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HomeMy Public PortalAbout6043 OAK AVE_Building__ APPLICATION FOR BUILDING PERMIT FbR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES ADIDRRESSG * ©/4 /T , DEPARTMENT OF COUNTY ENGINEER BUILDIN ND SAFETY DIVISION CITY air ZIPNO.OF BLDGS. �® /►� SIZE OF LOT ©JX NOW ON LOT ADIDRESSLDINGL (.J/� ,y 7� l� carr TRACT VPI! BLOCK I LOT NO.X/J Q LOCALITYNEAREST TL OWNER i 1. •z���. s�fJ� •/jos NO2�"/�d C OSSST. ASSESSOR ADDRESS Vlel)44� MAP BOOK-- PAGE PARCEL CITY TM r ZIP DISTRICT +"GROUPL TYPE FIRE P ESSED BY dLy C� ' �� CONST. ZONE ARCHITECT OR TEL. • E _- 2�i� NGINEER S/q� NO. STATISTICAL CLASSIFICATION SE&AkA ADDRESS CLASS NO.3=21 DWELL.UNITS B CONTRACTOR TEL. NO. E Zt�NE NOP O D LIC. / SPECIAL ADDRESS NO. CONDITIONS LIC. CITY 09 O&LQS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDE NAME AND BRANCH BLDG. ETBACK FROM ° 4"(&411 1 . / FON PROP.LINE OF (STREET) ADDRESS^J'&411&00C&�/.y CITY,CO y;`. �i''4�iJ� TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO.OF ` NO.OF CHECK HIGH ;AY + YARD = FONT PROP.LINE HIGHWAY WIDTH SIZE 575d STORIES / FAMILIES L:Z ONE - } DESCRIPTION F WORK 6aO NeeD NEW ❑ + O ADD BLDG.SETBAC (STREET( O Wed" f Thy SIDE POP.LINE OF ■ ALTER TOTALS TYPE OF EXISTING CL e sU HIGHWAY + YARD = SIDE PROP.LINE WAY WIDTH N USE OF REPAIR ❑ Z EXISTING BLDG. DEMOL ❑ + APPLICANT - TEL 2�7�3o CORNERCUTOFF YES ❑ NO ❑ IPRINT)� l /I7jQ�0�•NO. Q /JJ r IN OPEN SPACE YES ❑ NO ❑ BY!SIGNATURE( ate_ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ v IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TOW RKMEN'S COM• PENSATION INSURANCE. 'SIGNATURE OF PERMITTEE _- ADDRESSFINAl CITY L N-2 %✓•� DATE /_ —7BIT' T P Q@ MAKE CkECKSHARVEY T.BRANDT,COUANTY ENGINEER BLE FEE FEA — PLAN CHECK VALIDATION CK. M.O. CASH a PERMIT VALIDATION CK. M.O. CASH 5 6 9NAPR 8 1 D 10 8.0 0 A98 ®S 76A63BA CE#803 3.75' vrp-