BLDG.A. FAMILIES /
DESCRIPTION OF WORK
NEW I A'I ALT.ERATION I I ADDITION I
1T)w kk,-, '9=i31-0 ?-27L.,[a..0-;v- O
REPAIR I I DEMOLITION I I I �• «, �. m
SQ. FT. NO. OF t
SIZE ROOMS STORIES / Z
_. WALL ROOF' �- � -
COVERING I COVERING (?4iw'A4 1'
�� Sy �
■ USE OF STRUCTURE /
i
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION /
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME:FIRE STOPS, /
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING
;7BU LDING CONSTR�U/C^TIO FURNACE: LOCATION,
SIGNATURE OF %1 �/r� GAS VENT, DUCTS D
PERMITTE
f LATH, INT. /�.n. �y A-4
ADDRESg• `I'�f�1Y/1/Ai/E� -
LATH, EXT.
AUTHORIZED AGT. far
PLASTER, INT.
® s4�v FEE .1 PLASTER, EXT.
VALUATION} FEE $ �K! FINAL v
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