HomeMy Public PortalAbout5326 ALESSANDRO AVE_Building__ 9
76A638A CE x$803 6 62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER ) NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST r
DISTRICTT N G-r TYPE pRnu=F-q-qr-m Ry
FOR APPLICANT TO FILL IN 0CONST
BUILDING - n / STATISTICAL CL�A'7S�S FICATION ER MAP
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ADDRESS .0 SSS CLASS NO (—DWELL UNITS B.� VC)
LOT NO BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT MAP HIGHWAY
,.. NO OF SLOGS NO (CIRCLE) STATE MAJOR SECOND LOCAL
SIZE OF LOT 97 '51 NOW ON LOT USE ZONE SPECIAL
USE OF ppp CONDITIONS r t
EXISTING BLDG �{.
TEL *� I
OWNER /7,6p^ lj��jL.. If, NO J yOI J BU LDING YAR HWY STREET NAME EXIST
SETBACK WIDTH
ADDRESS1193G ,C4'L4, !ht[_ ��n"" FRONT �0
ARCHITECT OR TEL P L
ENGINEER NO SIDE
CL
P L
ADDRESSO
TEL A r V
CONTRACTOR � NO C
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ADDRESS U
DESCRIPTION OF WORK r Ou
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NEW ADD ALTER REPAIR DEMOLISH
SQ FT / NO OF / NO OF
SIZE / STORIES / FAMILIES / /�C ,�,e[ /, Y � •
USE OF
STRUCTURE
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SIGNATUREOF
/�`� ✓G'��u- �/Y
VALUATION $
APPROVALS PATE, INSPECTpR S 51 gTURE
PC PMT FOUNDATION LOCATION
FEE FEE $ FORMS MATERIALS /02
FRAME FIRE STOPS /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS G
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
I AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LP�TFI INT / #'
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT v'(
r ING TO WORKMEN 5 COMPENSATION INSURANCE LATH EXT
SIGNATURE NUMBER
01
PERMITTEE L ,OF // HRECT AND POS OUSE TE
A Il I!��_ F// //I,
ADDRESS -3v L � y FINAL V,-/ rp 4�`"" f
JOHN F LEWIS PRINCIPAL ST R URAL ENGINEER
PLAN CHECK VALIDATION CK i M O CASH _ PERMIT VALIDATION CK M O CASH
iii Lo �,3 7 r,t 7 3 D 6
` y ! 75" o 4 S' S Q I,. L 1 D 5350—
LA
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