HomeMy Public PortalAbout9218 ROSEGLEN ST_Building__ 76AS38A CE#809-6-57 APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES BUILDING /90
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY Cl
JOHN A. LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT I GROU TYPE SEWER MAP
FOR APPLICANT TO FILL IN CONST. PG
BUILDING
ADDRESS STATISTICAL CLASSIFICATION
lJ S � L' S
CLASS.NO. DWELL.UNITS
LOT NO. BLOCK MAP STATE
NUMBER HWY. Y E5
TRACT D :Z US Z E SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT 5�f xp O I NOW ON LOT t
USE OF �7
EXISTING BLDG. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT
MAIL q P.L.
ADDRESS ✓ SIDE
TEL. P.L•
CITY No INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
pp TA
CONTRACTOR ,[- �S'J NELO.. A
ADDRESS !' /"
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO.OF NO.OF
SIZE 'D STORIES FAMILIES
USE OF STRUCTURE
c_ C< </ S0
SIGNATUREOF APPROVALS
APPLICANT
,,/ DATE INSPECTOR'S SIGNATURE
ADDRESS A Y �l O � // FOUNDATION: LOCATION
FORMS,MATERIALS
i700 P.C. S FRAME: FIRE STOPS,
a d FEE IceBRACING,BOLTS
VALUATIONGAS VENT.DUCTS
Q� S �y FURNACE: LOCATION,
FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT A
AGREE TO COMPLY WIT ALL C NTY ORDINAN S D
STATE LAWS REG ING LD1 T C ON. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR- 1
PERMITTE RECT AND POSTED
��
ADDRES J FINAL
JOHN A. LAMBIE,COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION C M.O. CASH PERMIT VALIDATION 5 M.O. CASH
LeoBliSup Jm301 6 A 8.381n
0
L4 P6 8 JAN 31, 1 A 3 6 U M ®�
76A698A cKraoa a-a5 APPLICATION FOR BUILDIN PERMIT
Z1 COUNTY OF LOS ANGELES BUILDING ^ -
DEPARTMENT OF COUNTY ENGINEER ADDRESB
BUUMING AND SAFETY DIVISION L O C A L I T Y
JOHN A. LAMBIE. Cou NTY ENGINEER NEAREST
COLEMAN W. JENKIN9puP'T.OF BUILDING CROSS ST. - - -
DIlT NO. arr YYPE PR 0
FOR APPLICANT TO FILL IN ;fcoN�. .
BUILDING + 9TA TIST ICA ASSI FI CA TION_- SEtWER MAP `
ADDRESS 92.is5 2oScrc;-LFEt, pG
CLASS NO. DWELL-UNITS ►G/ '
LOY NO. BLOCK USe ZONE NO' 7_,�j/ '
TRACT SPECIAL - -
NO. OF■LDGS. CQ N
SIZE OF'LOT NOW ON LOT '
USE O F L.L.t-IJ GG G La 2 Alt .'
SLOG. SETBACK FROM _
TEL. FRONT PROP. LINE OF
OWNER LJ NO.
�j TYPE OF EXISTING SETBACK - HIGHWAY YARD — TOTAL -
ADDRESD�Z I� IC.O Gr�� - M C.L: -
CITY71 G t'1 - ..._�
ARCHITECT OR - TEL. BLDG. 1tT ACR FROM I '
ENGINE'ER NO. SID[ PROP. LINE OF - - - STEIT
TYPE OF EXISTING SNTBAC,I�_ H,I�HW21Y +. YARp = TOTAL
ADDRESS
HIGHWAY WIDTH FROM C.L..
TEL
CONTRACT No 445--1 O
LIC
ADDRESS (�i VI.iDQ. P.. NO $Tl et CORNtER CUTOFF- YES Tl0
LIC -gUe
CC a.cam;►� t o ��,t SEE RE $R.]BOWSPE 38MOAMROVALS O -
DESCRIPTION OP WORK
NEW ADD ALTER REPAIR DEMOLISH . PemTh for ciu6F SL�r-�r yld6 ,-r•. ;,rl driyeway'approbch 1
SQ•FT. �j NO. OF NO. OF _
SIZE 15 GTO RIES FAMIL ES alrations AcLuta I - �• ' �-
USE OF f'D _e i. in order to avol
STRUCTURE tw_L.L fay
IGngthy dGley. Survo'y u;{9n work ,a:e>I #lmo —d Is not wfa
SIGNATURE OFHall.
APPLICANT
VALUATION$z✓Q�10 r
APPROVALS - A IKBPE6/OFVS SIGNATURE
P.C. PMT. G�-� FOUNDATION, LOCATION
F E FSE FORMS AIATERIALB -
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
ANO STATE THAT THE ABOVE IS CORRECT AND AOR[[ TO COMPLY FURNACE: LOCATION
WrrH ALL COUNTY ORDINAN CED AND STATE. LAW@ REGULATING GAS VENT. DUCTS
7UILDI NO CONSTRUCTION. I CXRTI FY THAT. IN DOING THE WORK +�
_AL
THORIZl1D HEREBY I WILL NOT RMPLOY ANY PIERSON IN VIOLA- LATH. INT. e Y
nON OF TH[ LAD014 COD[ QF THE STACALIFORNIA RELAT-
I
]NO TO WORKMEN'@ COMPEN@AT10N I RA _ LATH._EXT.
SIGNATURE O HOUSE NUMBER COR-- -
PERMITTEE2- RE AND P STED
ADDRESS F`I NAL
JOHN F.
�LEW1S.,PRIIM IPAL S N
AL EG ER
PLAN CHECK VALIDATION CK. M.O. CASH rLi1L�— I VALIDATION, CK MA GAI<H '
LQ-1 0 6 3�8 APR _ 7 1 D 1, 5.00-- v