HomeMy Public PortalAbout4803ALESSANDRO AVE_Building (2) i
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Prig or type only)' ti � E 7
BUIWEING T �V,.3 /��. �� O COUNTY OF LOS ANGELES '
ADDRESS I ` DEPARTMENT OF COUNTY ENGINEER
CITY z I P BUILDING AND SAFETY DIVISION
_ NO OF BLDGS r BUILDING
SIZE OF LOT NOW ON LOT ADDRES a
v
TRACT & 7S/ BLOCK /� LOT NO jV�y LOCALITY
OWNER o i,'IE/ eAleYrC NO //J CROSS ST �I
ASSESSOR
ADDRESS ,$If'/'>P MAP BOOK PAGE RCEL
DISTRICT I GROUP TYPE FIRE PRC3G SED BY
CITY ZIP .�-- � � CONST r� ZON r �
ENGINEER
ARCHT OILZ�
R � ° �c /�Q..✓,t NOL f/yl�J !�!'7 �V/
STATISTICAL CLASSIFICATION ER MAP
ADDRESS C) Q Nk,-e CLASS N06-12LDWELLUNITS TBK3 7PG
CONTRACTORS S t— Gt6CtRpgrWpL —Q�l�/ USE ZONE NADP 4r
2016
ADDRESS 9/ L'CNO -2-3,,-17f �J SPECIAL
LIC CONDITIONS
CITY � 3 1/`,,V/ CLASS
tCONSTRUCTION LENDEF; '
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
1 (
NAME AND BRANCH � lC / ,1 BLDG SETBACK FROM
ADDRESS CITY
FRONT PROP LINE OF (STREET)
/(cf6�v
SQ FT NO OF NO OF, r CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPEOF HIGHWAY EXISTING
FRONT PROP LINE
SIZE / STORIES FAMILIES ONE
+ - d
DESCRIPTION OF WORK �M �V NEW ❑ = U
ADD BLDG SETBACK FROM (STREET)
GNI 6 C p" 04/r SIDE PROP LINE OF
ALTER ❑ HIGHWAY �} YARD = TOTAL SETBACK FROM TYPE OF EXISTING U
REPAIR❑ SIDE PROP LINE HIGHWAY WIDTHUSE
Iy
_ CL
N
EXISOT NG BLDG eta EMOL [:1 + Z
APPLICANT --�� /' L_ TEL CORNER CUTOFF YES ❑ NO C](PRINT) N G-/V NO 331-�9s/
BY (SIGNATURE) t ^IN OPEN SPACE YES ❑ NO ❑
Q IN COASTAL PERMIT ZONE YES E] NO ❑
VALUATION$ Cj
I HEREBY ACKNCWL115617 THAT 1 HAVE READ THIS APPLICATION �2 �� ����•� ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY `
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON
S UC
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED V vim`
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE �j rf
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO �/4L) AtLgor6 d*A0rj.4J_ JA&Aj-9r--7"—
WORKMEN S COMPENSATION URAN ' Q /�
SIGNATURE OF p Unr�//1�}AP16j �1/` tolf AC//1 S.S 1
PERMITTEE
ADDRESS
C��i FINAL A BY
CITY
NO L3��—G/O DATE '!.`!%
MAKE CHECKS PtIIABLE 70 ' FEE G� FEE
HARVEY T BRANDT COUNTY ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M 0 CASH
7 Ot"21,iUL, 10 1 1) 9 6.0 0
76A638A CE#803 574 ~