HomeMy Public PortalAbout6013 AVON AVE_Building_8/30/1976_ }
- APPLICATION FO R COUNTY OF LOS-ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING PERMIT; BUILDING AND SAFETY DIVISION
BU LDING
IL
FOR APPLICANT TO FILL IN ADDRESS
BUILDING ///ff
ADDRESS �o13 Alovy LIE- _ LOCALITY
CITY S /r ezl 4. Zlp NEAREST
CROSS ST
Q �/ OASSESSOR
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SIZE OF LOT 96O J��O�Z NOW ON LOTS / J MAP BOOK PAGE PARCEL
�} DISTRICT GROUP TYPE FIRE CESSED BY
TRACT/5�?2 BLOCK LOT NO �'��� CONST ZONE
TEL ✓-
OWNER '5 NO STATISTICAL CLASSIFICATION I SEWER MAP
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ADDRESS 6C��3 IOQ/II ' CLASS NO / DWELL UNITS } BK PG
ZONE MAP
CITY ZIP 7 I NO r i
ARCHITECT OR TEL SPECIAL
ENGINEER QWAJ&-2 NO / CONDITIONS V
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONTRACTOR O�AJJX NOL BILOG SETBACK FROM
RONT PROP LINE OF (STREET)
ADDRESSNO IGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC FRONT PROP' LINE HIGHWAY WIDTH
CITY _ CLASS " 3 _ 1
CONSTRUCTION LENDER +
NAME AND BRANCH AAA- C�
'' BLDG S CK FROM
ADDRESS CITY SIDE PROP LI '- - (STREET)
SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACI-F OM TYPE„OF EXISTING W
SIZE STORIES FAMILIES ` ONE_ _ SIDE PROP LINE H GHWAY WIDTH
DESCRIPTION OF WORK Ly - NEW +
C/7
ADD CORNER CUTOFF YES ❑ NC ❑ Z
,VALTER IN OPEN SPACE YES ❑ NO ❑
M/G^`� OCA/�( -
EPAIR❑
EXISUSE OT NG BLDG8�a�vc� DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
APPLICANTrTEL p1 C�7
(PRINT) O�/�/ 1l NO-C�fO)-947O
BY (SIGNATURE) '
I HEREBY AC O L DGE H T I E READ THIS APPLICATION
AND STATE THAT THE AB E S C CT AND AGREE TO COMPLY
WITH ALL ORDI HA NC 5 REGUL
UILDING CON
STRUCTION I CER FY THAT ING TAUTHORIZED -
HEREBY I WILL H T EMPLOY E SONTION OF THE ,
LABOR CODE OF THE/STAT L RELATING TO
WORKMEN S
CO. TION N i
SIGNATURE O FINAL �( BY '
PERMITTEE - DATE U
ADDRESS 3 '7 4
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clTv y iEZ. 4:-T NOLo�O/ P C Fee$ Permit Fee
00 Issuance Fee �—
VALUATION$ 0
Ax I Total Fee �� 7
p PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATIONCK M o CASH
- k 9 4 70�0_AllG 30 1 0 2 1.7 5 ,&98
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76A638A CE#8038 1Z/75