HomeMy Public PortalAbout4820 ALESSANDRO AVE_Building__ � COUNTY OF LOS ANGELES
APPLICATION FOR Cy_�-'j DEPARTMENT OF COUNTY ENGINEER
'BUILDING PERMIT BUILDING AND SAFETY DIVISION
BUILDING c
uo
FOR APPLICANT TO FILL IN ADDRESS J
BUILDING
ADORE -6 a LOCALITY
NEAREST �]
CITY ZIP CROSS ST
NO OFBLDGS ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
C{,j/. DISTRICT GROUP TYPE FIRE PSSED BY
TRACT V _/ BLOCK LOT NO CONST ZONE
TEL ��
OWNER NO STATISTICAL CLASS FICATION
r) EWER MAP
ADDRES CLASS NO-DWELL UNITS :& BK37PG
USE ZONE
{� MAP
CITY ZIP O 7
ARCHITECT � SPECIAL
NO�"�oJ ' � OENGNEERNOIT ONS
ADDRESS 91,8 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR rT,o��S BLDG SETBACK FROM
,3,S � FRONT PROP LINE OF l5 EET)
ADDRESS �C.. yy NOJ HIGHWAY } YARD = TOTAL SETBACK FROM PE OF EXISTING
CITY LIC
FRONT PROP LIN HIGHWAY WIDTH
CLASS _
CONSTRUCTAN LENDER +
NAME AND BRANCH 72 BLDG SETBACK FROM , n'
' w
ADDRESS CITY
SIOEPROP LINEOF (STREET)
V
SQ FT J NO OF NO OF CHECK HIGHWAY } YARD = T 0,P<L SETBACK FROM TYPE OF EXISTING tr
SIZE STORIES / FAMILIES / ONE SIDE PROP LINE HIGHWAY WIDTH
O
+
DESCRIPTION OF WORK NEW ❑ - N
2J i. ADD CORNER UTOFF YES ❑ d NO C:] Z
07ALTER ❑
REPAIR❑ IN OPEN SP CE YES ❑ NO ❑
USE OF EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ No
EXISTING BLDG D ❑
APPLICANT TEL e /
(PRINT) D- B,5J- te
`
BY (SIGNATURE)
I HEREBY ACKNOWLEDGE RA I HAV READ T APPLICATION t
AND STATE THAT THE ABOVE IS CORRECT AND A REE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON
STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSATION INSURANCE j �,.
SIGNATURE OF �� I✓ FINALl F/ BY
PERMITTE`E DATE FFF
ADDRESS -d-49 /
�
CITY �{((0, NO
��� 8 P C Fee$ Permit Fee
Issuance Fee
VALUATION$ -74- ev "/n
Total Fee
PLAN CHECK VALIDATION CK M a CASH a PERMIT VALIDATION 0 M O CASH
4O' EB 1 u 3525 ,,-
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76A638A CE#8038 12/75 A /