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HomeMy Public PortalAbout6243 ROSEMEAD BLVD_Relocation__ 16.A.W- CE 879: 8-62 APPLICATION FOR RELOCATION BUILDING PERMIT t COUNTY OF LOS ANGELES BUILDING //egn Al, ®. S r7 S � ,cJn DEPARTMENT OF COUNTY ENGINEER -�—� �p^ � .- BUILDING AND SAFETY DIVISION LOCALITYa C / JOHN A. LAMBI.E, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN., SUPT OF BUILDING CROSS ST. IQ , DIST.NO. GROUP TYPE SEWER MAP PROCESSED-BY FOR APPLICANT TO FILL IN CONB G PROPOSED 15 •v L BUILDING i }��/J� WATER ADDRES CERTIFICATE: NOT REQUIREDix RECEIVED LOCALITY ( MAP HIGHWAY PRESENT r + NO.- c 6 A/ (CIRCLE) .STATE AJOR SECOND:LOCAL f BUILDING �C U�1� UA USE.ZONE SPECIAL U ADDRESS v CONDITIONS LOCALITY / C OWNER. - 6�1(�.Q BUILDING EXIST. a SETBACK YARD HWY STREET NAME WIDTH MAIL ADDRESS �' ci,�( FRONT / TEL. J P. L. CITY QJf /�° C'tw NO.. ! SIDE MOVING TEL. P. L. CONTRACTOR NO. SURETY BATE RECD_ ADDRESS BOND:$ FILED BY )- n. BUILDINGTEL. G 1 CASH DATE RECD O • CONTRACTOR /�V(SY r NO. 0 !d DEPOSIT $ FILED BY V APPROVALS DATE INSPECTO'R'S SIGNATURE .ADDRESS PRESENT FOUNDATION.: LOCATION USE'OF ,I ___ FORMS, MATERIALS w � - H BUILDING V ''~ FRAME: FIRE STOPS �.� W , PROPOSED ry BRACING, BOLTS /v ' USE OF ' W BUILDING -1 )'I FURNACE: LOCATION ? OF GAS VENTS, DUCTS SQ. FT. NO. OF.' LATH, INT.. SIZE ROOMS STORIES WALL ROOFd LATH, EXT. COVEFONG. CL I COVERING. ' Z>. P LEGAL. HOUSE NUMBER COR'- DESCRIPTION I LOT.NO. I BLOCK RECT AND POSTED /� 7 TRACT � FINAL !!��./� y}°r�..•�t . NO. OF BLDGS. SIZE OF � �LOT/-# I NOW ON LOT � SURETY BOND DISTRICT ENGINEER USE OF I NO, OF RELEASED EXISTING BLDG. AbiSFAMILIES 1 'I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I HEREBY STATE T T I ORMATION GI:IEN IS AND STATE.THAT THE.ABOVE. .19.CORRECT AND AGREE TO COMPLY CORRECT. WITH. .ALL COUNTY ORDINANCES AND STATE LAWS REGULATING SIGNATURE OF' /. �� BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK APPLICAN % L� AUTHORIZED. HEREBY I WILL NOT EMPLOY ANY PERSON IN VJOLA- �.�J c n J TION OF THE LABOR. CODE T. .STAT F EALIFORN�A RELA ADDRESS f+4=. )( ` G TO WORKME � � IN� � N'S.COM O IN CE. 4 VALUATION$ P. C. SIGNATURE OF' FEE I :PERM ITTEE is r� EE 5 ADDRESS - VALIDATION cK M.O. CASH JOHN F. LEWIS, P 1 IPAL ST 17OT AL ENGINEER PEHM VAL� TION/CK O. CASH 91nnFP 1825 D 52.50 4 5 7 nFr, 4 6 G 6 22 5 ��-d Pze c � 76•A899- GE 879--B-62 APPLICATION FOR RELOCA909 BUILDING PERMIT T COUNTY OF LOS ANGELESBUILD(s , _ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY .DIVISION 'LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER. NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. FOR APPLICANT TONFILL IN` DIST.NO. GROUP TYPE SEWER MAP I PROCESSED BY • CON BK PG PROPOSED' 0 4 BUILDING I WATER ADDRESS— CERTIFICATE: NOT REQUIRED RECEIVED /'' ❑ LOCALITY' .iy [ MAP HIGHWAY PRESENT SECOND.:LOCAL PRESENT NO. j9�C� (CIRCLE) AJOR BUILDING /J J // ADDRES y.�i' I� Cd'�l h USE ZONE SPECIAL ` CONDITIONS LOCALITY rC OWNER BUILDING YARD HWY STREET NAME EXIST. MAIL +– ` SETBACK WIDTH ADDRESS Q 04/ VA FRONT TEL. /If P. L. w: CITY NO. SIDE MOVING TEL. P. L. CONTRACTOR NO. :SURETY DATE RFC'D. ADDRESS BOND $ FILED RY BUILDING TEL. / X ''� CASH DATE RECD a CONTRACTOR NO. G V DEPOSIT $ FILED-8Y O ADDRESS APPROVALS DA++S5TE INSPECTAR'S SIGNATURE v PRESENT FOUNDATION: ,LOCATION (_ FORMS, MATERIALSUSE OF CCI) r BUILDING +� U �S!wri FRAME: FIRE STOPS, W PROPOSED [ BRACING, BOLTS �.�1/`�y'a LC USE OF UL •`� FURNACE' LOCATION z GAS VENTS, DUCTS I. S ZE © NO'. OF .RLATH, INT. ROOMS STORIES WALL f ROOF Tf COVERING. :+� CC COVERING LATH, EXT. LEGAL HOUSE NUMBER COR- DESCRIPTION �/LOT NO. I BLOCK RECT AND POSTED TRACT `7 FINAL. ��Y ✓�� Pf=''�"`� r� ! . NO. OF BLDGS' SURETY BOND DISTRICT ENGINEER SIZE OF LOT () / " I NOW ON LOT RELEASED USE OFNO. OF EXISTING BLDG. �S(d}+ti� FAMILIES I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION IH.EREBY STATE TH T 1 RMATION E IS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CGIAPL.Y CORRECT. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING, SIGNATURE OF BUILDING tONSTRUCTI.ON. 1 CER71FY THAT IN DOING THE WORK APPLICAN AUTHORIZED HEREBY I WILL NOT EMP by ANY PERS%N IN VIOLA+ ADDRESS I ��Ci u � TION OF THE LABOR COD OF THE TE OF CALIFORNI RELAT INC TO WORKMEN'S CO N .10 1SURC.NCE. VALUATION $ P. C. $ SIGNATURE OF /��I PERM.ITTEE. =FEE $ ADDRESS VAMATION CK. M.O. CASH JOHNTF. L�.EW*IGS, PR.1 CIPAL RUC AL ENGINEER A A.All LEili�liT Y .A IO CK. M.O. CASH 9 Oi-'nrP, 18 2 5 D vV 5 2a5 C1 ,&:,a - 4 5 n F r ,c:4 6 U 62.25 ©,1.,