HomeMy Public PortalAbout5602 ROSEMEAD BLVD_Building__ I
.,DEPA,BftLENT-OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
1 1 UE B 1
WM J. FOX. CHIEF ENGINEER G
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICTyyyO PLANCK NO PERMIT NO
BUILDING �/ O /
ADDRESS C J
T
LOCALITYCEIVED BY DATE OF APPL Dmar ISSUED
Y
NEAREST Y
CROSS ST (J BUILDING
ADDRESS
OWNER
MAIL 7 /�, LOCALITY
ADDRESS w/ ia-CA•( NEAREST
T8L CROSS BT / ✓�
CITY NO FIRE NO OF n O �}
ARCHITECT OR TEL ZONE
ENGINEER NO SLOG ptp/R
SETBACK LINE
ADDRESS APPROVED
TEL BY DATE
CONTRACTOR • JX USE / APPROVED
ZONE BY DATE
ADDRESS /D314 Q/Y ,c G C Q� HOUSE NUMBERING
DESCRIPTIONLEGAL IL-rl 3 BLOCK MAP NUMBER—�L) .18LD CHECK BY
TRACT o N-V / NO ASSIGNED BY AT
NO OF SLOGS / CORRECTIONS
SIZE OF LOT �/' NOW ON LOT
USEOF NO OF
EXISTING BLDG P�rlllii`�
DESCRIPTION OF WORK
NEW I ALTERATION I I ADDITION
O
- REPAIR DEMOLITION A
SO FT NO OF O
SIZE ROOMS STORIES T
ERT WALL ROOF I'
COVERING COVERING
USE OF STRUCTURE
ti
APPROVALS
INBPECTORSSIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP- FOUNDATION LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRHSTOPS.
HOIEON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUI ING C TRUCTION FURNACE LOCATION,
SIGNATURR OP GAB VENT, DUCTS
PERU I
O LATH, INT
ADDRESS
LATH EZT
AUTNORIZEO AQT
PLASTER INT
TMilM GBp TOW s P C B
® ` FHE PLASTER, ELT
VALUATION PEE � O FINAL
l
�� T e n C E M P S 0 3 1 2 / B G / T y 0 4 0 T 6 " M p l i C l y
A P P L I C A T I O N F O R B U I L D I N G P E R M I T
C O U N T Y O F L O S A N G E L E S A S S E S S O R
1 D E P A R T M E N T O F C O U N T Y E N G I N E E R M A P B O O K P A G E P A R C E L 1
B U I L D I N G
B U I L D I N G A N D S A F E T Y D I V I S I O N 5 6 0 0 A l p Q
J O H N A L A M B I E . C O U N T Y E N G I N E E R O C
C O L E M A N W . J E N K I N S , S U P T o r B U I L D I N a L O C A L I T Y T E ~ O
R A P P L I C A N T T O F I L L I N C N E A R E S T / A �� T u . V R S Z
R O S S S T I +
B U I L D I N G D I S T R I C T N O G R O U P C O N S T ��J ' I T Y P E P R O C E S S E D B Y U
A D D R E S S ` T " O S " - - 3 ��( Z
S T A T I S T I C A L C L A S S I F I C A T I O N S E W E R M A P ��Q
L O T N O B L O C K C L A S S N O 2 Z D W E L L U N I T S _ _ S K L P G / 7 J
T R A C T U S E Z O N E M A P . ����j j / / l J
N O O F B L D G S N O G . ��O b I
S I Z E O F L O T N p V O N L O T , , , " A L S P E C I A L a
U S E O F R Q . L A 6 R O U c a C 1 Q Q T ��t , ��o �� / ���� C O N D I T I O N S
E X I S T I N G B L D G 3
O W N E R M t N 7 1 2 C A T - 1 �� T V N C T E L ��C 9 ��.
B L D G S E T B A C K F R O M
A D D R E S S F R O N T P R O P L I N E O F -
I H S ( S T R E E T )
T Y P E O F E % I S T I N G S E T B A C K H I G H W A Y } Y A R D = T O T A L 7
C I T Y M C L H I G H W A W I D T H F R O M
A R C H I T E C T O R T E L ������ } Q = Q
E N G I N E E R N O 1 3 L ' D G S E T B A C K F R O M
A D D R E S S t 6 l S I D E P R O P L I N E O F ( S T R E E T )
T E L T Y P E O F E % I S T I N G S E T B A C K H I G H W A Y } Y A R D = T O T A L
C O N T R A C T O R N O H I G H W A Y W I D T H F R O M C L
L I C
A D D R E S S N O + f& = v .
C I T Y C I L A S S C O R N E R C U T O F F f Y E S Q' " N O S T " - , \ 8
�� : .
C O N S T R U C T I O N L E N D E R C
O
N A M E A N D B R A N C H - S E E R E V E R S E S I D E F O R S P E C I A L A P P R S W
A D D R E S S
d
5 0 F T N O O F N O O F Q' ) Z
S I Z E O S T O R I E S F A M I L I E S N E W
U S E O F A D D I I ��p L
S T R U C T U R + % 1
L A L T E R E l
/ 1
S I G N A T U R E R E P A I R Q'
A P P L I C A N T F D E M O L Q' f&. J " Z
V A L U A T I O N S
I ' o S A P P R O V A L S ' - > ��I D A T E _ I , X . R P T D R " G a x A T U N c
F E S y ` ��. r F E E S O D " ' O U N D A T I O N F O R M S M A T E R I I A L S L C A T I O N a
F R A M E R I R E B S T O P S
1 H [ R E ! _ Y A C F N O W L E D C E T H A T 1 H A V E R E A D T H I S A P P L I C A T I O N B R C I N G O L T S
A N O S T A T E T H A T T H E A E O V E I S C O A
R R E C T A N D A O R [ [ T O C O M P L Y F U R N A C E L O C A T I O N
. I T . A L L O R D I N A N C E S A N D L A W S R E G U L A T I N G B U I L D I N G C O N - G A S V E N T D U C T S
S T R U C T I O M 1 C E R T I F Y T H A T I M D O I N G T H E W O R K A U T H O R I Z E D
H [ R E S T I W I L L N O T E M P L O Y A M Y P E R S O N I N V I O L A T I O N O F T H E L A T H I N T
L A B O R C O D E O F T H E S T A T [ O F C A L I F O R N I A I N R E L A T I N G T O
I W O R K M E N ' S C O M P E N S A T I O N I N S U R A I
L A T H E X T
S I G N A T U R E O F / ) H O U S E N U M B E R C O R -
P E R M I T T E E " ��" " - - R E C T A N D P O S T E D
A D D R E S S 1
8 1 F ' i F O . D . E V [ + C T p 4 V F O U r a �� \
F I N A L �� T
J O H N
����F p ��L F F - W I S f&P ��R ��} I N C I P A L S T R A L " E N G I N E E R
C N P E R M I T P L A N C H E C K V A L I D A T I O N M O C A S H V A L M A T I O C K M O C A S H
6 3 2 9 �� A U 6 1 4 2 3 D 4 8 . 1 5 _
��C �� 6 7 5 9 F _ S E P 1 4 1 D 8 0 . 2 5 0
53 a'
JLC:,RS OS Izi 60 v!/✓ /GNB
�� /k ` !;;Oy .
• APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL OC
BUILDING AND SAFETY DIVISION BUILDING/ / ^� cr
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS 6 /L�. ;F
COLEMAN W JENKINS, SUP T Or BUILDING LOCALITY TEM Cit fVFOR APPLICANT TO FILL IN NEARESTZ
CROSS ST LAs `" tA Aj A-S
DISTRICT NO GROUP TYPE SSED BY V
BUILDING ! Op. CONST Z
ADDRESS J i Q
STATISTICAL CLASSIFICATION, SEWER MAP GQQ[
LOT NO \ BLOCK CLASS NO DWELL UNITS �� BK L POI-1 j
TRACT USE ZONE MAP �jOO4 w
NO OF BLDGS NO L
SIZE OF LOT NOW ON LOT ntlklr= C—AA SPECIAL N
USE OF I CONDITIONS Q
EXISTING BLDG \ \
OWNER 1 EOLq 7'd Q
SLOG SETBACK FROM
ADDRESS FRONTPROP LINEOF (STREET)
r
TYPE OF EXISTING SETBACK HIGHWAY f YARD = TOTAL 7
CITY
Typ= WIDTH PgOM'L
Z
ARCHITECT OR TEL MAi&e_l/,9Z> V` + O = Q
ENGINEER NO
BLDG SETBACK FROM
ADDRESS SIDE PROP LINEOF (STREET)
TEL TYPE OF EKISTING SETBACK HIGHWAY + YAM = TOTAL
CONTRACTOR NO HIGHWAY WIDTH FROM C L
LIC + _
ADDRESS NO
O
LIC CJ
CITY CLASS CORNER CUTOFF VES ❑ NO d.
CONSTRUCTION LENDER
NAME AND BRANCH O SEE REVERSE SIDE FOR SPECIAL APPROVALS w
ADDRESS O Z
SO FT NO OF NO OF NEW
SIZE STORIES FAMILIES
USE OFADD ❑ z
STRUCTURE
ALTER C3I
SIGNATURE REPAIR❑
APPLICANT DEMOL ❑
VALUATION S OI APPROVALS PATE INvicer •R Nm TURK
FEES S FEES / (/ V PMT FOUNDATION
MATERIALS
ON Z� d
FRAME FIRE STOPS
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORISED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF TXE LATH INT
LABOR COOK OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURAI
LATH EXT
SIGNATUREOAF /�j ]�� � HOUSE NUMBER COR-PERMITTEE�IIEYIZ/fJ I RS
AND POSTED
ADDRESS FINAL
JOHN F LEWIS PR'INCIPAIL.STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK N D CASH _ PERMIT VALIDATION cN N o CASH
( q(_ 6328AUG 1423 D 5.40A c
— x, 67609 5EP14 i D 9.00
N
76A635A CE x809 1/71
• APPLICATION R BUILD( G PERMIT
COUNTY "OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING /D
ADDRESS �O
COLEMAN W JENKINS. BDP T oP BDILDIH. L04CALITv
FOR APPLICANT TO FILL IN NEAREST
Dr CROSS ST
BUILDINGDISTRICT NO I GROUP ITYPE ESS
�w .3 CO
LOT NO BLOCK NST
ADDRESS Z ZO N
STATISTICAL CLASSIFICATION EWER MAP
��jj
LASS NO �/DWELL UNITS BK
TRACT
USE ZONE MAP
NO OF BL �• NO
SIZE OF LOT NOW ON LOT SPECIAL
USE OF ^ a••- CONDITIONS
EXISTING BLDG
OWNER , -VNpL
n BLDG SETBACK FROM
M
ADDRESS �{p[JZ IJ Oi WI FRONTPROP LINEOF (STREET)
�, V•. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY ` HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL }
ENGINEER NO BLDG SETBACK FROM
ADDRESS •' / SIDE PROP LINE OF (STREET) >
CONTRA CrTO-� LA- NOL [L��a HIGHWAY WTYPEISpTH FRDI,1 CCL HIGHWAY } YARD = TOTAL G..
ADDRESSGZI'L N. ARJaeIJ LCL • NO Lk aZ7 + - 1O-
LIC
CITY 0 ►9{'1 L l CLASS S u
I CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER d
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SO FT NO OF NO OF NEW El
STORIES FAMILIES ❑
USE OF ADD
STRUCTURE
ALTER ❑
SIGNATURE T REPAIR.0
APPLICANT - DEMOL ❑
VO
VALUATION 5 APPROVALS DATE IHa Pec row•a SIGNATURE
P C PMT FOUNDATION
MATERIALS
ON
FEES FEE 5
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AIPLICAT ION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT E �IwVV`ANY PERSON IN VIOLATION OF THE LATH INT
=R.
ABOR CODE 0 T CA II RMI IN RELATING TO
worm M[H's cD I) r I xt ATH EXT
SIGNATURE HOUSE NUMBER COR-
PERMITTE�E ^^ RECT AND POSTED
ADDRESSS tz N L` • FINAL 2�
JOHN F LEWIS PR NCIPAL S AL ENGINEER
PLAN CHECK VALIDATION CS, H D CASH - PERMIT VALIDATIO ON H o CASH
L,jLo
8 ? 9171 JAN 3 1 0 9.00-
Q
I)EPAHTMENT OF BIIII DING AND PLICATION FOR PERb=
COUTM OF LOS ANGELES �B 2 7 BUILDING
1
WM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FHS IN FOR OFFICE USE ONLY
DISTRICT-NO
INO � qq DIBTRIC0 (PLAN CK NO PERMIT NO
ADDRESS 1— /I O S f//7 FII
Louun
Te lj le C tt R EIVED BY DATE OF APPL D TE IGGUED
NEAREST / 7t,(17 ,7
y''
CROGG ST .G (7S /GIl7 ,7 S/ BUILDING
G
OWNER $'O
Mwa Locwun V .� �T
wDDRESS F+ on a rl r71 NEAREST ✓N�
CROSS ST �� •+
ClCITYk C a d tI z o !/�o FIRE NO OF \ — ORO
ARCHITECTORZONE PLANS
V ENGINEER AloL BLDG rO
1 SETBACK LINE J
In ADDRESS APPROVED
TEL. BY DATE
CONTIIAGTOR NO USE APPROVED
1 ZONE C BY DAT[ L
y1C ADDRESS v HOU NUMBERING
( LEGAL LOT NO S BLOCK MAP NUMB IELO CHECK BY
DESCRIPTION
\\ l 4t -35- n ,rt- o DT NO ASSIGNED BY T yb
L TRACT }q )71t4 /IPW / P4G Wuha�o$
y p�X / tl I NO OF SLDGS RRECTIO
\ SIZE OF LOT /.W HOW ON LOT /i t��c.,
�• USE OF NO OF
Y EXISTING BLDG
S li'rr`w 1
DESCREMON OF WOM
i s 7�.TL O 7/,cio' A .r Gro 0
NEW x ALTERATION I ADDITION
o�f1 o-O
RPAIR DEMOLITION ' E
• T n P G
SO PT .L SS"p NO OF
SIZE ROOKS a/ STORIES C .vs/�!► i✓.+.L•ra �w/T
ZICT ^r
COVERING �4�D COVERING AS 4�t
USE OF STRUCTURE
/ L) herb 12 0
)'y" 3 4 so�i e t
4 IP riarmiA r ./Tia..-it✓ Ee
Je �vr ft I T/T 2' S4i01L �gC� SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION
PLICATION,AND STATE THAT THE INFORMATION GIVEN IG FORMS, MATERIALS
CORRECT
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRESTOP0.
EON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS 04
04 .4
LAWS B
REGULATING BUILDING CONSTRUCTION FURNACE LOCATION.
SIGNATUR[OF /-M�/ GAS VENT, DUCTS
►ERMI'rfEE /' �'IG rI � T
ADD
LwrH, INr
1 / LATH, ®R �j 9 / :7/4L
AUTHORIZED AOT
PLASTER, INT
TMOGA OEY M�EO S P C S
rb .�{rLFEE ^^� PLASTER. EXT
VALUATION rV ` v r FINAL