HomeMy Public PortalAbout6234 ROWLAND AVE_Building__ 'BA698ADee.99.sAPPLICATION FOR BUILDING PERMIT 1 _
DIVISION OF BUILDING AND. SAFETY BUILDING ADDRESS ' y�'13 /�/ cw b
Deportment of County'Engineer r
County Of Los Angeles LOCALITY 1+
WM.J.FOX.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRIQT NO. GROUP TYPE I S BK�A p a
FILL
FOR APPLICANT TO IN :7 CONST. '
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DDRESITATE
S { D.kJG,q A/V NUMBER ER ®O HWY YES
LOT NO. BLOCK USE ZONE SPECIAL O
CO�vNDITIONS u �t C�1 O
TRACT
NO OF SLOGS. BUILDING EXIST.•
SIZE OF LOT i[ '` I NOW ON LOT a SETBACK YARD HWY STREET NAME WIDTH
EXISTING BLDG. FRONT
s� ,P.L.
OWNER a . C. zz 41-00v SIDE
P. L.
MAIL ADDRESS Dv�1�09G d TRACT DWELL. 1 UNIT
TEL.' '� )DWELL. I UNIT 5 INDUSTRIAL
CITY .Qv ���L/ NO7-7-703 ` 6 PUBLIC BLDG.
2 .DUPLEX 1 UNIT
ARCHITECT OR / TEL. 7 ADON..ALT.. ETC.
ENGINEER NO. 3 APT. UNITS
8 MISCEL. '
ADDRESS 4 COMMERCIAL
TEL INSPECTION .RECORD
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. 3 O O NO.OF NO.OF -
SIZE STORIES FAMILIES
USE OF STRUCTURE
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SIGNATURE OF
APPLICANT APPROVALS
ADDRESS q-zl�— DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
Q P:C. S Q O, FORMS,MATERIALS
FEE
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FRAME: FIRE STOPS,
VALUATION
0 O BRACING.BOLTS
FEW - FURNACE:LOCATION. //�1
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT,DUCTS f/ a �' 7��UNLGIFIl!
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCIIS LATH.INT. (7 I O` !V 4s `-r.R�{ •.'•
AND. STATE LAWS EGULA i BUILDING CONSTR C- U t (/ a� {:v .+.• �
TION. = LATH.EXT.
SIGNATURE OF �`� HOUSE NUMBER COR- qq� +�
PERMITTEE RECT AND POSTED iJ 6 T fG{
ADDRESS FINAL
WM.J.FOX.COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSPECTOR
10 5 4 5 OUR JUL 8 -16 15,00'®&5 4 5 1 I JIJL 8 1. 3 0.0 0
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CE�'L 11/78) _ • �--- !I lb
AiPLICAT(IIA iA? W&lLDl RMI' '
COUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDINGI BUILDING
FOR APPLICANT TO FILL IN AD RESS
'
ADDRESS LOCALITY f✓ fZ
NEARESTt
CI ZIP CROSS ST. AidSV
OF BLDGS. ASSESSOR
SIZE OF LOT Q OW ON LOT MAP BOOK PAGE I PARCEL
DISTRICT GROUP PE FIRE ESSED BY
TRACT �q�() BLOCK LOT NO..• ,r'� NST. y, ZON E �
TE. .97-7367
✓F•7
OWNER
}f i STATISTICAL CLASSIFICATION EWER MAP
ADDRESS (p w • CLASS NO. DWELL.UNITS BKVIA PG
CITY ZIP
ARCHITECT O'k ® TEL. VALUATION $
ENGINEER 60 A NO. /
ADDRESS BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
CONTRACTOR NO. HIGHWAY + YARDTOTAL SETBACK FROM TYPEOF EXISTING .
LIC. — FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO. _
LIC. +
CITY CLASS
BLDG.SETBACK FROM
CONSTRUCTION LENDER
SIDE PROP.LINE OF (STREET(
NAME AND BRANCH r�� !°
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING �
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH
SO.FT.. NO.OF NO.OF CHECK + = 1129
V
SIZE d STORIES FAMILIES. ONE
NE MAP
DESCRIPTION OF WORK NEW ❑
ADD ' CONtDITI /L, �v 7 wo
kO Ci i ALTER ❑ FI EL J
_ ,r BY
REPAIR ❑
USE OF DEMOL ❑
EXISTING BLDG. Z
APPLICANT TEL 0
(PRINT) • C2 C
J
BY(SIGNATURE)' d c
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE U \
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W
WORK AUTHORIZEDAND TING HEREBY IDING WILLL NOTSTRUCTION.I CERTIFY EMPLOY ANY ERSON)INTIN VIOLAT VIING OLATION n OF - V - 0 l/ b' n -
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM•• Z
PENSATION INSURANCE.' a a a ° ° 1
SIGNATURE OF i 2 ° 1 42-00
PERMITTEE _
ADDRESS ,
r Z
TEL. - '
° a4,'25-80
CITY N 6 G
P.C.Fee$ Permit Fee f �J >
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Issuance Fee d o�c
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Total Fee
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