HomeMy Public PortalAbout6327 PRIMROSE AVE_Building__ 76A698A CE#6085.61APPLICATION FOR BUILDING PERMIT -- _
COUNTY OF .LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS c
BUILDING AND SAFETY DMSION LOCALITY `
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DISTRICTNe_ GROUP •PE SSED BY'
FOR APPLICANT TO FILL IN �� CONST.°
BUILDING STATISTICAL CLASSIFICATION S WER MAP
ADDRESS 1Z 1 m 12 O S ems- HK PGCLASS.NO.�DWELL.UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED Lj
CERTIFICATE: Is
TRACT Z 8—74f
P NO.OF BLDGS. NOO V (HIGHWAY
'` �/yy STATE MAJOR SECOND, OC L
SIZE OF LOT y-7 w I-7 9 I NOW ON LOT V USE ZONE SPECIAL
USE OF CONDITIONS
'EXISTING BLDG. /Jq�
TEL
OWNER Vii IICr- *Pd RIG: No-'1414.4' BUILDING EXIST.
SETBACK
• YARD HWY STREET NAME WIDTH
- ADDRESS ���7 CAt�a Isla TG�+PIG Gi'I., FRONT
ARCHITECT OR TEL.— P.-L.
ENGINEER .NO. SIDE
P.L. O
ADDRESS TEL INSPECTION RECORD oe
CONTRACTOR S 0.r+r__ NO.
ADDRESS W
DESCRIPTION OF WORK' ,96
NEW ADD ALTER REPAIRii DEMOLISHNO.OF _
12E T�I STORIES 1 FAMILIES
USE OF•
STRUCTURE d4inti,-
"'a- p— -4-00
S
SIGNATURE OF
APPLICANT G aer.lF��
VALUATION'sO f/ r l
APPROVALS 1DAirE L INSPECTOR S.SIGNAT,URE
P.C. d PMT. FOUNDATION:LOCATION
FEE $ FEE FORMS,MATERIALS
FRAME:FIRE STOPS, �/# 1 ka /Yn/
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION .BRACING BOLTS {pV / jA/ !/J/
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATIO1.j9!'(I 111 �F
WITH ALL,COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS(V `
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING'THE WORK 1
AUTHORIZED,HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. J
TION OF THE LABOR CODE OF.THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S C MPENSATION INSURANCE. LATH,EXT,SIGN
COR-
PTURE ERMITTEE OF o 9 _ • HRECT AND POSTED I C /!/.'!I ltl If _
r
ADDRESS W. d��i e� I FINAL s� ` arm /fi'" rk�
CLYDE N. DIRLAM, PRINCIPAL STR L ENGINEER
PLAN CHECK VALIDATION VK. N.D. CASH PERMIT Or
cK. N.O. CASH
A'o2 5 3 9Ql ,AUG 3 2 3'D 3 2.00d_ co
a
3483% AUG 24 I' D 64.00
76A896A CE#609 9-68 APPLICATION FOR B ILDING UPERMIT
Cs0-UN7*1-OF LOS ANGELES BUILDING
DEPARTMENT' OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSIdN LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
DISTRICT N I G P T PE RO CED B
FOR APPLICANTnTO FILL IN NST.'
BUILDING - 7
q p O J- STATISIFICA ION SEWER MAP
ADDRESS d` M (� STICALCLASS NO. DWELL.UNITS. BK PG
[LOT NO. BLOCK USE ZONE MAP �) 013NO,
SPE
SPECIAL
TRACT CON DIT ONS
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
TEL "� FRONT PROP.LINE OF (STREET)
OWNER D FLA NO, r 711 T 11 TYPE OF EXISTING SETBACK HIGHWAY •I' YARD = TOTAL
/3 J-7 HIGHWAY WIDTH FROM C.L.
ADDRESS CI
, . ' I 4 = O
CITY - +
ARCHITECT OR TEL. DG.SETBM
SI LINEOF
ENGINEER NO. SDE PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
[STRUCTURE
DDRESS / HIGHWAY WIDTH FROM C.L.
ONTRACTOR 1- J �_//�c EL. (� /�J� + o
DDRESS 3(� �O. { J 3 CORNER CUTOFF YES ❑ NO ❑
U
LIC.
TY CLAss SEE REVERSE SIDE FOR SPECIAL APPROVALS CD
DESCRIPTION OF WORKCL
c2• � z
EW ADD ALTER REPAIR DEMOLISH
. FT. NO. OF NO. OF
ZE Q STORIES FAMILIES
E OF
(APPLCJ L' '3A?
ICANT
GNATURE OF
ALUATION$ v- APPROVALS DATE INSPE TOR'S SIGNATURE
.C. PMT. FOUNDATION: LOCATION
FEE$ FEE$ FORMS, MATERIALS
FRAME: FIRE STOPS,
1 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
• BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 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.
OFQ LATH, EXT. .. . v
PERMITTEE HOUSE NUMBER COR-
;2 RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL Sr URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
f. I r Pi 1 3 1•Z6 AN 2 L. 1 D 1 2.00N 4