HomeMy Public PortalAbout5841 ROWLAND AVE_Building__ ,BA638A CE0803 B_69 APPLICATION FOR BUILD NG PERMIT
COUNTY OF LOS ANGELES BUILDING ` g
DEPARTMENT OF COUNTY ENGINEER ADDRESS Jrr>
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUP'T OF BUILDING CROSS ST./,N
DISTRICT NOV.' GROUPTYPE.- P E BY
FOR APPLICANT TO FILL IN ,f;0/rcora /
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS. NO._,_2_DWELL.UNITS_QJ__
LOT NO. � .. BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVEDLh- IN
❑
TRAC NO. �/ (CIRCLET STATE MAJOR SECON LOCA
NO.OF SLOGS.
SIZE OF LOT A 1 13 NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER NO. BUI DING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P. L. V-ed Ix
ENGINEER NO. SIDE
P. L.
ADDRESS
TEL.
CONTRACTOR I NO. u
ADDRESS j_,L
DESCRIPTION OF WORK
W'
O.
NEW ADD ALTER REPAIR r DEMOLISH H
SQ.FT. NO.OF F a
SIZE STORIES FAMILIES
USE OF
STRUyyCTURE sJ
Ci r 2L
SIGNATURE OF
APPLICANT
VALUATION $ l ov `
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
F E $ FEE $ iv-f FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 -
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OFT R CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. 1
LATH.EXT.
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. ABH PERMIT VALIDATION CK. M.O. CASH
(�9 .0 5 1 JuN13 1 D .-6.00- V
I
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ®� �,A
WM. J. FOX, CHIEF ENGINEER 1
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
I�
BUILDING DISTRICT�IO! PLAN CK. NO. PE NO.
ADDRESS � v
LOCALITY RECEIVED BY DATE OF APPL. DATESUED
NEAREST ',
CROSS ST, BUILDING c
ADDRESS
OWNER e _
MAIL LOCALITY
ADDRESS NEAREST
`P 5- . CROSS ST. ani
CITY NO. ZFIRE NO. OF
ONE PLANS I TYPE I GROUP '
ARCHIT CTO TEL.
ENGINEER NO. BLDG. D: filo!'
SETBACK LINE �, y ,V
ADDRESS APPROVED /
TEL BY DATE
I CONTRACTOR NO. USE �(�a APPROVED
ZONE BY DATE
ADDRESS HOUSE NUMBERING
S LEGAL
DESCRIPTION I LOT NO. BLOCK MAP NUMBER FIELD CHECK BY
NO. ASSIGNED BY DATE
TRACT
' I NO. OF BLDG$. CORRECTIONS
SIZE OF LOT NO_W ON LOT
USE OF NO. OF
EXISTING BLDG, — FAMn.1.s
ESCRIPTION OF WORN
NEW I I ALTERATION I I ADDITION
REPAIR I DEMOLITION I I I
Q. FT. NO. OF
SIZE 7� tY ROOMS STORIES I{ D
EXT. WALL ROOF ? T
COVERING I COVERING
USE OF STRUCTURE
APPROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-�(r FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS` FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME:FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS /;, e,1
LAWS REGULATING BUILDING CONSTRUCTION. I FURNACE: LOCATION,e"�,'v
SIGNATURE OF GAS VENT, DUCTS
PERMITTE -=
14 LATH, INT.
ADDRESS.-
eLATH, EXT.
AUTHORIZED AGT.
*' •-d I
PLASTER, INT.
AGSBA-Dons 10-50 r�/S P. C.
$
FEE
V N PLASTER, EXT.
VALUATION FEE $ g/ c� FINAL �� ri,�� c�//P+/j'2
I �
(9s 76A698A / w /V c�
CE/809 IRgY.6/78) /
APPLICATIO OR B DING PERMIT
COUNTY OF LOS ANGELES. BUILDING AND SA ET
FOR APPLICANT•TO FILL IN ADDRESS
BUILDING
ADDRESS LOCALITY
CITY ' ZIP ®
CROSST.
i
NO.OF BLDGS.. ASSESSOR
SIZEOFLOTI NOW ON LOT 2. MAP BOOK PAGE I PARCEL
DISTRICT GROUP TYPE FIREb, 2
ED BY
A AA • BLOCK �� T� LOT NO. CONST. ZONETEL.,A �-- � -
OWNER NO. -
STATISTICAL CLASSIFICATION SEWER MA
ADDRESS
+� CLASSNO.��WELL.UNITS BK PG
CITY ZIP d�/
ARCH
Off TEL. VALUATION $ ^,�
ENGINEER ��� NO. v
ADDRESS BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
CONTRACTOR U NO. HIGHWAY. + YARD TOTAL SETBACK FROM TYPE OF EXISTING
LIC. - FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO. _
LIC. +
CITY CLASS
CONSTRUCTION LENDER BLDG.SETBACK FROM
NAME AND BRANCH r �f� SIDE PROP.LINE OF (STREET)
"� TOTAL SETBACK FROM TYPE OF EXISTING g'
HIGHWAY + YARD =
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH
SQ.FT. NO.OF NO.OF CHECK + = QA
SIZE STORIES FAMILIES „11 ONE
DESCRIPTION OF WORK T, M NEW ❑ P.C.Fee$ 2—DO Permit'Fee
glD•
AWLSD� D Issuance Fee #A
ALTER ❑
REPAIR ❑ Total Fee
USE OF C,f=F.j DEMOL ❑
EXISTING BLDG. 1
APPLICANT TEL O 2 0 3 a 0 A
IPRINTI ' ,Q-tc NO ? ~
. o # 00023
BY(SIGNATUR%-�.44940ZA
Z o o 1- 200
THAT(THE ABOVE IS CORRECTTT
AND EREBY tWWLEDATHAVE
O COMPLY W AND
ALL ORDINANCES 0 0 0 12000
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE _
ION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATINGGTTO WO KRK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PEN INIM NTS COM- ' Z 09.21 —78
PENSATION INSURA CE. g
9�
jesTi c. 2
SIGNATURE OF
PERMITTEE
ADDRESSSf? 0 3 8 1 A
Z
STEL. 0 41- # 0 0 0 0 0 1
CITY NO. C 2 0 - 2200
USE ZONE MAP, ' •,� .. _ i, 7. Z2-acp
No. 0'200 ” > 22000
�� SPECIAL 0 0 0
CONDITIONS
J 7q m
FINAL f ! / BY / ..
DATE
EPARTMEIVT OF BUILI?iNG AND-SAFES _ r PPLICATION FOR PERMIT
COUNTY OF LOS'ANGELES
WM. J. FOX, CHIEF ENGINEER 19 U I L IN
FOR APPLICANT TO FI,).L IN FOR OFFICE USE ONLY
ADDRE89 DISTRICT NO. PLAN CK. NO. PERMIT NO.
BUILDING
LOCALITY
(RREJ,C_E)I(V/Ep BY, DATE OF/APPL.NEAREST DATE`ISSUED
CROSB ST. (�` \JI l +iC1 L •� / f R /
_�t%'
��--y BUILDING
OWNER ADDRESSMAIL
,�
ADDRESS
Z 3 ,L[pQ �(�Ls.+p.� _LOCALITY
` (�` NEAREST
CITY I, �Q/ GYS-C- tv NOLO�•��/ CR056 6T.
+
FIRE 'NO.OGU
F TYPE �4 ROP
ARCHITECT OR
TEL. ZONE I PLANS
-�fNI I �••_
ENGINEER O.
BLDG. ORD. NO.
ADDRESS SETBACK LINE
TEL. APPROVED
CONTRACTOR 1=7wi NO, BY DATE
USE APPROVED
ADDRESS ZONE, BY DATE
DESCGAL
RIPTION I LOT NO. -3I BLOCK CORRECTIONS
TRACT A-6 / G (A) (m/ Ml�aS
r NO. OF BLDS.
SIZE OF-LOT �.� I NOW ON LOT
USE OF r- I NO.OF __I NO. Gr t (' /
EXISTING BLDG. FAMIUBB ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
REPAIR I MOVING DEMOLISH p
9q. FT. No.Or Z
SIZE Q ROOMS STORIES r
WALL ROOF
COVERINGG . COVERING
USE OF NEW' V
BUILDING
I HEREBY ACKNOWLEDGE THAT 'I HAVE READ THIS APPROVALS
APPLICATION AND'STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS.
SIGNATURE OF -BRACING, BOLTS
OWNER ..LATH, INTO
AUTHORIZED AGT;7\-b�
LATH, EXT.-
•
$ P. C.S PLASTER,. INT.
FEE PLASTER, EXT.
VALUATION `/f /vr FEE / �� FINAL
DEPARTMEWT OF BUILDING AND SAFETY` APPLICATION FOR PERv1IT
COUNTY OF LOS ANGELES ;
WM. J. FOX. CHIEF ENGINEER
IM
FOR APP ICANT TO FILL. IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESS :2 -3 ` 7
LOCALITY RECE VED BY DATE OF APPL. DATE ISSUED
NEAREST
GROSS ST. fff •
• BUILDING
OWNER ADDREBS
MAIL ^
ADDRESS. is LOCALITY
6. /�Y"
E�
®" i NEAREST
CITY TE ry' .Q CROSS ST. � � a
FIRE NO.OF TYPEGROUP _
ARCHITECT 'ORTEL. ZONE PLANS "] I ►f _ I �'r '
ENGINEER NO. .t• .dam
BLDG. ORD: NO.
ADDRESS n SETBACK LINE
TEL. APPROVED y.c
CONTRACTOR NO. BY DATE
UBE APPROVED ,+
ADDRESS
ZONE/f—_. BYLEGAL
+ DATD�+•+••
DESCRIPTION /I LOT NO. I BLOCK �-- _ CORRECTIONS _
TRACT (g� 6 1 A— L 6 J
NO. OF BLDQS. � ,�J r
SIZE OF LOT �� Q I NOW ON LOT
EXISTING BLDG. I f f I FAMILIES O
I ROMS"7' rY .4 �r�7
DESCRIPTION OF WORK
NEWALTERATION ADDITION O
X
REPAIR MOVING DEMOLISH p
84. FT. NO.OF / /— Z
SIZE WALLy ROOMS f STORIES / _
ROOF
COVERING / � [COVERING'COVERING _
USE OF NEW 1!
BUILDING //•
APPROVALS .
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,
SIGNATURE OF BRACING, BOLTS
OWNER4A4'a
LATH, .INT.:
AUTHORIZED AQT:�/
- LATH, EXT.:
P. C, S PLASTER, INT.
FEE
: PLASTER, EXT.
VALUATION D FEE �,rv� , FINAL