HomeMy Public PortalAbout5832 OAK AVE_Building__ 76AGSBA CE#809 a 6a APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADD ElsN
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO I GROUP TYPE 71=7
RO ES^�E BY
FOR APPLICANT TO FILL IN G CONST /
BUILDING / STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS / �� l� BK P
/ CLASS NO V DWELL UNITS
LOT NO (p ! BLOCK WATER
CERTIFICATE NOT REQUIRED12 RECEIVED ❑
TRACT �1 NO Q� (CIRCLE) STATE MAJOR SECON OCAL
GHW
NO OF BLDGS
SIZE OF LOT NOW ON LOT USE ZONESPECIAL
USE OF ��// y ONDITIONS
EXISTING BLDGs-L'
EL
OWNER NO BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT ., l ., /L i / 1
ARCHITECT OR TEL JC7L .� J
ENGINEER NO SIDE
P L
ADDRESS
TEL C
CONTRACTOR NO (�
ADDRESS
0
DESCRIPTION OF WORK
W
d
NEW ADD ALTER REPAIR D OLISFj/ Z
SO FT NO OF
SIZE STORIES FAMILIES
USE OF �o
STRUCTURE
SIGNATURE OF
APPLICANT
d
VALUATION $
APPROVALS DATE INSPECTOR S SIGNATURE
PC PMT FOUNDATION LOCATION
FEE S FEE S G� �� FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S MPENSATION INSURANCE LATH EXT
SIGNATURE OF 1*
HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS AL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION cK M O CASH
L.:►uO 0 a 2 9 AUG 2 2 1 D 6.0 0� a