HomeMy Public PortalAbout5329 ZADELL AVE_Building_1/6/1975_ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only) fl
F
DING ��' 3 �^ , L, fV E DEPARTMENCOUNTY OF LOS ANGELES
T OF COUNTY ENGINEER
ESS
L �1. = ZIP / BUILDING AND SAFETY DIVISION
t D — I NO.OF BLDGS. BUILDINGOF LOTF�.ujNOW ON LOT ADDRESS `�
TRAC/ '?�- BLOC OldzNO./0^ it
LOCA LIT `
EL
T
OWNER NO. . NEAREST
CROSS ST. ry
ASSESSOR
ADDRESS / MAP BOOK PAGE PARCEL
,t DISTRICT GROUP TYPE FIRE"SED BY
CITY ZIP fJ � CONST. ZON
ARCHITECT OR 'TEL.
ENGINEER NO.
STATISTICAL CLASSIFICATION EWER MAP
ADDRESS fq CLASS NO. lz'10�)WELL.UNITS BK/0 PG
CONTRACT NAL' USE ZONE MAP �y
LIC. NO. (/
ADDRESS NO, SPE AL
CITY LIC. �� CONDITIONS
4�
CONSTRUCTCLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
NAME AND BRANCH CH ON DER N O G BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY HIGHWAY + YARD AP15TAL SETBACK FROM TYPE OF EXISTING
SQ. FT. (7 NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW V
ADD ❑ BLDG.SETBACKFROM
f�- SIDE PROP.LINE OF (STREET) o
ALTER C3HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING t
REPAIR[] SIDE PROP. LINE HIGHWAY WIDTH d
USE OF
_ y
EXISTING BLDG. DEMOL [:1 + Z
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) NO.
BY (SIGNATURE) IN OPEN SPACE. YES ❑ NO ❑
�. IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION, ! �- /��
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIdSE ATION / �+ �/ '� M'/=� 'r,14 �- „A,04
AND STATE THAT THE ABOVE IS CORRECT AND AGRMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION
ON- /O� ��/ ,�� ��
STRUC TION. I CERTIFY THAT IN DOING THE WORIZED _ fY ,
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOF THE
LABOR CODE OF THE STATE OF -CALIFORNIA INNG TO
WORKMEN'S COMPE TIO NCE.
SIGNATURE OF Q
PERMITTEE y
ADDRESS I v`
FINAL q �J BY
TEL /CITY � NO. I DATEMARE CHECKS PAYABLE TOFEE' FEEPMT.'$HARVEY T. BRANDT, COUNTY ENR
PLAN'CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
S� )
3 2 JAN 6 1 `� 2 1.7 5 At7o
7SA638A CB#803 5/74