HomeMy Public PortalAbout6116 ROSEMEAD BLVD_Building__ 76ABBBA CE*eo9 6-ea APPLICATION FOR BUILDING PERMIT IJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST +
WILLIAM A.JENSEN,SUP'T OF BUILDING CROSS ST.
DIS�ICTT NC�F� G TYPE D B
rN
OR APPLICANT TO FILL IN C''JJyy coNsr.
ING STATISTICAL CLAS IFICATION WER,M�AP f
SS %V�� BK /�rG
CLASS.NO. DWELL.UNITS //
. ` BLOCK WATER NOT REQUIRED RECEIVED ❑
wCERTIFICATE:Q MAP HIGHWAYNO.OF BLDGS. NO. (CIRCLE) STAT MAJOR SECOND,LOCAL
F LOT (3 NOW ON LOT USE ZONE PECIAL
F CONDITIONS
NG BLDG. 4 TEL.L NO. . Z BUILDI G EXIST.
SETBACK YARD HWY STREET NAME WIDTH
SS 1Q l - CA '10.0 FRONT
TECT ORG4CN1„� ��) .� TELAJ- ^ P. L.
EER NO. SIDESS�i r.G/v Ah-5 ' f- �CIdI I.0 C�/ y O
TEL. V
EDD
TOR NO.
ADDRESS Y APPROACH, O
DESCRIPTION OF WORK AND PARKWAY TREE REQUIRED
W
j.!e-. Permits for auk. 'juitOr
a drivewa approach in ,0-
NEW
N
ADD ALTER REPAIR DEMOLISH
NO.OF t NO.OF }allations should be fakenout at the L. A. Co. Road Dept., Altaden Z
STORIESL. FAMILIES ffiee, or T. o. nglneors 'rvlco Ir•.me ,0. I si n work takes time and is not sfartaREntil Permit has bean issued_ Apply for parkway tree permit at T.RE OFANT
N'•S,3� �
APPROVALS DATE INSPECTOR'S SIG ATURE
P'C. PMT. FOUNDATION: LOCATION
FEE S i FEE S FORMS, MATERIALS
FRAME: FIRE STOPS, a
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FU_RNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS f
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH.EXT. '
SIGNATURE OF HOUSE NUMBER COR.
PERMITTEE RECT AND POSTED
ADDRESS FINAL'
JOHN F. LEWIS, PRINCIPAL STRUCTU A ENGINEER
PLAN 'CHECK VALIDATION 0 M.O. CASH PERMIT VALIDATION CK. M.D. CASH
LG.9 4 7 3-%0 JtL 7 2 3 D . 9 3.7. 54 V
• ri
a
TeAeaeA cEnaoa e-ea APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
D I STP IC N 7P TYPE B
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL CLA SIFICATION EWER P
ADDRESS c y! BKPG
CLASS. NO. DWELL.UNITS LLLLL�����
LOT NO. BLOCK WATER NOT REQUIRED ❑
CERTIFICATE: RECEIVED ❑
HIGHWAY
TRACT MAP (CIRCLE) STATE MAJOR SECOND,LOCAL
NO.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT NOW ON LOT USE ONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. LCL /
TEL. {
OWNER NO. / J17�`Z BU LDI G EXIST.
+ SETBACK YARD HWY STREET NAME WIDTH
ADDRESSM ML*I(U FRONT
ARCH ITECT OR jgj r.4(A1 C,3A y EL.d4 f y
ENGINEER �Y�� NO.? 3� 1111 SIDE
ADDRESS�C l •. i. rl-a9JL r- �P. L.
TEL. p
CONTRACTOR NO. W
DRIVEWAY PROACH
ADDRESS �
AND PARKWAY TREE REQUIRED p
DESCRIPTION OF WORK
delewalk and driveway roach i , a;
NEW) ADD ALTER REPAIR DEMOLISH Z
SQ.FT. a� )( NO.OF NO.OF stallations should be taken out at the L. A. Co. Road Dept., Altaden
SIZE STORIES FAMILIES Uttice, or o. Engineers office immedialely in 51051- TV cly—
USE OF a lengthye & Design work takes time and is not startje
STRUCTURE
until Permit has been issued. Apply for parkway tree permit at T. C.
City Hall.
SIGNATURE'•OF
APPLICANT' V.
VALUATION
r APPROVALS DATE INSPECTOR'S SIGNATURE
PIC. PMT. FOUNDATION: LOCATION
FEE j FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS rA
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 I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. (��f/•M)
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. `
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE
RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK. M.O. CASH
C 9472.W JUL 723 D
8.63-