HomeMy Public PortalAbout6001 ROWLAND AVE_Building__ alb EPAPLE CRH Y
76A631IA'~4' 809:1-61
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY / � - r y`
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUPTYPE PRESSE BY
FOR APPLICANT TO FILL IN CONST.
BUILDING l y STATISTICAL C.�LWSIFICATION SEWER MAP
ADDRESS ; CLASS.NO DWELL.UNITS----/ BK ,Z�
LOT NO.,:? BLOCK % WATER NOT REQUIRED RECEIVED
�.. CERTIFICATE:
TRACT .MAP HIGHWAY STATE MAJOR SECOND LOCAL
,�ee,,, NO.OF BLDGS. NO. OQ (CIRCLE)
SIZE OF LOT 00 V I D I NOW ON LOT USE ZONE SPECIAL
USE OFCONDITIONS
EXISTING BLDG. E'S ., �+ �- r
�Q ` TEL.
OWNER C +.Hd✓' I td/?ESV AP6y:.NO. '� js BUILDING EXIST.
ADDRESS e ��_ yY( � /(y/ � SETBACK YARD HWY STREET NAME WIDTH
FRONT
.. ARCHITECT OR TEL. P.L.
ENGINEER NO. SIDE ,r�
P.L. �♦� CJS Y 6J }
ADDRESSTE
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CONTRACTOR 1�b �K NMOL _emsZZ?� INSPECTION RECORD p
i. ADDRESS (�J�Ge� —7eF*lon!k' L•i kyr p fi/� 3
DESCRIPTION OF WOPit u
W
C
;) NEW ADD ALTER REPAIR EMOLISH + to
SQ.FT. NO.OF ?
IZE STORIES S
USE OF
1
STRUCTURE
0
SIGNATURE OF000
APPLICANT
VALUATION$
=+ APPROVALS DATE INr
xPECTOR'S SIGNATURE
FEE $ FEE.$ FOUNDATION:LOCATION ^,
FORMS,MATERIALS �' I
FRAME:FIRE STOPS, J
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A4,11-AT-ON 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 I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT.
TION OF THE LABOR CODE OF THE STATE OF ALIF IA RELAT- /
INC TO WORKMEN'S COMP E 1 RA E.
LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR- \
PERMITTEE RECT AND POSTED
ADDRESS 1 , FINAL
CLYDE N. DIRLAM, P INCIPAL ST CT AI ENGINEER
PLAN CHECK VALIDATION CIL M.O. CASH PERMIT VALIDATION STT
M.O. CASH
j,&O3 1 2 31,3P AUG2 5 1 D 4000 M