HomeMy Public PortalAbout6315 PRIMROSE AVE_Building__ 78A838ACE#8035•61APPLICATION FOR, BUILDING PERMIT
COUNTY OF .LOS ANGELES eU1LDING
DEPARTMENT OF COUNTY ENGINM 'ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
.JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING. :GROSS ST.
Dis T NO GR l pE PROrpE
FOR APPLICANT TO FILL IN ;;., ;. - oNsr.
a
,BUILDING STATI .ICAL.CLCS8IFICATION SEWER MAP
ADDRESS 3/-� r i�' _I dd"g'.:�5e' 1' z -SK PG 441
S
CLAig NO. 'DWELL.UNITS
LOT NO. BLOCK WAT-ER'' NOT REQUIRED'„ ' RECEIVED
CERTIFIC%bTt_:
TRACT d• !.� MA
NO,OF BLDGS. NO "HCIRc EI STATE MAJOR SECOND, OCAL
SIZE OF LOT �` 'S..°` IN ON LOT USE'ZONE SPECIAL
USE OF ' f;; CONDITIONS " I
"EXISTING BLDG. ;'• TE ,.,. ;: .S• - .�i1",
OWNER b6�tr $° t2e4,Z.Q:. TN 0�i��i� BUILDINGIS
° SETBACK YARD "' T.
EX
HWY STREET NAME WIDTH
ADDRESS 1C mS�%Q p 3 '� ;FRONT c1 r/
ARCHITECT OR TEL. - "I P.L. ! CJ , }\
ENGINEER NO.•.' SIDE A.
ADDRESS V l
CONTRACTOR e►t+ti -T -_- °")j1� INSPECTION RECORD
N
ADDRESS a'^3. :2 �Ya7 S G/cYb�r7 L �rrr �i•N�Iurl•'�� •V�`k.
DESCRIPTION OF WOX,$` 'f'�' %v►,�1 c�• fir x1 er�.�l r, ''.l-- �r��:;;s '.N
NEW ADD AL7ER:i REPAIR' a DEMOLISH /f
'NO:OF -- .41- O.OF
19IZE � �� ,.,STORIES •o, AMILIES I • +�� . .
USE OF•
STRUCTURE-! ^i: p
•°'PSI f41C' QW.-. w1 tee►
SIGNATURE OF ay �' Qv
APPLICANT
VALUATION$ ltrr�. Y,� �;'A_�I/�r It.r C,? /rl�( ✓.�..
APPROVALiS ' {� DATE INSPECTOR'S SIGNATURE
P.C. pMq, /7 FOUNDATION:LOCATION ff f i
FEE FEE S. FORMS,MATERIALS
FRAME:FIRE STOPS, / -7,
1 FIEREBY�ACKNOWLEDC E.THAT I HAVE READ THIS APPLICATION BRACING BOLTS d 'I Gi
AND STATE THAT THE.ABOVE IS CORRECT AND AGREE'TO COMPLY FURNACE:LOCATION, 7 ( A' •-�Jj�
WITH ALL'COUNTY ORDINANCES AND STATE LAWS REGULATING• • GAS VENT DUGTS i /] ��••,•�->K !I'
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING'THE WORK ( /�
AUTHORIZED,HEREBY I WILL NOT EMPLOY ANY PERSON IN VIQLA•- LATH,INT. a�/� •� �� / / �,.•r�- „�
TION OF THE LABOR CODE OF.THE STATE OF CALIFOR l @'E VAT- ' _ ` /
ING TO WORKMEN' P NBATION INSURACI ..7-^i- LATH,EXT. - J I/ f��y✓r!
SIGNATURE OF s. "-- HOUSE NUMBER COR-
PERMITTEE - `� �"' RECT AND POSTED 1 I r.
ADDRESS�� C +Lfm1! A,1CL -T C FINAL ( s
^, a CLYDE N. DIRLAM, PRINCIPAL ST CT RALJENGINEER
-PLAN CHECK VALIDATION .1M.O. CASH PERMIT VALIDATION oiL rE.c: CASH
LACE 2 0 9 7% JUL 2 4 2 3 0 3 0.2 5A . a
LAC0 2.4 7 1 c%'D AUG 2�' -Q._ 6 0.5 0,