HomeMy Public PortalAbout6267 AVON AVE_Building_9/21/1976_swimming pool ,APPLICATION FOR O COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING PERM 1 T BUILDING AND SAFETY DIVISION
BUILDING
FOR APPLICANTT70 FILL IN ADDRESS 6
BUILDING
ADDRESS LOCALITY
NEAREST
CITY ( ZIP CROSS ST
NO OF BLDGS ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUPTYPE FIRE P OCE ED BY
TRAC�D BLOCK LOT NO <—U /)
CON§,T ZONE
TEL U `�J�
OWNER NO STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO DWELL UNITS �'//, BK/0 a-
USE ZONE MAP
CITY ZIP tl/ NO
ARCHITEC TE 'v` PECIAL
ENGINEER NO 7 NDITIONS
ADDRE ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
//��� TE / BLDG SETBACK FROM
CON (r�/[G O i
-A-7 I FRONT PROP LINE OF (STREET)
ADDRES /G reNO i Ol� HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC FRONT PROP LINE HIGHWAY WIDTH
CITY �Q�� CLASS
CONSTRUCTION LENDER }
NAME AND BRANCH BLDG SETBACK FROM
a
ADDRESS , CITY SIDEPROP LINEOF (STREET) V
SQF NO OF NO OF CHECK HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING
SIZ STORIES FAMILIES ON SIDE PROP LINE HIGHWAY WIDTH 13O
DESCRIPTION OF WORK NEW }
ADD CORNER CUTOFF YES ❑ NO ❑ Z
ALTER ❑ IN OPEN SPACE YES ❑r NO ❑
REPAIR❑
USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG DEMOL
APPLICANT TEL
(PRINT) NO G• T �,/
BY (SIGNATURE) /
I HEREBY ACKNOWLEDG T I HAVE READ THIS APPLICATION ��y�
AN STATE THA7 THE OVE I CORRECT AND AGREE TO COMPLY
WITH ALL ORDINA THE,
AND AWS R ULATING BUILDING CON S'/�rti� r �Rb�
STRUC TION 1 C T FY TH IN D01 THE WORK AUTHORIZED ����7��
HEREBY I WIL EMP Y ANY P S N IN VIOLATION OF THE v F
LABOR COD OF THE ATE AFLORNIA IN RELATING TO
WORKMEN CO ENS ION S //�/_ �/� Q ) /f/'O � �� DATE D+ 1 �7 BY �/ 7Cc�.+/V /W
ADORE'S
TEL PC Fee$ / U Permit Fee 0-0
CITY NO
Issuance Fee
VALUATION
Total Fee
PLAN CHECK VALIDATION cK O CASH PERMI ALIDATION CK M o CASH
` 2-7 4f�4EP_ 21 21 ®
1261'7
1) r ,�j
78A838A CE Gk 803B 12/73 - �L`e j� "-2 1� 1 � 'T ��O O "Q'��
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