HomeMy Public PortalAbout6020 LOMA AVE_Building__ 76A638A CE#803 9-68 - -
APPLICATION FOR BLJIL®INCA •EF�M1T
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESs' b�
BUILDING "AND SAFETY DIVISION LOCALITY
JOHN A: LAMBI E; COUNTY ENGINEER �..
NEAREST. -
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
' -- DI ICT NO. GROUP TYPE, - PR SED BY '
FOR APPLICANT TO FILL IN CONST
(Print or type only)
BUILDING - STATISTICAL CJ XSSI'FICATION S ER.MAP
ADDRESS 6020 Loma Ave• i. CLASS NO. v" •.DWELL•UNITS. BK PG
s LOT NO. BLOCK - USE ZONEI MAP -
_ y/�/,/� N O.
TRACT ,,"�� CONDPECIAL
ITIONS
NO.OF SLOGS.
I. SIZE OF LOT NOW ON LOT. .. -
USE OF - _ -
I. EXISTING.BLDG.' BLDG.SETBACK FROM
TEL. _ RONTPROP.LINEOF' - -' (STREET),
OWNER R L' '..Farmer_ NO. T OF JEXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS 6020 Loma Aveb HIGH Y .WIDTH FROM C.L. . .
CITY Temple City BLDG.SETBACK M '
ARCHITECT OR 'TEL, 'SIDE PROP.LINE OF (STREET)
ENGINEER NO, TYPE OF EXISTING -SETBACK AY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM.C.L. -
TEL. } a
CONTRACTOR i_ NO. _ L
LIC' ADDRESS / S. Woods -Ave NO 1 6 CORNER CUTOFF YES ❑ N -a:
C
CITY Los -Angeles
LIC. C-39 SEE REVERSE SIDE FOR SPECIAL APPROVAL LL
CONSTRUCTION LENDER u
NAME AND BRANCH Z
ADDRESSSQ.,FT; .NO. OF NO. OF NEW ❑ -
SIZE- - STORIES FAMILIES
USE OF RerOOf ..ADD. ' ❑ ..
STRUCTURE ALTER ❑ -
REPAIR', -
SIGNATURE OF, -
APPLICANT - - DEMOL ❑ .
VALUATION S 631.00 APPROVALS- _ "DATE '.:, .INSPECTOR'S SIGNATURE
P.C., - PMT. - FOUNDATION: LOCATION
FEE $ - ,FEE S .12000 FORMS., MATERIALS -
- - FRAME: FIRE STOPS,` -
I HEREBY ACKNOWLEDGE THAT I HAVEREAD-THIS APPLICATION BRACING, BOLTS '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'FURNACE: LOCATION, -
WITHALL ORDINANCES AND LAWS REGULATING SU,ILDING''CON- "`GAS VENT, DUCTS . -
STRUCTI'ON. 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 •CAL,IFORNIA IN RELATING TO -
WORKMEN'S COYge I URA - -
Al a C�kpany , 'LATH, EXT. - •' '
SIGNATURE OF` HOUSE NUMBER COR-
PERMITTEE "RECT AND POSTED 4 / 17_ i
ADDRESS S Wood .Av FfNAL
JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER.
PLAN CHECK:VALIDATION C.K. M.O. CASH PERMIT VALIDATIO CK., , M.O. CASH
_3853. ,