HomeMy Public PortalAbout9128 PRIMROSE AVE_Building__ 7GA688A CE#808 8-ea,APPLrICATI®N FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS �(
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST `^
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. -4!5, a v e
DISTRIC NO. I GROUP I TYPE PR ESSED B
APPLICANT TO FILL IN
_r—
FOR r CONST. y,
BUILDINGp STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 9128 Rancho Real T. fieBK PG
CLASS.NO.-,:F-- =DWELL.UNITS r
LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑
CERTIFICATE:
TRACT MAP HIGHWAY STATE MAJOR SECOND, LOCAL
NO.OF BLDGS. NO. 90 7 (CIRCLE)
SIZE OF LOT ,6 NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. TE
7�
OWNER XIC. H. 1TJilliams N0L.286-•8'36 BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 9128 Rancho RealT.C. FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L. �.
-ADDRESS 0-
CONTRACTOWirgin Roof NO. 287-05 u
ADDRESS 600 So. San Gabriel Blvd. a
DESCRIPTION OF WORK ri
d
H
NEW ADD ALTER REPAIR DEMOLISH z
SQ.FT. NO.OF NO. OF
SIZE STORIES FAMILIES
USE OF
Reroof house & -garage
STTRUCRUCTURE
with 5 compo.. shingles
SIGNATURE OF
APPLICANT
VALUATION.$413•00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ FEE $6.00 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.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTR TION. I CERTIFY THAT IN DOING THE WORK
AUTHOR!ZED
HEREB I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABO COD
DE OF THE STAT OF CALIFORNIA RELAT-
ING TO WORKMEN'S C PENSATIONCINSU E. LATH.EXT.
SIGNATURE OF A41- HOUSE NUMBER COR- -
PERMITTEE RECT AND POSTED
ADDRESS IJ1 1a 1___ en, eC y• FINAL-
JOHN
INALJOHN F. LEWIS. PRINCIPAL STPMS URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LACO 6 5 6 0.19 OCT 18 1 D 6.00f.-