HomeMy Public PortalAbout6013 AVON AVE_Building_8/18/1965_ 76A�638,CEA803864 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES I BUILDING
DEPARTMENT OF COUNTY ENGINEER A D D R E SS
BUILDING AND SAFETY DMSION LOCALITY j
JOHN A LAMBIE COUNTY ENGINEER NEAREST-
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST �` l
i
DISTRI T NO GROUP T E P SSED BY
FOR APPLICANT TO FILL IN VNST
BUILDIADDRESG 6e1 v0IV ��/� STATISTICAL C ASSIFICATION SE ER MPG `
v CLASS NO DWELL UNITS
LOT NO oe�6 BLOCK USE ZONE MAP
NO
TRACT SPECIAL
" NO OF BLDG S CONDITIONS
SIZE OF LOT �p O U(�L NOW ON LOT 10 1 f
USE OF J w
'' BLDG SETBACK FROM
T yr NO FRONT PROP LINE OF (STREET)
OWNER TYPE OF EXISTING SETBACK HIGHWAY - YARD--= TOTAL
ADDRESS alHIGHWAYWIDTHlld _ [SETBACK
C L _
CITY r4z A
ARCHITEC T. Op TEL BLDG SETBACK FROM '
ENGINEER NO -L SIDE PROP LINE OF (STREET)
rTYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL }
ADDRESSp �f Cep HIGHWAY WIDTH FROM C L d
CONTRACTOR NOL +
'ADDRESS NO �G LIC
CORNER CUTOFF YES NO O
�-� L`IC SEE REVERSE SIDE FOR SPECIAL APPROVALS u
w
DESCRIPTION OF WORK Y )3,� �, Gf� - z
E
ADD ALTER REPAIR DEMOLISH
SIZE �u dNO OF' NO OF
D STORIES / FAMILIES/
USE OF ��U
STRUCTURE
i'�,iw. =
- r
SIGNATURE OF
APPLICANT /
VALUATION$ /* '��� APPROVALS DATE INSP CTOR'S SIGNATURE
P C �7 PMT FOUNDATION, LOCATION /
FEE$ _ FEE$ FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT 7^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
13UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT I✓5
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S OMPE ATION SURANC LATH EXT
7 PERMITTEE SIGNATUOF HOUSE NUMBER COR- o
RE AND POS E �`7 J
ADDRESS , Fl NAL elf
PIAN CHECK VALIDATION OC MO CASH _ JOHN F LEWIS PRINCIPAL ST TLJRAL ENGINEER
PERMIT VALIDATIONcK M o CASH
LhGo 4 0` 5 0 w JLIL 2 8 ,2 3 A 3 0 S
k ALo 4 -jUc 18 1 A 6 4 00—