HomeMy Public PortalAbout5915 1/2 PRIMROSE AVE_Building__ 76A638A CE7f80912/6APPLICATION FOR BUILDING PERMIT fl
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK / PAGE PARCEL
BUILDING AND SAFETY .DMSION BUILDING
ADDRESS �/Jf'!;�( / /�/. �� �y(,�,
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FEXISTING
OR APPLICANT-TO FILL IN NEAREST
Print ort a onl CROSS ST.
DISTRICT NO. GRb11P TYPE f�PROGESTEG.BY
915k Primrose Tem 1e Cit C3j coNST, ��'�
BLOCK STATISTICAL CLASSIFICATION SEWER MAP `
CLASS NO.��DWELL.UNITS BK P`� G
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NO.OF BLDGS. NO.
OT NOW ON LOT �r L SPECIAL
[ CONDITIONS
BLSDG. Residence
Sc_.�'I•,Enter Crises TEL
BLDG.SETBACK FROM
ADDRESS P.O. BOX #55 FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY Rosemead California HI HWAY WIDTH FROM C.L.
ARCHITECT OR TEL. + -_
ENGINEER. NO. BLDG.SET ROM'
ADDRESS SIDE PROP LIN (STREET)
TELp
CONTRACTORSan'Marino Roof NO. 285-115 TYPE OF EXISTING SETBACK HI } YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
ADDRESS 5128 Walnut Grove No'249559 +
CITY San Gabriel, Calif s CLASS C-39 CORNER CUTOFF YES ❑ NO 0 C.
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CONSTRUCTION LENDER 0
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS c
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ADDRESS C
G
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE Residence 7�
ALTER{J _
Re-roof REPAIR[]SIGNATURE O
APPLICANT EMOL ❑
(ALUATION$ B20.06 APPROVALS DATE INSPECTOR'S SIGNATURE
C. PMT. yg� FOUNDATION: LOCATION
EE$ FEE$ lle VtJ /Oa FORMS, MATERIALS _
FRAME: FIRE STOLPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CAN- GAS VENT, DUCTS
STRUCTION. 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 -CALIFORNIA IN RELATING TO _
WORKMEN'S COMPENSATION INSURANCE. LATH, EXT.
SIGNATURE OF -HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADOREss FINAL j/rj' ,
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION K. M.O. CASH
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