HomeMy Public PortalAbout6210 BURTON AVE_Building__ 76A639A CE9803 B•STAPPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER /
COLEMAN W. JENKI NS, SUP OF SUILOING NEAREST
CROSS ST. l< %
DISTRIC O. GR T E PROFS
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FOR APPLICANT TO FILL IN yN c NST.
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BUILDING , qq STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO.--/—DWELL.UNITS- BK PG/O
LOT NO. ..C' BLOCK USE ZONE MAP D �1
_ NO. (�
TRACT ^ SPECIAL
(_()
NO.OF LD CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. C�/ - BLDG.SETBACK FROM
�^T TEL. FRONT PROP.LI NE OF (STREET)
OWNERzi 1• O' TYPE OF EXISTING SETBACK HIGHWAY { YARD = TOTAL
ADDRESS
HIGHWAY WIDTH FROM C.L.
CITY _:<4 + l/
BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP. LINEOF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY { YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR /•N z / NOL o2p + D_
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ADDRESS w/♦ NO. CORNER CUTOFF YES ❑ NO ❑ U
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CITY �t IIL ��—/ SEE REVERSE SIDE FOR SPECIAL APPROVALS
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DESCRIPTION OF WORK N
Z/ z
NEWS/ADD ALTER REPAIR DEMOLISH AAc...
SQ. FT. T NO. OF NO. OF 'L /L' 4- �
SIZE ' STORIES FAMILIES _
USE O q - �Q_
STRUCTURE / `f {.a
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SIGNATU OF � = / / /I //
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APPLICANT
VALUATION S. pP
50 o APPROVALS DATE INSPECTOR'S SIGNATURE
FEE S��. FEE S � FOUNDATION:
MATERIALS
G �/9-/`
FRAME: FIRE STOPS, Caq
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
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT� LATH, INT. y
ING TO WORKMEN'5 COMPENSATION INSURANCE. �r1/ Urf
•I
� AG� ,. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
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ADDRESS ja -�- - n / FINAL �Q� S ,974.6:r�
JOHN F. LEWIS. PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION OM o. cASH _ PERMIT VALIDATION IN. All 0. CASH
.3'5 i. MAR 13 2 3 A. 5.520A
IA 9 2 GU- N
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