HomeMy Public PortalAbout6226 ROSEMEAD BLVD_Building__ IL APPLICATION FOR COUNTY OF LOS ANGELES
RTMENT OF COUNTY
BUILDING PERMIT °Bu LD NG AND SAFETY DIVISION ENGINEER
',. FOR APPLICANT TO FILL IN ADDRESS rte;''
I'.BUILDING '?
ADDRESS 4P—'J O .�as t,Y?e LOCALITY 7 v P4- C
NEAREST
CITY / ZIP ` CROSS ST.NO.OF BLDG& ASSESSOR
Q, � 7 DG'z1�/
II. SIZEOF LOT NOW ON LOT �� MAP BOOK S3 v r- PAGE / PARCEL
DISTRICT I GROUPTYPE FIRE PROCESSED BY
TRACT BLOCK T NO. CONST. 2E ��V
TEL.
OWNER o- `/Q NQ� '.2 Df
STATISTICAL CLASSIFICATI N SEWER MAP
ADDRESS e.S ,g „Q[� r v CLASS NO. �� DWELL..UNITS BK PG
CITY � d'sc., ZIP ��U USE ZONE .FM -
ARCHITECT OR, EL. /� �ENGINEER NO. /`� A[
ITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO
TEL.
CONTRACTOR Q /J/e r NO. BLDG.SETBACK FROM
LIC. FRONT PROP.LINE OF (STREET)
ADDRESS NO. TOTAL SETBACK FROM TYPE OF EXISTING
LIC HIGHWAY + YARD - FRONT PROP.LINE HIGHWAY WIDTH
CITY CLASS r, .i
CONSTRUCTION LENDER L + �� - �3 /6o a
NAME AND BRANCH BLDG.SETBACK FROM
ADDRESS CITY SIDE PROP.LINE OF ISTR
SQ.FT. NO.OF NO.OFCHECK HIGHWAY + YARD TOTAL,SJT FIR 'TYPE OF EXISTING rj
' SIZE STORIES FAMILIES ONE Si HIGHWAY WIDTH ii
N
+ = Z
'. DESCRIPTION OF WORKj 71d dA I
NEW ❑ -
ADD Lj R CUTOFF YES ❑ NO
ALTER ❑ IN OPEN SPACE YES ❑ NO
REPAIR ❑
USE OF IN COASTAL PERMIT ZONE YES ❑ NO
EXISTING BLDG. DEMOL X
APPLICANT TEL
(PRINT) NO.
BY(SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELArING TO WORKMEN'S COM-
PENSATION INSURANCE.
SIGNATURE OF FINAL r��j BY
PERMITTEE DATE
ADDRESS
TEL
CITY //- C ,fa N@,2 P.C.Fee$ Permit Fee
Issuance Fee
VALUATION$ d
Total Fee
O
"PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
o O 7 01,il N 16 1 3 D 3 1.0 0 "98
aJ5 76A838A CE/803A 8/77 GL)c�-o-CA
1
A ROAD DEPT. PERMIT IS REGU!RE6 �
FOR ANY MATERIAL STORAGE Gi< WGRAC
DONE IN THE ROAD RIGriT OF WAY.
FMO38A GE#6089_00 - APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDREss
BUILDING AND SAFETY DMLOCALITY
SION '
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
�} •' DISTRIC NO. GRP APE =-- .-
"'L
pY
XOR APPLICANT TO FILL IN 14� ej CONST!-J. '
ONST,- . 410
I DING STATISTICAL CLA SIFICATION E
ADDRESS Q.S G �j �+? Q� H G
CLASS.NO.. WELL.UNITS I
4 LOT NO. Oc J'• BLOCK NUM ER STAT
YES /fV0
TRACT Q USE ZONE SPECIAL
NO.OF BLDGS. �7 CONDITIONS
SIZE OF LOT I4I NOW ON LOT � J
USE OF
EXISTING BLDG a GJ BUILDING YARD REST NAME EXIST.
SETBACK WIDTH .
OWNE A Q rG/ FRONTL7 q i
MAIL / P.L ' fit �"�
ADDRESSC/p 9 Al / OSP Jr�N.gr_d SIDE T�
P.L.
CITY '7e-- m C TEL.N �- INSPECTION RECORD '
' ARCHITECT O TEL.
ENGINEER NO.
ADDRESS
` TEL
CONTRACTOR � i(/yt,2/�' NO.
ADDRESS
lJ 1OW-7n lrf�l:� f •F`F:�
DESCRIPTION OF WOKS /r /� I -r
NEW
NEW ADD V ALTER REPAIR DEMOLISHI^�y
7 SQ. FT. NO. OF NO-OF � f
SIZE STORIES FAMILIES
USE OF p
STRUCTdfj E L� i
r. `
SIGNATURE OF
APPLICANT Cwt
APPRWVALS DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION:LOCATION
I FORMS,MATERIALS
VALUATION $ FRAME:FIRE STOPS,
BRACING,BOLTS
P.C. PMT. oy FURNACE:LOCATION,
FEE I FEE $ y GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS ,JQ•GULATING H ING CON RUCTION. LATH,EXT.
SIGNATURE`ffr� HOUSE NUMBER COR
-
PERMITTE RECT AND POSTED
ADDRES FINAL
CLYDE N. DIIR�LAM, PRINCIPAL STRUCTURAL E�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. (CAySH J
AGo9887a APR ?6 1 k 2.00 ' " ®F
A-• _
r
FBABSBA CE0803 8-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDIs t
DEPARTBMT OF COUNTY ENGINEERADDR
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE• COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST '
DISTRIC=N .G P TYPE R D
FOR APPLICANT TO. FILL IN D coNst.
Jam
x
BUILDING ,� STATISTICAL CL SIF ION S ER MA-
ADDRESS Jin/
�� I ����,� ,CLASS. NO. DWELL.UNITS G
LOT NO. BLOCK WATER
CERTIFICATE. NOT REQUIRED ❑ RECEIVED ❑
TRACT g MAP HIGHWAY' S AJOR SECOND,LOCAL
1 ' NO.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT f X l / NOW ON LOT USE ZONE SPECIAL
USE OF f CONDITIONS
EXISTING BLDG. 14 /y l,'^,•
TEL
OWNER C• aAz NO.. BUILDING EXIST
/ � SETBACK YARD HWY STREET NAME WIDTH
ADDRESSIOP
P1 rF^�VF/+• . L FRONT /
ARCHITECT OR TEL. •'P•'L•
ENGINEER NO. ;SIDE
ADDRESS
TEL.
CONTRACTOR NO. v
ADDRESS _ F OC
DESCRIPTION OF WORK n
NEW ADD LTER REPAIR DEMOLISH _ y
SQ.FT. NO.OF NO.OF t�'�� l � + tif tl ,VQJ[ ✓/!'�I�1t�^'
SIZE STORIE FAMILIES
USE OF / . !' , A
STRUCTURE !� /
PA-1!cid r:�7u�.G /I r'Pr..,::5lI.
SIGNATURE OF a'{f F °A1,f-` CS�IP�rLF%:f r'i� i� 4 l
APPLICANT ��%%���� ��'� � F
VALUATION Sp�04V.t
APPROVALS DATE INSPECTOR'S SIGNATURE
P;C. PMT FOUNDATION: LOCATION
F E S FEE $ V� FORMS, MATERIALS
FRAME: FIRE STOPS,
I T
-HEREBY ACKNOWLEDGE THAT 1 HAVE READ HIS 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 .I A
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. I
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S CON=NSATION INSURANC '
I LATH.EXT.
SIGNATURE F �tcS_ s HOUSE NUMBER COR-. 1
PERMITTEE �����// C/ RECT AND POSTED , .
ADDRESS FINAL , 1 �
`. JOHN F. LEWIS. PRINbtPAL STRUCTURAL INE
PLAN CHECK VALIDATION CK. M.O. DASH PERNIIT VALIDATION.,. cK. M:o. cnBH
j.11j;o0 5 4 2� JUN26 ' .1- D 1 1.50- q .
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