HomeMy Public PortalAbout10793 LYNROSE ST_Building__ 'BABSBA CB'#801.9 Bo APPLICATION 'FOR BUILDING PERMIT.
COUNTY OF LOS ANGELES BUILDING ;• .
ADDRESS Ij
DEPARTMENT OF COUNTY .ENGINEER s
BUILDING AND SAFETY DMSION LOCALITY "
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUP'T OF BUILDING CROSS ST. (✓LZ,
DISTRICT NO. G UF'" TYPE ESSED•BY
FOR APPLICANT TO FILL IN CONST. - --
//mo�i /' STATISTICAL CLASSIFICATION —+ I R MAP
BUILDING ADDRESS Q "`� +�•O�/ �' K l -P'
f CLASS.NO DWELL.UNITS
LOT NO. / BLOCK MAP STATE YES
I -y NUMBER HWY.
TRACT'sS%� USE.ZONE SPECIAL.
NO.OF BLDGS. CONDITIONS
SIZE OF.LOT IN OVY'ON LOT
RET
EXISTING BLDG. /:CJl-_�? BUIL INCEXIST.
/ SETBACK YARD' F�WY ET NAME WIDTH
'OWNER ��� �.S �� NO. FRONT —
P.L'.• ,
ADDRESS X07 --n N • SIDE
ARCHITECT TESL{�' P.L.
ENGINEER OR D:✓ N& � INSPECTION RECORD
ADDRESS 111n ZdV /! a
0 .
CONTRACTOR '/f✓_. __�4� i NEOL;GO-M
ADDRESS
DESCRIPTION OF WORK • L; ""' 2
47 fi
NEW ADD ALTER REPAIR DEMOLISHr z
SQ..FT,
NO.OF NO.OF 'r/^ JI` �• acv tAf dr'.. i Y- ! °i,-„•
SIZE -� STORIES 'FAMILIES / is
USE OF n
STRUCTURE
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SIGNATUREOF
APPLI.CAN
VALUATION$ �v V I ' •'
APPROVALS DATE ,INSPECTO 'S SIGNATURE
PC IJ PMT. FOUNDATION:LOCATION
FEE $ FEE. FORMS,MATERIALS G/ op., a !/ .A - a•-___ _..
FRAME:FIRE STOPS, s
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 'BRACING,BOLTS
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. 1 CERTIFY THAT IN THE PERFORMANCE 1. ,
OF THE WORK FOR,WHICH THIS PERMIT IS ISSUED 1 SHALL NOT LATH,INT.
EMPLOY ANY PERSON IN'ANY MANNER SO AS TO BECOME SUBU ECT
TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA.
n LATH,EXT.
SIGNATURE OF ��l HOUSE NUMBER COR-
PERMITTEE-
OR- g
PERMITTE A
RECT AND POSTED eP �/• J _1•.
7' .L/ �' FIAL / �`r/rx� � r✓f.-�
ADDRES e2 ! N
+CLYDE N:DIRLAM, PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION cK. M.o. Cass PERMIT.VALIDATION cK M.O. Cass
LACo 9 3 68 ilo Jull 2 9 2' 3 D 3-0.0M
'Co9,3'6 9 Xa ? I D
12.00 .
APPLICATION FOR BU IL IT ].
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ;y
BUILDING AND SAFETY DIVISION LOCALITY J
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. .
DISTRICT NO. GROUP TYPE P SED BY
FOR APPLICANT TO FILL IN .. CONST. l
BUILDING , I SE ER MAP
STATISTICAL CLASSIFICATION
ADDRESS BK' PG
CLASS.NO.�DWELL..UNIT
LOT NO. L BLOCK MAP dQ STATE
NUMBER HWY.
YES.
TRACT USE ZONE SPECIAL "
NO.OF BLDGS. / CONDITIONS
SIZE OF LOT -ZS �/! NOW ON LOT
USE OF
EXISTING BLDG. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER C FRONT
MAIL P.L.
ADDRESS 10229 Lowei- Azusa Road SIDE
I El -Monte Calif. Z-3591 P.L INSPECTfbN RECORD`
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TE
CONTRACTOR Larkwood ConstNohl35914
DDRESS1022 Lower Azusa Rd.
DESCRIPTION OF WORK e.
NEW X ADD ALTER- REPAIR DEMOLISH �/J _�!J
SG!.F1'. NO.OF NO.OF �1 /ir � 1r3 .-(/7 /A
SIZE 2 8 STORIES Z FAMILIESJ. p (/
USE OF STRUCTURE'Dwelling & arae * -
sQ
�0 �
SIGNATURlop' APPROVALS
APPLI —
DATE INSPECTORM- GNATURE
ADDRESS FOUNDATION: LOCATIONq ,
FORMS,MATERIALS G/�i1/•��
P,,C, $ FRAME: FIRE STOPS. s�
r� FEfi � BRACING,BOLTS /r ��.
VALUATION
/00 Fs
- E $ F RN VENT,DUCTS LOCATION. /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE'THAT THE ABOVE 13 RAs
T AND
AGREE TO COMPLY TH ALL' NTY OR AND LATH,EXT.
STATE LAWS REG IN I
SIGNATURE OR HOUSE NUMBER COR=
PERMITPE RECT AND POSTED
ADDRES FINAL ODS S �'-
77 CLYDE N.DIRLAM,PRINCIPAL ST§9914RAL ENGINEER
PLAN CFZEC ALIDATION CK M.O. CASH • PERMIT VALIDATION cK. M.O. CASH
A62-4 6= ,%' SEB 16 2 3 .A . . 2 2.5 0.1 M
4 9'2 8 w; APR 13 1 A 4 5.0 0 m.
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