HomeMy Public PortalAbout6106 IVAR AVE_Building__ l' � ~ AFPLllc/�`i(ll �o .FOR B .OLS ®WING PERLLC711M.
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IT COUNTY OF LOS ANGELES
BUILDING
ADDREss Sf DEPARTMENT OF COUNTY ENGINEER
CITYzIP BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING rr__
SIZE OF LOT�O > NOW ON LOT ADDRESS
TRACT C BLOCK LOT NO LOCALITY
TEL. NEAREST• n �
OWNER N O� CROSS ST. C
ASSESSOR
ADDRESS ® MAP;BOOK PAGE PARCEL
:DISTRICT GROUP FIRE •P.ROC ED BY
-CITY /� ZIP ,/ ' CONST.y ZONEARCHI ECT OR TEL0• 00 ' L]'TYPE
• •8pp11
ENGINEER „ L �yN-O y STATISTICAL CLASSIFICATION - ',EWER
MAP
ADDRESS g � w/ �/ IfJ�y CLASSNO.�DWELL.UNITS /YL BK / �i�G
TEL. .y
CONTRALTO fa N / USE O E MAP
NO.
ADDRESS < NO SPECIAL
LICjG' , /�6-�ONDITIONS
CITY CL Ss
CON TRUCT N LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES Q NO ❑
NAME AND BRANCH iii. BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY • TOTAL SETBACK FROM. TYPE OF EXISTING
HIGHWAY. + YARD
SO.FT,. Q NO.OF NO.OF CHECK - FRONT PROP,LINE, HIGHWAY WIDTH
SIZE CJ d, STORIES, FAMILIES ONE � q
DESCRIPTION OF WORK NEW ❑ j + •d'" �' � O
_ U
ADD BLDG.SETBACK FROM
SIDE PROP.LINE OF (STREET) O
ALTER ❑ I TOTAL SETBACK FROM TYPE OF EXISTING w
❑ HIGHWAY—+ YARD = SIDE PROP.LINE HIGHWAY WIDTH._ w
USE OF REPAIR + _ Z
EXISTING BLDG.
IDEMOL ❑
APPLICAN TEL CORNER CUTOFF YES NO
PRINT .iGi�>!J � NO J ��
IN OPEN SPACE YES ❑ NO
BY ISI
Off' IN COASTAL PERMIT ZONE YES NO'❑
VALUATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE -C.
- �. ..
THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY WITH ALL ORDINANCES - - •
AND LAWS REGULATING BUILDING CONSTRUCTION.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 COM- ,
PENSATION INSURANCE.
SIGNATURE F 1
PERMITTEE "
ADDRES -
�— ' FINAL
TEL, DATE
CITY N p
MAKE CHECKS PAYABLE TO: FEE $ FEET $'
HARVEY T.BRANDT•COUNTY ENGINEER �p Q
F{ AN-,C�ECa 11ALIDATI0 Q., H e PERVALIDATION CK. M.O. CASH
POLICY HOLDER:
�S'' 6ii8A 9 •9.1 ..� .
76A638ACE.#803.1.0-58 •_APPLICATION. :F®R -B $LDILv. V PE.R .-. IT. -
COUNTY OF LOS ANGELES ADDRESS Lid.
DEPARTMENT OF COUNTY ENGINEER'-
AND
NGINEER 'AND SAFETY.DIVISION"' '"LOCALITY
JOHN A. LAMSIE.-COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING, CROSS ST.
. DISTRIrPbT NO. GROUP TYPE PRQCESSED BY
FOR' APPLICANT TO. FILL IN -._�. ' I COkST.'
BUILDISNG S ® TVai AVe STATISTICAL CLASSIFICATION . ' I S WBKR MAP
ADDRE
p•T - - 'CLASS,NO. DWELL.UNITS "
LOT`NONo.,. 50f-Lot BLOCK - MAP STATE YES O
. p NUMBER '4 HWY.
d TRACT 59904' .. ..'_ - SPECIAL - ..
y
USEZONE
�/ 'CONDITIONS
.SIZE OFL07 NOW ONLOT
S�:•:"
EXISTING.•E;UbG: BUILDING -YA.RD HWY 'STREET NAME EXIST.'
°OWNER.' -'Warren D. Warner _ - - 'SFRONT
K � .. WIDTH..
A� _P.L.
MAIL - -_6106 - Axe,-Ave ",
ADDRESS � SIDE"
CITY, Temple cit P..L. .
Y ITvo T, 76083 INSPECTION..RECORD,
ARCHITECT OR_-.� - TEL,."
- ENGINEER.' NO;
- -. -
ADDRESS
TEL.
Alosta `Homes AT 61157
CONTRACTOR ' NO. -I '
-ADDRESSi 5644N.- Rosemead, _..Tem 'le '10 )»/9 It-' C-1/21 k AA?- r0',f.r 14,,6 !P' �v1f-_1 7' .
DESCRIPTION QF WORK
P�� r�i✓rtes_
NEW .. ADD ALTER -'REPAIR DEMOLISH
-.'SQ.-FT/+ ��y O•.OF - NO:OF' F f"/r /I A.1iw•-�/ _
'SIZE y./I_ 411 71 Q 1$'T'ORIES,6 F2MILL
USE or
STRUCTURE: ji�e► ��
ti/l Opp ,pN�/�TF/? H r,!97/?
SIGNATURE OF. n b"L�/��I '�T( � .V
APPLICANT AlOSta HOmeS y
APPROVALS '-' h ;J rDATE_ INSPECTOR'S SIGNATURE
ADDRESS 5614 -N. 'Rosemead; Temple. C`Q.- FOUNDATION:LOCATIDN� ✓� ~�
FORMS,MATERIALS 'a ?J
VALUATION,$ FRAME:FIRE STOPS;
_,.BRACING,BOLTS1
FEE FEE* ,�'yyl ... FURNACE:LOCATION
$ $ -GAS VENT:DUCTS
I HEREBY ACKNOWLEDGE THAT I-HAVE READ THIS.AP=
PLICATION AND,STATE THAT THE ABOVEJS CORRECT AND LATH.7NT.
-AGREE TO COMPLY WITH,ALL.COUNTY ORDINANCES AND /
STATE LAWS. U B ILDING; CONSTRUCTION. LATH,'EXT. >
SIGNATURE O HOUSE NUMBER COR=
PERMITTE AJ OS�a HOmeS:. RECT AND POSTED
ADDRESS . 56LOiN. ,Rosemead Temple C97. gyp
CLYDE M. DIRL.AM;PRINCIPAL ST R URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. ..CASH PERMIT VALIDATION. CK: M.O. CASH
_ ,.,.