HomeMy Public PortalAbout5717 PRIMROSE AVE_Building_4/17/1962_ALTER RESIDENCE - • TEMPLE CITY
FBA1138A CB#1108:1-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDINGl�
DEPARTMENT OF COUNTY ENGIINEER ADDRESS �//
B=ING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENQINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT O. ! UP TypE P SED BY
[} CONST.
BUILDING �/ ' S C STATISTICAL CLASSIFICATION SE KR MAPS
ADDRESS /
7's"', O CLASS.NO.�WELL:UNITSLOT NO. BLOCK WATER NOT REQUIRED RECEIVED
TRACT �- / CERTIFICATE:
J No.
HIGHWAY
STATE MAJOR SECOND, OCAL
J Q 4� NO.OF BLDGS.
SIZE-OF LOT/� v / I NOW ON LOT USE ZONE SPECIAL
USE OF p�+ ���•yy rn ` CONDITIONS
EXISTING BLDG. ee ''��"
OWNER �/d/ - h A,TCI a NO, _ BUILDING EXIST.
SETBACK YARD HWY STREET NAME
WIDTH
ADDRESSt7/ 7 )inIN/Z0`C FRONT
3V5d n
ARCHITECT OR TEL P.L.
ENGINEER VAIC ! NO. SIDE
P.L.
ADDRESS
TEL INSPECTION RECORD o.
-
CONTRACTOR �N NO J
ADDRES —Iva My A., yDI-, 99
DESCRIPTION OF WORK " '! 0
W
.NEW ADD.,"J ALTER ' REPAIR DEMOLISH H
SQ.FT.' NO.OF NO.OF Z
SIZE STORIES FAMILIES
USE OF. :
- r!.
STRUCTURE '.' ,Ill`-i YJ GG.•
SIGNATURE OF.
APPLICANT
VALUATION$• ' Q
APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ FEE.$ FOUNDATION:LOCATION
FORMS,.MATERIALS
FRAME:FIRESTOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION '. BRACING BOLTS •I l�':�r'�.�' "':'�� l' I '! '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING' GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORKS
'AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. ""7,!71.��/!+'l • / `��"f�.'J %�'�
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- f' `
,INC TO WORKMEN'S COMPENSATION INSURANCE. /i
LATH,EXT.
SIGNATURE F �h CHOUSE NUMBER COR' ! J
PERM ITTE !G'+ i RECT AND POSTED / A
ADDRESS' l�11f?J A!676Y FINAL l V I.��'&W-1
CLYDE N. DIRLAM, PRI CIPALr�9 RAL ENGINEER
PLAN CHECK VALIDATION CK M.O.' CASH. PERMIT_VAM-ATI04N cK. M.O. CASH
1 2 7 6 AFR' 17 1 D 1 5.G 0