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Home My Public Portal About5823 OAK AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS DEPARTMENTS OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFET IVLSION r 0 OF BLDGS BUILDING SIZE OF LOT NOW ON LOT ADDRE TRACT ` BLOCK LOT NO LOCALIT TEL NEAREST OWNER NO CROSS ST ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE SSED BY CITY ZIPCONST ZON ARCH ECT 55 TEL ENGINEERNO STATISTICAL C,LgASSSIFICATION SEWER MAP ADDRESS4ai CLASS NO 4/ 3 DWELL UNITS�� L 8KI G CONTRACTOR N L USE ZONE NOP ADDRESS NO 3 SPECIAL CITY LIC CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET) v ADDRESSor IF ITY _ TOTAL SETBACK FROM TYPE OF EXISTING C SQ FT N O -'CHECK HIGHWAY + YARD - HIG WAY WIDTH c FRONT PROP LINE SIDE STORIES I FAMILIES ONE 0 NEW + / — v DESCRIPTION OF WORK BLDG SETBACK FROM Z ADD ❑ SIDEPROP LINEOF (STREET) LTER ❑ HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING ❑ r EPAIR SIDE PROP LINE HIGHWAY WIDTH SE OF EXISTING BLDG EMOL [:1 + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NOIW BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ Qtb� VALUATION S CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COMPENSATION INSURANCE SIGNATURE OF PERMITTEE ADDRESS FINAL BY TEL DATE CITY NO MA KF CHECKS PAYABLE TU FEE $ FEE �� HARVEY T BRAANDY COUNTY ENGINEER PLAN CHECK VALIDATION JK' M OMASH PERMIT VALIDATION CK M O CASH w1 0L 5 �w 76AB36A CE#a03 7/73 I U APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING82 07 at. DEPARTMENT OF COUNTY Y OF LOS ADDESS ENGINEER CITY ToWle Cit ZIP 1 80 `BUILDING AND SAFETYIVISION SIZE OF LOT10OX18 NOWOONBLOTS ADIDRESS LDING .5 TRACT 6561 IBLOCK LOT NO LOCALI ~ OWNER Thomas Wolford 6 NEAREST GRO55 ST ASSESSOR ADDRESS113. N MAP BOOK PAGE CEL Alhambra ZIP 1801 DISTRICT GROUP CONST jr ZONE PROC 5\D BY CITY ARCHITECT 1e C e Pursley NOL2862831 STATISTICAL CLASSIFICATION ENGINEER Lee SEWER M L ADDRESS 13 ae Tums T Cit CLASS NO-/-Z=DWELL UNITS L, BK/ /�, .,,� TEL USE ZONE MA NOP 6 6 CONTRACTOR wa®� NO 0 ADDRESS LIQ 3 SPECIAL LIC VV�� CONDITIONS CITY _ CLASS ROAD DEPARTMENT APPROVAL REQUIRE CONSTRUCTION LENDER NAME AND BRANCH &011 EUrgha2ii d BLDG SETBACK FROM FRONT PROP LINE OF ADo sstislsted CircFITYAlhambiee SQ FT NO OF NO OF CHECK HIGHWAY F YARD = TOTAL SETBACK FR G FRONT PROP L.4frrf STORIES FAMILIES ONE + / a (I F 1 ON OF WORK NEW v - DD BLDG SETBACK FROM z rr—PortSIDEPROP LINEOF (STREET) ALTER ❑ - TOTAL SETBACK FROM TYPE OF EXISTING CO] HIGHWAY + YARD - SIDE PROP LINE EPAIR IGHWAY WIDTH LOG EMOL ❑ + PLIIACORNER CUTOFF YES ❑ NO ❑ ( RINT)"Thomas Wolford N284665? BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ -7 Q O� CATEGORICAL EXEMPTION YES[] NO ❑ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENT AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY IMPACT E%EMPTION'DECLARATION S GNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON dt UfLTl ON I��7� CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) o'kf3Y f`saI�J�L NOT EMPLOY ANY PERSON IN VIOLATION OF THE Oh COB OF THE STATE OF CALIFORNIA IN RELATING TO WQA.RMEI#S MPENSATION INSURANCE $ NATUR F RMITFE QFS� TEL FINAL _fT/ _ (� BY p6/�� CJT NO DATE 6 "�`'(� • MAKF CHECKS PAYABLE TO FEE $ FEE r.2* Y T BRANDY COUNTY ENGINEER ,y cc �O d CHECK VALIDATION jK' M O CASH r PEJRMi1 V L ATION CK M 00, CASH 5 AM 15 2 3 0 ✓ ✓�/' ..�, 2 1 15 s� a (� --8 0 2�Nou 1.92 3 0 1 215 sy 78A838A CE#803 7/73 - ,,,, -- 8 0 3 N hov 19 1 0 5 5:5 0 s�)b10 PLICANAPPLICATION TFOR BUILDING PERMIT FOR AP oL c otype only) euILDING ,, G.% f., t COUNTY OF LOS ANGELES , ADDRESS _ DEPARTMENT OF COUNTY ENGINEER y BUILDING AND SAFE DIVISION CITY _ , 1 '. Z I P * NO.OF SLOGS. BUILDING ' SIZE OF LOTIV,; .� a NOW ON LOT ADDRESS TRACT /'• BLOCK I LOT O :51 LOCALITY f TEL. NEAREST 1 f OWNER % NO. „r :' CROSS ST. I ASSESSOR 4- ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP T PE FIRE ONE BY CITY <' 1'f✓`,�;j ZIP ON T. ZONE g,'" ARCHITECT OR TEL. ENGINEER NO: STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL,UNITS BK PG CONTRACTOR �� T } .� USE ZONE MAP .• LIC NO. ADDRESS NO,229 q 10SPECIAL CITY ��I LIC. CONDITIONS 1fir� CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO❑ CONSTR(5CTION LENDER d 'NAME AND BRANCH BLDG.SETBACK FROM O FRONT PROP.LINE OF - (STREET) V' _ ADDRESS CITY _ W HIGHWAY t YARD _ AL SETBACK FROM TYPE OF EXISTING ._. SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH - Jy1 SIZE STORIES FAMILIES ONE .DES-CRIPTION OF WORK NEW ' F BLDG,SETBACK FROM O ADD SIDE PROP,LINE OF (STREET d ALTER ❑ — TOTAL SETBACK FROM TYPE OF EXII fXG W HIGHWAY + YARD REPAIR❑ SIDE PROP. LINE HIGHWAY WI USE OF . t — EXISTING BLDG DEMOL ❑ I APPLICANT - TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) inn NO. (N OPEN SPACE YES ❑. NO.-❑ BY (SIGNATURE) t Y IN COASTAL ZONE YES NO ❑ 1 F VALUATION f _" r CATEGORICAL EXEMPTION YES� NO ❑ I HEREBY ACKNOWLEDGE +HAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. _ SIGNATURE OF !' PERMITTEE ADDRESS FINAL •/Q,1`''� BY. @_ TEL. DATE ' CITY .'�' ' NO. I 6LIKE CHECKS PAYABLE 70. FEE $ FEE HARVEY" T. BRANDT, COUNTY 'ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH i .�► air tit iiId .1.7 5 +: 7GA638A CE#803 12/72 I APPLICATION FOR BUtLDING PERMIT ' FOR APPLICANT TO FILL IN (Print or twee only) COUNTY OF LOS'- ANGELES ADDRESS. ' DEPARTMENT OF COUNTY ENGINEER CITY zaP BUILDING AND SAFETY:,DIVISION NO.OF BLD S. BUILDING { 4 { a, �. SIZE OF.LOT OW ON LOT ADDRESS TRACT ®LOCK LOCALITY f " 7 E NEAREST OWNER N CF30SS ST. ' ASSESSOR ADDRESS, So Alamos MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE,. PROCESSED BY CITY ZIP CONST.. ZONE ARCHITECT :T. ...� .'p+^ ENGINEERc N - - STATISTICAL CLASS4FICATION SEWER MAP ADDRESS • i1 ,CLASS NO. _OWELL,UNITS""r' - CONTRACTOR, L• USE ZONE MA NOP 'LIC. NO. SPECIAL ADDRESS � NO. -•' - LIC. ., CONDITIONS CITY - CLASS - ROAD DEPARTMENT.APPRO V�,q L`REQUIRED YE9�� NO CONSTRUCTION LEN Q NAME A. D BRANCH BLDG.SETBACK F.RGM FRONT PROP.LINE OF -_ ISTRE.ETI J ADDRER 961~ 0 HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING L% SQ. NO. OF NO. OF CHECK FRONT PROP. LINE HIG)IWAY WIDTH SIZ STORIES FAMILIES 3 ONE I -DESC RI PTION OF WORK 3 ads. NEW z - C ADD ❑ BLDG.SETBACK FROM L-;. 0" SIDE PROP.LINE OF. - (STREET) - M Ltl ALTER ❑ HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING ~ ..' - - REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF = EXISTING BLDG, ' ,DEMOL ❑ + APPLICAN T CORNER CUTOFF YES ❑ NO (PRINTF BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑. . s q.. IN COASTAL..ZONE :YES ❑ NO VA-L--UATION N' *� CATEGORICAL EXEMPTION YES'❑ NO ❑ I HEREBY ACKNOWLEDGE. THAT 1 HAVE READ THIS )IMPLICATION .ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULAT,I:NG 'BUILDING CON STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED, - (DATE) HEREBY I WILL NOT EMPLOY AIIY PEWS:O`N IS VIOLATION OF THE LABOR CODE OF THE STATE' OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. .' SIGNATURE OF PERMITTEE' ADDRESS17 t FINAL TE L4 DATE ,+- CITY .�_� NO. ��f AA K .Cf/ECKS P�IYABLE TO:'P ,c, PMT Q +. FE.E $' FEE $ HARVEY T. BIRANp'T., COUNTY ENGINEER �- PLAN CHECK VALIDATION CK. ` MA. CASH PERMIT VALIDATION CK. M.O. CASH 76A638A CE#803 7/73