HomeMy Public PortalAbout4902 ROSEMEAD BLVD_Building__ APPLICATION FOR BUILDING P IT 1
COUNTY OF LOS ANGELES BUILDINGIt
DEPARTMENT OF COUNTY ENGINEER wDDRESS
BUILDING AND SAFETY DIMON LOCALITY
JOHN A. LAMBIE, COUNTY ENGINISR NEAREST
�'>•�+�TT D. GRIFFIN. BUTT or ISUILmmcs CROSS ST. -
DISTRICT NO. GROUP 'TYPE P ED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING STA ISI'ICALCLASSIFICATION RMAP
ADORESH + BK
CLASS.NO UN
LOT NO. BLOCK NUM ER STAB NO
TRACT USE ZONE SPECIAL
S
CONDITION
NO.OF.IILJ
LC
5T OF LT NOW ON LOT
USE OF
EXISTING BLDG, 12,L4A
�+ SUILDING IDUjErr.
ETBACK YARD HWY _STR$H7 NAME WIDTH
OWNER /-� FRONT
MAIL P.L.
ADDRESS J2 g C HIDE
TEL P.L
CITY NO. INSPECTION RECORD
ARCHITECT OR -TEL'
ENGINEER NO. U T
SS
�,+� J
ADDRE '^ �r)l-. ND L,�C cT r �
CONTRACTOR 141A
ADDRESS
DFSCRUMON OF WORK
NEW Y ADD ALTER REPAIR DEMOLISH
SI FT. NO.OR � NO.OF Ca C
SIZE STORIES FAMILIES
USE OF - 0 2 ' O ca T
STRUCTURE
SIGNATURE OF
APPLICAN APPROVALS DATE 11ISPECTOR'S InGMATURE
ADDRESS FOUNDATION:LOCATION Fv Y
VALUATIONS FORMS.MATERIALS
RAME:FI RE STOPS,
BRACIN BOLTS
FURNACE:LAC�ITION.
FEE -i f -- GAS VEI DUCTS _
I HEREBY ACKNOWLEDGE THAT I HAVE READIH AP-
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAII-L rNT. -
AGREE TO COMPLY WITH ALL COUNTY ORDINANCw AND
STATE LAWS REGULATING BUILDIN UCTION, LATH,ERT.
SIGNATURE OP HOUSE NUMBER COR-
PERM I RECT AND POSTED
ADDR 71 -7t4
CLYDE N. DIRL`P.M, PRINCIPAL ENGINEER
PLAN CLECs VALIDATION
PERMIT VALIDATION M•o, r•aI
LQ1 3 3- 8 .`AU617-2 3 h 15.001 �
- L&2 3 5 5 ' SEP $ . ..i A 3 0.0 0