HomeMy Public PortalAbout5932 ROSEMEAD BLVD_Building__ 76,d63BA @E#-,.03.8-ea-APPLQCA A ION FOR BUILDING PERMIT
�. COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY , C 11
JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST.
DIST LCT � GR!}& TYPE PRO SSED BY
PARCHITECT
OR APPLICANT TO FILL IN , _0 'T/i coNsr.
NG STATISTICAL CLASSIFICATION SEW R
SS Nr C �+ CLASS NO. DWELL UNITS BK PG
. r BLOCK USE ZONE MAP ��y{
N O.
($ W SPECIAL
N0. OF BLDG$. CONDITIONSSIZE LOT d x NOW ON LOT16% /
(•C
BLDG. SETBACK FROM
TEL / �s O�� FRONT PROP. LINE OF (STREET)
d r RZ NO. ri�i TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
SS IGX F M.0 ,
f *'• BLDG, SETBACK FROM +
ECT O TEL. SIDE PROP. LINE OF STREET)
ER NO.
TYPE OFEXISTING SETBACK HIGHWAY •f' YARD. = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
9
CONTRACTOR �O + L
'ADDRESS NO CORNER CUTOFF YES NO C
LIC
"SEE REVERSE SIDE FOR SPECIAL APPROVALS LL
CL
DESCRIPTION OF WORK
NEW DD ALTER REPAIR DEMOLISH auk
igiNa
AND P /aYAHHg�:$t
SQ.FT. NO. OF NO. OF 4i1�
lwliM
SIZE J O STORIES FAMIL ES f�Ofe. Pe D
USE OF p�
STRUCTURE /� /� /1iv+t station ons should be 94 er, sfdowellc, and drivowa
fa�on
ar'len fh Co. Engineer's office ,1% c. Road Dopf., Alfe na
• SIGNATURE OF 9 Y dela
APPLICANT ermif hes been iasuod. q9n work fakas ffmo@@and is no ° a ''d
VALUATION$ -� CI pppROVALS ATE INSPEOTOR98r�R#N U 1 ��
P.C: PMT. FOUNDATION, LOCATION
FEE$ FEE$ ` FORM.$,.MATERIALS
FRAME, FIRE STOPS, ,�Je
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BBACI NG BOLT 'SX! �+ %%
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS J
13UILDING CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. ��j -el
TION OF THELABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPErlSATION INSURANCE. LATH. EXT. / �`•'%��" '�
SIGNATURE OF HOUSE NUMBER COR
PE,4RtM IT'EEA RECT AND POSTED 1 F r
ADDRESS FI NAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. CASH
L1 03 9 9:-0 JUL15 1 9 1 8.50N