HomeMy Public PortalAbout5917 OAK AVE_Building__ 06.3 9-43 SM SETS APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY . - .l
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX, CHIEF ENGINEER
NO.OF BLDG. Qt ORD:NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE 6
FIRE APPROVED J
ZONE BY RECEIVED BY DATE OF "PL. DATE ISSUED
USE APPROVED /7-O/,:;/ /� -.2.3-e",3
ZONE BY DATE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
BUILDING / /
O NAME ADDRESS
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W Z ADDRESS LOCALITY -'-"
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LICENSE NO. NO. R NAME
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ADDRESS /J/ _(�_/� CITY a NO.
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Z I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
CITY
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0 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
Z SIGNATURE OF
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V, BLOCK NOW ON LOT AUTHORIZED AGT. �,
TRACT G 3 Cs t CORRECTIONS
USE OF BLDGS.
NOW ON LOT
DESCRIPTION OF WORK
USE OF 1
BUILDING �/ C
WARNINGI
War Production Board or
cautioned to consult with your local War
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ins the work authorized in this permit, Z
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NEW TYPE GROUP 0
NO.OF NO.OF
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ADDITION SIZE (O O
REPAIR STORKS
MOVING WALL COVERING,�!►^o
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FINAL APPROVAL
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VALUATION FEE DATE NAME
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County of Los Angeles
WM J FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO_FILL IN FOR OFFICE USE ONLY
DISTRI N0. PLAN CK OR RZO Na PERMIT NO
ADRESs i vQ 033
(il R 1 BY DATE CFAPPL DATE ISSUED
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MAIL LOCALITY
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ENGINEER N0. BLDG, ORD NO
SETBACK LINE
ADD EBS UBE APPROVED
TEL ZONE14 BY DATE
CONTRACTOR NO HOUSE NUMBERING
ADDRESS MAP NUMBS NO ASSIGNED BY
LEGAL ..`� CORR$C1'IONS
DESCRIPTION LOT N0. U ■LOCK
TRACT
N0. OF SLOGS.
SIZE OF LOT � NOW OK LOT
UBE CF NO,OF
EXISTING BLOB FAMILIKS
D88CRIPTION OF WORK °a
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NEW ALTERATION � r ADDITION 2
REPAIR DEMOLITION
SIX FT NO OF
SIZE ROOMS STORIES
EXT WALLI ROOF
COVERING OCVERING
USE OF STRUCTURE
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INSPECTION FOR APPROVALS
OCCUPANCY AS INSPECTOR BBIGNATURE DATE
FOUNDATION LOCATION
FORMS. MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IN FRAME FIRE BTOPB�
CORRECTBRACING BCUG
AGREE TO COMPLY WITH ALL COUNTY OROINANOM
AND STATE LAWS REGULATING BUILDING CONSTRUCTION FURNACE LOCATION
OAB VENT DUCTS
SIGNATURE OF LATH INT
PERMITTE
ADDR LATH EXT
PLASTER INT
AUTHORIZED AST
PLASTER EXT
FEE a HOUSE NUMBER COR-
VALUATION
AND POSTED /
VALUATION Fee �� FINAL �Zd pZ
76A638A DBS 3 ISM
7GA698A CE 0809 1/71
� �- APPLICATION FOR BUILDIN PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
A DDR ESS �
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
tint Grace onl CROSS ST
BUILDING DISTRICT NO G�R�UP TYPE P BY
ADDRESS CONS T
STATISTICAL CLASS FICA TION _SEV7ER MAP
LOT NO BLOCK CLASS NO WELL UNITS BK PG
TRACT f USE ZONE MAP
0 NO OF BLDGS NO t/
SIZE OF LOT NOW ON LOT SPECIAL
SE OF CONDITIONS
EXISTING BLDG
TE
OWNER O BLDG SETBACK FROM
ADDRESS FRONTPROP LINEOF (STREET)
�� w_ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY A HIGHWAY WIDTH FROM C L
ARCHIT CT OR TEL +
ENGINEER NO
BLDGk SETBA OM
ADDRESS SIDE \ROP LINE O (STREET)
TE TYPE OF EXISTING SETBACK HWAY + YARD = TOTAL
CONTRACTO NO HIGHWAY WIDTH FROM C L C.i
ADDRESS 3 NO
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CITY 'QUA CLASS CORNER CUTOFF YES ❑ NO 11ji
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
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ADDRESS
SO FT NO OF NO OF NEW ❑ r
SIZE STORIES FAMILIES e
USE OF ADD ❑ I �4
STRUCTURE ALTERage
❑
SIGNATURE OF REPAIR( IV
APPLICANT DEMOL
VALUATIONS APPROVALS DATE INSPECTOR 8 SIGNATURE
P C PMT FOUNDATION LOCATION
FEE S FEES d FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE TXTHE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL OR I ANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTI ON I ERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WIL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE THE STATE OF CALIFORNI IN REL AT NG TO
WORKMEN S ENSATION INSURANCE ATH EXT
SIGNATURE OF OUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS A FINALNJ l/� �
F LEWIS PRI_E:
PLAN CHECK VALIDATION Cl 11 CASH _ JOHNPERMIT VALIDATION TREK �u RM 0 AL EN CASH ER
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