HomeMy Public PortalAbout5822 ALESSANDRO AVE_Building__ L618,%VE �t4P03 3 69 ��
APPLICATION FOR BUILDI G PERM
—COUNTY OF LOS ANGELES BUILDING J/r�
DEPARTMENT OF COUNTY ENGINEER ADDRESS t/
BUILDING AND SAFETY DIVISION LOCALITY t
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING NEAREST
CROSS ST
DISTRICTO �( TYPE CONST P OC SS Y
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) I (J
BUILDING II // STATISTICAL CLA S ATION SEWER MAP
ADDRES� ,2- e55Q1)d1-,o / � CLASS NO DWELL UNITS BK PG
LOT NO / `4/ 7 BLOCK USE ZONE �MAOP O
TRACT (OV t� AL
ONDIT ONS `
SIZE OF LOTS�J( /8� NOW ON BLOTS
a
USE OF
EXISTING BLDG BLDG SETBACK FROM
TEL G TYPE OF ONT PROP
E PSTINGE 5 TRACK HIGHWAY + YARD _(STRTOTAL)
OWNER j �n NO �0�
ADDRE//SS 6 '�.:j_ y/- h'e S 0 HIGHWAY WIDTH FROM C L
CITY
ARCHITECT 0 TEL BLDG S TRACK FROM ° (STREET)
ENGINEER NO SIDE PROP LINE OF
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL + = r
CONTRACTOR NO a
LIC ADDRESS NO CORNER CUT F YES ❑ NO ❑ 0
LIC 1 4 1 OC
CITY CLASS SEE RjEVfERS ENFOR P CI APP, ALS
CONSTRUCTION LENDER e7 u
NAME AND BRANCH
lCL
ADDRESS
SO FT NO OF NO OF
SIZE STORIES FAMILIES NEW ❑ C
l
STRUCTURE USE OF" gDDER ❑ /
REPAIR ❑ ,yq LGA
SIGNATURE OF DEMOL ❑ �C�
APPLICANT A/
VALUATION $ APPROVALS DATE IH TOR 5 GNATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE $ ! FORMS MATERIALS
FRAME FIRE STOPS
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC GAS VENT DUCTS
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH INT ! 6
OF THE STATE OF CALIFORNIA IN REL TING TO WORKMEN S COM
PENSATION INSURA LATH EXT G r G
SIGNATURE OF o HOUSE NUMBER CORRECT
PERMITTEE AND POSTED 41
ADDRESS FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH - PERMIT VALIDATION CK M O CASH
( ACn 1 6 9 8 SEP 4 1 0 1 725- Iq