HomeMy Public PortalAbout5836-5838 OAK AVE_Building__ 76A838A CE*803 883 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING -,
DEPARTMENT OF COUNTY ENGINEER ADDRESS ��j
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN Sup T OF BUILDING CROSS ST gl
DISTRICT bI0 GR UP TYPE P OCE BY
FOR APPLICANT TO FILL IN 5� �` coNsr ,j1 //
BUILDING .5-" a� STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS OnKFV8ev
CLASS NO DWELL UNITS
LOT NO 4 ` , BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE Ea 0
TRACT MAP HIGHWAY NO (CIRCLE) ATE MAJOR SECON ALS
NO OF BLDGS
SIZE OF LOT OO )C 9Q NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG VAO-Ap r�^�
OWNER SI BU�ST? �o3S�-/�7
011-N G EXIST
SETBACK YARD HWY STREET NAME WIDTH
AD:)RESS,SC4 Id `/(,� r� S-t� A. FRONT
ARCHITECT OR TEL P L - C/ C D
ENGINEER NO SIDE
P L
ADDRESS r
TEL
CONTRACTOR -r NO�}p� - (�
ADDRESS
DESCRIPTION O WORK
W
IL
NEW ADD ALTER REPAIR MOLI W
SQ ()
NO OF NO OF
SIZE V STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT �,/�y
VALUATION $ /O V'
APPROVALS DATE INSPECTOR S SIGNATURE
PC PMT FOUNDATION LOCATION
FEE $ FEE $ O FORMS MATERIALS
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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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENI; IN NCE LATH EXT
SIGNATURE / HOUSE NUMBER COR
PERMITTEE I• RECT AND POSTED
ADDRESS � ` G 'ri FINAL
tj -
F LEWIS PRINCIPAL
PLAN CHECK VALIDATION CK M O CASH
JOHNPERMIT VALIDATION CK STRUCTURAL EN ENGINEER
LRW o 1 4,8 nUv 2 2 1 D 600-
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78A638A CE#B08 a 69 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING r� -
DEPARTMENT OF COUNTY ENGINEER ADDRESS f .-rte,
BUILDING AND SAFETY DIVISION LOCALITY 7—,e-
JOHN
eJOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST ( ��
DISTRICT NO !ROUP TYPE ' PROCESS BY
FOR APPLICANT TO FILL IN l U CONST / 2,
BUILDING 0,4K STATISTICAL CLASSIFICATION SEW R MAP
ADDRESS
CLASS NO DWELL UNITS
LOT NO '~ Ab, lY BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED
TRACT 10 5 160 MAP //'' HIGHWAY
NO OF BLDGS NO (� (CIRCLE) STATE MAJOR SECOND OCA
SIZE OF LOT /QQ k /90 NOW ON LOT USE ZONE VrPECIAL
Nz-
USE OF CONDITIONS
EXISTING BLDGV/Tflr
OWNERR4}4,04S�y NO� - EXIST
B'BUILDING .ARD HWY STREET NAME
c SETBACK WIDTH
ADDRESS a4+10 &t. � FRONT
ARCHITECT OR TEL P L / G
ENGINEER NO SIDE
P L �
ADDRESSTELLL^ /��
CONTRACTOR M i k� Lt NO Ta9- V
OC
ADDRESS 4 1 0
DESCRIPTION OF WORK
W
d
NEW ADD ALTER REPAIR MOLISH N
SO FT y ' ,'l NO OF NO OF Z
SIZE aO STORIES FAMILIES
USE OF
STRUCTURE e
SIGNATURE OF
APPLICANT
VALUATION $ f OQ
APPROVALS DATE INSPECTOR S SIGNATURE
PC PMT FOUNDATION LOCATION
FEE $ FEE $ ��/ 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPFNSA-_rWVINSURANcrL, LATH EXT
SIGNATURE O /r _l HOUSE NUMBER COR
PERMITTEE / 01 RECT AND POSTED
ADDRESS ��`� �r FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION E:) M O CASH
Ut/,0 X 1 5 2 2 1 0 6 00
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