HomeMy Public PortalAbout6112 ROSEMEAD BLVD_Building__ ENT OF BUILDING AND
DEPART COUNTY OF LOS ANGE ESAFETY BUILDING U1 I G
i
WM. J. FOX, CHIEF ENGINEER ie- . a APPLICATION.
FOR APPLICANT TO FILL Iii FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.OR RED.NO. PERRMIT UP.
ADDRESS ® •/1 P X / y� ��
s / v V
t RECEIVED BY DATE OF APPL. DATE ISSUED
LOCALITY (pmt _ / r
NEAREST r e. n II �U�N�S �f-✓ �` �
CROSS fiT. Y . /tomQ-i"'� /�.r"�( e w BUILDING f fADDRESS �� /id /a�,����4
(p /V /(_ /d
OWNER Y
MAIL f LOCALITY //��� L /Z!
ADDRESS ( -✓_�. gyY' NEAREST
per)
CROSS ST. 4G D• Cf 4LIWI
TEL
CITY 4A/1 `NO. — -3-7,. FIRE I NO.OF TYPE I GROUP'
.. ZONE PLANS
ARCHITECT OR TEL }
ENGINEER CT / //. NO. / /"
ADDRESS !R/9 K� 9(L{ SETBACK LINE d //' /G s/C��j' NO,
�f USE / APPROVED
DATE
/1 QQ TEL �J ZONE �/ BY
CONTRACTOR(_ � p�{ _�p�,� NO. �✓ HOUSE NUMBERING
ADDRESS MAP NUMBER NO. ABSIGNED BY
LEGAL J� CORRECTIONS
DESCRIPTION LOT NO. 6 BLOCK (J ' _
TRACT LWO 4
NO. DF BLDGS. cq E9
SIZE OF LOT e� ) I NOW ON LOT t
USEaer
_jXIO N BLDG. p' , I FAN O Ee 'v Ads �'�a
DESCRIPTION OF WORK
,/ O
NEW // ALTERATION ADDITION I Z
REPAIR DEMOLITION r
Sq.FT. q ll� NO.OF � 1 �/X� /r7x-/7 J)v
SIZE V.J ROOMS br' STORIES
EXT.WALL ROOF
COVERJNG COVERING
USE OF STRUCTURE `�' I
..l6 a,;.
INSPECTION FOR APPROVALS
OCCUPANCYAS INSPECTORPS SIGNATURE DATE
FOUNDATION: LOCATION
( f7
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-y FORMS, MATERIALS
PLICATION AND STATE THAT THE' INFORMATION GIVEN IS FRAME: FIRESTOPS,
CORRECT, r BRACING,BOLTS L'3
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTR�jUCQTIIONi ✓ GAS VENT, DUCTS
SIGNATURE OF :a � � LATH, INT. f j)•� _ y
PERMITTE �pmC "'yT ��� v�
LATH, EXT. v I
ADDRESS 'elm. / �9A..J� I fl 1r,� J� /.'
AUTHORIZED AG T � +�•�� �" ,l,a JkIA 1 � .. PLASTER, INT.
PLASTER, EXT.
P.C.6
FEE HOUSE NUMBER� COR-
bf v RECT
VALUATION III AND POSTED f
FINAL fRki1,iUl
76A638A D833 7-5: