HomeMy Public PortalAbout5715 OAK AVE_Building_4/24/1979_Y
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
ING
FOR APPLICANT TO FILL IN ADIDRESS
BUILDING £ ,7/S �/ %�//� A� /� �!p C�
ADDRESS) �{/ V V LOCALITY U
p NEAREST
CITY - a Y ZIP q � CROSS ST.
L1 NO. OF BLDGS. ASSESSOR
SIZE OF LOT �Q 7J NOW ON LOT MAP BOOK PAGE I PARCEL
/ '1 DISTRICT GR UP TYPE FIRE E BY
TRACT �CD I BLOCK LOT NO. -7 'R V O 0 � CON T. 1 Z E K�
OWNER T /Y�/ NC�Q '� `v 1-60
r U.S/ STATISTICAL CLASSIFICATION ER MAP
ADDRES5.7 �S ��/� /�U� CLASS NO. DWELL. UNITS L-' d--4:7
CITY 7r&/nPz 4!5-- C,/' X ZIP 917fIlb
ARCENGIiNEERITECTe•A - FV19Aj - NO.EL-3 ��fCI VALUATION $
ADDRESS BLDG. SETBACK FROM
BY (SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION. 1 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. d'n
SIGNATURE O X Y
PERMITTEE
ADDRESS S le AW4�7
CITY T�"7')?I�L� !�/TYN; . 7�
US� ZO MAP
NO. c9-O0SPECIAL7
CONDITIONS
FINAL BY I /
DATE
FRONT PROP. LINE OF
TEL.
HIGHWAY + YARD
CONTRACTOR 549-t Q(,J/If
N f
d
,/
ADDRESS -J-7 A� /4/�
LIC.
NO.
BLDG. SETBACK FROM
/TI/
CITY %r�n/0L1 rV
�C
LIC.
CLASS
(STREETI
CONSTRUCTION LENDER
NAME AND BRANCH � jjU 1_)/,
7-1
41 AIL
ADDRESS,.�Q,(T// 4994 CITY
+
= V
SO. FT0 NO. OF NO. OF
` I
CHECK
SIZE STORIES FAMILIES/
P.C. Fee $
ONE
DESCRIPTION OF WORK �/r%f�Q��
NEW ❑
j�
ADD 0
Total Fee
ALTER ❑
O
REPAIR ❑
USE OFDEMOL
BLDG. i0,4-rl D
11EXISTING
APPLICANT kLISSE//
N6,,,7"4r7-% Z)
BY (SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION. 1 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. d'n
SIGNATURE O X Y
PERMITTEE
ADDRESS S le AW4�7
CITY T�"7')?I�L� !�/TYN; . 7�
US� ZO MAP
NO. c9-O0SPECIAL7
CONDITIONS
FINAL BY I /
DATE
FRONT PROP. LINE OF
(STREET)
HIGHWAY + YARD
= TOTAL SETBACK FROM TYPE OF EXISTING
FRONT PROP. LINE HIGHWAY WIDTH
BLDG. SETBACK FROM
SIDE PROP. LINE OF
(STREETI
HIGHWAY + YARD
= TOTAL SETBACK FROM TYPE OF EXISTING r
SIDE PROP. LINE HIGHWAY WIDTH
+
= V
P.C. Fee $
Permit Fee % 0 �3
Issuance Fee
Total Fee
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