HomeMy Public PortalAbout4935 ALESSANDRO AVE_Building__ 76A63 ACE$ 803 6-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING'
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS
DISTRICT N GR. OUP TYP P OCESS BY
FDRE
R APPLICANT TO FILL IN _� co s
STATISTICAL CLAS FICATION SEWER MAP
" n . �c-.is , . o �-BKCLASS. NO. DWELL. UNITS
BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
MAP HIGHWAY STATE MAJOR SECON OCALNOOF BLDGS. / NO. Q (CIRCLE)
NOW ON LOT 1 USE ZO E SPECIAL
CONDIT O
DG. TELAI
.Y��/ 2
OWNER �; Ci wC-N NO4 7-13 8VIL15ING YARD HWY STREET NAM EXIST.
p q ETBACK WIDTH
ADDRESS qL_t(S 1)A1oo�G 7��• FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L. CL
ADDRESS O
' CONTRACTOR
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Ya?3 9
ADDRESS ��jLry�/CUI�(rI _ �D �/ PARi�, 0
O
DESCRIPTION OF WORK W
a
NEW ADD e ALTER REPAIR DEMOLISH N
SQ. FT. NO. OF NO. OF
SIZE -� STORIES FAMILIES
STRUUSE
OCTURE TGrAIC� /l�/A�lr /laoM "t , lC/
AO�! �A'l
SIGNATURE OF
APPLICANT
VALUATION $ .f �l
C,T/ APPROVALS DATE INSPECTOR'S SIGNATURE
PC. FOUNDATION: LOCATION
FEE"75 .l FEE $ FORMS. MATERIALS !.r'
FRAME: FIRE STOPS, - I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT. �
SIGNATURE OF �• HOUSE NUMBER COR-
PERMITTEE Z �� RECT AND POSTED
ADDRESS FINAL .! r
JOHN F. LEWIS. PRINCIPAL ST T RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.G. CASH
L Lo 2 4 3 8�L AUG 11 1 D 1 1.5 10