HomeMy Public PortalAbout5941 AVON AVE_Building_2/20/1976_add fireplace APPLI-CAT-ION FOR BUILDI:,NG PERMIT..
FOR APPLICANT TO FILL IN (Print or type only)-
BUILDING -A.
nly)
BUILDING - . A . COUNTY OF LOS ANGELES.
.
ADDRESS DEPARTMENT OF COUNTY ENGINEER
ciry zIP .7 BUILDING.AND SAFETY DIVISION
Q NO.OF SLOGS. BUILDING
SIZE OF*LOT f4 .O -IJ NOW'ON LOT. 21 . ADDRESS "� QAl
- -
TRACT�2- q BLOCK - LOT NO. 'LOCALITY
NEAREST .
OWNER I O
�. NOLs.. CROSS ST.
'^ ASSESSOR
ADDRESS �'V 0.,. -MAP BOOK PAGE PARCEL -
`'�'`� DISTRICT -GROUP ITYPE''d FIRE PROCESSED,BY
CITY. - .. .ZIP / / j.�" 'r_. CONSTjf' .�. .ZON _
ARCH ECT OR TEL. L(/�'-
ENGIN R NO. -
_ STATISTICAL CLASSIFICATION , SEWER MAP
ADDRESS - CLASS NO.i OWELL.UNITS BK PG
CONTRA'CTORf •?jO' -NO / USE ZONE MAP '
��/ NO. 0
ADDRES ( ffj .-• •--NO.5 &,fl SPECIAL
r,/ COEDIT ONS -
CITY LIC.. --.
CLASS ROAD DEPARTMENT APPROVAL REQUIRED, YES❑ NO ❑
CONST UCTION LENDER;
NAME A D'BRANCH BLDG.SETBACK'FROM - -
- FRO T PROP.LINE OF (STREET)
ADDRESS CIN NIGHWA }-� YARD. = 'TOTAL SETBACK FROM TYPE OF EXISTING .
SQ.-F NO. OF NO. OF CHE GK. FRONT PROP.. LINE', HIGHWAY .WIDTH
SIZE 6�( STORIES FAMILIES f 0
NO.
OF.WORK
NEW . ❑ } _ .. O
BLDG.SETBACK FROM .!L-I.
E ADD SIDE PROP,LINE OF (STREET)
/ G ALTER;. . - _ TOTAL, T,BACK FROM -TYPE OF. EXISTING ~
HIGHWAY +' YARD - .C�
REPAIR SIDE PRO -LINE HIGHWAY WIDTH ; a
USE OF } _ m.
'Z
EXISTING BLDG; DEMOL ❑
APPLICANT/?
P ANT D SQ - TEL
CORNER CUTOFF YES,❑ N
PLICO
It
B (SIGNA TU IN,OPENSPACE : YES`❑.: ,N O..❑
*,. IN COASTAL PERMIT ZONE YES ❑ NO ❑
"VALUATIONj•P',..
'I HEREBY AC`KNOWAEDGE THAT I"HA VE READ THIS APPLICATION
AND-STATE?HAT•THE,ABOVE, ISS,CORRECT AND AGREE,TO LOMP,LY. -
WITHALL ORDINANCES AND -LAWS REGULATING.., BUILDING CON-
STRUC TI ON. I CERTIFY THAT IN DOING THE -WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY'ANY PERSON iN LV.IOLA'TION OF'THE
LABOR CODE OF THE'STATE' OF .CALIFORNIA IN .RELATING-TO
W O R KME N'S'CO MPE NS ION INSWqANCE.
SIGNATURE OF -
PERMITTEE -
ADORESS 'AY,
nm ^ FINAL BY' -
CITY -NO. DATE
AIA KE CHECKS'P,4YAI3LE 70:; P: . PMT.:
FEE' FEE I'•-
HARVEY T. BRANDT, COUNTY ENGINEER /
PLAN-'.CHECK VALIDATION ., ,'CK. M.O... CASH o PERMIT VALIDATION . CK. M.O. CASH .
2 ; ,EER 1 1 .0 :
76A638A CE#803 5/74 _ -