HomeMy Public PortalAbout5403 ROSEMEAD BLVD_Building__ MAY 2 7 196U��
76A638A CE#803 5-65 APPL CATION F BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDIN v
DEPARTMENT OF COUNTY ENGINEER ADORE z
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST_. I c
DISTI4-eT NO. GR TYPE P C B
FOR APPLICANT TO FILL IN `� Q .9 CONST.
BUILDING STATISTICAL�CLygy�S IFICATI ON SEWER MAP . '
ADDRESS - .7 / BK PG a
CLASS NO. WELL UNLT
LOT NO. BLOCK USE ZONE MAP - y�
NO. CN G
TRACT SPECIAL - --
N0. OF BLDGS. CONDITIONS .-
SIZE OF LOT NOW ON LOT ,
USE OF
EXISTING BLDG.. yt� BLDG. SETBACK FROM C•
OWNER ' lrY "'��NOL TE . FRONT PROP. LINE - (SLREET) - �,
�` ) TYPE OF EXISTING SETBACK HIGHWAY + 'YA - TOTAL . .S
ADDRESS ���� VP�c.:- 9L.V�� HIGHWAY WIDTH FROM C.L. VK
CITY �.,(�� � BLDG. SETBACK FROM / _ _ Q
ARCHITECT OR TEL. STREET)'
IDE PROP. LINE OF
ENGINEER NO. 3�c�5
��7j TYPE OF EXISTING SETBACK NIGH A + YAR = OTAL
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ADDRESS, O , 1[ao U � � HIGHWAY WIDTH FROM C.L.
TEL. �M+�
CONTRACTOR NO O
LIC CORNER C T FF ..ES - NO V
ADDRESS NO
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CITY CLAS
SSEE RE 4SE P 0 SP 'P VALS 0
DESCRIPTION OF WO / �. w
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NEW ADD ALTER REPN
SQ.FT. NO. OF , Z
SIZE STORI ES.
USE OF
STRUCTURE '
SIGNATURE OF( -
APPLICAI \ ! `
An
VALUATION$ p "�,ks DATE INSPECTOR'S SIG NATURE
P.C. - PMF UNDATI N, O ATI
FEES FEFORMS, MAT LS
FRAME, FIRE STO ,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILD I NG CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE.' - LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RE CT
AND POSTED
ADDRESS FI N A L
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK, M.C, CASH
A�0,2191- MAv2023 0 113.506