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APPLICATION LOCALITY {c/�'fy9P�� aNEAREST
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DIVISION OF BUILDING AND SAFETY CROSS ST. N u.S '%�J/`1G•S
Department of County Engineer DISTRICT RECEIPT NO. PERMIT NO.
County.of Los Angeles Ct;? x 0. '
WM. J. FOX, COUNTY ENGINEER GROUP �"� DATE RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SUPT OF BUILOINO
7-2 o "_rt
FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY ISSUEDfY
OWNER v / MAP
MAIL �� NUMBER 2 Q O SHOE
ADDRESS
USE ZONE - SPECIAL
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CITY NO. CONDITIONS
ARCHITECT OR r TEL.
ENGINEER NO.
BUILDING YARD HWY STREET NAME EXIST,
SETBACK � WIDTH
ADDRESS 'FRONT
TEL
CONTRACTOR NO. S�E
A E r 'DATE CORRECTIONS INSPECTOR
BUILDING /J
ADORE
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LOT NO. / / BLOCK'�7, '
TRACT' �W �
NO.OF BLDGS.
SIZE OF LOT ' I NOW ON LOT ` v
USE OF
F_XIRTING BLDG. ;z: -
DESCRIPTION OF WORK
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NEW ADD ALTER REPAIR DEMOLISH Z.
S0.FT. NO.OF • NO.OF r
SIZE STORIES FAMILIES
USE OF STRUCTURE
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EMPLOYEES
1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR98SIGNATURE DATE
CORRECT.
1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.' FORMS,MATERIALS
4 FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BD LTB
PERMITTE FURNACE: LOCATION,
GAS VENT,DUCTS
ADORES
TH, INT.
AUTHORIZED AGT.
L'ATH, EXT.
$ tG P.C.III HOUSE NUMBER COR-
FEE 9q RECT AND POSTED
VALUATION FEE �iG.a' " FINAL
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DEPARTMENT OF BUILDING AND SAFETY .�rrl.ic t tuN rvx r�xmrr
COUNTY OF LOS ANGELES r
=� BUILDING -
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M.J.FOXY CHIEF. - _ -
NO. OF BLDG.' ORD.NO. DISTRICT NO. PLAN-CK. NO. PERMIT NO.
PLANS SETBACK LINE. 9 r
FIRM -APPROVED
• ZONE BY TE RECEIVED BY 'DATE OF APPL:- DATE ISSUED
USE APPROVED +. r -
ZON BY' DATE
APPLICANT FILL IN" H'EAVILY OUTLINED PORTION ONLY
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LICENSE NO. /i+ a .a .�./� NO. a, NAME ,m^��,g,� le f`w'„cam 71 rk;qpl
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0 CITY 1 HEREBY A9KNOWLEDGE-THAT i NAVE READ. THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U' STATE TEL. AND AGREE-TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
Z SIGNATURE OF
O .LOT NO./Q SIZE OF LOT. /y�.�/ OWNER
J I- .� NO. OF BLDGS.
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ADDITION I SIZE
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DEMOLISH I -ROOF COVERING��/riGT/%iT����1'/!/�
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FINALF-APPROVAI:
FEE {.. t`+. a- •++
S� INSPECTOR'S
N VALUATION FEE DATA-!y
NAME.• +) '
IRTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDI
WM. J. FOX, CHIEF ENGINEER ��
PLANSBLDG. FIRE DISTRICT Njp___-PLAN CHK. Fc-r.' PERMIT ._J
FILED SETS I ZONE ' ZONE ECK7PTO.
TYPE OF I r I ffXJJ
BLDG. 1 II 111 IV X GROUP J [
BLDG. SETBACK LINE DATE OR APPL. RECEIVED Bl♦� DAT ISSUE
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_. ORD. NO.`'� ✓
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APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
BUILDING
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O Ir. NAME / Ji A►)o.e A9. 0 .91»'!r^:•. - ADDRESS
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W Z ADDRESS r�l t a__q p.; f?� �� r.n LOCALITY
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Q LICENSE NO. TEL. No.',4', >" ,��',!�'::� NAME
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ADDRESS CITY xa".x AP Ike Tef TEL NO.
O CITY . A: LOT /,� f SIZE OF LOT
U STATE O UU1 NO. OF SLDGS.
LICENSE NO. TEL. No. BLOCK NOW ON LOT
,D USE OF BLDG. / /late SAGO
CLASS OF WORK TRACT (a 5 ["1 NOW ON LOT
NEW ADDITION a I DEMOLISH _ DESCRIPTION-OF WORK
ALTERATIO 1 REPAIR // I MOVING
USE OFNO. OF
BLDG. �(/ ,1 (ROOMS
SIZE O STORIES No. OF
BLDG. X FAMILIES''
CORRECTNS,
SPECIFICATIONS
FOUNDATION
1
MATERIAL EXTERIOR PIERS
THICKNESS—TOP /) ;'•; };'�'�':", ;• _
THICKNESS_SOTTO?A / t' I,,•h,l{,
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DEPTH IN GROUN-D
/SUPERSTRUClT�LIRE�
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GIRDERS
JOISTS—FLOOR" l/
JOISTS_G (LING '
BEARIN'G WALL !
PARTITIONS
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_ROOF RAFTERS FINAL APPROVAL
z
SILL BOLTS f'r
COVERINGY / 1 I '
DATE INSPECTOR'S NAME l
WALL ROOF 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND'STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALLDDUNTY ORDINANCES
P.C.FEE S AND ST A S REGULATING B IL�DINO CONSTRUCTION.
/ r SIGN_ k.�l': _ II 1J► `,as.�.
VALUATION O f+'�J FEEa/..
"" OWNER O'A TI10 12ED AGENT