HomeMy Public PortalAbout5516 SARA MAR LN_Building__ 7eAG"A'CE*002 Te! APPLICATION FOR BUILDING PERMIT 1
BUMDING AND SAFEfY DIVISION BUILDING --
Departument of County Enshum ADDRESS
.6 AwAwl
County OI Los Angel" LOCALITY
JOHN A L-AMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT NO .n,pH S ER MAP
FOR APPLICANT TO FILL IN GROUP B
CON
BUILDIN
ADOREYAM V N � Y STATISTICAL SIPICATION
CLASDWELL UNI
LOT NO 95Z V-to rOCK
MApSTATE
NUMBER O O HWY Y
TRACT SS'mN l W 4 GYM U E Z E SPECIAL
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NO OF OLD'
ONDITION
SIZE OF LOT���X/O L NOW ON LOT/vpHC Z
USE OF _
EXISTING BLDG BUILDING EXIST
�/ � SETBACK YARD JHWY STREET NAME WIDTH
OWNER Al ./1'4194 .ova T FRONT
MAIL f �- - P L Q
ADDR((ESS,�K'r)/-I"6"/o S SIDE
CITY-SIO /69a f//NQ �� NO 1J�3 P L
ARCHITECT OR TEL INSPECTION RECORD
ENGINEER NO
ADDRESS
I. TEL O1Y.b0
CONTRACTOR �ISG'•A• /�v NO
A���.,f,Ede/1++•CG1'_ !v< '/ ICY G��
DESCRIPTION OF WORK
EN/ A�D-D.�y ALTER_REPAIR DEMOLISH
SO FT SIZE ,. o, .�TORIE9 PAMF NO OF� ,
USE OF 6T UCTURH _
SLG ff
(�
c IGII - 3O APPROVALS
SIGNATURE O
APPLIWNT DATE IMS ECTOR 9 SIGNATURE
ADDRESV'Yy /}/'SDen�V ST ,j/ Yw.i FOUNDATION LOCATION
PORM9 MATERIALS
$ � FURNACE LOCATION p C j BOLTS
FRAME FI S
FEE BRACING BOLTS
VALU TIO a
miPEE GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT 1 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 REGULATING BUI ING CON RUCTSON
SIGNATYRE OF HOUSE NUMBER COR-
PH(R,MITTE RECf AND POSTED
wDDRE FINAL L V
JOHN A LAMBIE COUNTY ENGINHER efn, CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGINEER
PLAN CBECL VALIDATION Y O CASH QD
U 82. 894 MAY1716 17501n
_ m
,!� Lk
382—, MAY 21 1 35000.- T,, _