HomeMy Public PortalAbout6273 AVON AVE_Building_10/30/1964_Replace dual floor furnance (3) 4
78A 833A CE#803 8 83 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST L
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRIC_�f.p G P gT EPSYFOR APPLICANT TO FILL IN ST
BUILDING /�/' //�/ ArT -(�� STATISTICAL CL CATION S WER MAP
ADDRESS a 7:1 / {I �"'V U )CLASS NO WELL UNITS BK PG
LOT NOrVp 6�3 r V� � BLOCK WATER
CERTIFICATE NOT REQUIRED ❑ RECEIVED ❑
TRACT Q MAP HIGHWAY STATE MAJOR SECOND LOCAL
NO OF BLDGS NO (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE , SPECIAL
USE OF I CONDITIONS
EXISTING BLDG Res 6 cle^lrc4e
TEL
�OfV �%7 1 I
OWNER � NQ 8+ , BUIL ING EXIST
C / II SETBACK YARD HWY STREET NAME WIDTH
ADDRESS x S S�� �(,Cw /..ci Le .(9 3 FRONT
ARCHITECT OR TEL 'P L C/ J
ENGINEER NO SIDE O
P L
ADDRESS (^ TELMq 4f
d
CONTRACTOR�I Nf� Sa (� �n.� NO� ( UIQ I U
ADDRESS ^ !60 4e.&(-M PQ (IQ QIJP/WG Ce
DESCRIPTION OF WORK rj
W
CL
NEW ADD ALTER REPAIR DEMOLISH W
SO FT NO OF NO OF Z
SIZE STORIES FAMILIES I
USE OF
cSTTRUCTURE a pMt_ a JJ
I-P C e _b(A C, �fo0 r �Gt r..i d C e-
SIGNATURE OF
APPLICANT-
VALUATIONS
PPLICANTVALUATION $
APPROVALS DATE INSPECTOR S SIGNATURE
PC PMTFOUNDATION LOCATION
FEE $ FEE= 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 C/ T
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE
LATH EXT
SIGNATURE OF����( a+.._ HOUSE NUMBER COR
PERMITTEE �� ,,pp�� RECT AND POSTED
ADDRESS, 02-0C/ �,�p�PiVt�Q�S GI FINAL
PLAN CHECK VALIDATION CK M o CASH JOHN F LEWIS PRINCIPAL ST RAL ENGINEER
PERMIT VALIDATION CK MO CASH
I,
LAU�0 5 3 9 8 OCT 3 0 1 A j).0 0-
/•jZ�7