HomeMy Public PortalAbout5725 OAK AVE_Building_5/23/1972_0 do TBABSPAA CE R803 1/7I
APPLICATION FOR
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK ��]] ��}y PAGES//n ,FAr�I //��r PARCEL
BUILDING AND SAFETY DIVISION gDDRESS /oC� //' ✓Q/. LC i-� ,
JLOCALITY t,T-GRPI'TOPET.
% 2NEA EST
CROSSST.,�%Q�E$5 /g,'D` $ID p�CSI. : P/\L- l�/
STATISTICAL C��}L}AS��SIFICATION J" SEWER MAP
• CLASS NO.{2�LDWELL,UNITS_ BK PG
USE ZONE MAP
NO. x(f
/N I SPECIAL
l CONDITIONS
BLDG. SETBACK FROM
FRONT PROP. LINE OF ---- JSTR EE TI
TYPE OFEXISTING SETBACK HIGHWAY + YARD ? TOTAL
HIGHWAY WIDTH FROM C.L.
BLDG.SETBAC FR._M
SIDE PROP. LINE OF (STREET(
TYPE OF EXISTING SETBACKHIGHW✓V� YARD = -TOTAL
HIGHWAY WIDTH FROM C.L.I _ I
CORNER CUTOFF YES ❑ NO ❑ I
SEE REVERSE SIDE FOR SPECIAL APPROVALS
BUILDI G PERMIT f]
COLEMAN W. JENKINS, suP-T of SUILOING
FOR APPLICANT TO FILL IN
(Print or W.. onlvl
BUILDING �`7rj
ADDRESS v
' TRACT 6,561
1
BLOCK
ADDRESS
%i .rF-1 S'6141, -NE. L
CONTRACTOR �> /I
ADDRESS,le,?Y /TG/- acA NO. ��6
CITY �(, U��// CLASS /JJ /
CONSTRUCTION LENDER ,
NAME AND BRANCH
ADDRESS
NO. OF NO. OF
STORIES FAMILIES
fiL , A � y 'c'm pr%
' VALUATIONS (4-OzlC
NEW ❑
ADD
ALTER Cl
REPAIR❑
DEMOL ❑
FEE $ FEES /� V �,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. 1 CERTIFY THAT IN GOING THE WORK AUTHORIZED
HEREBY I wILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE TATE OF CALIFOR IA IN RELATING TO
WORKMEN'S CO MPE NS I N INPRANCE
'/2 /
SIGNATURE OF
PERMITTEE
ADDRESS
PLAN CHECK VALIDATION CK. NO. CASH
APPROVALS
NO. OF BLDGS.
SIZE OF LOT
NOW ON LOT
USE OF
�A
YJJ/(i
EXISTING BLDG.
OWNER �)/�
TEL.
NO.
ADDRESS ,rZr♦��
/�%�
CITY
ARCHITECT OR
TEL.
ENGINEER
NO.
ADDRESS
%i .rF-1 S'6141, -NE. L
CONTRACTOR �> /I
ADDRESS,le,?Y /TG/- acA NO. ��6
CITY �(, U��// CLASS /JJ /
CONSTRUCTION LENDER ,
NAME AND BRANCH
ADDRESS
NO. OF NO. OF
STORIES FAMILIES
fiL , A � y 'c'm pr%
' VALUATIONS (4-OzlC
NEW ❑
ADD
ALTER Cl
REPAIR❑
DEMOL ❑
FEE $ FEES /� V �,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. 1 CERTIFY THAT IN GOING THE WORK AUTHORIZED
HEREBY I wILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE TATE OF CALIFOR IA IN RELATING TO
WORKMEN'S CO MPE NS I N INPRANCE
'/2 /
SIGNATURE OF
PERMITTEE
ADDRESS
PLAN CHECK VALIDATION CK. NO. CASH
APPROVALS
DATEF
FOUNDATION: LOCATION
L
FORMS, MATERIALS
�A
YJJ/(i
IFR BRACINIG. BOLRE TS
-7 /1 /1Z
FURNACE: LOCATION,
If
GAS VENT, DUCTS
ILATH, INT.
ILATH, EXT.
HOUSE NUMBER COR-
RECT AND POSTED
1 1
I FINAL IrW/
JOHN F. LEWIS
PAL STF
_ PERMIT V=
TION /
IHSP CTOR•S SI[ANATUREI
TURALAL ENGINEER
v 0. CASH
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