HomeMy Public PortalAbout5301 ZADELL AVE_Building_12/11/1974_ APPLICATION FOR BUILDING PERMIT
'FOR APPLICANT TO FILL IN (Prini or tYPe'anlY)'
FDO
NG. � ,��� COUNTY OF LOS ANGELES
SS 1:1 �� DEPARTMENT OF COUNTY ENGINEER
ZIP (� C BUILDING AND SAFETY DIVISION
O.OF BLDGS. BUILDING
F LOT' �) ( {(� NOW ON LOT J ADDRESS s
TRACT .g?! BLOCK LOT NO. 1 • LOCALITY
TEL. NEAREST
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OWNER i� 'FAT ,b FftK I_V NO., - CROSS ST.
ASSESSOR
'ADDRESS 0• l;` '_ Aka- MAP BOOK. PAGE PARCEL
•DISTRICTGROUP TYPE FIRE ESSE BY
CITY (� cj ZIP 7 (� CONST. ONE t
ARCHITECT OR TEL. ' -a
ENGINEER NO.
STATISTICAL C:LASSI KATION S WER MAP
ADDRESS ��'s CLASS NO. DWELL.UNITS BK/00PG
1 TEL.
CONTRACTOR ' AJ NO USE ZONE MAP /\
LIC. _
ADDRESS - O NO aal�fi
� SPECIAL
CITY LIC, CONDITIONS
CONSTRUCTION LENDER ,CLASS ROAD DEPARTMENT APPROVAL REQU112ED YES[] NO❑
NAME AND BRANCH ON.11' -BLDG.SETBACK FROM
FRONT PROP,LINE OF -(STREET)
ADDRESS CITYNIGHWAY + YARD• TAL SETBACK FROM TYPE OF 'EXISTING
SQ. FT. NO. OF NO. OF' •CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES I -ONE
O-
DE 'CRIP OF ORK NEW +
O C3
BLDG.SETBACK FROM
7-D 4 EWC(-
USL ADD SIDE PROP.LINE OF (STREET) �
t.�f- LTER HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ,V
REPAIR❑ SIDE PROP. 'LINE HIGHWAY WIDTH .:LL1
USE
_ CL
EXISOT NG BLDG.SI MC-LE7 jLy IftREMO.L [1 +
Z
APPLIC'AN L CORNER CUTOFF YES-Cl. No'.
NO''❑
(PRINT) ( isQ _
IN OPEMSPACE YE§•Q _ NO ❑,
BY (SIGNATOR 'S I/, nYl ,
IN COASTAL PERMIT ZONE YES ❑ NO .[]
VALUATION; tDa*Ii f
I HEREBY ACKNOWLEDGE THAT 1 HAVE'READ THIS APPLICATION —4 -4 'L,/ l- a j`�
6
_/",� f•4/''8 tf��°1�`�V
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - -• _
WITH ALL ORDINANCES AND LAWS' REGULATING BUILDING CON- �� �'�a,.� f�f '
STRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN`VIOLATION OF THE 'e '
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO -
WORKMEN'S COMP ION INSURANCE. - ..
SIGNATURE OF tf pL
PERMITTEE
ADDRESS
_ TEL. FINAL f' BY-
CITY NO. DATE ' 7r { ,
AIA KE.CHECKS PAYABLE TO: FEE FEE'$ :
HARVEY T. BRANDT, COUNTY ENGfNEER
PLAN'CHECK VALIDATION CX. •M.O. CASH PERMIT VALIDATIO cH. - M:O. CASH
1:0 3.rUEG'i1 1 p -3 5.2.5 A!Jd-
76A688A CB#608 574 .••