HomeMy Public PortalAbout5944 PRIMROSE AVE_Building__ I. �, ✓/ 1111 JIII
,78A638ACE08038-84 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING � Al l r
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND .SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSAUP'T.OF BUILDING CROSS ST.
DISTRIC N GROUP TYPE., �' PR SED BY
FOR APPLICANT 70 FILL IN �v CONST. • (J
BUILDING STATISTICAL,CLASSIFICATION` SEW R MAP
ADDRESS G' CLASS NO.� DWELL UNITS_ BK PG
LOT NO. JL BLOCK- USE ZONEMAP
N O.
TRACT L SPECIAL"
NO. OF BLDGS.- CONDITIONS
SIZE OF LOT NOW ON LOT.
USE OF
EXISTING BLDG. SETBACK FROM
's TEL �y 'FRONT PROP. LINE OF (STREET)
OWNER '� C T `N O. T V TYPE OP EXISTING SETBACK HIGHWAY -�. YARD = TOTAL
ADDRESS HIGHWAY WIDTH [FROM C.L.
P
CITY c r _ BLDG. SETBACK FROM
ARCHITECT OR - 7E L.
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. d
CONTRA CTONOL. p " + _ u
R
ADDRESS PL9
LICNO.. CORNER CUTOFF YES NO O
J .2l so
CITY CL ss 3.� SEE REVERSE SIDE FOR SPECIAL APPROVALS u
DESCRIPTION OF WORK a
NEW ADD ALTER REPAIR M 1
SQ,FT. NO. OF
SIZE STORJES FAMILIES v r
USE OF
STRUCTURE
SIGNATURE OF\A
APPLICANT
VALUATI N$
APPROVALS DATA INSPECTOR,S'SS jGNATURE
P.C. + PMT. FOUNDATION, LOCATION ✓ }
FEE$. •FEE$ FORMS,_MATER.IALS'_ .
'FRAME, FIRE STOPS, 1 l l
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS S 1
9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK +
AUTHORIZED HEREBY`I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. ) JJ
TION OF THE LA
R CODE OF THE STATE LIFORNIA RELAT-
ING TO WORKME COMPENSATION INSU NCE. rLATH. EXT. t J
SIGNATURE OFe�l .-- 1E NUMBER COR-- i
PERM ITT AND POSTED.ADDRESS d �' AL YAhAT fj
JOHN F. LEWIS. PRI CIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O. CASH
Lr06 99 1 3—o MAR25 1 D- 4.0 0- CLI