HomeMy Public PortalAbout6248 PRIMROSE AVE_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
COUNTY OF LOS ANGELES
BUILDNG
ADDRESS ,1 • 49 M . Bc b m rose 14y Com. DEPARTMENT OF COUNTY ENGINEER
c)rY mem Ci'� ZIP �p BUILDING AND FETYDIVISION
NO.OF BLDGS. BUILDING °
SIZE OF LOT Tr r e y` NOW ON LOT oZ ADDRES I!`�•r
c
TRACE BLOCK LOT NO.
TEL. NEAREST
OWNER K r6 A h n q M&ro rl NO.Aj 7- QS 3 CROSS ST.
ASSESSOR
ADDRESS y�p c4 MAP BOOK PAGE PARCEL
CITY -t- p DISTRICT GROUP TYPE FIRE CESSED BY
6�.Ny� C�'� ZIP p (7 �, CONST. ZO
ARCHITECT®R TEL. r6 N
ENG 14HR of r NO. STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS VJ UJ a O d Dr Neu)• 't" 6 CLASS NO.roL_ DWELL.UNITS
TEL.
CONTRACTOR NO. E ZONE NO.
LIC. '
ADDRESS NO. SPEC AE
��p
LIC. CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER _
NAME AND BRANCH BLDG ETBACK FROM
FRO PROP.LINE OF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ.FT. NO.OF ii NO.OF i CHECK HI HWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
SIZE 3 Rio STORIES I FAMILIES 1 ONE }
DESCRIPTION OF WORK NEW ❑ + O
ADD ® BLDG.SETBACK FRO ce
d 0. SplaCilkim. .2-1-7 SIDE PROP.LINE OF (STREET) O
• ALTER ® TOTAL SETBACK FR TYPE OF EXISTING 153Lu
HIGHWAY + YARD = SIDE PROP.LINE HWAY WIDTH h
USE OF REPAIR ❑ Z
EXISTING BLDG. 2e5^ e�G� DEMOL ❑ +
A I
PRNTNT (� h NO . �+'7-e3.Os� CORNER CUTOFF YES ❑ NO E]
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE)
Q@ IN COASTAL PERMIT ZONE YES ❑ NO
$ ❑
VALUATION
I 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 BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.
SIGNATURE OF
PERMITTEE
ADDRESS
FINACITY NO.TEL. DATEL 8—1 - 7 BY
_,r
MAKE CHECKS PAYABLE TO: FEE ��� FEET
HARVEY T.BRANDY,COUNTY ENGINEER
PLAN CHECK VALIDATION cic M.O. CASH o PERMIT VALIDATION Lc M.o. CASH-
3 4 2rJUL 29 2 .3 1) 3 ?.3 3 ae 6
3 4 Ot=JAN 26 1 U 6 2.z 5 b;:s
®s 76A638A CE#803 3.75'
0I '/_�V(P
76A638A CE 0803 4/72
APPLICATION FOR BUILDING PERMIT fl
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO. ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY ,
FOR APPLICANT TO FILL IN NEAREST Y. _
Print or T e onl CROSS ST.
DISTRICT NO. I GROUP PE PRO ES(SED BY
BUILDINGc1 - �• T CONST
A
ADDRESS C r /
LOT NO. BLOCK STATISTICAL CLASSIFICATION SEWER MA
CLASS NO.C;2.,e DWELL.UNITS BKJ PG3
TRACT U ZONE MAP �3
NO.OF BLDGS. / NO.
SIZE OF LOT NOW ON LOT SPECIAL
USE OF d CONDITIONS
EXISTING BLDG.
OWNER NOLAV7 2-d
B G.SETBACK FROM
ADDRESS F ONTPROP.LINEOF (STREET)
TY OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGH Y WIDTH FROM C. .
ARCHITECT OR TEL. I I + _
ENGINEER NO. BLDG.SETBACK FROM}
ADDRESS SIDE PROP.LINE OF (STREET) O
CONTRACTOR j5;; EL' /'� p TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
n(J 0 HIGHWAY WIDTH FROM C.L. Q
ADDRESS NO.�13.6yd + -�
W
L I'C. �-
CITY CLASS C:i� CORNER CUTOFF YES ❑ NO ❑''
CONSTRUaMON LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS `
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE
ALTER ❑
SIGNATURE OF REPAIR
APPLICANT DEMOL ❑
VALUATIONS APPROVALS DATE INSPECTOR'S SIGNATURE
C. FOUNDATION: LOCATION
FEES FEES �. Q FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- 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 COMPEPSAT;p INSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR- ,t
PERMITTEE RECT AND POSTED
ADDRESS 'FINAL
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH '
G 7 S 9�l3. APFI 26 1 0 15.00- CQ
Q,(P
DEPARTMENT OF BUILDING AND SAFETY "pLauxuwx ruil JeZAMLT
COUNTY OF LOS ANGELES BUILDING
WM. j. rox.. omer ENGINEER
FOR APPLICANT TO FILL IN FOROFFICEUSE ONLY
DISTRICT NO. PLAN Or-NO. PERMIT NO.
BUILDING
ADDRESS 6Z-1 411Y Primrose Ave. /2.516.0 7-F-IZ--
_aZ5�2�
LOCALITY RECEIVED By DATE or APPL_ DATE ISSUED
E
NAREST , 4, 4
CROSS Ifendon St... Temple City
BUILDING e
OWNER Meeker Land Company ADDRESS
MAIL 11236 E. Live Oak Ave. LOCALITY
ADDRESS NEAREST
CITY Arcadia Tm- DO-721-5-1 onalmsr.
ZONE No. -1 GRoup
FIRE NO.0
AENRlH,,4'TK'Ftom5mb.A.Bissell FL-7 20 PLAN -ORD.
RESS SETBACK LINE
ADD
APPROVED DATE
Trj_ By
CONTRACTOR No. USEAPPROVED DATE
ZONE
BY
ADDRESS
LEGAL 70,e?,O
DESCRIPTION I LOT NO. 51 BLOCK
TRAXIT 17179
NO.or BLDGS.
EmEort.cm 91x125 NOW ON LOT none
U131E OFNo.or 1 mo.Or 6
EXISTING OLDS. none FALAI les I RDOWS
DESCRIPTION OF WORK 'JA,
rt
ALTERAT
NEW IBM ADDITION
REPAIR MOVING DEMOLISH
Z
1 FT. NO.or >
10- - 1187 6 STORIES r
SIZE RUMMS
WALLOOF
COVERING Plaster COVERING COMPO
USE OF NEW Residence
-BUILDING
Plan 5-B
Garage 18 x 20
ERE ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATIONHY
HEREBY
AND STATE THAT THE ABOVE 18 CORRECTFOUNDATION-9 LOCATION IN PECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORME:MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, r7,
9R kCING, 30LTB
SIGNATURE OF
PERMUTEI Its 13.W LATH, INT. 01
I-9
q- 13
AUTHORIZED LATH, KXT-
7GA63BA-37-49 P.C.$
PLASTER,INT.
FEE 0_ PLASTER.cxT.
VALUATION FEE,51.4 FINAL