HomeMy Public PortalAbout6230 ROWLAND AVE_Building__ BABBBAcchoB•S-BO APPLICATION FOR BUILDING PERMJT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALI eJ
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUP'T OF BUILDING CROSS ST.
DIST ICT N GROUP TYPE P CESSED BY
FOR APPLICANT TO FELL IN I CONST. �
BUILDING / ,p STATISTICAL C CATION SEWER MAP
ADDRESS �Z3o /L�LdGAi!/j� BK PG
/ CLASS.N��//O. DWELL.UNITS
LOT NO. /{Ofj BLOCK MAPSTATE
NUMBER-Z66�3 HWY. YES LNO
TRACT / a . USE ZONE SPECIAL
'SIZE OF LOT%S',rX //D I NO.OF BLDGS. / /' CONDITIONS
NOW ON LOT l Ul(
USE'OF
EXISTING BLDGL BUILDING EXIST.
TEL. SETBACK YARD HWY STREET NAME WIDTH
OWNER r G . C oG G/�r/S NO. FRONT
� P. L.
ADDRESS ��d /'��Gs�L/ 9atJ� I G SIDE ,
ARCHITECT OR TEL P.L.
ENGINEER NO INSPECTION RECORD
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ADDRESS / d
�• . � Np. '/v` ! �/ b SGA O
CONTRACTOR U
ADDRESS T/=f/.opt ' • gty �r 3 t�+C.e�7G. 4'
O
DESCRIPTION OF WORK f v
" W
NArArAC' I 4A.4-1Jd.'4- l Jt1!• h
NEW ADDALTER REPAIR DEMOLISH Z
SC.FT. �O NO.OF / NO.OF
SIZE STORIES F�AVMILIES �!
USE OF
STRUCTURE -
l T: f2�✓loe�lG�� _ /�,�a", ,•�rxez� Tia
SIGNATURE OF / B FT - .�A!•4.? ' F�C�'A.Cp�1f""�"'
APPLICANT
VALUATI O
APPROVALS D TE INSPECT R'S SIGNATURE
FEE $ FEE $ I FOUNDATION:LOCATION
FORMS,MATERIALS
FRAME:FIRE STOPS,
1HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION BRACING BOLTS �G) �.c✓ i ,�`.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY FURNACE:LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - GAS VENT DUCTS fi
BUILDING CONSTRUCTION. I CERTIFY THAT IN.THE PERFORMANCE 1
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT [ATH,INT.
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SU BU ECT
TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA.
CATH,EXT.
SIGNATURE OF HOUSE'NUMBER COR-
PERMITTER RECT•AND POSTED i
ADDRES FINAL +�~A / �Pa^'�"@3'
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDATION cic. M.O. CASH
LAr' °4 2 1 12 1 U 1 5.0 0 M
DE` #VENT OF BUILDING AND
COUNTY OF LOS ANGE ESAFETY BUILDING
1
WM. J. FOX, CHIEF ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
�/_ /J/ �- DISTRICT NO. PLAN CK. OR REEc.NO. PERMIT NO.
ADDRESSG / -5-6 0 4'F a.
REC4VED,BY DATE orAPPL. DATEISSUED
LOCALITY
NEAREST �,J�G /',� /i _
CROSS ST. U141 �'100 V 4 V BUILDING
_ ADDRESS 7
OWNER- _11�t, LOCALITY
MAIL
ADDRESS Z 5 /�)t. NEAREST
CROSS ST.
CITY ND. FIRE I NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS 'Z -.1-� e J
ENGINEER ND. BLDG. �y r ^ ORD. NO.
SETBACK LINE
ADDRESS USEE/,0 APPROVED
TO. nD� �.J ZONE/"/ BY DATE
CONTRACTOR f� HOUSE NUMBERING
ADDRESS i MAP NUMBERS NO. ASSIGNED BY
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT
NO. OF BLDGS.
SIZE OF LOT J L J'U() I NOW ON LOT ' f
USE OF .� I NO. OF d
EXISTIN BLDG. FAMILIES
DESCRIPTION OF WORK
A
2 O
NEW I- ALTERATION ADDITION STU r T t D
REPAIR DEMOLITION I r
SIS.FT. NO.OF
SIZE ROOMS STORIES
EXT.WALLw ROO
(/C.Lp F l /
COVERING �r' I COVERING
USE OF STRUCTURE
r K
CJ i
"
INSPECTION FOR APPROVALS
OCCUPANCY AS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION r ,�
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS,
CORRECT. BRACING, BOLTS
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, -
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS -� • / /�'
SIGNATURE OF f��j�,tom"' -/` �. LATH. INT.
PERMITTEE l .i/f4L( �•or•� t•� 4 � ` / �
LATH, EXT.
ADORES
PLASTER, INT. _
AUTHORIZED AGT.
PLASTER, EXT.
FEE , HOUSE NUMBER COR-
_, . RECT AND POSTED
VALUATION p
rEE z�> _ - FINAL
-„76A638A DBS 3 7-57
:,SAP:PLICATION FOR
= BUILDING PERMIT
w•
BUILDING
FOR APPLICANT TO FILL IN ADDRESS
BUILDING /�
ADDRESS V , '-y' ,U LOCALITY
NEAREST
CITY ZIP CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT ✓ NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICJ GROUP TYPE FIRE PROCESSED BY
TRACT t O �� LOCK LOT NO. ��J/ � CONST. ZONE �•
TEL. •C/ b (J
OWNER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS6AI'7) CLASS NO. DWELL.UNITS BK
CITY ZIP USE ZONE MAP
ARCHITECT OR --� t TEL. f� NO.
ENGINEER ;/ / NO. ' (�L SPECIAL
yy�� /� N CONDITIONS
ADDRESS 69 r/JO// ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NOTEL
❑
y�j
CONTRACTOR NO. BLDG.SETBACK FROM
LIC. FRONT PROP.LINE OF ISTREETI
19�ADDRESS f NO HIGHWAY + YARD =q34TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP.LINE HIGHWAY WIDTH
CITY CLASS
CONSTRUCTION LENDER + °}
NAME AND BRANCH O
BLDG.SETBACK FROM V
ADDRESS CITY SIDE PROP.LINE OF ISTREETIEx
O
SQ.FT. �1 NO.OF NO.OF CHECK HIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF EXISTING V
SIZE vv STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH a
t = Z
DESCRIPTION OF WORK NEW ❑
61) ADD ❑ CORNERCUTOFF YES ❑ NO ❑
ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
USE OFREPAIR ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. / • C 11161S rZ. DEMOL ❑
APPLICANTTEL
[PRINT( Y . _ NO. a % 7-• ar-.•'
BY(SIGNATURE)
• I HEREBY ACKNOWLEDGE THAT I AV READ THIS APPLICATION AND STATE � +
THAT THE ABOVE IS CORRECT AND REE TO COMPLY WITH ALL ORDINANCESAND LAWS REGUI A -ry
WORK AUTHORIZE
HEREBY IDWILL NOT EMPLOSTRI Y ANY PETIFY RSONFINTIN DOING VIOLATIONTHE
OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE. �J
SIGNATURE OFPa. FINAL /� BY
PERMITTEE DATE
ADDRESS +�
` TEL. P.C.Fee$ 3 Permit Fee
CITY NO.
QQ �.�/cn.,]. /n� Issuance Fee --
VALUATION P V J `D—" D Total Fee �{
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
C ob1 . 3 5 a ,
IDS 76A636B CE/6038 6/762 9 9� 6 OCT 2 .3 v Acv 4 3.7 _