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HomeMy Public PortalAbout6103 HART AVE_Building__ � CE#803(REV.6/ 81 - COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS C/'U . N ADDRESS 0 tt✓' 'BUILDING �� e ADDRESS LOCALITY C("''' NEAREST CITY �^ ZIP CROSS ST. GGl f /I 'NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT _ ' MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ROCE D BY TRACT � BLOCK LOT NO. . a aUC CONS ZONE TEL. OWNER r /' NO. STATISTICAL CLASSIFICATION CAEWER MAP ADDRESS K101 CLASS NO. -/ DWELL,.UNITS BK PG r CITY ZIP ARCHITECT OR TEL. F LUATION dl ENGINEER NO.. o -o V ADDRESS BLDG.SETBACK FROM v t EL iL FRONT PROP.LINE OF (STREET) CONTRALTO ^^Rqq VGA�t O O ✓ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS dU� eIC. '�L Q FRONT PROP.LINE HIGHWAY WIDTH 23 F � -Pel/�� LIC. + CITY a n W; CLASS CONSTRUCTION'LENDER BLDG.SETBACK FROM SIDE PROP.LINE OF (STREET( NAME AND BRANCH TOTAL SETBACK FROM TYPE OF EXISTING ' HIGHWAY + YARD = ADDRESS CITY 0 SIDE PROP.LINE HIGHWAY WIDTH •® SQ.FT. NO.OF NO.OF CHECK + = u SIZE STORIES FAMILIES ONEOl `, DESCRIPTION OF WORK NEW P.C.'Fee$ �/ Permit Fee ).� ^.7" 11- 6 ADD 0 � C3Issuance Fee � . _ _ �ry _ / 0 ^ ALTER :: t+ " ;u 2:� C J �f-4-1,17 REPAIR ❑ Total Fee USE OF ❑ ti:' c DEMOL 7 A v V EXISTING BLDG. y.,, APPLICANT TEL ✓CALL m� S:y �U�)!/�a 3.6 C� PRINT) NO. f.� p 9- 1. . rSO821 -7 BY(SIGNATURE) 962S2V' IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W # O O O O o- 1 AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V 'WORK AUTHORIZED HEREBY I WILE NOT EMPLOY ANY PERSON IN VIOLATION OF - THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- - z O 1 /�4 O O PENSATION INSURANCE. L . SIGNATURE OF 0 0 v PERMITTEE /� ADDRESS G1.7 Q O NCS 1'�{ O S 2 1 -7 9 /. Z CITY -lam. NO.5 Q C USE ZONE LP 02O.O ,AL DITIONS - g FINAL IN DATEBY _. / d WORKERS COMPENSATION. APDL OCATQON FOR B 0 M N G P I R M 0` ' AdaOLICP 'BUILDING ? FOR APPLICANT TO FILL IN r mAl wv'-�"• BUILDING 7e ADDRESS wJ V� LOCALITY 0 ' _ NEAREST r :CITY +L cc- ZIP CROSSST. 7 NO.OF BLDGS. ASSESSOR. SIZE OF LOTNOW ON LO MAP BOOK- PAGE PARCEL DISTRICT GROUP TYPE FIRE CESSED BY l -TRACT S 0 BLOCK - TNO.� �: GG CONST. Z TEL. �.J�Q � -� � ^• OWNER, S6�^tiJ NO.- pp STATISTICAL CLASSIFICATION SEWER AP ADDRESS(pCLASS NO,�-24DWELL.UNITS- BK,',,r PG CITY s 5� -ZIP USE ZONE MAP . ARCHITECT OR TEL. NO. ENGINEER / SPECIAL w 1 _ CONDITIONS A ROAD.DEPARTMENTAPPROVAL REQUIRED - YES-❑ NO,[] CONTRACTOR (]$ NO. ' BLDG.SETBACK.FROM LIC. T FRONT P P.LINE OF STREET) ADDRES SThf4 `nCG NOTOTAL SETBACK FROM TYPE OF EXISTING N LIC. HIGH WA + YARD '= FRONT PROP.LINE HIGHWAY WIDTH CITY I` CLASS' CONSTRUCTION LEN R + } f� a NAME AN��D/BRAr, D ,,F " BLDG.SETBACK F UO ADDRESSL(/V_o� (0.0LA"t,I CITY W�. F SIDE PROP.LINE OF (STREET)' O SQ.'FT /r� NO.OF O.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM T OF EXISTING SIZE !rs / STORIES / FAMILIES ONE SIDE PROP.LINE HIGH Y WIDTH., N. _t ❑ _ DESCRIPTION OF WORK a�. �B 'T� NEW +, �. r I?"0'el� Cs�e �A� 00-1> ADD CORNER CUTOFF YES ❑ NO ❑ d ce �f/?.k,bl REPAIR ❑.' J IS �etL1 '. �._ ALTER ElINOPEN,SPACE YES ❑ NO E] / . 'i USE OF. C jn a IN COASTAL PERMIT ZONE YES E] No ❑ EXISTING BLDGS( L i vu)-et `e DEMOL • APPLICANT /t 'TEL (PRINT) ((1y�CJ NO. `!�� l L y,. S�✓C`3� 0AID erZ /4'1)Q/r/4)All BY(SIGN - •'IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES - AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE -$ . WORK•AUTHORIZED•HEREBYI WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- - - PENSATION INSURANCE._ - SIGNATURE FINAL g.^ Z� ,. _ BY .PERMITTEE. e DATE ADDRESS. �Ll S icv TEL. 7y /J 1' CITY NO.2� �'/ PCFee Fee$ v Permit Fee O - QQ Issuance Fee VALUATION y .� .��• � Total Feb d 5-0 PLAN CHECK VALIDATION CK. M.O: CASH PERMIT VALIDATION cK. M.O. CASH b.7_0'-SEP �'2 3 ', ' 4 9.5 0 6 3 3 9"0 .T.• 7 1 009.50 m ©e'76A6388 CE NBa3B 6/76 w.P - -