HomeMy Public PortalAbout5717 PRIMROSE AVE_Building_10/29/1974_2 CAR GARAGE AND WORKSHOP (2) APPLICATION FOR BUILDING PERMIT
FOR APPLICANTA TO FILL IN (Print or type only)
BUILDING g?li f'ri >e :.v@. COUNTY OF LOS ANGELES
ADDRESS NOY'oaDEPARTMENT OF COUNTY ENGINEER
CITY Teat))• Ciip�t q Ca. zip X91780 BUILDING AND JS�AF/ETY DIVISION / �/s�
SIZE OFLOT75x185 NOW OONLOT S 1 AADIDRESS J/LDING �/ ,/ %�( i+ e "'//�RC'�1%� /1YS-
TRACT 6561 BLOCkK ?� LOT NO. 658 LOCALITY T �f./fa,r
TE NEAREST
NEAREST
OWNER • • Van Cleve No. CROSS ST.
ASSESSOR
ADDRESS 5717 Priarokm MAP BOOK PAGE PARCEL
.2 DISTRICT GROUP TYPE FIRE PROCESSED BY
CITY TeruiAe City, Cas ZIP 1)1760 CONS
C ZONE f
ARCHITECT OR TEL. J
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO.L 7— _DWELL.UNITS BK PG
CONTRACTOR NOL USE ZONE MAP
NO,
NO. � G'
ADDRESS J Np' r _ / SPECIAL
LIC. CONDITIONS
CONSTRUCTION LENDER
CITY � CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES NO
NAME AND BRANCH BLDG.SETBACK FROM !t
FRONT PROP.LINE OF f r REETI
ADDRESS CITY 11 -
HIGHWAY } YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING
SQ. F�'L�7CNO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH �-
SIZE�.. aU11 STORIES 1 FAMILIES ONE
+
DESCRIPTION OF WORK NEW ®
ADDBLDG.SETBACK FROM (STREET? LI-
-Car ara •@ plus workshop 11 SIDE PROP. LINE OF
ALTER [:] TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD =
REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH C
USE OF } = O
EXISTING BLDG. none DEMOL ❑
APPLICANT TEL `p_ CORNER CUTOFF YES ❑ NO ❑ - H
(PR NT) H. iY . Van 41C11e N0. ,�cyJ�',j(,
NO
OPEN SPACE YES 0
BY (SIGNATURE) ❑
IN COASTAL PERMIT ZONE Yes ❑ NJ ❑
VALUATION $ 2500.JU
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S CO MP E NSATION INSURANCE.
SIGNATURE OF
PERMITTEE
ADDRESS r,•r
TEL. FINAL BY
•
CITY; NO. j DATE
SIA KE CH CKS PA)'A13LE 7O: R.C. $ PMT.$
FEE FEE
HARVEY T. BRANDT, COUNTY ENGINEER
J l
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK. M O. CASH
r ri e►�i.1 4:3i P . ` e;j V
76A638A CE*a03 574