HomeMy Public PortalAbout6516 OAK AVE_Building__ 4 sll:-
i8A898II CE#8084f80 APPLICATION FOIA- BUILDING PERmI`Y" -COMM OF LOS ANGELES BbILDING
DEPARTMENT OF-COUNTY ENGINEER} ADDRESS
BUILDING AND SAFETY DMISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER ..NEAREST
WILLIAM A.JENSEN SUPT OF BUILZ31NG CROSS ST.
DISTRICT O. G UP TYPE P SED BY
FOR APPLICANT TO FILL IN CONST. '
BUILDING STATISTICAL CLASSIFICATION ..SEWER MAP '
ADDRESS.
CLASS.NO. WELL..UNITS
LOT NO. BLOCK MAP NUMBER TATE 'YES NO
TRACT, USEZONESPECIAL '
�ry NO.OF BLDGS CONDITIONS
SIZE OF LOT '(r i' NOW ON LOT
-USE OF
EXISTING BLDG. BUILDING YARD I HWY STREET 1'ME.- EXIST.'
Q TEL.tJ�.y,,�y SETBACK WIDTH
OWN NO.A0 /7. D -FRONT yh
ADDRESS VIDE
ARCHITECT-ORF P.L.
ENGINEER. NTE INSPECTION RECORD
ADDRESS' rr ��jj pp -
CONTRACTO �A.NO.'07020
ADDRESS I/ 7 C /fie'S S AV--e-
DESCRIPTION:OF WORK v Oa
2-17-61 6 •hyl _ri /o d+vl 6—
N ADD ALTER. REPAIR DEMOLISH i - -
SQ.FT. NO.OF NO.OF / n n/E
SIZE STORIES -1FAMILIE USE OF
/ -
STRUCTWpf
SIGNATURE OF
APPLICANT -
VALUATION.$ Q ®Q
APPROVALS DATE INSPECTOR'S SIGNATURE
./ �. FOUNDATION:LOCATION �f
P.C. �y �G
FEE PMT ,MATERIALS Z— 6' Ol'
$ IX.� FEE.$ FORMS
FRAME:FIRE STOPS, a
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- BRACING BOLTS I—�•3�(fl �GIAA .. '
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
FURNACE:LOCATION, / j����'��/��1 -
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS Z' 6 ao,5 1 '
STATE LAWS REGULATING BUILDING CONSTRUCTION. /Q///
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 'I LATH,INT. i 4- /�G4l�l,
WILL NOT EMPLOY NY PERSON IN VIOLATION OF THE n
WORKMEN'S CO P SATI LAW OF CALIFORNIA. LATH,EXT. ! ,Y
SIGNATURE O HOUSE NUMBER COR- �f { �J
PERMITTE �— RECT AND POSTE 7i' !i - /AI.J/G /0
el*000i
ADDRES FINAL
'CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER
PLAN CHECK-VALIDATION. cK M.O.. OMH PERMIT VALIDATION cK M.b. -CASH..-
L lkCo s 6 .8 0 n. GEC 122 3 �. 2 4.0 0 s`1",
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- .LCo� s 3 s DEC 14- 51.0.0. 'w F
APPLICATION FOR COUNTY 'OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING PERMIT BUILDING AND SAFETY DIVISION
BUILDING
FOR APPLICANT TO FILLL IN ADDRESS �+
Ac4 0
DD EBUILDISS �/ /�- U� LOCALITY i
NEAREST
CITY e �T/ ZIP i7f0 CROSS ST.
�/ `` NO.OF B.L'DGS. ASSESSOR
SIZE OF LOT_9/( I)-,/, NOW ON LOT MAP BOOK PAGE PARCEL
DISTRIUCT G TYPE FIRE
PESSED BY ZONE aK �//OTAL
OWNER A.bMQfAAb STATISTICAL
CLASSIFICATION EWER MAP
ADDRESS 46-16 AJ, O CLASS NO._zeLLDWELL,UNITS BM PG
P?f
CITY . ZIP /700 irONE MA
NOP ^�
ARCHITECT OR NEL. PECIAL
ENGINEER '" GONDIT ONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR TEL. �- BLDG SETBACK FROM
Li .FRON PROP.LINE OF (STREET)
LIC. - TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS �- NO. HIGHWA + YARD HIGHWAY WIDTH
CITY - LIC. FRONT PROP. LINE
CLASS _
CONSTRUCTION LENDER r_ +
NAME AND BRANCH BLDG.SET CKFROM
ADDRESS CITY SIDE PROP.L OF (STREET)
SQ. FT. O. OF NO. OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING C
SIZE 31 1 STORIES FAMILIES ONE E PROP. LINE HIGHWAY WIDTH
DESCRIPTION OF WORK NEW ❑ +
�1 ADD CORNER CUTOFF YES ❑ NO
Z
G% ^ ALTER ❑
REPAIR[]
OPEN SPACE YES ❑ NO ❑
USE OFIN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. DEMOL E:]
APPLICANTTEL
(PRINT) � -M NO.
BY (SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAV EAD THIS APP CATION
AND STATE THAT THE ABOVE IS CO
RR AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. IC
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 R ATING TO
WORKMEN'S COMPENSA N INSURANCE. ' r,
SIGNATURE OF FINAL I �f ���-�7�j BY
PERMITTEE q PATE 4
ADDRESS
dv
CV L �^
TEL..GIT r/ P.C. Fee$ Permit Fee
NO. J-
QQ //{{ Issuance Fee
VALUATION A �Q(J
Total Fee
PLAN CHECK VALIDATION C M.O. CASH PERMIT VALIDATION CK. M.O. CASH