HomeMy Public PortalAbout6219 LOMA AVE_Building__ 71A666A CE#8032/60 APPLICATION FOR BUILDING PERMIT GJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. I GROUPI TYPE I PROCESSED BY
FOR APPLICANT TO FILL IN TYPE T.
BUILDING." .. STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS � -�`'" - - r BK_, PG
CLASS. NO. DWELL. UNITS—] ,G' f
LOT NO. _� - f BLOCK UMAP ST
MBER HWY.-
ATYES NO
N
TRACT ' / USEZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BUILDING EXIST.
W.
tI }4� TEL.AT SETBACK YARD HWY STREET NAME WIDTH
OWNER f�• .[i• t ,I,,,,y NO. 111 ��' FRONT J
ADDRESS 62m N. liart, remp18 city SIDE
ARCHITECT OR TEL. P.L.
ENGINEER NO. INSPECTION RECORD
ADDRESS AUaa Hamm NEL
OAT 61157
1 t 57 a
yt+ 41 L
CONTRACTOR } . O
ADDRESS 5f 10t N. Rosemead Triple (AV
{ DESCRIPTION OF WORK
111
NEW X ADD ALTER REPAIR DEMOLISH 'J+
SQ.FT. NO.OF NO.OF
SIZE ��'= '' '� STORIES --FAMILIES a
USE O
STRUCTURE O
SIGNATURE OF �l ; 8 E
APPLICANT f•.'.
VALUATION$ j -
APPROVALS DATE INSPECTOR'S SIGNATURE
PMT. FOUNDATION: LOCATION
FEE $ � • FEE $ _ FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING, BOLTS
FURNACE: LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
GAS VENT,DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT.
WILL NOTEMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COMPENSATION ,LAWS OF CALIFORNIA. LATH, EXT.
SIGNATURE OF —
HOUSE NUMBER COR-
PERMITTEE _.•�'-� a RECT AND POSTED
ADDRESS5644 R9 ??oB,ein ad �em')10 ri FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
LAN CHECK VALIDATION l` CK. M.O. CASH PERMT VALIDATION CK. M.O. CASH
OF