HomeMy Public PortalAbout5922 ROSEMEAD BLVD_Building__ 76A638A CE#808 8-83 APPLICATION FOR BbIL®ING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER, ADDRESS -s9 7_ z A/,
BUILDING AND SAFETY DIVISION LOCALITY ,.
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST.
DISTRICT GROUP I TYPE PROCESSED BY
FOR APPLICANT TO FILL IN ;�0 Y CONST
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 5922 N. Rosemead Blvd. T.C.oF BKPG turd
i ,CLASS. NO. DWELL.UNITS
LOT NO. �t7 J�t� S • J(0 BLOCK WATER
'CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑
TRACT. �q �' MAPHIGHWAY
NO.OF SLOGS. NO. 'Zo 4 (CIRCLE) STATE MAJOR SECOND,LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
OWNER Mary De Angelis TEL AT7-4238 BUILD EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 5922 N. Rosemead Blvd. , T.C. 'FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. 'SIDE
P. L.
ADDRESS
TEL. A
CONTRACTOR Virgin Roof Co. "NO. 287-0 v
ADDRESS 600 So. San Gabriel Blvd. San Gab. -
0
DESCRIPTION OF WORK $� F' `,' ° ' '~ `'''
CL
NEW ADD ALTER REPAIR X DEMOLISH z
SQ.FT. NO.OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE e
shed roof with 235# Comp. Shin les.
SIGNATURE OF
APPLICANT
VALUATION $ (E3Q.00
_ APPROVALS DATE INSPECTOR'S SIGNATURE
P'C. PMT. FOUNDATION: LOCATION
FEE $ FEES FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING'THE WORK
AUTHORIZED HEREBY 1 ILL NOT EMPLOY ANY PERSON'IN VIOLA- LATH. INT.
TION OF THE LABOR C DE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S CO SATION 11 SU ANCE. LATH.EXT.
SIGNATURE OF HOUSE NUMBER COR_
PERMITTEE RECT AND POSTED /J
ADDRESS y FINAL lv
T
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION. CK. M.G. CASH PERMIT VALIDATION CK. M.O. CASH
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i_ta,o 2 3 1, 8 o MY 2 5 1 D 6.00 r