HomeMy Public PortalAbout9211 WORKMAN AVE_Building__ r A ROAD DEPT. PERMT •IS RE :ED r �4✓
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IGAWBA C6}18088-88 APPLICATION FOR BUILDING PERMIT - .1
COUNTY OF LOS ANGELESADDRENG �/
DEPARTMENT OF COUNTY ENGINEER °DREss
BUILDING AND SAFETY DMSION LOCALITY
A
JOHN A. LA GRIFFIN
CROSS ST.
NEAREST
COUNTY ENGINEER
CASSATT D.GRIFFIN SUPT of BUILDING _ DISTRICT NO. ROUP0�6ESSED BY
TYPE [,
FOR APPLICANT TO FILL. IN CONST. ,�
BUILDING STATISTICAL CLASSIFICATION S WER MAP
ADD SS K PG,o.
CLASS.NO. DWELL.UNIT r
LOT NO. OCK MAP ATE
NUMBER HWY. YES O
TRACT USE ZONE SPECIAL
1NO.OF BLDGS. CONDITION
SIZE OF LOT Dx jSY
NOW ON LOT
USE OF
EXISTING BLDG. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
t OWNER FRONT „i.
MAIL P.L.
ADDRESS SIDE
TEL
CITY NO.' f P'L
ARCHITECT : TEL- INSPECTION RECORD
ENGINEER NO.'
ADDRESS TEL.n - C� r��/!'/SII d /VL v VSf'//7!L
CONTRACTOR NO. �l�c
LEN1O,v1% �`C 76 r'o, lif 0417
ADDRESS
DESCBIPTION OF WORK ��
NEW ADD ALTER REPAIR DEMOLISH �; n
FT. C�7 NO. OF NO. OF / /�/r L�1J' a . ��j�/�� kv7-11
SIZE 8 TORIES FAMILIES
USE OF
STRUCTURE
yg/�.
SIGNATURE OF
APPLICANT illy - '
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS c NDATION:LOCATION /
RMS,MATERIALS a-I.R: Q rr•'i.',I
VALUATIOW$ AME:FIRE STOPS,-
BRACING,BOLTS
P.C. U PMT. c 2 f7 G I FURNACE:LOCATION,
FEE S/ I FEE $�C ` GAS VENT,DUCTS
IHEREBY 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 V w L1i4[Alvt1"'�1-%ltl."
STATE LAWS REGULATINQ BUILDING CONSTRUCTION. LATH,EXT. `t
SIGNATURE OF HOUSE NUMBER COR-
PRMITTE RECT AND POSTED , +`
V .
ADDRESS FINAL 6 -94a a:A1,de.J1.&.
CLYDE N. DIRL-AM, PRINCIPAL STCT RAL ENGINEER
PLAN CHECK VALIDATIONCK, M.C, CASH PERMIT VALIDATION CK. M-O, CASH
f3 , 0
s '
.jt�'O � 1 3 � u;i�� � 2 3 A 1-3,�''()j6 1503 APRI 5 1i 2.7 f 0 .
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