HomeMy Public PortalAbout6453 OAK AVE_Building__ L`E 0Ba3( V.6/78) •�1'
APPLICATION R BUIL . NG PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS 6
BUILDING )_j/T S 7
ADDRESS l�7" LOCALITY `
NEAREST
CITY �� ZIP CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE I PARCEL
/ DISTRICT GROUP TYPE /FIRE ESSED BY
TRACT'''13'4—/3;7 BLOCK LOT kf 1 CONST. ZONE i
TEL. ,I/Y
OWNER NO. °�p -
ADDRESS K STATISTICAL CLASSIFICATION SEWER MA
CLASS NO. DWELL.UNITS BK ZJG
CITY ZIP
ARCHITECT OR TEL. VALUATION
ENGINEER NO. J
ADDRESS BLDG.SETBACK FROM
��---- FRONT PROP.LINE OF (STREET)
C RACTTtRHIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS` 1 6 / LI ly.J FRONT PROP.LINE HIGHWAY WIDTH
(} LIC. + _
CITY CLASSY
CONSTRUCTION LENDER BLDG.SETBACK FROM
NAME AND BRANCH SIDE PROP.LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH
SQ.FT. NO.OF NO.OF CHECK + = id
SIZE STORIES FAMILIES ONE F3
DESCRIPTION OF WORK P.C.Fee$ Permit Fee
Uj ADD ❑ Issuance Fee tn
•M '/") �, ALTER �
v'=3 IR ❑ Total Fee
USE OF , DEMOL ❑
EXISTING BLDG. r;:G� 3'• 2
APPLICANT TEL C
[PRINT) NO.
BY(SIGNATURE) n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ;9- A
3'6 0. 1
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE Z #•o 0 0 0 0 1
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V
THE
LABOR INSURANCE.STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- zPENS2 0-0 34.00
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SIGNATUREOF L o o a 3,4,0 0 00-
PERMITTEE PERMITTEE
ADDRESS 1/�+ O G,0 6 19
Z
O
TEL.
CITY 'fNO. 0 Q
C
USE ZONE MAP Q
NO.
SPECIAL
CONDITIONS
FINAL /ti f BY si
DATE J%Gi t:7
..rr r.� �•.I CJr'
• kPPL I CAT I O N FOR COUNTY OF LOS ANGELES
= DEPARTMENT -OF COUNTY ENGINEER
G PERMIT BUILDING AND SAgjY DIVISION
BUILDING-
FOR
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FOR APPLICANT TO FILL IN ADDRESS
NG
7ADDRESSBUILDIMII LOCALITY
CITY C' ZIP NEAREST
CROSS ST.
N .OF BLDGS. ASSESSOR.
SIZES OF LOOT N WON LOT MAP BOOK PAGE PARCEL
TRACT ,a-i37 BLOC LOT N _ DISTRICT GROUP TYPE FIRE/ d ESSED BY
/ CON://
'
TEL
OWNER . .� NO. STATISTICAL'CLASSIFICATION ^SEWER MAP
ADDRESS O CLASS NO.Ae
DWELL-UNITS B ' pG
i/Yd 'CQ Zip
ZONE MAP
CITY /.
N O.
ARCHITECT OR TEL. �f SPECIAL
ENGINEER NO. CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES[:] NO❑
TRACTORy� N0. 7 ?� BLD .SETBACK FROM
-1/- LIC.(� FR T PROP.LINE OF (STREET)
ADDRESS 6/ NO. �7 4 NIGH,WAY + YARD. = TOTAL SETBACK FROM TYPE OF EXISTING.
LIC. 5 FRONT PROP-. LINE HIGHWAY WIDTH
CITY�� CLASSB—f _
CONSTRUCTIO LENDER +
NAME AND BRANCH , %
BLDGS B��CK.FROM
ADDRESS CITY SIDE PROP.LI-RE-OF—.. (STREET) CC.:
SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TO A 9'ET K 'FROM TYPE OF EXISTING Cr
SIZE STORIES FAMILIES ONE - SI PR L HIGHWAY WIDTH ' C
DESCRIPTION OF WORK NEW ❑ .+ y
/� /f +� (ire ADD El CORNER CUTOFF YES ❑ NO ❑ Z
^+r' _- (_
ALT
ER
REPAIR❑ IN OPEN SPACE YES ❑ NO ❑
USE OF - IN COASTAL PERMIT ZONE, YES ❑ NO '❑
EXISTING BLDG. DEMOL ❑
APPLICANT TEL1/ 40 A106 G��s CO0N
(PRINT) N0. !�
BY (SIGNATURE) 7 - /
I HEREBY ACKNOWLEDGE,T HAT I HAVE READ,THIS APPLICATION - - -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION
ON- '
STRUC TI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED -
NEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE -OF CALIFORNIA IN RELATING TO '
WORKMEN'S COMPENSATION INSURANCE.
SIGNATURE O FINAL /� ►?� BY y
PERMITTEE DATE 1/
ADDRESS
TEL. . ••y P.C. Fee$ Permit Fee-
Issuance
NO. OJ/ _
.Ov Issuance Fee
VALUATION$ 'dTotal Fee .�.J
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.. CASH _
7.2 j:NlnrT .18. 1- 0 5.0 0 Ayd
76A688A CROB088 12/7S '
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING �/�� COUNTY OF LOS ANGELES
ADDRESS T DEPARTMENT OF COUNTY ENGINEER
C1T zIP BUILDING AND SAFETY DIVISION
IV O.OF BLDG BUILDING 7
SIZE OF LOT NOW ON,L DDRESS
s
TRACT OCK LOT NO. LOCALITY
TEL NEAREST
OWNER N CROSS ST.
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
DISTRICTGROUP TYPE FIRE PROCESSED BY`
CITY ZIP CONST Z",
Al
ARCHITECT TEL.
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO�DWELL,UNITS B PG
CONTRACTOR NEO USE ZONE MAP rJ wv 2
NO
.v�l/ /
ADDRESS Npa, � SPECIAL
LIC. CONDITIONS
CITY C LASS9:::�
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NOS
CONSTRUC ION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP,LINE O (STREET)- C
ADDRESS01 CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING C
SQ. F NO. OF NO. OF CHECK FRONT PROP. LINE HIGHW Y WIDTH
SIZ STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW ❑ V
G.SETBACK FROM
8 �-1 b 3 -'-7=A' IDE PROP.LINE OF (STREET) "
LTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH
USE
EXISOT NG BLDG DEMOL ❑ +
APPLICANT TEL CORNER CUTOFF YES ❑ fl/�'
(PRINT) NO.
BY (SIGNATURE) IN OPEN SPACE YES 1:1 NO ❑
IN COASTAL ZONE YES ❑ NO ❑
VALUATION CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE/THAT I HAV READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE RK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON 1 I LAT( N OF THE
LABOR CODE OF THE, ST T OF CALIF IA IN ING TO
WORKMEN'S COMP SAT URANCE
SIGNATURE
PERMITTE
ADDRESS
. FINAL BY
TEL.
CITY NO. DATE
mac%-QL'�
MAKE CHECKS PAYABLE TO: P.C. _J/7 FEE Y
HARVEY T. BRANDT. COUNTY ENGINfEER /c�/J/�
PLAN CHECK VALIDATION C . M.O. CASH _ PERMIT VALIDATIONC=: M.O. CASH
I
1"6 7 tihiA-T its 2 S 5.4 U
76AG38A CE#803 7/73 1 6 8XMAY 1 0 9.0 0 '6i8
6A638A"CE 98031/7� -PLICATION FOR BUILDING
PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING ////��..1,
ADDRESS � i
COLEMAN W. JENKINS, SUPT OF BUILDINGi
LOCALITY G
FOR APPLICANT TO FILL IN NEAREST
Print ort a onl CROSS ST.
/ DISTRICT NO GRO TYPE PRO BY
ADD EBUILDISS '� 0 CONST.
p-�rUGy / STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. BLOCK CLASS NO._.uDWELL.UNITS BK PG
TRACT i USE ZONE MAP
_X glNO.OFSIZE OF LOT V � NOW ON LOTS ® SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
OWNER O. BLDG.SETBACK FROM
ADDRESS O FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY V HIGHWAY WIDTH FROM G.L.
ARCHITECT OR TEL. + _ Q
ENGINEER NO. BLDG,SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL / TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL C
CONTRACTOR r /1{/ NO. HIGHWAY WIDTH FROM G.L. V
p� LIC. _
ADDRESS 3 L i/`� Q` NO. by
+ O
CITY /F 11-A, CLASS CORNER CUTOFF YES ❑ NO ❑ yv:
CONSTRUCTION LENDER ti
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ?
ADDRESS ,yy��
SQ. FT �) NO. OF / NO. OF NEW ❑ `. ,! ' /'esl:-•„s-�s
SIZE v STORIES FAMILIES I "
USE OF / —,.d ADD
STRUCTURE68-4 JC LTi(ij�
ALTER ❑
SIGNATURE OF REPAIR❑
APPLICANT DEMOL ❑
VALUATION S
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEES FEE 5 � FORMS. MATERIALS S�� / .� I
wa•
FRAME: FIRE STOPS, + Al;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 ORDINANCES AND LAWS,REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF •CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE. If LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE c RECT AND POSTED �,yr
ADDRESS FINAL �i�f'
JOHN F. LEWIS. PRIM IPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT ViALIDATIO cK: M.O., CASH
4
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