HomeMy Public PortalAbout6040 AVON AVE_Building_5/18/1966_add boundary wall 76A638A CE#803 6 65 APPLICATION FOR BUILDING PERMIT
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COUNTY OF LOS ANGELES BUILDING O
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 Jt
DISTRIC N GTP PE E B
FOR APPLICANT TO FILL IN , ONST E�
BUILDING STATISTICAL CL IFICATION ,� SEWER MAP
ADDRESS �O rV V CLASS NO WELL UNITS 'BK PG
r
LOT NO ��� BLOCK USE ZONE MAP D D _
TRACT y- 1 902,
SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT t-
USE OF f
EXISTING BLDG ') BLDG SETBACK FROM
OWNER je,, �/ /P�TOL/�� FRONT PROP LINE OF (STREET)
/� /� / / TYPE OF EXISTING SETBACK HIGHWAY + YARD _TOTAL
ADDRESS /� /y /� (� (� l,.L f HIGHWAY WIDTH FROM C L '
CITY ,4n, 1
ARCHITECT OR TEL BLDG SETBACK FROM r
ENGINEER t NO SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
CONTRACTORSAI-If TNOL + d
LIC CORNER CUTOFF YES NO O
ADDRESS NO
CITY CLSEE REVERSE SIDE FOR SPECIAL APPROVALS G
DESCRIPTION OF WORK - W
a
NEWADD ALTER REPAIR DEMOLISH N
Z
SQ FT NO OF NOOF
SIZE /STORIES FAMILIFS
USE OF
STRUCTURE 4- L Co" 4
v I%
SIGNATURE OF
APPLICANT
VALUATION$ APPROVALS DATE INSPECTOR SSIGNATURE
FOUNDATION 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
9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
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 MP SATION INSURANCE LATH EXT 5
SIGNATURE OF - HOUSE NUMBER COR rr�
PERMITTEE v IV RECT AND POSTED
ADDRESS Fl NAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENG
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O At CAS
A � 0 2 1 1 E "Ay 1 8 1 D �.C�
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