HomeMy Public PortalAbout5930 AVON AVE_Building_6/14/1968_add family room -6A�;3,6A ~E#803 9-67 - --
m APPLICATION FOR BUILDING PERWT
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COUNTY OF LOS ANGELES AUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESSO /�! /�✓[sem V-9—
BUILDING
-9BUILDING AND SAFETY DIVISION
LOCALITY .
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /' ^ fin/
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. (t�Q_
FOR APPLICANT TO FILL IN CONST
DISTRICT NO. GROUP TYPE PROC ED BY
(Print or type only) S.G7
a 2
BUILDING s! STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS Q" Or - CLASS NO. 8 DWELL,UNITS SK PG
LOT NO. BLOCK USE ZONE MAP
NO. G.
TRACT SPECIAL
COEDIT ONS "
NO.OF BLDGS.
SIZE OF LOT. NOW ON LOT
USE OF
EXISTING BLDG. / ® eiY6•: BLDG.SETBACK FROM
TEL. _ FRONT PROP.LINE OF (STREET).
OWNER ;4& NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL -
® HIGHWAY' WIDTH FROM C.L.
ADDR91577�0 '44
CIT /G BLDG.SETBAC_KFROM
ARCHITECT OR TEL.
ENGINEER NO. SIDE..PROP.LINE OF (STREET)
- � -
- TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS _ - - �J�p1 HIGHWAY WIDTH FROM C.L.
OE +
. 6L = d
IEAM� . O
S NO "��. _ CORNER CUTOFF YES ❑ NO ❑
cu s 'SEE REVERSE SIDE FOR SPECIAL APPROVALS
D CRIPTION OF WORK N
.NEW ADD ALTER REPAIR DEMOLISH i
SQ. FT. ,�!,J .,V/- .LAVO. OF NO. OF
SIZE Cr__ • STORIES FAMILIESUSE �`• '�
OSTRUCTURE � A•6LLrZ` F
SIGNATURE OF "
APPLICANT- lei
L
VALUATION S ®_
APPROVALS DATE IN P croR'S SIc TORE
P.C. PMT. / Oc' _ FOUNDATION: LOCATION —
FEE $ FEE $ l Z' FORMS, MATERIALS
FRAME: FIRE STOPS„ `
I HEREBY. ACKNOWLEDGE THAT I 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
df
BUILDING CONSTRU CTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S COATI N I SURA CE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADORES FINAL 7-26 46`51 �
JOHN F. LEWIS. PRINCIPAL ST `URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cc M.O. CASH
Lha 0�5"-0. 6,0:.3 ,gut}i 14 1 0 1 N