HomeMy Public PortalAbout4802 ALESSANDRO AVE_Building_3/13/1975_extend living rm,remodel kitchen fam rm ,�► _ APPLICATION FOR BUILDING PERMIT
�R A PLICANT TO FILL Irk (Print or type only) }
BUILDING i��uCOUNTY OF LOS ANGELES +
ADDRESS DEPARTMENT OF COUNTY ENGINEER
C IT Yz I P B LDING AND SAFETY DIVISION
' NO OF BLDGS BUILDING
SIZE OF LOT NOW ON LOT ADDRESS
TRACT BLOCK LOT NO LOCALITY
—1T
EL NEAREST
OWNER NO CROSS ST
ASSESSOR
ADDRESS U p rj(�ArfD MAP BOOKPAGE PA CEL
DISTRICT I GROUP ITYPE 1 I FIRE P ESSED BY
CITY i
� CON
ARCHITEC OR / TEL
ENGINEER NO
STATISTICACLASSIFICATION SEWER MAP
ADDRESS CLASS N( DWELL UNIYT:::= BK PG
CONTRA ZONE MAP
NO
ADDRESS F NOJ / , SPECIAL
LIC ` CONDITIONS
CITY � CLASS
ROAD DEPARTMENT AP ROVAL R UI ED YES� NO
CONSTRUCTION LENDER r
NAME AND BRANCH BLDG SETBACK FROM
t FRONT PROP LINE OF STREET)
ADDRESS CITY
HIGHWAY } YARD —_ TOTAL SETBACK FROM TYPE OF EXISTING
SQ FT NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH
SIZE STORIES FAMILIESµ ONE
>—
D'E CRIPTION OF WORK NEW IE]
}
ADD BLDG SETBACK FROM U
�� SIDE PROP LINE OF i(STREET) Cr
❑ I O
ALTER HIGHWAY } YARD = TOTAL SETBACK FROM T PE OF EXISTING U
E PAIR❑ SIDE PROP LINE HYGHWAY IDTH W
USE F
_ N
EXISOT NG BLDG 1zDEMOL E] } (cpZ
APPLICANT TE CORNER CUTOFF YES ❑ NO
(PRINT) NO
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO
IN COASTAL PERMIT ZONE YES ❑ NO
VALUATION$ J j�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 7,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY /QJ�
ORDINANCESWITH ALL
STRUCTION IIWLI
CERTIIFY THATLNDOIINGTHEIBUILDINGNG
WORK
HEREBY I WILL NOT EMPLO ANY RSON IN VIOLATION OF THE
LABOR CODE OF T E S T C LIFORNIA IN RELATING TO G_3 V��'
WORKMEN S COMPENS RA C flo, ti
SIGNATURE I�-/"Q/ liv Al, 4?0, ¢i8/
PERMITTEE —
�rD�� 1
ADORES
/u��" �} FINAL Y
TEL
CITY �r ^lf�� N O / �' l D A IT E
_ �—+/
MARE CHLChS PA}ABLL 70 FEE $ � FEE
HARVEY T BRANDT COUNTY ENGINEER b �bSD
PLAN CHECK VALIDATION I {CK' " mo a CASH PERMIT VALIDATION c, M o •CASH
1 6 1C42tiAR 13 1 0 2 8 5 0 ,&L-�,,
7GA638A CE#603 8/74 t t t "
r