HomeMy Public PortalAbout5715 OAK AVE_Building_3/20/1967_76AG38A CE#8033-66 APPLICATION FOR BUILD NG PERM.k
COUNTY OF LOS ANGELES BUILDING�f/S
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMSIE. COUNTY ENGINEER NEAREST T 1
COLEMAN W. JENKINSSUP'T of BGILDING CROss ST.
DISTRICT NO. GROUP TYPE P C SSED BY
FOR APPLICANT TO FILL IN �S pA I�jogcoNsr�aL�.Z moo/
�.I STATISTICALL C/LASSIFICA ION SEWER MAP
ADDRESS J %�S� �� OqK. CLASS NO. DWELL UNITS SK/ PG/3&
LOT NO. 3 Q /sem, �iL 1 BLOCK USE ZONE MAP G iJ�Q
TRACT �5 �) J _ �—/ SPECIAL
/y + NO. aF BLOGS. --. / Wet) I CONDITIONS
SIZE OF LOZQ ^ IA46I NOW ON LOT !/
USE OF �7 d '^' C
EXISTING JPp DO -'S ✓EvS� C/ Q.QryYFU
OWNER L1. t4 Nj)ieP r)4 NOL.
ADDRESS
-57)$/ //y •
ICITY / rI`N %
ARCHITECT O �-�y TE
E NGINEERWI. d%L/-%�c,nt _f,79�rDT NO.
I ADDRESSeC !S1 4f-:rR?4jjr= ST
CONTRAnCCTOI(//�FF•���_,��� IFI•S�Fc��I•L.(4 No
ADD RlE3'YrrJ /jJ(p(y/(GLV F/L[�A /-�' NO���,!��/�J y
ICITY(Y/-,ST. ( t) )0IT CILAS;`J / / --P /
DESCRIPTION OF WORK
NEW V' ADD ALTER REPAIR DEMOLISH
13 ZET SOTOR Ef�l FAMII IF_S
USI STR CTURE �� J� ( 7 O 0 �.
I sTn,Y aw ��39
VALUATION$,00
FEE 376- I I PMT. 00
FEE $ 1-51
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
9UILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERS IN VIOLA-
TION OF THE LABOR CODE OF THEYRA.Cl
AL1 NIA RELAT-
ING TO WORKME O N6ATION
SIGNATURE PERM ITTEFADDRESSj
BLDG. SETBACK FROM
FRONT POOP. LINE OF
(STREET)
TYPE OF
I EXISTING)
SETBACK
HIGHWAY
+
YARD
= TOTAL
'HIGHWAY
WIOTX
FflOM C.L.
Loco
/I
(00 I
SO
3q
+
20
= Sc)
BLDG. 9E/
BACK FROM
31DE PROP. LINE OF
(STREET)
TYPE OF
EXISTING
SETBACK
HIGHWAY
+
YARD
TOTAL
HIGHWAY
WIDTH
I
FROM C.L.
=
+
CORNER CUTOFF YES ❑ NO
SEE REVERSE SIDE FOR SPECIAL APPROVALS I o
3017 77}2, 0' /1/' r r!er..;f,►
APPROVALS � DATE
FOUNDATION, LOCATION
FORMS. MATERIALS
FURNACE: LOCATION
GAS VENT. DUCTS
LATH. INT.
LATH. EXT.
HOUSE NUMBER COR-
RECT AND POSTED
FINAL
ter.. f
INSPL;,&SSIONATUREI
JOHN F. LEWIS. PRINCIPAL ST AL ENGINEER
CK.
PLAN CHECK VALIDATION M.O. CASH _ PERMITTnVALIDATION CK. M.O CASH
L1(;0 7 6 7 8 MAR 2. 0 2 1 D 3.7 5- Q
LAC07 6 7 a-� MAR20 1 D 1 5.00^' v
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