HomeMy Public PortalAbout6251 ROSEMEAD BLVD_Building__ 76A638A DBS-3 3.55 -
APPLICATION FOR BUILDING PERMIT 1 ,.
DIVISION OF BUILDING AND SAFETY ADDRESS
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Department of County Engineer ,
County of Los Angeles LOCALITY
WM.J. FOX, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROLIF SEyW�ER MAP
FOR APPLICANT TO FILL IN
, ABul,DI �S WYADDESS � _(YES) NO
_LOT NO. � L ��7 BLOCK USE ZONE SPECIAL
/� CONDITIONS
TRACT tom' _ .4 6
./ NO.OF BLDG$. / BUILDINGEXIST.
SIZE OF LOT S X I NOW ON LOT / SETBACK YARD HWY STREET NAME WIDTH
USE OF FRONT
EXISTING BLD P L.
OWNER i•SIDE
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P. L.
MAIL
ADDRESS O TRACT DWELL. t UNIT
5 INDUSTRIAL
: CITY NEDG DWELL. 1 UNIT 6 PUBLIC BLDG.
ARCHITECT O • TEL. A DUPLEX I UNIT .7 ADDN., ALT., ETC. -
ENGINEER NO. 3 APT. UNITS
ADDRESS 4 COMMERCIAL 8 )MISCEL.
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CONTRACIV -G-t1 N2n�n�
INSPECTION RECORD
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT: NO.OF NO.OF .
SIZE STORIES FAMILIES
USE OF ST UC URE
SIGNATUREOF -
APPLICANT APPROVALS
ADDRESS (/� _ DATE INSPECTOR'S SIGNATURE
$ FOUNDATION: LOCATION
P.C. S 'FORMS, MATERIALS
�.� FEE FRAME: FIRE STOPS,
V DATION BRACING, BOLTS
S
FEE �'K.�O V FURNACE:LOCATION,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMP WITH ALL COUNTY ORDINANCES LATH, INT.
AND STATE LAWS ULATING BUILDING CONSTRUC-
TION.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMIT TE RECT AND POSTED r n
l �X
ADDRESS I N A L
WM.J. FOX, COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR
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