HomeMy Public PortalAbout5720 OAK AVE_Building_11/7/1979_®f 76A838A
CE dBOB )REV. B/lBl
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING ANDD. SAFETY
BU
FOR APPLICANT TO FILL IN ADIDRESS LDING 3iOE7O J /. [y 4iY aa -e -
BUILDING '� �7 /' n `
ADDRESS J 7; C/ Of+ L� AUa LOCALITY Cr =
NEAREST �J
CITY 7r -ib nlr- (f!y/ ZIP `%ieC) CROSS ST.
NO. OF BLDGS. ASSESSOR PAGE
SIZEIPARCEL I
SIZE OF LOT /SO �� A NOW ON LOT MAP BOOK
TYPE
TRACT �.J (0 ]BLOCK I LOT NO.T'f DISTRICT GROUP CONST. ZONE PR ES! ED 8Y
OWNER///j� S �N � TEL STATISTICAL CLASSIFICATION ERMAP
ADDRESS %2n CLASS NO. DWELL. UNITS B�fJ�G
CITY T-(Y�ofr_ CrI;z, ZIP 91780 I
ARCHITEf � d TEL VALUATION $ 16700
ENGINEER NO. 'qI
ADDRESS BLDG. SETBACK FROM
(/ / FRONT PROP. LIN EI(STREETI
INGI
CONTRACTOR NO.. HIGHWAY + YARD
TOTAL SETBACK FROM TYPEOFEXIST
D =
LIC I FRONT PROP. LINE HIGHWAY WIDTH
ADDRESS A7 NO.
( V LIC. +
CITY n CLASS BLDG. SETBACK FROM
CONSTRUCTION LENDE SIDE PROP LINE OF ISTREET)I
NAME AND BRANCH
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE A EXISTING)
ADDRESS CITY SIDE PROP. LINE HIGHWAY WIDTH
SO. FT. ISTORIES I FAMILIES ONEK + gg
/ I 0
DESCRIPTION OFWORKE]`ORK NEW P.C. Fee $ PermitFee
�� rI-C 1 til a ADD Issuance Fee 7
+ALTER E
)REPAIR ❑ Total fee
USE OF
EXISTING DEMOL
14
EXISTING BLDG. 4 us E ❑ Z
APPLICANT TEL 2
(PRINT) NO. Q
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BY (SIGNATURE) 4
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1 HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION AND STATE V
THATAND THE ABOVE TCG BUIL AND AGREE TO COMPLY CWITHERTIFY
T ALL ORDINANCES w
AND LAWS REGULATING BUILDING CONSTRUCTION. EMPLOY A CERTIFY THAT IN DOING THE LU 2,7 :6 3, 1.A
WORK AUTHORIZED HEREBY WILL LIF EMPLOY ANY PERSON IN VIOLATION M V
THE LABOR NINSUANCE, STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM Z {{�,
PENBAiIDNINSURANCE.
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PERM TTEEE OF -4_ _ Ee "y� 2 -� 25.00
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7900 CONDITIONS f
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