HomeMy Public PortalAbout5338 WELLAND AVE_Building__ 7GA889. F#80311�57o APPLICATION FOR BUILDING PERMIT .1
COUNTY OF LOS ANGELES BUILDING
D_EPARTMM OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROU SEWER MAP-FOR APPLICANT TO FILL IN �� [TYPE
CONST. ` I/
BUILDING '�`—}_l j/
ADDRESS]� Q I y(.I(/G6//�[�(C� STATISTICAL CLASSIFICATION I
LOT NO. I�r •�`' ' J H OCK J3 C MASPS.NO WELL.UNITS `"
'FT. fory'� NUMBER lJ V c.� HWY. YES NO
TRACT OE ZO E SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT (J NOW ON LOT or
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST'
SETBACK WIDTH.
E'�l�tr
OWNER ' FRP.ONT I
MAIL 'ADDRESSrZ Z .7 e-E % JJ�/2�/.. SIDE 6
TEL r _ P.L.
_c1TY sa H 4. �'/rte` No: dam: INSPECTION RECORD
ARCHITECT OR TEL. I
ENGINEER NO.
ADDRESS
CONTRACTOR TEL.
1� o.. �a33
ADDRESS a��'/• �l Q 6Y�
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. • NO.OF NO.OF
SIZE' STORIES FAMILIES
USE OF STRUCTURE
d
SIGNATURE.OFAPPROVALS
APPLICANT
ADDRES � '�+- e FOUNDATION: LOCATION _ DATE /J INSPECTOR'S SIGNATURE
FORMS,MATERIALS ��Y7 vf/Yyl�S✓Yi •
P.C. $ FRAME: FIRE STOPS,
FEE BRACING.BOLTS
VALUATION Se _ FURNACE: LOCATION,
FEE f7� GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY Wil ALL COUNTY ORDINANCES AND
STATE LAWS RE C IN UILDl G O TRUCTI LATH,EXT.
SIGNATURE OF '✓ HOUSE NUMBER COR-
PERMITT z RECT AND POSTED
ADORE S :.22� -J- a / FINAL /'``I'Ii a rr+�ea�►t l.C�,!�i t^
5
CLYDE N.DIRLAM, PRINCIPAL 5TRrlCjURAL ENGINEER
PLAN CHECK VALIDATION Cu. M.O. CASH PEIWT VALIDATIO cK M.O. CASH
X ,2 5 '7 8, Jilt 7.. 3 a' :: ?0 ®.
►BA63s. D8_6_g, APPLICATION FOR BUIL DINGJ-ERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY `
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CAS SATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAP PG
CONST.
BUILDING
ADDRESS �J s1 N STATISTICAL CLASSIFICATION
LOT NO. of LV I-1'/ b, BLOCK CLASS.NO. DWELL'.6NIT�I
MAP STATE YES
TRACT V NUMBER HWY.
USE ZO E SPECIAL
NO.OF BLDGS. CONDITIONS
° SIZE OF LOT I NOW ON LOT
USE OFL 7 'X D - -
EXISTING BLDG. BUILDING EXIST.
YARD HWY STREE NAME
}} SETBACK WIDTH
OWNER t✓+ FRONT
RMAIL P.L: OBJ
ADDRESS G �'— �� �L/LSIDE
TEL P.L.
cITY S6I K NO. I LullINSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO. �,...• �� r`/ /f
ADDRESS t� TELT ��: J (1 C/J/1�✓ r✓/I F f. > a? /I t' p
CONTRACTOR / NO. � l /
ADDRESS 72 1`' r Q lr �� '�`- .•�`�f.G J-� :�•/l/�tG.-Gr k�/s�,eti c��J'44�
DESCRIPTIO_ N OF WORT;
.+/ 1� //1�/�/'t f J7r! T rd i .•lire+).t =f
NEW ADD ALTER REPAIR DEMOLISH [ �+
SQ.F1'. J /� NO.OF ) NO.OF
SIZE / v STORIES ! FAMILIES / / •�� p
USE OF STRUCTURE _ r /ex O
,�• % _ tJ s'JJ.0
4y �
SIGNATURE OF APPROVALS t ;,y l -��✓� 1
APPLICANT /
ADDRESS Q� u ..?/ DATE NSPEC,TOR'S S/I/G,r11TURE j
` FOUNDATION: LOCATION i g l//6�'�iYL�/i�/I/�
FORMS,MATERIALS
J�J ADCJ FRAME: FIRE STOPS,
FEE J $ gr BRACING.BOLTS
VALUATION $g/CW FURNACE: LOCATION,
FEE cc��((t�7 J GASVENT.DUCTS/ �kvdD / f//�!i�W'C✓1n���
EPA- .-. .. f ..
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
Gln/7
PLICATION AND STATE THAT THE ABOVE IS CORRECT ANDAGREE TO
STATE LAPLY IN
WITH ALL COUNTY ORD NANOES UCT ONSAND
' LATH,EXT.
SIGNATURE P
OF HOUSE NUMHEIY�COR- /
PERMITT I RECT AND OSTED t //
ADDRES '' k b FINAL
JOHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.DIRLAM,PRINCIPAL ST.RULXURAL ENGINEER
PLAN CHECK VALIDATION c M.o. CASH PERMIT VALIDATION K. M.O. CASH
LACal '8' 7.0 at'JUX-1�3 1 6 A .0
_ ®P
= [&210 .9 JIt20 2A 3 6.0 0