HomeMy Public PortalAbout6460 OAK AVE_Building__ 76A638A CE9803 8-66 APPLICATION FOR BU I LD I N P RM I
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND. SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST /
COLEMAN W. JENKINSAUP•T OF BUILDING CROSS ST.MEN
DISTRICT NO. GR UP _ TYPE PROCESSED BY
FOR APPLICANT TO FILL IN , ,()� p coNs
BUILDING STATISTICAL,] ASSIFICA TION SEWER MAP
ADDRESS i CLASS NO. `� DW'ELL UNITS BK�PG
LOT NO. S.
��i' ��� 'SCK USE ZONE MAP
Ar-41"
NO.
TRACT Ar-41J,� C 1-J® SPECIAL
NO. OF SLOSS. oelCONDI IONS -
SIZE OF LOT NOW ON LOT
USE OF
EXLSTUNG BLI30, BLDG. SETBACK FROM
n �l TEL. FRONT PROP. LINE OF (STREET)
OWNER 4 .// fY NO. p TYPE OF EXISTING SETBACK HIGHWAY 'f' YARD = TOTAL
ADDRESS �P �!D ,Q,�ye, HIGHWAY WIDTH F M C.L.
CITY ... w BLDG. SETBACK FROM
ARCHITECT OR TIFL. SIDE PROP. LINE OF (STREET)
ENGINEER NO. TYPE-OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. } _
CONTRACTORY-1 NO
v LIC
ADDRESS 27r�i1% NO lj CORNER CUTOFF YES NO
CITY CL l SEE REVERSE SIDE FOR SPECIAL APPROVALS c
DESCRIPTION OF WORK C
u
NEW ADD ALTER REPAIR DEMOLISH nnco
SQ.FT. NO. OF NO. OF u-s,5 ta!A'K-q"•- ,
SIZE STORIES 90V FAMILIES d
USE OF
STRUCTUREJ (,
SIGNATURE OF
APPLICANT
VALUATION$ ,Qo
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ FORMS, MATERIALS
FRAME, FIRE STOPS,• �Id, I/
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AMC) STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK _
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPEN ATION INSURANCE, LATH. EXT.
/1 r
SIGNATURE OF HOUSE NUMBER COR-'
PERMITTEE RE T AND POSTED
ADDRESS 2 FINAL V✓
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.o CAB
�...7 4 NOV 4. 1 D 4.00-- a
�� � Z-f`f)/ _.
APPLICATION -FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING COUNTY OF LOS ANGELES
ADDRESS C--q6'0 wo avLe- DEPARTMENT OF COUNTY ENGINEER
CITY _ ZIP17-sp BUILDING AND SAFETY DIVISION
NO.OF BUILDING
SIZE OF� /
LOT l'.7 5'7'S 6 NOW ONN LOT LOT � ADDRESS Ej lt�i
TRACT/%/3 4--/37 BLOCK LOT 0.J' "�— LOCALITY
TEL•. -- NEAREST
OWNER NO. WC3 CROSS ST. ,
ADDRESS j !l Q ASSESSOR
MAP,BOOK PAGE PARCEL
�� DISTRICT GROUP PE - FIRE ROC ED BY
-CITY /�,�LC ZIP' NST. ZON6�'
ARCHITECT OR TEL. (� L
ENGINEER NO. STATISTICAL CLASSIFICATION SEWER
ADDRESS TEL. CLASS NO. DWELL.UNITS BK PG
' � �
CONTRACTOR LrIGGC�Q NO. �s US ONE MAP
NO
/
ADDRESS ?3/S G- v �NO.,,cIL9�o�2 SPECIAL -
CONDITIONS
CITY CLASS '
CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS• ^ CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE '; HIGHWAY WIDTH
SIZE STORIES I FAMILIES / ONE }
DESCRIPTION OF WORK NEW + — O
AD BLDG.SETBACK FROM
` �� r LI�, ALDTER ❑ SIDE PROP.LINE OF (STRE— TOTAL SETBACK FROM TYPE'OFETEXISTING
HIGHWAY YARD SIDE PROP.LINE HIGHWAY WIDTH , w
USEOF REPAIR ❑ Z
EXISTING BLDG. DEMOL ❑ +
APPLICANT TEL CORNER CUTOFF YES ❑ 'NO ❑
(PRINT) NO.
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE( IN COASTAL,PERMIT ZONE YES ❑ NO ❑
VALUATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATETHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.-
SIGNATURE OF
PERMITTEE
ADDRESS- T
+� (� FINAL 7 �J C Y'.
CITY NO. G S DATE �•' J ��i- u�'�--•�
MAKE CHECKS PAYABLE TO: F E • FEET
HARVEY T.BRANDT,COUNTY ENGINEER 7�r
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.o.- cwsH;
-o s .3tiJAN .l .1'
Os 76A638A CE#803 3.75'