HomeMy Public PortalAbout5915 PRIMROSE AVE_Building__ 7SA638A CE#603 12/69
APPLICATION FOR BUILDING PERWT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL _
BUILDING AND SAFETY DIVISION BUILDING
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JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST.
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BUILDING DISTAIC,T¢�NO GAS P TYPE �' PRO ES$BQ BYE
ADDRESS 5915 Primrose Temple City (,/ ,/ CONST. ��/'—�r/ i
STATISTICALCLSIFICATION SEWER-MAP UJ
LOT NO. 7 BLOCK CLASS NO. DWELL.UNITS SK -'—PG '
TRACT 7 �j G) USE ZONE MAP
NO.OF BLDGS. NO. CIC_IJ
SIZE OF LOT NOW ON LOT L. SPECIAL
USE OF CONDITIONS
EXISTING BLDG. Residence
TEL.p
OWNEFT—M Enter rises NO•AT-7»7
7 -BLDG.SETBACK FROM
ADDRESS post Office Box #55 FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY Rosemead, California HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. +
ENGINEER NO. BLOT SFFTTg�ACK FROM
ADDRESS SIDE PROP.. NE-OF (STREET)
T EXISTING
SETBACK HI�iWAY + YARD = TOTAL
CONTRACTORSan Marino Roof M85o.1154 HIGHWAY WIDTH FROM C.L.
ADDRES6128 Walnut Grove NO•249559 +LIC- c
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CITY San Gabriel CaL1ifsCLASS C-39 CORNER CUTOFF YES ❑ NO E]\ C'
CONSTRUCTION LENDER C
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
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ADDRESS O
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SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF
STRUCTURE Residence • ADD p❑
Re-roof ALTER
FIGNATURE O - AU REPAIR❑
PPLICANT DEMOL El
VALUATION 5 11-220.do APPROVALS DATE INSPECTORS SIGNATURE
PMT FOUNDATION: LOCATION
P.C.S FEES Asim9FORMS, 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT,'DUCTS
ST RUCTION. 1 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 -CALIFORNIA IN RELATING TO
RKMEN'S COMPENSATION INSURANCE. LATH, EXT.
S NATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL S��CK
RAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATIONM.O. CASH
A �G 8-9 9a SEP 24 1 D 9.00- Q
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