HomeMy Public PortalAbout5758 ROWLAND AVE_Building__ 7SA638A CE{ 803 6-62 APPLICATION F'OR 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.
DISTRICT O. GROU TYPE SSED BY
FOR APPLICANT TO FILL IN- p CONST.
FADDRE
,STATISTICAL CLASSIFICATION S ER MAP
SB�I ` CLASS.NO. DWELL.UNITS
3 % J BLOCK WATER
CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑g MAPSTATE•MAJORSECOND,' CAL
NO.OF BLDGSNO. (CIRCLE)OT .SD' NOW ON LOT USE ZONE SPECIAL
USE OF �}.� ti= CONDITIONS
EXISTING BLDG. y
TEL. �y
OWNER NO. BUIL INC YARD HWY STREET AME EXIST.
SETBACK WIDTH
ADDRESS wl FRONT
ARCHITECT OR TEL. P. L'
ENGINEER �� 'NO. SIDE
P. L.. I IL
ADDRESS- I / O
'
TEL �'�1� ��a � .:.L��' !,� 1:1 � ''� V
CONTRACTOR NO. `
ADDRESS �. O
DESCRIPTION OF WORKLU
NEW ADD ALTER REPAIR DEMOLISH
I, G•/ Z
SQ.FT.' ( NO.OF f NO.OF zm
SIZE STORIES.. ( FAMILIES'
USE OF
STRUCTURE / r i ( ,
SIGNATURE•OF' r I `1 f � G!''3i'�✓ d
VALUATION $ d ,
APPROVALS /�JDA'CE •INSPECTOR'S SIGIfATURE
F E $ FEE $ ® FOUNDATIO FORMS, MATERIALS�N f// -
FRAME: FIRE STOPS, ♦ ,r' j`�/
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ? � J'✓ '.r.../� .•!
-AND STATE THAT THE ABOVE .IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, .01'
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 EMPLO.Y.ANY PERSON IN VIOLA- LATH,,INT.
TION OF THE LABOR CODE OF THE STATE.OF CALIFORNIA RELAY-
ING TO WORKMEN'S COMPENS?,ZRANGE. LATH,EXT.SIGNATURE O HOUSE NUMBER COR-
PERMITTEERECT AND POSTED 17
ADDRESS FINAL �Ww r
JOHN F. LEWIS, IRINO'IPAOST URAL ENGIWEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK M.O. CASH
LEt�''J 2 i a;3 i=, �.8 1 D 15.00--
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX, CHIEF ENGINEER 1 ^� = I
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING Y `/ ` , t
DISTRICT NO. PLAN CK. NO. PERMIT NO.^
ADDRESS �� '�I 4 , 7z 33(Jf/
LOCALITY LA A I r--
RECEI V D BY 'DATE OF APPCL.. DATE ISSUED
NEAREST ` ' r I /;►s
CROSS ST. BUILDING r �G A_wJ
1� ,� ADDRESS J !r
OWNER:: -� I ,I
MAIL ,
LOCALITY
ADDRESS v NEAREST `' ,
TEL i a" CROSS ST. `I(J(�(�,�IN 4_-
CITY - No.*(:;.t 1 J � FIRE NO. OF TYPE I GROUP
ARCHITECT OR TEL ZONE PLANS j�
ENGINEER NO. BLDG. /
SETBACK LINE Q L, / 5104 RD NO.
ADDRESS "'
APPROVED
TEL BY DATE
CONTRACTOR NO. USE r APPROVED �� <
ZONE BY -� �� r,j' DATE i X
ADDRESS ,�,, �,HOUSE NUMBERINGLEGAL
'
DESCRIPTION L NO. /V BLOCK MAP NUMBER��2� FIELD CHECK BY
TRACT �� NO. ASSIGNED BY�1/"SNO. ASSIGNED oATIE
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT '- _n NOW ON LOT
USE OF . NO. OF
EXISTING BLDG. '/; ( �. �. YI FAMILIES
DESCRIPTION OF WORK
NEW I I ALTERATION I ADDITION
O
REPAIR DEMOLITION
SQ. FT. Q NO. OF
SIZE �•, 0.0 ROOMS STORIES
EXT. WALL ROOF r
COVERING
COVERING
USE OF STRUCTURE
`L
tt
n
APPROVALS
INSPECTOR'S SIGNATURE DATE
I
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION -
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS +.
CORRECT.
I AGREE COMP WITH THE CORRECTIONS LISTED FOR
FIRE STOPS,'
HB ON AN ITH A R COUNTY 'ORDINANCES ND STATE BRACING, BOLTS `. !
LA R 01MG CO ST CTIO
' Fu1M FURNACE: LOCATION, L
SIG If1 GAS VENT, DUCTS
PERMI E
_ LATH, INT. /
ADDRESS r
I LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
76AS38A- DB83 10-80 $ P. C. 18
T) �j("1 T FEE i PLASTER, EXT. /
VALUATION FEE $ •�^^ FINAL SZ-
f
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