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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 d 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 �• 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 Ar- 0799 JUJU11 1 D 38.25f-'