HomeMy Public PortalAbout10522 LIVE OAK AVE_Building__ 76A-638A CE#803 5-66 APPLICATION B ING .PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION "249M alg�
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST n
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DISTRIC NO. GROUP TYPE PRO•EBBED BY
FOR APPLICANT TO FILL IN e�g 2' C0NSZT. .
BUILDING STATISTICAL CLASSIFICATION ASSI FICATION SEWER'MA �
ADDRESS �G% — / I'MA, , }�(/SLcX%�- CLASS NO. DWELL UNITS. P
,LOT NO. - BLOCK USE ZONE MAP �.
NO
TRACT 1 c� l��—�® F-1SPECCONDII TIONS
NO. OF BLDGS.
SIZE OF LOT NOW ON LOT
EXEOF
STING BLDG. �• '� BLDG.'SETBACK FROM tC r
-7j Y_ d •, TEL. •;, �..0/`` FRONT PROP. LINE OF TRE
OWNER S h� / �lI* NO. SIF ib 7 TYPE OF EXISTING SETBACK•, HIGHWAY + YARD = TOTAL
ADDRESS 6 f i� " /� l v HIGHWAY WIDTH FROM C.L.
CITYBLbG�-SETBACK,FROM.
ARCHITECT OR TEL.
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD .= TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
•— TEL + = d
CONTRACTOR ,-Vjy1L/✓/?( e NO :F `,3 1
ADDRESS n � . 'i(,,�/t'j,�l/LiO !Q CORNER CUTOFF YES NO OV
CITY c�Ass ' SEE REVERSE SIDE FOR SPECIAL APPROVALS 10-
DESCRIPTION
DESCRIPTION OF WORK ti
a
NEW ADD ALTER REPAIR DEMOLISH N
Z
SQ,FT. NO. OF NO. OF
SIZE STORIES FAMILIES -
USE OF
STRUCTURE
SIGNATURE
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. - PMT. - G� FOUNDATION, LOCATION
FEE$ FEE$ °1 FORMS, MATERIALS _
FRAME, FIGRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINBOLTS '
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 CERTIFYTHAT. IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR Cj�'(j� OF THE ATE OF CA RNIA RELAT-
ING TO WORKMEN'S CQ1 bYP E� TI •,
// LATH. EXT.
SIGNATURE OF � . HOUSE NUMBER COR--
PEf2MITTEE COR-
RECT AND POSTED
ADDRESS FINAL , -�
JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. M.c CASH
L til�c o' a fl ,� 31 1 A 4-00-