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Home My Public Portal About6128 AVON AVE_Building__ 7iA63e✓1 Cr 9903860 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ° ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST / DISTRICT NO GROUP TYPE P SSED BY FOR APPLICANT TO FILL IN CONST STATISTICAL CLASSIFICATION SE ER MAP BUILDING ADDRESS BK P CLASS NO DWELL UNITS '� LOT NOAl- O ,R.. BLOCK MAPSTATE YES O NUMBER eq HWY TRACT USE ZONE SPECIAL CONDITIONS SIZE OF LOT NOW ON LOTS L9 l USE OF ,y EXISTING BLDG �,91� �L.ws-1' BUILDING YARD HWY STREET NAME EXIST TEL SETBACK WIDTH OWNER NO FRONTr-' / V�/1 P L ADDRESS b�✓7'�O'r�'� SIDE ARCHITECT OR TEL P L ENGINEER ,/'J NO INSPECTION RECORD ADDRESS . ' a 6" TEL CONTRACTOR a NO C ADDRESS O DESCRIPTION OF WORK W CL N NEW ADD ALTER REPAIR DEMOLISH Z SQ FT NO OF NO OF SIZE STORIES FAMILIES SUSE OF TRUCTURE SIGNATURE O APPLICANT F le VALUATION$ 64 'A/a- APPROVALS DATE INSPECTOR S SIGNATURE P C PMT �/j FOUNDATION LOCATION 1/1e2 ✓v FEE FEE FORMS MATERIALS $ $ FRAME FIRE STOPS /J�.� sL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIO BRACING BOLTS V 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 THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED I SHALL NOT LATH INT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT TO THE WORKMEN S COMPENSATION LAWS OF CALIFORNIA / CALIFORNIA LATH EXT SIGNATURE OF CfHOUSE NUMBER COR PERMITTEE- I RECT AND POSTED ADDRESS l-A=A - FINAL / 00- PLAN CHECK VALIDATION CK M O CASH CLYDE NP/PERMIT VALIDATIONM PRINCIPAL TR CKTURMO EN H l/1, 7 1 4 SUN l 1 1 A 1 J 5 0 `P � z JAPPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) SUI LDI_G-- COUNTY OF LOS ANGELES ADRRESS DEPARTMENT OF COUNTY ENGINEER CITYjt, ID ZIP ' BUILDING ANP SAFETY DIVISION NO OF SLOGS BUILDING SIZE OF LOT v 91 NOW ON LOT ADDRESS TRACT C{ BLOCK LO IN O LOCALIT TEL NEAREST I OWNER r NO CROSS ST ASSESSOR ADDRESS ✓ MAP BOOK PAGE PARCEL DISTRICT IZROUP TYPE FFOIRE ESSED BY CITY ZIPCONST NE '! ARCHITECT OR - TEL S� G1. ENGINEER NO STATISTICAL CLASSIFICATION SEWER M P ADDRESS j CLASS NO DWELL UNITS �BK PG CONTRACTOR NO USE ZONE NOP V LIC ADDRESS NO SPECIAL CITY LIC CONDITIONS CONSTRUCTION LENDER CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ � y NAME AND BRANCH BLDG ETBACK FROM _ d FRON PROP LINEOF (STREET) C C ADDRESS CITY � TOTAL SETBACK FROM TYPE OF EXISTING M HIGHWA + YARD SQ FT NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE U STORIES FAMILIES ONE L + _ a DESCRIPTION OF WORK NEW r1 BLDG SETBA OM Z U r O r ADD SIDE PRP LINE O (STREET) ALTER ❑ _ TOTAL SETBACK FROM TYP EXISTING REPAIR❑ HIGHWAY + YARD - -SIDE/PROP LINE HIGHWA WIDTH �. USE OF + _ - EXISTING BLDG DEMOL ❑ ) APPLICANT TEL CORNER CUTOFF YES ❑ ANO ❑ (PRINT) NO BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ Q IN COASTAL ZONE YES ❑ NO ❑ V ALUATION$ /--5w-7 CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE /► LABOR COOF ENS T ON TNS URF CALIFORNIA IN RELATING TO l}�� r //�T� P /�`(� !, SIGNATURE PERMITTEE J I ADDRESS FINAL CIT r NO ' DATE 7-7j BY MAKF CIIFCKS PAYABLE TO PC Q PMT FEE $ FEE HARVEY T BRANDT COUNTY ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION 'cK MO CASH / 0 9 5t"-'MAY 9 1 D 60 0 AJo 76A638A CE#803 7/73 - yy�p{Ir Ipr Query�(p,�nip+ p FOR yB I pp p g/.�� gl.��rE pRA/��j��It 7GA89BA CE 809 9 60 l 11E �Ltiv�V£T II �®� LL �11 \ 6/V�V®®II��i 11 IL.nll l�V ll 11 COUNTY OF LOS ANGELES BUILDING r DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION I LOCALITY �Lt JOHN A LAMBIE COUNTY ENGINEER NEAREST t WILLIAM A JENSEN 3UP T OF BUILDING CROSS ST LL DISTRICT NO GROUP TYPEI PR ESSED BY FOR APPLICANT TO FILL IN CONST Al, STATISTICAL CLASSIFICATION SE ER MAP BUILDING ADDRESS �' �, /\ r �C'/V fytK ` P �( GLASS N DWELL NITS /'[- / LOT NO /,/L .JLC `/ Y-+" L-�� BLOCK ^ MAP YNUMBER HWATE YES O TRACT 3 USEZONE SPECIAL _ NO OF BLDGS ,{ CONDITIONS SIZE OF LOT <3��/� y1 I NOW ON LOT j l A- USE OF EXISTING BLDG Z)v./L L BUILDING YARD HWY STREET NAME EX157 ,�/ h rATEL SETBACK WIDTH OWNER /f7 &/ 6!-' NO FRONT A' f P L J��G ADDRESS �� VD-114 S aB.��L SIDE ARCH(TECTOR TEL P L ENGINEER NO INSPECTION RECORD ADDRESS ,/ /� / TEL f�r O CONTRACTOR//+//t4t-/,✓C 1,4r /?c.,A)e NO .fir V ADDRESS�'�I7Iv�Z- L.2r rl..06 Stz �dr6rir� Q DESCRIPTION OF WORK v W 0- NEW NEW " ADD ALTER REPAIR DEMOLISH Z SQ FT NO OF NO OF SIZE STORIES / FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT 4 VALUATIO j APPROVALS DATE INSPECTOR S SIGNATURE PCPMT I I / FOUNDATION LOCATION FEE $ FEE FORMS MATERIALS FRAME FIRE STO-S ") 1 wt A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS n� 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 BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED ISHALL NOT LATH INT LMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SU TO THE WORKMEN S COMPENSATION LAWS OF CALIFORNIA LATH EXT I? SIGNATURE OF G?�21 � HOUSE NUMBER COR PERMITTE t RECT AND POSTED / II ADDRESS f /!J rl9 f FINAL CLYDE N DIRLAM PRINCIPAL STR{JJ_C_T�`URAL ENGINEER PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION J OK J mo CASH 9 U ? o a JJ'i 22 1 � � 5 b {� 1