HomeMy Public PortalAbout5927 PRIMROSE AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT 1
COUNTY OF .LOS ANGELES I L . I
WM. J. FOX, CHIEF ENGINEER
FOR APPLIC NT TO FILL IN • FOR OFFICE USE ONLY
BUILDING �� / DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESSHy
`1,V
LOCALITY ��� '—RECEIVED 9Y {DATE OF APPL. DATE ISSUED
NEAREST
CROSS 9T. A •
BUILDING
OWNER 'I' `CJ CIE— ADDRESSMAIL
/ir/i-Yv'S�/"/.�-g-fy'^`
ADDRESS /a I j J.' `r��+v V I� IJT� J LOCAL"' 22e_. -('
TEL. NEAREST
NO. CROSS ST. 1r�a S yGG.t.�trGr -'�7
FIRE NO.OF TYPE I GROUP
ARCHITECT OR TEL. ZONE - I PLANS"'
ENGINEER NO.
BLDG. ORD. NO.
ADDRESS SETBACK LINE
TEL: APPROVED
CONTRACTOR NO. BY DATE
USE � APPROVED
ADDRESS \ ZONE BY t• DATE
LEGAL
DESCRIPTION// I LOT NO. �'7 JR'
JI BLOCK CORECTIONS/v,,
TRACT C�
NO: F OBLDB9. I +
SIZE OF LOT�-b �G 7 J' I NOW ON LOT
USE OF / � T� I NO.OF / ,I NO. OF
EXISTING BLDG. �/ FAMILIES ROOM I r -
DESCRIPTION OF WORD
NEW ALTERATION ADDITION O
REPAIR MOVING DEMOLISH G
64: .
SIZEFT✓ - NoROOM® ' STORIES r
WALL ROOF
COVERING. COVERING
COVERING
USE OF NEW
BUILDING
APPROVALS
I-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT ABOVE IS CORRECT [FOUNDATION: LOCATION, ePEOTOR DATEAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCESS, ;MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FIRE STOPS,
SIGNATURE OF NG, BOLTS
OWNER ; � 1/VY` NT.. - - •
AUTHORIZED AGT ` LATH, EXT..
P. C.41. PLASTER, INT.
FEE / PLASTER, EXT.
VALUATION c.
FEE C7 FINAL
2'8A838A CE#8035.81Aag iAT_ IN FORiB CLDINM PERMIT
'
COUNTY OF -LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGDn= ADDRESS
B=]Nd AND SAFETY DI`1ISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS'ST.
FOR APPLICANT TO FILL IN DISTRICT N TYPE B
. .� �. CONST.
[ADDRESS
ILDING / STATISTICALFICATION. — S. MAP
DRESS22 R[ ®� BK =•PG
_ CLASS.NO. WELL.UNITS—
LOT
NITS
TNO: BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE: ~
ACT IGFIWAY
NO.OF BLDGS. NO. •. (CIRCLE) STATE MAJOR SECOND LOCAL
E OF LOT I NOW ON LOT USE ZONE SPECIAL
E OF CONDITIONS
ISTING BLDG. W ITL.
74
" TEL.
NER G/� ♦ �0/yam O. B ILDING, YARD HWY STREET NAME EXIST.
t7 SETBACK WIDTH
FRONT r
ARCHITECT-OR TEL.
ENGINEER NO. SIDE
P.L. '®
ADDRESS •QJ.
/
TEL/��� •l J INSPECTION RECORDat
,� .�`
?. CONTRACTOR G vNA NO.C/13 !
ADDRESS WO��f�T Z- V' �/�I,d //��/Y /•.� �, y _ f �.,
ua
DESCRIPTION OF WORK G %� •psi . , =°'. I.='i:'' ''%'i�''.'.�. w7H
NEW ADD ALTER EPA! DEMOLISH
SQ.FT. NO, 'NO.OF
IZE STO IES FAMILIES .
USE OF n
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$
,.•: .. APPROVALS DATE- INSPECTOR'S SIGNATURE .
FOUNDATION:LOCATION
FEE $ FEE $ FORMS,MATERIALS
FRAME:FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS. '
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE,LAWS REGULATING, GAS VENT DUCTS '
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING'THE WORK -
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF,THE STATE OF CALIFORNIA ,RELAT: - ,
ING TO WORKMEN'S COMfflfN8 ION NSURANCE. •LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR'
PERMIT'TE :^ REC:T-AND POSTED r /��//�
ADDRESS FINAL. L s/ �^N""
CLYDE N. DIRLAM:PRINCIPAL STRUCTURAL E EE
PLAN CHECK VAL�A17ON CK. M.O. CASH ' PERMIT..VAIMATION cK. . m.o. coax .
.� ,� 6 4 2.9•; DEC'?6 1 D• 5'.Q 0