HomeMy Public PortalAbout6015 PRIMROSE AVE_Building__ 76AG38A CE 9803 1/71
APPLICATION FOR BU'ILDI G PERM
COUNTY •OF LOS ANGELES Ass Ess OR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING'AND SAFETY DIVISION BUILDING -�
ADDRESS
•
COLEMAN.-W.•JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Pri r tvDe onl CROSS ST.
BUILDING DISTRICT N GRO P T PE E$ BY
ADDRESS o CONST. �✓Y
STATISTICAL C SSIFICATION SEWER MAP
LOT NO.
• Q G BLOCK
CLASS NO. DWELL,UNITS� BK LPG
TRACT USE ZONEFMAj�NO.OF BLDGS. CCAASIZE OF LOT bX NOW ON LOT CIAL
USE OF -� //F DITIONS
EXISTING BLDG. ; PS Y4, e
TEL.
OWNER 6 ti J L 2 1 NO. BLDG.SETBACK FROM
ADDRESS d eF, l /Q p $ FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY t YARD = TOTAL
CITY �� 7 HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. t
ENGINEER NO. BLDG. ETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET) yy
TEL `` TYPE OF EXISTING SETBACK HIGHWAY t YARD = TOTAL 3
CONTRACTOR 000,.S7- NOIGHWAY WIDTH FROM C.L.
ADDRESS I' jy� Lp'�Gt�C LIC. , t = C
CLASS k7 J CORNER CUTOFF YES ❑ NO E]
CONSTRUCTION LENDE
NAME AND BRANCH zlLS£EV RSE SIDE FOR SPECIAL APPROVALS
ADDRESS AC6
SQ. FT. / u NO. OF J NO. OF
SIZE (� Ydd7 STORIES / FAMILIES / NEW
USE OFSTRUCTURE J/�sf �/L C' ADD
STR ❑
ALTER ❑
SIGNATURE F r REPAIR❑
APPLICANT I,� EMOL ❑
VALUATIO $ APPROVALSDATE INSPECTOR'S SIGNATURE
P.C. ,OO PMT. FOUNDATION• T N
FEE $ FEE$ FORMS, I
FRAME: R S,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BR I B LTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FUR : LOCATION,
WITH 'ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GArg VENT, DUCTS
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE of THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S CO NSATION ,RSURANCFy� � LATH, EXT.
SIGNATURE O •� HOUSE NUMBER COR-
PERMITTEE RECTA D POSTED
ADDRESS E'SlS� lJ�
FINAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION O�K M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
`,
6 4 7.r= jLTL 2 7 2 3 D 9 0.0 0 ••