HomeMy Public PortalAbout5941 AVON AVE_Building_2/25/1965_new res and garage 76A636A CE 176032-63 APPLICA'T'ION FOR BUILDING PERMIT
COUNTY
ERMI T"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. ,GROUP,. TYPE �_ P O ESSED_BY
FOR APPLICANT TO FILL IN coNsT_�
BUILDING �� - STATISTICAL CLASSIFICATION S WER MAP
ADDRESS
vO V CLASS. NO. (% DWELL. UNITS / BK PG
LOT NO. 19 BLOCK -WATER NOT REOUI'RED RECEIVED
CERTIFICATE: U
TRACT NOP' 'Q (iCGRCVLE) STATEMAJOR SECOND, LOCAL
NO.OF BLDGS.
SIZE OF LOTS NOW ON LOT USE ZONE SPECIAL '
USE OF CONDITIONS '
EXISTING BLDG. ;N
TEL-A-"/--
OWNER' ' .� ..1 NO. - ZQ BUILDING': ,ARD HWYf -•STREET NAME - EX'IST.
,a y� ( SETBACK WIDTH
ADDRESS �(n` e C.� J" Vd r. FRONT
r ARCHITECT OR I TEL. P; L.'
ENGINEER NO. SIDE
P. L.
ADDRESS. _ O
TEL.. V
CONTRACTOR44
J67NO.
ADDRESS _ -
DES-RIPTION OF WORK w
a
h
NEW P ADD ^ALTER. REPAIR DEMOLISH t
SO. FT. NO. OF NO..OF --
SIZE'. STORIES / FAMILIES ^ -
USE.OF.
STRUCTURE "
SIGNATURE-OF
APPLICANT
VALUATIOr/ `�{ Lt.
APPROVALS DATE INSPECTOR'S SIGNATURE
-P.0 PMTFOUNDATION: LOCATION
.." ✓ ,`J U' 9
/ '
FEE $ (?- FEE'$ FORMS, MATERIALS
FRAME: FIRE STOPS:.
I HEREBY ACKNOWLEDGE THAT 1 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. I 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 CALIF NIA RELAT-
ING TO WORKMEN'S COMPE TIO INS RA NC ' -
LATH. EXT.
SIGNET U.RE OF 1'
PERMITTEE HOUSE NUMBER COR-
RECT AND POSTEDd -
ADDRESS- / " �H7 /� "FINAL - !�
JOHN F. LEWIS. PRINCIPAL ST R URAL ENGINEER
PLAN CHECK VALIDATION M.O. ' CASH PERMIT;VALIDATION cK M.D. • CASH
�,uJ 5 3 2FEL3 15 2 3 A � 6.75 A � j!�