HomeMy Public PortalAbout9233 ROSEGLEN ST_Building__ 7 EAe L BA CZ 1&O!_a-Z, APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CAMATT D.GRIFFIN BUPT OF BUILDING CROSS
DISTRICT NO. wiloup SEWER MAP
FOR APPLICANT TO FELL IN TYPE K
CON
B U I LD I N O STAT I STI CAL CLASSIFICATION
ADD RE88 "
ve CLASS.NO I
LOT NO. 7 BLOCK MAP STATE
NUMBER HWY. YE8 O
QCT A �_ US E SPECIAL
NO.OF SLDGS. CONDITION8
SIZE OF LOT d I NOW ON LOT
USE OF
EXISTING 13L.DGL BUILDING EXIST.
e� SETBACK YARD HWY STREET NAM E WIDTH
OWNER �J 1 f� FRONT
MAIL
P.L'
ADDREB9 S SIDE
I TEL i JU
ARCHITECT OR TEL INSPECTION BECOHD
ENGINEER NO.
D
TE
�:.
CONT'RACT'OR G i NOL WL _
ADDREEW 9
DESC=MON OF WORK
NEW ✓ ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE ,TORI EH FAMILIES
USE OF irrRUCTURW
SIGNATURE OF APPROVALS
APPLI ,,{{
tt DATE IXSPECT0R'"IGNATURE
ADDREHSJ FOUNDATION: LOCATION
FORMS.MATERIALS —
�� FRAME: FIRE STOPS.
Q O" FEE BRACING BOLTS
VALUATION oc FURNACE: LOCATION.
E GAS VENT.DUCTS
I HEREBY ACKNpWLEDOE THAT I HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE 18 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ANLP _
STATE LAWS REGU O BU IN N U 1 LATH,EXT.
SIGNATURE OF USE NUMBER COR-
M RECTAND POSTED
ADDR f y FINAL
JOHN A- LAMBIE. COUNTY ENGINEER. CLYDE N. DIRLAM PRINCIPAL STRU ENGINEER
MAN CgECQ VALIDATION r&0. CASH PEH3QT Vxr MAXION 69 y-o. c"H
LAW
6 .9'1 4 O JA 30 1.-6 A 8.38 ' r)ol
- 08729RAM31 1 e 36.00 1%
7BA82 Cl1&=- -.7 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS o` 3 3
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
Ck8XATT D.GRIFFIN iurT or IguiL.Dimco CROBS
DISTRICT NO. GROUP TYPE SHWER NAP -
FOR APPLICANT TO FII.L IN CONST,
BK. PG
BUILDING
ADSTATISTICAL CLASSIFICATIONDRES
�y CLASS.NoraL, NaT
LOT NO. //� ELOCK
TRACT NUM ER l HWY. YES NO
SE ZONE SPECIAL
NO.OF BLDGS. I CONDITIONS
SIZE OF LOT d NOW ON LOT
USE OP
EXISTBUILDING YARD HWY STREET NAME EXIST'
C �� SETBACK WIDTH
OWNER � FRONT _ -
.D�REH9•-7-2 SI E -
GpL 6 P
ARCHITECT OR TEL INSPECTION RECO D
ENGINEER NO.
ADDRESS
J/ TEL T
CONTRACTOR /� NO. J
DESCRIPTION OF WOES
N'E'W ADD ALTER REPAIR DEMOLISH
Sq.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT yy
ADDRESS' �'L'— r� L4 DATE IKSPECTOR'8 DIGNATUlitt
FOUNDATIONt LOCATION
FORMS MATERIALS
P.C. s FRAME;; FIRE STOPS.
FEE BRACING. BOLTS
VALUATION • OQ FURNACES LOCATION.
E -�+ GAS VENT DUCTS
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,IM. -
PLICATION AND STATE T14AT THE ABO 19 CORRECT AND
AGREE TO COMPLY WITH ALL ORDINANCES AND - -
STATE LAWS RSG O LDI G CO UCTION. LATH EXT.
BIG IE OF HOUSE NUMBER COR-
PLr l RECT AND POSTED
ADDRESS '-- PIN
JOHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.DIRLAM, PftiNCfPAL STRUCTURAL,_F46INMER
PL&N CHIC=VALIDATION CIL ll.o. c"li PLUM VALIDAMON . m- _ >i.o, - C"H
2 2 2 $ogwR211 A 200-
_. . 07
76Aaa6A C M oa:D-07
• 7 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY oft ple-
JOHN A. LAMBIE, COUNTY ENGINEER EST ,
COLEMAN W. JENKINS, SUF'T OF BUILDING NEAREST
CROSST.
FOR APP CANT TO F L IN DISTRICT NO. GR�ouP TYPE OCESSED BY
Print or • only) CONST. !
BUILDING STATISTICAL CLASSIFICATION _ SEWER MAP
ADDRESS CLASS NO 8 DWELL,UNITS BK PG'
LOT NO. 7 BLOCK USE ZONE MAP
NO.
TRACT I SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
_TjO
EXISTING BLDG. S, BLDG.SETBACK FROM
TEL 6 FRONT PROP.LINE OF iS7REET)
OWNER NO. Z` TYPE OF EXISTING SETBAC7( HIGHWAY + YARD = TOTAL
ADDRESS
HIGHWAY WIDTH FROM C.L.
'
CIT
BLDG.SETBACK F
ARCHITECT E
R TL. SIDE PROP (STREET)
ENGINEER NO.
SJ76G 8 BACK HIO TOTAL
AEARESS o ID C.
TEL.
CTO NO.NO. L o
LIC
ADDRESS NOfv/ CORNER CUTOFF YES ❑ NO ❑ o
CITY CLASS c3 SEE REVERSE SIDE FOR'SPECIAL APPROVALS o
Lu
DESCRIPTION OF WORK a
z
NEW ADD ALTER REPAIR DEMOLISH ._
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTUREOF
G Li 5
SIGNATURE OF t
APPLICANT
VALUATIONS ��-
APPROVALS DATE IMI F[CTOR'• ai[KA TU R[
P.C. PMT. FOUNDATIONS LOCATION
FEE$ • FEES FORMS MATERIALS
FRAME: FIRE STOPS,
I H[R[SY ACKNOWL[DO[ THAT I HAV[ .. 11. APPLICATION BRACING BOLTS
AND /TAT. THAT THE
ASOV[ 18 CRR[CT AND AGRC[ TO COMPLY FURNACE: LOCATION,
Wf'fH ALL COUNTY ORDINANCC/. AND STATE LAW/ R[GULATINO GAS VENT, DUCTS
BUILDS NO CONSTRUCTION. 1 C[RTI FY THAT IN DOING TH[ WORK
AUTHORIZCD H[R[SY I WILL NOT [MFLOY ANY F[RSON IN VIOLA- LAVH, INT..
TION OF TH[ LAMOR COD[ OF THC STAT[ OF CALIFORNIA R[LAT-
ING TO WORKM[N'S C NATION IN8URA
r LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR
R -
PEMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCI L S�TTBe�L++ RAL ENGINEER
PLAN CH= VALIDATION CK. M.D. cmm _ PERMIT VALIDATIOI�p M.O. GIH
�.5 3.9 .6 J& 9 1 B 1 725,
76A 31A CE S!e03 1/71
" APPLICATION FOR BUILQIN FERMI �
COUNTY OF LOS ANGELES ASSESSOR
I
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE ARCEL
I BUn.DING AND .SAFETY DIVISION BUILDING
ADDRESS i
COLEMAN W. JEN1CINs, •UP•T OF BSUIL371NO LOCALITY
rOR APPLICANT TO L NMN t
(Print or typq only)
;��
BUILDING
DISTRICTN GR TYP Y
ADDRESS CONST,AL CLASSIFICATION S ER MAP
LOT Np. BLOCKO_IztOWELL.UNITS BKlr
PG 2,TRACT D MAP
NO.OF BLDGSNOS12E OF LOTgr N LSPECIAL
USE OF,
F CONDITIONS
XISTING BL G.
TEL
OWNE -NO. BLDG.SETBACK FROM
ADDRESSFRONY PROP.LINE OF, (STRIEET)
TYPE OF ISTH- l SI!T9AC4( HIGHWAY } YAhd = TOYAL
CITY - zlHIGA WIDTH. FROM C.L.-
ARC T OR er TEL } _
ENGINEER NO. 13LEMUETBACK FROM
cap
ADDRESS SIDE PROP.LINE Or I (STREET)
TEL TYPE OF IST-ING SETBACK HIGHWAY } - YARD TOTAL
CORTRACTOR NO. IGHWAY WID.TFf FROM C.L 8
ADDRESS V LIC.
No. l7 Y }
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO ❑
C TION LENDER
NAME AND B NCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
AdDRK3S
SO. FT. NO. OF NO. OF NEW ❑ r'
SIZE STORIES FAMILIES
USE O ADD
STRUCT RE
TL�R
SICiNAT{JRE O REP:] Ll
APPLICANT EMOL ❑
VALUATIONS APPROVALS DATE INSPECTOR'G SIGNATURE
FOUNDATION: LOCATION
FEE S _ FEES FORMS MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLIEDSE THAT I HAVE READ THIS APPLICATION BF2ACING 90LT3
AND STATE THAT THE,ASOVE HS CORRECT AND AGREE TO COMPLY F RNACE: LOCATION,
WITH ALL ORDINANCES ARD LAWS REGULATING BUILDING COR- CAIS VENT, DUCTS
STRUCTION. L CERTIFY THAT IR DOING THE WORK AUTHQRIZED
HEREBY L SWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPEN ON INVURANCE. LATH, EXT, if
SIGNATURR
E HOUSE NUMBER CO - '
ERMITTE RECT AND POSTED ;
ADDRESS rINAL ,J j
JOHN
�+F..�LEWIS. PRI CIPAL STRU URAL ENGINF-Eh
PLAN vlµ.� 11.lJ.L/
VA ON CK M.O. CASH _ rEill�I VALIDATION
. 42.00— iu
WORKEFry COMWB;r5ATION DECLARATION
t I-hereby affirm thtrt 1 hare.r �erFlficate of consent to -If PLICATION - FOR. BUILDING:PERMIT
Irtsu .or a certlfi�ate of;diorkear,i�omperlsation Insurart�,
or a cprtlflgQ copy thereof -
t; COUNTY OF LOS ANGELES WILDING AND SAFETY
Polldy No. - =Coin0pMY
Certtfted Copy Is here!oy#ufH[shed: ': : FOR APPLICANT TO FILL IN
eiianryc y
Certified copy ti filed with county bul I I, _ J Lam•.
tion-dep!artMent. Com ^7
DdttSApplicant CITY' . DP J
CERTIFl ATE OF D MPTION-FROM WORtff ; S� ldT IJO. OF UDG&
0".LOT CRfl55 ST_ s -
y COMPENSAlIOr1 INSURANCE
(This.sectloh need not be cor(1 letsd if the permh is for one TMu BLCKSC' ~NO.
Hundred¢olrars'(31 00}of leis J MAP PAGE PARIc
' � .� .. � •. .� _ :may 3Sb�
LGE '. ..},. . . _ _
1 cgrt that In the perfwmancs of the work#er'whith this r
Ny sPEC�A' ' .
pb�mlf�s ais� ,I shall nQi emplaY Qny Peron In arty rrwpnar AeoREss - r+,�l�/� 'r CnoNs s 163 to to¢e�ome wbr�ct Tq'the_Worken .Cotnpsnsatlort Laws. /t _
f may. F. C -Zip
7I��✓.. L1
Pate y, AppllcanT z; .. r ARi7-IrfKT OR TEL D ROi1P TYPE FIRE gy
NOTICE TO •APIiU ANTc.}f, after.maklnp this Coijiflcate of I rd0 - ' aOfbT ZOt�
Exemption,.you sbould becorrLs' subJe41 to- the Workers' . QC)
CompensaTlon pcdvlslons of Thq Labor Code; you muss forth- ADDRESS /w �^r
'with comply with such Provl#loq;•o.rr thu'P4r[Tlh s'hgll be J T> STATISTICAL CLAMPeCATiON _ _ _ Ai=r. OOf1D0, -
deemed rovoked. '. ,. . :. CONTRACTOR
LIGEJ`ls� boNTRA&Qf$,DEZ1A AATK)t4 .•. /� /!J� UC CLASS NO. 021- 15WIEL UNITS
I hsrghy affirm thpt 1 am.IIcensbd under pro"16 -ofrChopter'y ADDRESS r` ^'� NO_
(comgt�nclrrq-vftth Sectlon�700¢�of DlYlsion 3 of thy;-Business LIC SES MAP
and Profe�slorn Code,and my Il onse Is In full force and effect. _ ' CL's` VALID/\110N -
SQ. Fr_ NO:OF OF ECK -
Licens6 NUtnbbr r - L)� qsa _ - 517 srolzr S FAMJUESVAIMOtE }1 -
'Contrpctor DQtt DE5CI21PT10tJ OF W6W _ tw*w 6 Lf.
_ - ADD' L J v
I am exempt under Sqc
TER ❑
,9,aP.0 far ifil., n, ,dr2 L �/'csp � ; -
.. REPAIR ,-
i Dd5T1NG 13063. 'DEhhOL LJ
Sl9hgture ACJ �y� �' r� .-
OWNER-BUILDER 4ECLARAT10tit PRI /v / Q/ 3 +T
I hpreby,afflrm that I,afnexempt ftom't_re.Contracforq License �y Y_7/
Law.The the'fol loNPIng-rdaspn (Settlgr�7031.5, &Wness atod ADDRESS 7'1 Y' i/Y `ANAL.
Professloni Code):
w gwner of the bT rn 'e BbILDING.-, ' _ ACCTaIr
Pah'. Y rf�P)dy6W Nylth ADD
wanes as.thelr sole penrat1on,will do thein r and. .�}}
the strUchgels.Rotlnter¢O c otofferedfgr,.sale�Sectlon LOCALITY
7044' Busings and Profealo Gode. e NG - TEL , --. - i
OONtRACTOR NO. 1 I r
❑_ I,�as owner 0 the property, am:excluslvely contros7lnp �T 1 r }
wrtir•IIceDW cgntroctors tis 4onshvct-tfie project J,%c rADD
tion 70",&ulna*�and.&ofe"lons Code..
bot4stRuCT1ON jENbING AC,E11(Y , .. _ FROh1 _. T CHECK
I hereby affirm ihat.fhere,rs o ccggrutructlorn Ieodln'0 apps y for
tllq performanoe of the work er which this perr4tlt Is btuad
(Sec 3097,OU':•�)• L
- i. r1
LendersJName 1� OW1 -11 i0/K
LDMA Ref:-j- -
Lenders;Addre* - = Permit F« 7 c 1Q 1 1■G�
o -I tartffy lhai ('have read thls'dppRrairorr qnd state )har the Isvan a Fee + /' P/C i
Above InformaTlon+ls correct I oQre9 o comply with all County . _ _ -
ordlnancei and Stofe•lawi relptrog to b6lldlrt9 constructton, Total F.. i Lbi41A J P".
acid hereby authorize'representatives of this County to enter
Upon
ntthe�a6dva�m ntlo propertyfor•InspedronPurpgsgs.
Arm' -
54of ApPI ImhT or AQerN' :. Dais