HomeMy Public PortalAbout5318 ALESSANDRO AVE_Building__ 76A636A CE#803 5 66 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS v�
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST _
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST b
DIS N G TYPE - PR S B
FS314
OR APPLICANT TO FILL IN (� coNST
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JA,J! �� N HIGHWAY WIDTH FROM C L
CITY + C.tilp �� �.. + -
BLDG SETBACK FROM
ARCHITECT OR TEL
ENGINEER NO SIDE PROP LINE OF - (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD NOTAL
ADDRESS �(1( HIGHWAY WIDTH FROM C L
CONTRACTOR ' ~ 'C �ZNOL + 0
ADDRESS )09�Q NO Z1 �C7 CORNER CUTOFF T YES NO O
clrY clLCA s ST ?C SEE REVERSE SIDE FOR SPECIAL APPROVALS 0
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VALUATION$
APPROVALS DATE INSPECTOR SSIGNATURE
P C PMT FOUNDATION LOCATION t
FEE$ FEE$ FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDING 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-&.jn MP TIO INSU ANCE
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED '
ADDRESS F] NAL
JOHN F LEWIS PRINCIPAL STIR URAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M O CASH
C i o 1 8, 5 fiY, - Q E- 1` D 4 0 0
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