HomeMy Public PortalAbout5717 PRIMROSE AVE_Building_5/17/1972_REROOF 76A 638A CE -`80312/69 TEA LG CITY
APPLICATION FOR BUILDING PERMIT E
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
f �
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tyoe only) CROSS ST.
BUILDING DJSTRICT NO. ,.GROUP TYPE PROCESSED BY.
- -i CONST.
ADDRESS In j i -
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. — BLOCK _
CLASS NO. -DWELL,UNiTS BK
TRACT USE ZONE MAP
NO.OF BLDGS, NO.
SIZE OF LOT INOW ON LOT - - - SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNERner NO.
BLDG.SETBACK FROM
ADDRESS 5717
FRONT PROP.LINE OF !STREET!
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITYle City - Cal i f HIGHWAY WIDTH FROM C.L.
ARCHITECT TEL, } _
ENGINEER NO, BLDG.SETBACK FROM--
ADDRESS SIDE PROP. LINEOF �'' (STREET)
TEL. TYPE OF EXISTING1 SETBACK HIG AY + YARD = TOTAL a
CONTRACTOR } Np, #Inn AnAn HIGHWAY WIDTH FROM C,L. C
L
u
ADDRESS LIC.Np t = _
LIC. Li
CITY
CCLASS CORNER CUTOFF YES E] NO ❑ >
ONSTR ION E c
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
a
SQ. FT. NO. OF NO. OF LL
SIZE STORIES FAMILIES NEW ❑ H'
USE OF ADD ❑
STRUCTURE
ALTERwith FI
❑
SIGNATURE OF,` REPAIR
APPLICANT DEMOL ❑
VALUATION S
kirin APPROVALS DATE INSPECTOR'S SIGNATURE
P.C, j PMT, FOUNDATION: LOCATION
FEE S FEES 9 ,00 FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE. LATH, EXT,
SIGNATURE OF - HOUSE NUMBER COR-
PERMITTEE RECT AND PCSTED
ADDRESS 529 E. Valley Blvd ,SanGab FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M 0. CASH _ PERMIT VALIDATION CK M O CASH