HomeMy Public PortalAbout6454 OAK AVE_Building__ 76AE.,e C'1'11803 1216A9
FPLICATION FOR BUILD NG 'PE IT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tvoe onlvI CROSS ST.
BUILDING /� _ DISjI,C N GR?111M I
TYPE
CONST. P BY
ADDRESS U+ � �v 14- k
STATISTICAL LASSIFICATION SEW R MAP
LOT NO. — BLOCK CLASS NO. DWELL.UNITS B G
TRACT USE ZFNEJ MAP �2
NO.O BLDGS. NO. 1J
SJ,ZE OF LOT NOW ON LOT SPECIAL
USE OF 1� t r + CONDITIONS
EXISTING BLDG. Jw1.,•- p
r– NO. r E LOG.SETBACK FROM
ADDRESS (pJ N. fj¢ FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL
CITY -e�//fi! HIGHWAY WIDT FROM C.L.
ARCHITECT OR TEL. + =
ENGINEER NO. BLDG.SETBACK FROM
AD ESS SIDE PROP.LINE OF (STREET)
j�'g1(11"vr�r-t C EL, TYPE OF EXISTING SETBACK HIGH + YARD = TOTAL
C I RACTOR // NO, HIGHWAY WIDTH FROM C.L.
ADDRESS
,0F e_ / S7� p sLcc, t c c
CITY I r/-! q dY�t/ CLASS CORNER CUTOFF YES ❑ NO ❑ C
CONSTRUCTION LENDER .� J SEE REVERSE SIDE FOR SPECIAL APPROVALS
NAME AND BRANCH f
ADDRESS ��� �� �� ' / O
co
SC!. FT, ' / NO. OF NO. OF ❑ 1 2
SIZE J 4a STORIES FAMILIES NE �,
USE C alt, qpp� e
STRUCTURE A L T E MN9
SIGNATURE OF REPAIR[] g
APPLICANT #2.;, HMOL ❑
c '
VALUATIONS �Q (S}
APPROVALS DATE IN9 PEITOR'9 BIGNA TU RE
P.C.
PMT. FOUNDATION: LOCATION �
FEES FEES �� FORMS. MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS C.i
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 THEWORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. w l
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
PERMISIGNATTEE OF '~��' r���� OUSE NUMBER COR-
P RECT AND POSTED
ADDRESS FINAL
19 JOHN F. LEWIS. PRINCIPAL ST RAL ENG EER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO cK. M.O.. A
LAW 7 6 6 61---3 DEC 16 1 D '4 8.7 5, a
IBA638A CE#803 8-63 APPLICATION FOR BUILING PERMIT
COUNTY OF LOS ANGELES- BUILDING �"-
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,SUPT OF BUILDING SEE CROSS ST.
DISTRICT NO. OUP TYPE P E��SE�BY
FOR APPLICANT TO FILL IN ° `� E% ?lam
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS �� '� Br
CLASS. NO. DWELL.UNITS-
LOT
LOT NO. AV �, BLOCK WATER NOT REQUIRED M RECEIVED
CERTIFICATE:
TRACT , _ �jL rL MAPO.OF BLDGS. NO. (CIRCLE)HIGHWAY STATE MAJOR SECOND,LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF e CONDITIONS
EXISTING BLDG.
TEL./'
OWNER,4. NO.ryr. B I DING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS , FRONT
ARCHITECT OR EL. P. L.
ENGINEER NO. SIDE
P. L. r%
ADDRESS I
TEL. l
CONTRALTO S•, O. ' (�
ADDRESS
DESCRIPTION OF WORK OF
W
NEW ADD ALTER REPAIR DEMOLISH ul
Q.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE f;
r
SIGNATURE OF
APPLICANT
VALUATION $ Q
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. :.4 ' PMT. FOUNDATION: LOCATION
FEE $ FEE FORMS, MATERIALS
FRAME: FIRE STOPS,
I 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 I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH.EXT. /
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED �/+/
ADDRESS FINAL (11/ '✓f G �/ �j���/�,,
JOHN F. LEWIS, PRINCIPAL S'fl RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION !CCK). ,-M.O. CASH
,. L&O 9. 0 0 4-Go. J17A 12 1 D 2 2.5 0- Z