HomeMy Public PortalAbout5755 PRIMROSE AVE_Building__ ISA638A CE#8095.61APPLICATION FOR BUILDING PERMIT -
COUNTY OF LOS ANGELES BUILDING /
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY i
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRI�CaT 1��q/ OUP TYPE PRame--a�
DBY// O CONST.
BUILDING STATISTICAL CLAS FICATION SEW R MAP
ADDRESS 5755 No. Primrose- '.C. BK PG
CLASS.NO.-.W—DWELL.UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT MAP 1 HIGHWAY STATE MAJOR SECOND, OC
NO.OF BLDGS. AL
Nb. (CIRCLE)
SIZE OF LOT I NOW ON LOT USE ZONE 'SPECIAL
USE CONDITIONS
EXISTING BLDG. L.
OWNEREdward Huband TELNO.'
BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 5755 No. Primrose T.C. FRONT
ARCHITECT OR TEL. P.L. CP Y
ENGINEER NO. SIDE
P.L. O
ADDRESS u
CONTRACTORVirgin Roof Co.No AT7050 INSPECTION RECORDIN
0
ADDRESS600 S-.San Gabriel Blvd. U
DESCRIPTION OF WORKSan Gab y
Z
NEW ADD ALTER C REPA DEMOLISH
SQ.FT. N NO.OF
SIZE STORIES FAMILIES
USE OF''
STRUCTURE
Re-roof ousp 0 1y-
SIGNATURE OF
APPLICANT
VALUATION$333.00
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION
F E $ FEE $ 6•00 FORMS,MATERIALS
FRAME:FIRE STOPS,
'1 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. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED,HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT.
TION OF THE LAB R C DE OF THEkT,
FORNIA RELAT-
ING TO WORKMEN' P NS O
LATH,EXT. i
SIGNATURE OF HOUSE NUMBER COR- !�/
PERMITTE RECT AND POST19D
ADDRESS 600 S.San Gabriel Blvd. FINAL
San Gabriel CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER
FLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION. cK. M.O. CASH
U."- 2 6 5 0 " i„"- 5 6.00