HomeMy Public PortalAbout5750 OAK AVE_Building__ 76Al70A CE#807 10. APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE,COUNTY ENGINEER NEAREST
CA-GATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRI NO G OUP TMpE PR SED BY
FOR APPLICANT TO FILL IN CONST
ADDRESS , STATISTICAL CLASSIFICATION SEBKR MAPBUILDINGA
/ qq CLASS NO EL NIT -
LOT NO a[� BLOCK MAP STATE YES
NUMBER HWY
TRACT USE ZONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
2G. BUILDINGEXIST
SETBACK YARD HWY STREET E WIDTH
OWNER FRONT
MAIL P L
ADDRESS 5 L SIDE
TE S 2P L
CITY NO
ARCHITECT OR TEL INSPECTION RECORD
ENGINEER NO
f1l V
DD
TEL
CONTRALTOCAS No
TE
DDRESSE `
DESCB217ON OF WORK
E ADD ALTER REPAIR DEMOLISH
SO FT NO OF NO OF
SIZE STORIE FAMILIES
USE OF STRUCTUR /
C 1
SIGNATURE OFAPPROVALS
APPLICANT
DATE INSP.E01'9R'9,SANATURE
ADDR2SS4Cj=a FOUNDATION LOCATION
MATERIALS
• FEE $ �^ FBRACING BOLTS
FIRE S
VALUATIONS FURNACE LOCATION
FEE GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING B I CON UCTION LATH EXT ti
SIGNATURE OF - - � HOUSE NUMBER RECTANDPOSTEDR 1
PERMITTEIS
ADDRESS FINAL
CLY E N DIRLAM PRINCIPA STRUCTURAL ENGINEER
PLAN Cl=VALIDATION K M O CATH PZEW VALIDATION CK M O CASH
j 3 4 3 3 42 3 1! 3�Oe
4,� 1 A 12.00