HomeMy Public PortalAbout5640 ROSEMEAD BLVD_Building__ 038-3 25M SCM-8-4$ 1 - i7•"--
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
wm, J. FOX, CHIEF ENGINEER imUILDINS
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
ADDRESS /�NG 7 r-ec_ DISTRICT NO. PLAN CK. NO. PERMIT Ni
LOCALITY Pi (r /! RED VED BY DATE OF AP PL. " DATE ISSED
NEAREST
CROSS ST. -'�-� L�
BUILDING,/,A. 1
ADDRESS Ui�-`�
OWNER G-3"/erg 1�'f"/�)c.�
MAIL
ADDRESSU 7 �. rJ�[ )9,,&_ O
LCALITYNEA pGE Ge�!•��� 'r. (�(, ..;�
nn /�� P Ut-� /T'A
CITY yl xw-ltPJ /%�°�y6� NO.. CROSSSST. ` �/•�-i:n�r "��
"'• FIRE I NO.OF TYPE i MROUP
ARCHITECT TEL. ZONE PLANS
ENGINEER \ NO.
BLDG.• ORD. NO.
ADDRESS SETBACK LINE
APPROVED
TEL
CONTRACTOR NO. BY DATE
-
USE ;� ..-APPRMVED
ADDRESS ZONE dr BY DATE
LEGAL
DEBCRIPTION l� LOT NO.�1�I/BLOCK CORRECTIONS
TRACT 'f( /a) / -�' —/ V
SIZE OF LOT90-y- / ^r-• C I NO. OF BLOBS.
NOW ON LOT �
USE OF I NO.OF'—
NO. or,
EXISTING BLDG. FAMILIES ROOMS
-DESCRIPTION OF WORK
NEW ALTERATION I ADDITION O
A
REPAIR MOVING DEMOLISH p
5q. FT. /,s' .� -` NO.OF D
SIZE f/'J� .�-d ROOMS / ST13RIEB >
WALL ROOF
COVERING/ I C OV�ER�INyG
USE OF NEW
B
U'IL�D'I�NG`' / 'U
APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION' LOCATION,• INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND.STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAS.IE'- FIRE STOPS,
SIGNATURE OF BRACING, BOLTS
//' .y te_ ��:�
OWNER LATH, INT.'
AUTHORIZED AST - 'r°
L'A7Hr EXT.'
P.C.s PLASTER, INT.
FEE i PLASTER, EXT.
`VALUATION FEE, �� FINAL Ff /.`
I )-
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR OPERMIT
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
I;UILDING DISTRICT NO. PLAN CK. NO. /PERMIT
ADDRESS 'O � jmT Qr C7
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSU D
NEAREST L
CROSS ST., BUILDING
OWNER i
ADDRESS
N �®
MAIL ' LOCALITY
ADDRES NEAREST
TEL. CROSS ST.
CITY ,/�/� NO. . 7p lVA B t � FIRE NO. OF
I PLANS I TYPE I GROUP 'T`
ARCHITECT OR TEL.
ENGINEER �/� NO. ` BLDG. OjtD. NQ.
SETBACK LINE �y 0 I� �L
ADDRESS APPROVED
TEL. BY DATE
CONTRACTOR NO. USE APPROVED
ZONE BY DATE
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION I.LOTNO L I BLOCK MAP NUMBER —FIELD CHECK BY
TRACT ,a„ NO. ASSIGNED BY --DAT�
i
O. OF BLDGS. CORRECTIONS
SIZE OF LOT Q5cS I NOW ON LOT
USE OF NO. O
EXISTING BLDG. I FAMIF
LIES
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION
3 O
REPAIR I I DEMOLITION I I I
9Q. FT. NO. OF S
' SIZE ROOMS STORIES 'Z
>
EXT. WALL ROOF r
COVERING �. COVERING
USE OF RU UR
In i N E. r
APPROVALS
INSPECTO -S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PL
P- FOUNDATION: LOCATION /
PLICATION AND STATE THAT THE INFORMATION GIVEN 19
FORMS, MATERIALS /' .[��� �, . cJ,,6J�?
CORRECT. -
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED :. FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATI BUILDING CONSTRUCTION.
� FURNACE: LOCATION,
SIGNATURE OF Z./ GAS VENT, DUCTS
PERMITTER -A� t /s/
r LATH, INT.
ADDR638 7AA _
LATH, EXT.
AUTHORIZED AGT. v
PLASTER, INT.
75A55aA•Bess 10-50 $ ,F-
. $
® I a ` PLASTER, EXT.
VALUATION $
FINAL
I