HomeMy Public PortalAbout6206 PRIMROSE AVE_Building__ 18A888A CE#808 8-83 APPLICATION FOR BUILDING PERMIT
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COUNTY OF LOS ANGELES BUILDING/
DEPARTMENT OF COUNTY ENGINEER ADDRESS( V tG
BUILDING AND SAFETY DIVISION LOCALITY /r teR
P _
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST -3r7 /
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. !�J
DISTRICT NO. I GROUP TYPE PROC SSED BY
FOR APPLICANT TO FILL IN o coNsr. v�
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 9,. C • /BIs&ZG
CLASS. ��i DWELL.UNITS `J
LOT NO. - BLOCK WATER NOT REQUIRED RECEIVED 1:1CERTIFICATE:
TRACT MAP °J HIGHWAY
NO.OF BLDGS. / NO. .0 Q (CIRCLE) STATE MAJOR SECOND OCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. ma
oAlPAS TEL.
OWNER NO. "/ BUILDING YARDHWY STREET NAME EXIST.
�j c SETBACK WIDTH
ADDRESS pL D /v/ S F FRONT ' A�� ��L� ��
ARCHITECT OR TEL. P. L. C
ENGINEER NO. SIDE
P. L.
ADDRESS d,
TEL. O
CONTRACTOR el 444 NO. u
ADDRESS a
• o
DESCRIPTION OF WORK
' W
O.
NEW ADD ALTER REPAIR DEMOLISH H
SQ.FT. NO.OF NO. OF Z
SIZE STORIES /FAAMILIES
USE OF
-STRUCTURE ' �RA BE .g!r /�E
glc�,E A/ IL EWOM141
SIGNATUREF `
APPLICAN
VALUATION 1,26'r 0a
APPROVALS DATINSIECTOR'S.p;IGI ATURE
7 ,FOUNDATION: LOCATION
FEE $ �^ FEES FORMS, MATERIALS
FRAME: FIRE STOPS, /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. /
WITHALL 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- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE.
n LATH.EXT.
SIGNATURE OF I �LL HOUSE NUMBER COR- 1
PERMITTEE' CCC'"""' RECT AND POSTED ) ie
ADDRESS_4f!6. / FINAL
JOHN'F. LEWIS. PFfl!4CIPAL STRUCTURAL EN
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
::: LACO 2 2 7 5 Go AUG 5 ID 2.0 0cz
DEPARTMENT OF BUILDING AND SAFETY "&vL.scr:ALLVjv rva. rzXLMLA
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
/ / DISTRICT NO. PLAN OK.NO. PERMIT NO.
ADDRESS CJ Prrimrose Ave. 37x6 —/
LOCALITY 4+ RECEIVED BY DATE OF APPL. DATE ISSUED
Flaherty St. , Temple CitBUILDING
1 '� �/y1—
OWNER Meeker Land Com any ADDRESS CJ
MAILLOCALITY
ADDREBB 11236 E. Live Oak Ave.
TEL. DO-72151 NEAREST.
CITY .Arcadia NO. , +
FIRE GROUP
i1NOFL-74420
ENGINEEqqAill
BLDG. j ♦ O D N S
SETBACK LINE
ADDRESS APPROVED '
TEL. BY DATE
CONTRACTOR NO' USE APPROVED
ZONE BY DATE
A DRLEGAL EGd d CORRECTIONS
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DESCRIPTIONI LOT NO. O F BLOCK
TRACT 17179
NO.or .�
9x100 NOW ON LOTS' none
SIZE OF LOT ( p� ,1 r t A�h
EXE GING B DG none NO.'O FAMILIES .
ROOMS � 1"i'S I VVi ��IY�Y� 4 t IVyY Ir-1NISKED
DESCRIPTION OF WORK f l o �,� �i��'�f
;�.�
NEW ALTERATION ADDITION n �/
NI' F 1 �rp'-V �v D
REPAIR MOVING DEMOLISH tt P c (� t t l� -2 r Cts/L) n� 8
SIZE 1113 ROOMS STORIES '- j (} {"} [)`r ` ������ " + r
COVERING Plaster COOVVERING W.Shgles.
aIN o;N0 Residence
Plan 2-C-
Garage 18 x 20
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECTINSPECTOR DATE
FOUNDATIONS LOCATION' ,/
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS J1♦�'�tir
AND STATE LAWS RMULATING BUILDING CONSTRUCTION. '1
ZI FRAME: FIRE STOPS, v��
SIGNATURE OF �1 n 7� BRACING.BOLTS n lJt �`
Lr-
PERM i 1R 1�K �l LATHr INT. t J1/ 1 - 7`
Ar�
AUTHORIZED "` �• LATH, EXT.
76A636A-3 7M9 $ v P.C.G � PLASTER,INT.
-7 Q Q� 'FEE PLASTER,EXT.
��A
VALUATION d 77
FINAL till -(�)FEE -----
APPLICATION FOR
BUILDING PERD[ IT
LDING ' FOR APPLI ,�N•T TO FILL IN ADDRESS
ADIDRESS oml-0615- LOCALITY /L
NEAREST '
CITY L� �j) ZIP CROSSST.
,NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE 'P ESSED BY
TRACT BLOCK LOT NO. �� CONST. Z
TEL //••yy��� V V .� 1'e. 3
OWNER r�'D N1
O. –C,�s v
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS /�� �(��yCLASS NO. Z I DWELL.UNITS BK 72--PG
l
CITY G g/j!:�61 l/) ZIP USE ZONE NOP y p
CIAL 7S .�
ARCHITECT OR TEL. SPE
ENGINEER NO. CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
TEL. ,y
CONTRACTOR I /./0 . BLDG.SETBACK FROM
LIC. FRONT PROP.LINE OF ISTREETI
ADDRESS aj NO., HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP.LINE HIGHWAY WIDTH
CITY -A CLASS
CONSTRUCTION LENDER + a
NAME AND BRANCH O
BLDG.SETBACK FROM V
ADDRESS CITY SIDE PROP.LINE OF (STREET) c
O
SQ.FT TN6.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING U
SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH N
+ = Z
DESCRIPTION OF WORK NEW ❑
l ADD ❑ CORNER CUTOFF YES ❑ NO ❑
ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
USE OF REPAIR ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. DEMOL ❑
APPLICANT EL
(PRINT) , NO.
BY(SIGNATURE)
• 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUI ING CONSTRUCTION.I CE FY THAT IN DOING THE
WORK AUTHORIZED HER I I NOT MPLOY Y ON IN VIOLATION OF
THE LABOR CODE OF T ST O LIF NI G TO WORKMEN'S COM-
PENSATION INSURA E
SIGNATURE OF FINAL /! �� BYo� `e.
PERMITTEE DATE
ADDRESS
TEL.
CITY P.C.Fee$ Permit Feed£�
NO.
J� Issuance Fee '
VALUATION /�0� O t
`�— Total Feed
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
7 6 7JLIi<7 6 1 u 5.0-u
®S 76A6388 CE 18038 8/77