HomeMy Public PortalAbout5703 OAK AVE_Building_5/15/1968_Iw
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APPLICATION FOR BUILDG PERMIT%' _
COUNTY OF LOS ANGELESBUILDING
DEPARTMENT OF COUNTY ENCIINEER I ADDRESS �/ OJ // • ��,U�� / I,t.
BUILDING AND SAFETY DIVISION I LOCALITYA
JOHN A. LA MBIE, COUNTY ENGINEER I NEAREST
!1
COLEMAN W. JENKINS, SUP'r of BUILDING (I/
FOR APPLICANT TO FILL IN
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LDI NG
ADIDRESS<. /yOE�J�
LOT NO. /�L% i�Y �"�'/ BLOCK
TRACT
SIZE OF LO 112 NO. OF INOW ON LOTS
USE TI //'/ �-�
EXISTING BLDG�I/,.GLR:�%�
OWNER/� �/��-��j� � TEL.
ADDRES+S7—Vp� /� 'PZ94
CITY ,/y`(/[-
ARCHITECT OR TEL.
ADDRESS
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CONTRA CTOR14y>LCG/,/yCJ�c,¢ NO.
ADDRESS [ 7 /- � � \ LIC.
/ LIC
CITY ,�//s�i/[ �%-G L' LIC.
CLASS
DESCRIPTION OF WORK
NEW �tD�v/-y ALTER REPAIR DEMOLISH
SIZE T pL.Q v STORIES FAMILIES
SIGNATURE OF
APPLICANT
VALUATION S
P.C.
FEE $
CROSS ST. J
DISSTRICT NO. TYP
CONST. TYPE C/E�1,6���Dg/y,�J
`SZAPTATI iL �A ?SI �WE)L.ION ITS / EB E�:.Y�OG///LG!/I
K PG 361
USE
777ZONEI NOP /, I
SPECl/CL
1'I CONDITIONS
SETBACK FROM
FRONT
FRONT PROP. LI NE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY WIDTH FROM G.L.
+
BLDG. SETBACK FROM (STREET)
SIDE PROP. LINEOF
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
+ - I�
O
CORNER CUTOFF YES ❑ NO ❑ O
SEE REVERSE SIDE FOR SPECIAL APPROVALS
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N% .SiLdsw� /F
I APPROVALS /DDATE (NSP OR's SIG TUREI
PMT. �f� �'%1 FOUNDATION: LOCATION
FORMS, t-/
FEE $ p� G� l./ FORMS. MATERIALS G 9
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS /
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THESTATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANCE. I
SIGNATURE OF
PERMITTEE Al i /%
PLAN CHECK VALIDATION CK. M.O. CASH
LATH, INT.
! jr/ /
`/j��
LATH, EXT.
HOUSE NUMBER COR-
RECT AND POSTED
FINAL
JOHN F. LEWIS.
PRINCIPAL ST RAL ENGINEER
_ PERMIT VALIDATION cK. M.D. CASH
LAW 4oss' KAY 15 1 D 22.50-
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