HomeMy Public PortalAbout5954 ALESSANDRO AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES
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T OF
BUILDING PERMIT DEPARTMBUILDNLG AND SAFETYYDIVSIONER
BUILDING IV
FOR APPLICANT TO FILL IN ADDRESS a�L
BUILDING
ADDRESS LOCALIT
NEAREST
CITY ZIP CROSS ST
O OF SLOGS ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK AGE PARCEL
_ DISTRICT GROUP TYPE FIRE } OC SED BY
TRAC�Q� BLOCK LO NQf.� i CONST] ZEE
TEL V S.� � `7
OWNER F NO STATISTICAL CLASSIFICATION
SEWE
ADDRESS CLASS NO DWELL UNITS ^— B �+
CITY ZIP USE ZONE MAPNO
�(J
ARCHITECT OR TEL SPECIAL
ENGINEER NO ICONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES NO
CONTRACTOR NEOL _ BLDG SETBACK FROM
LIC FRONT PROP LINE OF (STREET)
ADDRESS /Z, NO Z Ulf - _ TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY t YARD HIGHWAY WIDTH
CITY LIC FRONT PROP LINE
C ,0/ CLASS _
CONSTRUCTION LENDER t
NAME AND BRANCH a
ADDRESS CITY
BLDG SETBACK FROM (STREETI a-
SIDE PROP LINEOF
rJ
SQ FT NO OF NO OF CHECK HIGHWAY t YARD = TOTAL SET CK FROM TYPE OF EXISTING
SIZE STORIES FAMILIES ONE SIDE OP LINE HIGHWAY WIDTH U
DESCRIPTION OF WORK NEW ❑ t -
N
ADD 12 CORNER CUTOF YES ❑ NO Z
ALTER 56
E AIR❑ IN OPEN SPACE YES NO
USE
EXIS� NG BLDG EMOL ❑ IN COASTAL PERMIT ZONE ES NO
APPLICANT TEL -� `�
(PRINT) NO A/
BY (SIGNATURE
I HEREBY ACK OWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY P
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON
STRU,TIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPE NSA " I URA E /
SIGNATURE OF FINAL /i/L .- 77 BY
PERMITTEE DATE 7 ••//
ADDRESS
TEL PC Fee$ Permit Fee
CITY NO
9 o Issuance Fee
Q
VALUATION Q + .2cle, 4_� I I1 41
Total Fee
PLAN CHECK VALIDATION CK M o CASH P�RMI ,�r�iLIDATION }K M O CASH
u ? 82c! �1/ JIl , Iff.00A&
70A838A CE*803B 12/75
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