HomeMy Public PortalAbout6006 OAK AVE_Building__ e'g'� / M LI;) C.rA 1
76A688A CEM608 8.64 APPLICATION FOR BUIL ING PERMIT
COUNTY OF LOS ANGELES BUILDING Al
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMANW_JENKINSJBUP T OF BUILDING CROSS ST
DISTRICT O GROUP ITYPE P C SED BY
FOR APPLICANT TO FILL IN CONST
FAE
G / STATISTICAL CLASSIFICATION SE R MAP
S o 6 CLASS NO DWELL UNITS �_ BK PG
CK USE ZONE5 IF
f SPECIAL
NOOF SLOGS �yy bbb { CITIONS LOT NOW ON LOT
EXISTING 111-no. BLDG SETBACK FROM
NE
s NOL a`7 �� TYPE OF FRONT ROEX SITING F SETBACK HIGHWAY YARD = ` TOTAL'
ADDRESS GWIDTH FROM C
I. +
CITY BLDG 8E BACK FROM
ARCHITECT OR TEL SIDE PROP LINE OF STREET
ENGINEER NO TYPE OF EXISTING JSKTBACK HIGHWAY } YARD = TOTAL
ADDRESS MIONWAY WIDTH FROM C L
TEZVCONTRACTOR Ute' D NOL e +
ADDRESS,24;l
LOIc �,9 CORNER CUTOFF YES NO O
*,e 04 'e'L LIQ SEE REVERSE SIDE FOR SPE AL APPROVALS W CI
DESCRIPTION OF WORK Nm CL
1w Aott
NEW ADD ALTER REPAIR EMOLIS
Sq FT NO OF
SIZE STORIES FAMILIES
USE OF 6aef3
STRUCTURE M /��✓ O V IL '
SIGNATURE DIP-
-APPLICANT
VALUATION$ .-7 APPROVALS DATA INSPECTOR BSIG ATURE
FEE$ FEE$ �_F FOUNDATION LOCATION
FORMS MATERIALS r
FRAME FIRE STOPS /
I HEREBY ACKNOWLEDOE THAT I HAVE READ THIS APPLICATION BRACING BOLTi
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
13UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK I
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE ST.AX4 OF CALIFORNIA RELAT
ING TO WORK nMPENS 01 ON I U ANCE tFlNAL
ATH EXT
SIGNATURE ?LlOUSE NUMBER COR
PERMITrr c R PO
ADDRESS Gt/ n! d Ii '
t
JOHN F
PLAN CHECK VALIDATION CK M 0 CASH _ LE11WVALIDATION ST3TURMLENGINEER
C SHER
LACo 4 0 3 3% JUL 2 F7 1 D 400-
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76A838A C60808 8 64 APPLICATION FOR' U ILDI NG ISERMIT
EOUM OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
DDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINSAUP T OF BUILDING CROSS ST
DISTRI T NGROUP TYPE S ED BY
FOR APPLICANT TO FILL IN CONST ,
BUILDING STATISTICAL CLASSIFICATION SEW R MAP
ADDRESS CLASS NO DWELL UNITS BK14 PG
Q
LOT NO&,;Y- K� iy Z-ALOCK USE ZONE MAP
NO
TRACT SPECIAL
NO OP BLDGB CONTIO
I NS
SIZE OF LOT NOW ON LOT
USE OF 01
BLDG SETBACK FROM or F
TEL FRONT PROP LINE OF (STREET)
OWNER NO TYPE OF EXISTING I SETBACK HIGHWAY YARD = TOTAL
ADDRESS I Y WIDTH I FROM C
CITY LOPROP
TBAC�OM +
ARCHITECT R EL
SIDPROP LINE OF (STREET)
ENOINEER O TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L d
TEL + = 0
CONTRACTOR NO S V
LIC /f�C 4 CORNER CUTOFF YES NO O
ADDRESS 10E.Oda NO O 7
CITY 4r
LIC SEE REVERSE SIDE FOR SPECIAL APPROVALSi
DESCRIPTION OF WORKlh7o
Z
NEW ADD ALTER REPAIR DEMOLISH
SQ FT NO OF NO OF
SIZE STORIES I FAMILIES
USEOF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ Z.L-0 APPROVALS QATE INSPECTOR SSIGNAlrgPE
FOUNDATION
MAT MATERIALS
LOCATION
FEE$ FEE$
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS ! !
SUILDINO CONSTRUCTION I CERTIFY THAT IN DOING THE WORK r
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT /f
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT t
ING TO WORKMEN S Cif ENSATION INSURANCE LATH EXT
SIGNATURE O HOUSE NUMBER COR
PERMITTEE RE CT ANDPOSTED
ADDRESS Fl NAL Ihi ltj;;-
JOHNF LEWIS PRIN(;IPALSgvd RAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH — MUM VALIDATION CK MID CASH
LA(,,o 5 5 6 s-1 SEP 14 1 D 6,00