HomeMy Public PortalAbout6447 OAK AVE_Building__ rgA889A CC#003-1-61. APPLICATION FOR _BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING' '
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALI
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DISTRICN GROUP TYPE '=ED BY
FOR APPLICANT TO FILL IN CONsr.
BUILDING STATISTICAL C 1FICATION EWER MAP
ADDRESS / c 0 PG
• CLASS.NO.- -DWELL.UNIT
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
p CERTIFICATE:
TRA �A MAPHIGHWAY STATE MAJOR SECOND, LOCAL
AA NO.OF BLDGS. NO. ICIRCLE)
SIZE OF LOT. ITVv NOW ON LOT USE ZONE SPECIAL
USE D CONDITIONS
EXISTING BLDG. A
. //1 �Gi�F �s
TEL <
BUILDING EXIST.
OWNERNO.
�Si�{7 �. I SK 'YARD HWY STREET NAME W TH`
_ADDRESS FRONT
ARCHITECT OR TEL. P.L. e`�
ENGINEER NO. SIDE
ADDRESS
CONTRACTO TE NO. / INSPECTION RECORD 8
I
ADDRESS 1 a'
DESCE OF W °
W
a
NEW ADD ALTER REPAIR DEMOLISH N
SQ.FT. NO.OF NO.OF z
IZE STORIES FAMILIES
USE OF
STRUCTURE ;
SIGN TURE OF
APPLICANT
VALUATION$ B
APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ FEE•$ FOUNDATION:LOCATION
FORMS,MATERIAL'S '
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
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- EFINAL-
CLYDE
NT.
TION OF THE LABOR CO THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S C ION SURANCE.
XT.
SIGNATURE O NUMBER COR--
PERMITTE AND POSTED /f J
ADDRESS ` N. DIRLAM, PRINCIPAL STyd"91RAL ENGINEER
PLAN CHECK VALIDATION CK. M.-0. CASH PERMIT VALIDATION( aL m.o. cABN
2 a J 9'-No SEP 1 4. 1 -D
3 .00 `0
tb
A ROA�DE.'T. RNiI i 15 REG? i,ED
FOR AN f- MMA i cRIAL STORAG- OR ORK
n DONE IN THE ROAD RIGHT OF WAY.
78A888A Ca#8032/60 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING -21
DEPARTNIENNT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALI
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DISTRIC NO. GROUPT�.pE PRO ESSEDBY
FOR APPLICANT TO FILL IN �.Sa coNST.
BUILDING �77Al(- TATISTICAL CLASSIFICATION SEWER MAP
ADDRESS f � (
BK
PG
CLASS.NO-2—DWELL.UNITQ
LOTNO. . BLSTATE
D-3 HYES O
TRA LyW``
! USE ZONE SPECIAL
NO.OF SIZE OF LOT Pd /1 �d I NOW ON LOTS Z~` � CONDITIONS
USE OF
EXISTING BLDG./_J BUILDING YARD HWY STREET NAME EXIST.
i lJ NO •17�1
OWNER 1c3� SETBACK WI TH
FRONT
P.L. O v
ADDRESS ° SIDE
ARCHITECT OR T L P.L.
ENGINEER NO INSPECTION RECORD
ADDRESS '`
CONTRACTOR r //J�1/UT�'✓L NE /J 7:3
i O
ADDRESS
DESCBMtIONO ORK 0
NEW AD�ALTER REPAIR DEMOLISH
3 ZE G� y1f
STORIES FAMILIES r
USE OF
i STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION
J APPROVALS DATE INSPECTOR'S SIGNATURE
F E $ FEE $/ �� FOUNDATION*
MATERIALS LOCATION 6–�7
fq-o 6 `i' 111ell'.)1. �
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
FRAME:BRACING,BOLTS S• G nPLICATION AND STATE THAT THE ABOVE IS CORRECT AND F GAS VENTDCUCTSN. `�AGREE O COMPLY WITH ALL COUNTY ORDINANCES ANDSTATE LAWS REGULATING BUILDING CONSTRUCTION. //1CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT. OO ( � �
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT.
SIGNATURE OHOUSE NUMBERCOR-
PERMITTEE. RECT AND POSTED _
ADDRESS � 24 g f za FINAL �Z`ZB��� �ILCCEr;LN�
CLYDE N. DIRLAM, PRINCIPAL ST AL ENGINEER
PLAN CHECK VALIDATION CK. M.C. CASH PERMIT VALIDATION cK. M.O. CASH
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