HomeMy Public PortalAbout10627 ROSEGLEN ST_Building__ 76A698A DBS-99-5
APPLICATION FOR BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFETY BUILDING
ADDRESS I ( �tS-�.t���✓l
Department of County Engineer
County of Los Angeles LOCALITY �;(1h t Y
INK J. FOX, COUNTY ENGINEER NEAREST v� j
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. r � 1
DISTRICT GR SEWER MAP
FOR APPLICANT TO FILL IN �' � f TYPE I BK ,1 CP,G
CONST. `1f
BUILDING 7 / (77-
MAP STATE /���
ADDRESS ; o�.p / S�('1L YI/ ( _ - 7-T NUMBER �J ( (7 HWY Tom" c \
LOT NO. BLOCK USE ZONE SPECIAL
CONDITIONS
TRACT 7C Op�j
SIZE OF LOT X�� I NO. OF BLDGS. BUILDING`` EXIST.
SETBACK YARD HW
'� I / NOW ON LOT 1 Y STREET NAME WIDTH
USE OF FRONT
EXISTING BLDCG,. r h P L
OWNER 1�''h`�1= `' Qp"1VUlt�L� 1 r1o12lti� SIDE
MAIL L •� ly� : '�'+� ,\�
ADDRESS-�-L 1_ �,yO TRACT DWELL. 1 UNIT 5 INDUSTRIAL
CITYTEL.NO. f _L3' i 1 DWELL. 1 UNIT 6 PUBLIC BLDG.
A 2 DUPLEX 7 UNIT
ARCHITECT OR TEL, 7 DDN.. ALT.. ETC.
ENGINEER NO. 3 APT. UNIT
M I SC EL.
ADDRESS 4 COMMERCIAL
TELCONTRACTOR -=..�^-o= - NO.� : 'INSPECTION RECORD
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. ��C.`1110.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF
APPLICANT v:lvQ�+�\Y t W
- =fJ APPROVALS
ADDRESS DATE INSPECTOR'S SIGNATURE
r,8P. C. III FFORMS. MAT RIIALSION
FEE FRAME: FIRE STOPS. -
$ t:P BRACING.BOLTS
VALUATION FEE -/ ✓ FURNACE: LOCATION.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS —GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH. EXT.
SIGNATURE OF Ae_q� HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS T "" tel" FINAL
WM.J.FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM.CHIEF BLDG. INSPECTOR
_# 2 6 7 5 Z° FEB 9 1
4 .D C
I
DEPARTMENT COUNTY ENGINEERBUILDING
DIVISION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLLAA(N�CKK/.OR REC.No. pPERMIT NO.
BUILDADDRESS O - / /y�
RECEIVED BY DATE OF AP L. TE ISSUED
LOCALITY , I
NEAREST 1� U ?'�& ��
CROSS ST 1 BUILDING
OWNER r/�
ADDRESS IOb '1
MAIL
LOCALITY
ADDRESSZ- • rfe NEAREST
C
TEL. CROSS ST. V
CITY - y r O
7 - 9(64
ARCHITECT OR TEL. FIRE I NO. OF TYPE GROUP
ENGINEER NO. ZONE PLANS
ADDRESS BLDG. NO
\
SETBACK LINE
(�, /"` (f ODATE L• 7-G/�,- USE APPROVED
CONTRACTOR f/)
ZONE BY �C.l.
ADDRESS 2.Vi- �1((''Q ^+Q 04I'E' iJ ♦ HOUSE NUMBERING
LEGAL ! MAP NUMBER '^ NO. ASSIGNED BY
DESCRIPTION I LOT NO. 3 1 BLOCK
_ CORRECTIONS
TRACT 1910
_
•� NO. OF BLDGS.
-SIZE-OF LOT �n/ Y �U O I NOW ON LOT
USEOF I NO. OF
EXISTING BLDG. FAmILIE
DESCRIPTION OF WORK D -
z
NEW ALTERATION
I DEMOLITION ADDITION - O
2
REPAIR - -_----- - D
r
SQ.
SIZE FT. /Q G 3 ROOMS STORIES '
EXT. WALL ROOF
COVERING : / UCC.P'` I COVERING Pn'A'L
USE OF STRUCTURE - ---
APPROVALS
INSPECTOR'S SIGNATURE PATE
FOUNDATION: LOCATION _ �+
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS 4- Z-
CORRECT.
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF / 1LfC /v LATH, INT. -f
PERMITTEE 4 IIYhh e V y�
LATH. EXT.
ADDRESS � `•^�"� �C"
�/ISIS r PLASTER, INT,
AUTHORIZEDAGT. �'1I'" ( .[�
PLASTER, EXT.
FEE $ ��" HOUSE NUMBER COR- I
RECT AND POSTED Zzi
VALUATION) $ .�...0•^ 1
FEE FINAL
76A638A DSS 3 5-52