HomeMy Public PortalAbout10650 ROSEGLEN ST_Building__ . � T
DON OF UI DING D SAF BUI
IDING
' DIVIffiON OF BIIII.DII� AND SAFETY
Y COUNrY OF LOB ANGELES
WL r ISM J. FOX, CouNTY Ematamn APPLICATION
't CAMATT IX GKWMN Su— of lknl o m
FOR APPLICANT TO FELL IN FOR OFFICE USE ONLY
eulLolrw &
DISTRICT NO. PIJ.LI CV-on Rso.No. rERMIT NO.
ADDRIM
,� '�IRIC[IV M tY DATE OF ArrL D {T�Z ISSUED
LOC,ALINEAREST I I a B I- / QCHOIRS ST. �J
• BUILDING
ADDRESS Q�� V�03 h
OWNER
ADDRESS 2-
r OY (f LOCALITY I 1
CROSS ST. V '
C
ARCHITECT OR Td, FIRE NO. OF �tOUP
ENGINEER HQ, ZONE PLANS
D DLDO_ \ ,
SETBACK LINE 1--
To- USE APPROVED
CO • N BY DATE /
Rti/ r HOUs NUYe NG
LWAL&L M■ 16O. ASSTGNED eY
DESCRIPTION I LQTNO, :3,� tWQ x
ONS
TRACT
SIZE OF LAT X o o NO.NOW ON�LATDO�'
USE OF NO. OF66 FAMMIZZ -
O
DffiCI arwN OF WOHE o -
NNW ALTWtATION ADOMONG
z
REPAIR DKMOLJrTION
SQ. FT. (�? NO. OF
SIZE
EXT. WALLROOF
COVERING COVERING !! .
USE OF STRUCTURE
AMOv
INS 'S SI TURF D
FOUNDATION: LOCATION
FO MATERIALS
1 HIREDY ACJU4OWLI DGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN in BRACING MOLTS
CORRECT. FURNACE: LOCATION. /Z
1 AGREE A COMPLY WITH ALL COUNTY rwuaNCIS GAS VENT DUCTS
AND STATE LAMES REG ■
ULATING UdI?f
D0 QO!liwTRUQTION.
S 1 GHATU Rs 'OF LATH, INT. :� 3
FIX" c U y
/ LATH. ECT.ADD
-7 1
PLASTER. INT.
AUTHORIZED AOT. th
/y oOPLAST , ERT.
fQ ; ERHOUSE NUMDER COR-
E
!// RCT AND POSTED %
VAL.UATIOW FEE •2 2 FINAL
74LAGS A =8• Mi
WORKEW COAaPENSAMON DECLARATION
hereby affirm that I have a cV-Ctcate of iaI consent to >ell P P L I C A .?N FOR''..B-U I L DING P E RSM I T`
insure, or a certiflcate of.lbgrkers'Compgrtlon Inwrance, _ ? ,
or ar er l er -of (Sec *0,,La ..G) COUNTX`O� LOS ANGELES .dUIUDIN(ii'AHD r/►FETy.".
-Policy No. Onmpart)
��❑ Ified Is here fvmhhed. IZ APPLICANT (=ILL IK ' . BUILDING
may . • ADDRESS 1()6150— 1011 Street
L.
Certified copy Is filed with itis opvnty building IntPec- �wIORE55 - ,
tion department 91780
-. zip LOCALITYMa. OE UDGS.
-
Date Appiladnt
CE"FiCATE'01.EX MPTION FROM WORI� . SIZE OF LOT z NOW Ott LQT
COWENSATION INSURANCE
(This iiectton Heed not be com letpd,tF'the permit'Is for one M
ock Lot NO:" AP
BOOK PAGE PARm ,
hundred dollars ($100)or Ibei� TEL
ow"Ek Mrs.-.St T No. '
I certify that In the pdrfbrmQhce.of'thb work for witch.this
It is issued, I shfill n In mann
perm ot.mDPlgy perm nY el as .
so arfio become sublect to the I
_' .. ZIP .
DatelLaL—ILJ—Appllta ARCHFECr OR- Tg„
NOTI`CE TO,APPUCANT:.If,'. er.m ng thIs. rtlffcgtb'of - E,41NEER. NO. . _D {3ROUP RE
.-ExQmpTlon, ,you,,shocld• me [act to *w- Wo6cws
Compensation Provltlons of_th Code, you.myst.forth- -
with comply with such. ov]doni.o .thb:perm shall be TEL A CAL
N
ed
-deemed,revok ._ '. OQt4TR�C-tOR� C�3r � NO. - -- -
LICENSED.CONTPACTOR3"Df{7ARAT10N .
C CLAS N0. LYN 175
�'' ` ADDRES;a ss SO. No.
I hereby afflrm jhdt Larrr-Ilcerned u[)der provlslons of Cha¢fdr 9
{cammer>Slno,wlth$601on 7000)-of DLv�loo,3;of the �usln&.p UC_ _ ��
MAP
and professions Code 1 a`30 my JI r5s+b la full, an 'rffeYi: -
forCQ SQ FT. - Na.bf NO OF CHECK
IJcense Numbei tJc.'Chas CSO) N2E. STolae FAM Es
T~ VALUATION '• .,: ,
Contract« Dcrie D�IPnoN of WORK .Tnstail '� NEW 2,000 -00
❑I am exempt:under 360 " A ❑
B.BP.C. fcr'thlkrewo� —, 3rJ "N Cl ;
El
DEAAO
5lghature a = APPLICANT
C!WNFTt$UILD�t^D L4RATFOty T t,40,
I hereby affirm that-Pam exempt from the ContrQct 61_lcensq . _ fSARi -
Law for the'followlri A
9 Season ($salon 7031.5, Business and ANAL
Profeesigns Code):. ,'� - -
A,,
❑ I,:tri owr+er•of•the prbperty, 'or 4ty employees with pIIDINc3 AGCY
woQes as their sole cpmpensatlan>-wllI do the-work and
the structure is not Intended or offered for sale{Settlor , LOFTY
El'..7045; Buslnew and Pr ofesslont•Code,) .. NG'..z - TEL_ .. . ,: 4
❑_ I, as owner of,thepcpperty,,am exclusively rontractlnp. bR NO. +. T.ArI� Ii i
wltltllcensedcphtl000rs toronstruot-fhe prof act (Sec- PbORE55 'T1JJrt# Q r
tlon,7W5 Businessar�ProfewoniCode.), TOTp
CONSTRUCTION LEi`IDINCi AG61JC1�. • . YARD ItoVYEMSTC:K- ►�xr"
I hereby affirm-that there Is a coastTuctlo�fending oyency for FRONT.
th'e perfo nangd•of"the'work-for which Oils permit Ii7siLe� P.C' _ J a
(�•'�, a�:.e.�.._ � . ' slue.-- - -�. ... ; _
LendeWi Name
S LDMA Re4ti#
_ - . P.G.Fee. - Pirmlt Fee ]LLL i'.:� ■
Lendees Address _
J certify ffe I have read this appl(cotloo and itate that the lsuance �� P/Ci ,
above infgrmptlpn Is correct. I agree tm,Comply with all County �L
prdIWncis anti Mate laws relatjnq t8 bulldlnq con>ttttfction, TofaI Pe" 8r• U� LDMA Pim...
' and autborLze ntat�vee'of this..County to e&sT _
r1 pbrty for In9>ectIon purposes-
i; :. :sa MNWWr4�urrLMATarr LANGUAar 1(2 _
SigrootA at ApO