HomeMy Public PortalAbout5435 WELLAND AVE_Building__ 76A 0A CE#80811-g7 APPLICATI®N FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
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BUILDING'AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST I
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRIC NO. GROUP n,PE SEWER MAP
• BK PG
BUILDING _ y1�J CONST.
ADDRESS fcJG4L.41JP AVL' STATISTICAL CLASSIFICATION
eerrg� CLASS.NO. DWELL.UNIT
LOT NO. oG BLOCK MAPSTATE YES O
NUMBER i5ole HWY.
TRACT - ®� US Z NE SPECIAL .
s NO.OF BLDGS. CONDITIONS
SIZE OF LOT 71 X /0 6 NOW ON LOT 0
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
SETBAC00 4
OWNER V.i H, /� 4R -FRONTK WIDTH
MAIL �,Q P.L:
ADDRESS .7 ` � WC�I�IG®/G� SIDE
TEL. P.,L.
CITY le cict."i NO. I
ARCHITECT OR TEL. NSPECTION RECORD
ENGINEER NO.
ADDRESS
e
CONTRACTOR FSG/Yt1/ JA TEL
ADDRESS
DESCRIPTION OF WORK
NEW ADD -ALTER REPAIR DEMOLISH
SQ.FT. / NO.OF NO.OF
SIZE E�Ia STORIES FAMILIES
USE OF STRUCTURE
SIGNATUREOF , APPROVALS
APPLICANT DATE SP•ECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION,
FORMS,MA7ERIALS J ECG�/�2/'i'i'.9/1/'•
$
FRAME: FIRE STOPS.
$ '7Z®D FEE BRACING,BOLTS
$
VALUATION. FURNACE: LOCATION, ra �
FEE 3 -S GAS VENT,DUCTS I�i �// / ,I - '!L�f.':,�.t/•
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 /� •'
STATE.L•AWS REGULATING BUILDING--SQ ,�TRUCTI LATH,EXT. _ / 0 //.Cs/^ P-11
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE. RECT AND POSTED
ADDRESS-.!EV FINAL I,B��Gr 1 .-L6�✓ /
CLYDE N.DIRLAM, PRINCIPAL STRIJVeftL ENGINEER
PLAN CHECK VALIDATION` M.O. casts . PERMIT VALIDATION x .O. CASH
2
4,4.".5'00. JUL 1 -2 '3 'A* 11..75A. M ®.
I A '2`3.5 0 . .