HomeMy Public PortalAbout6034 AVON AVE_Building__ (3) 761,638A C.t8*. 5-65 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
.DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY ✓
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST.
DIST RIC NO. GROU YPE. P ESSED BY
FOR APPLICANT TO FILL IN CONST.
ABUILDING A
DDRESS G�,� �� STATISTICAL CLASSIFICATION SE ER MAP
CLASS NO.. J�__DWELL UNITS _� BK PG
LOT NO. BLOCK USE ZONE MAP ie{
TRACTSPECIAL (J
(fin NO. OF BLDGS. /Vo i CONDITIONS
SIZE OF LOT (� /\ /00 NOW ON LOT /'Y✓�ve
USE'OF
EXISTING
�'�BLDG.. �yT� /,/ ,(� h BLDG. SETBACK FROM
OWNER V 0)4, V 414V 1 ,f, NOL/// ate/ FRONT PROP. LINE OF - (STREET)
�j/ ^ j'/� (� TYPE OF EXISTING SETBACK HIGHWAY �' YARD - TOTAL
ADDRESS O*J�.../h,i4L�S,,7-,E,,6 /71 f.� HI WAY WIDTH FROM C.L.
CITY 1lL✓ l4 /1pRl4 +
ARCHITECT O /'� C TEL �Jy, �` '� / BLDG. 5 ACK FROM
ENGINEER ('+- /�`9/ r yNO. F�jp/ 6 > -le SIDE PROP. LINE OF (STREET)
ADDRESS yjj ' TYPE OF EXISTING SETBACK HIGHWAY -�- YARD = TOTAL
/ /�/� F 7��/ (/� `y) HIGHWAY WIDTH FROM C.L.
CONTRACTOR '7e/W Y��®OF/TCL�/ Jam` T�/, ,J/ + _
ADDRESS �4�,+7-,56 (f/ O q I A; 6 CORNER CUTOFF YES � NO � OU
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CITY A/f 11141'110Of*j CLASS � SEE REVERSE SIDE FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK w
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E ADD ALTER REPAIR DEMOLISH H
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SIZET I �J� STOR ES FA MOILI ESI
USE OF
STRUCTURE
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SIGNATURE OF
APPLICANT
VALUATION$ APPROVALS DATE INSPECTOR'S'-/GNATURE
FOUNDATION,
FEE$ j -� FEE$ FORMSON
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
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. �` A 1
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- q/
ING TO WORKMEN'S COMPEN ATION INSURA E. ✓l
LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS Fl NAL
JOHN F. LEWIS, PRINCIPAL ST R RAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION cK. M.O CASH
L&6417- QCT1323A 26.75A
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