HomeMy Public PortalAbout6273 AVON AVE_Building_9/13/1965_move gas line (2) 76A63eLACE#8038-64 APPLICATION FOR`BUILDINGVEUIT
j a COUNTY OF LOS ANGELES' 1 BUILDING-
- DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY ti
JOHN A LAMBIE COUNTY ENGINEER NEAREST-'
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
DISTRI NO G UP TYPE P ED BY
FOR APPLICANT TO FILL IN _ CON r,_ .(
BUILDING
T STATISTICAL LASSIFICATION _ SE R MAP {
ADDRESS 3 , #Fo Al CLASS NO TDWELL UNITS -IN PG
LOT NO /v(e 3 ,3 BLOCK - _ +
USE ZONE MAP
No-
TRACTT �PA- SPE01AL
NO OF BLDGS ry CONDITIONS
SIZE OF LOT 60 x 96 NOW ON LOT
ESESTGIF V C� W E I IV G
Q BLDG BLDG SETBACK FROM a �
'` TEL FRONT PROP LINE OF (STREET)
OWNER ^J rQ//,N1O TYPE OF EXISTING SETBACK- HIGHWAY + - YARD- = TOTAL
ADDR ESS(�b / a 1r l�V� HI Y WI FROM C L
CITY J /J �L 0 +
ARCHITECT OR TEL SIDE
SETBACK FROM _ /-
ENGINEER NO SIDE PROP LINE OF ' (STREET)
TYPE OF EXISTING SETBACK HIGH Y + YARD = TOTAL
ADDRESS '' HIG WAY WIDTH L� FROM C L _ d
,CONTRACTOR n �,p NOLj0 � 41 r
'ADDRESSLL3 CRU T_1 NO �� / CORNER CUTOFF YES NO O
H
17
'CITY G /:F4 cff�ss SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK — y
rX T(„fes s - z
NEW ADD ALTER REPAIR DEMOLISH _
SQ FT NO OF NO OF C� //v/_ f �y
SIZE L/ STORIES FAMILIES
USE OF
STRUCTURE / } i
! J
SIGNATURE OF
APPLICANT - !
I o dem
VALUATION$ Q C9 APPROVALS DATE INSPECTOR'SSIGNATURE
P C PMT ✓ `FOUNDATION, LOCATION I` }�
FEE$ FEE$ �- FORMS, MATERIALS _ I�D&r T� �
FRAME, FIRE STOPS ' 7
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IFURNACE LOCATION ,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK rh
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA (LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S CO ENSATION�INSU RANO 'LATH EXTSIGNATUREOF (HOUSE NUMBER CORPERMITTEE A RECT AND POSTE
ADDRESS����1c ." Fl NAL A'1A.t
PLAN CHECK VALIDATION CK M o cnsH _ JOHN F LEWIS PRI CI ALS UCT �AL ENGINEER I
PERMIT VALIDATION CK M D CASH
0,L05 5 G G ° 1 � 1 1500 -
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