HomeMy Public PortalAbout6237 3/4 OAK AVE_Building__ 6A SA•CE4*809 9-87APPL.ICATION FOR BUI.LDI G PIERMyr
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•, •- ' .COUNTY OF LOS ANGELES BLDNG
• C DEPARTMENT' OF COUNTY ENGINEER ADDRESS 3 !
BUILDING AND SAFETY DIVISION LOCALITY
• . JOHN A. LAMBIE, !COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
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CROSS ST.
FOR APPLICANT TO FILL IN DIST�FT NO. G�LIP ONPE
ST. P BY
(Pr''. t or type only)
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BUILDING / STATISTICAL CLAS FICATION SEWERCP
ADDRESS (v CLASS NO. DWELL,UNITS BK PG
LOT NO. 11 BLOCK I�I111 USE ZONE MAP /1 4 `"7
/r
NO. L
TRACTS ant aAnitaLand CO, 9 SPECIAL -
CONDITIONS r
NO.OF SLOGS.
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. Residences! BLDG.SETBACK FROM
y,,,, TEL. FRONT PROP.LINE OF (STREET)
OWNER C.R. JT bhnstom NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CITY .6O 1 + O - O
TBACK
ARCHITECT OR TEL. SIDE PROP.LINE OF FROM (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS ,,,��pp m HIGHWAY WIDTH FROM C.L.
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CONTRACTORSChulza,' NOLL.GO 10
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ADDRESSI 258E ,L Ij' IC LCORNER CUTOFF YES ❑ NO* ❑ v
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CITY' San Gabriel-
LIC.
ASS B; SEE REVERSE SIDEVOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
N
Z
NEW R:ADD ALTER REPAIR DEMOLISH ...
SQ. FT. NO. OF NO OF
l
SIZE 1 0 STORIES 1 FAMILIESUSE OF 70-
STRUCTURE Residence with
an-
attached-Garage;
SIGNATURE OF
APPLICANT
VALUATION$ / -
APPROVALS DATE INSP OR'S S NA URE
i P.C. PMT. FOUNDATION: LOCATION
FEE$ G D FEE$ O�a, S G FORMS, MATERIALS �� a
FRAME: FIRE STOPS,
1 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 J
AUTHORIZED HE Y I WILL NOT EMPLUNYRSON IN VIOLA- LATH, INT. G �'TION OF THE BO CO OF THE STAIFORNIA RELAY. !ING TOWORKM N'S PE SATIO NSUJ 1 /d 'W f
LATH, EXT. L
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL ST R RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
r�. 2.4. 7— cc,3 0 2 3 , .6 3.9 01 1
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