HomeMy Public PortalAbout4814ALESSANDRO AVE_Building (2) APPLICAT IONFORBULDING PERMIT
r FOR APP CANT TO FILL IN (Print or type only)
COUNTY OF LOS ANGELES
A DDEPARTMENT OF COUNTY ENGINEER
ADDRESS
ur�� ZIP BUILDING AND SAFETY DIVISION
SIZE OF LOT NOW ON LOT ,Z, ADIDRESS A -65, f//W
TRACT //,jBLOCK LOT NO LOCALITY L ���
TEL i NEAREST ��
OWNER NO CROSS ST112-0
ASSESSOR
ADDRESS W d MAP BOOK PAGE PA EL
DISTRICT GROUP TYPE FIRE PR 5 D BY
CITY ZIP09 ��� CONST T ZON _
ARCHITE TEL c1,r/�
ENGINEER O
STATISTICAL CLASSIFI
C
AT
ION SE ER MAP
ADDRESS CLASS NODWELL UNITS J BK :5,7G
TEL _
CONTRACTOR NO - USE ZONE MAP
LIC /QIN 0
` SPECIAL
ADDR NO / `/LIC CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONS CTI L ER
NAME AND BRAN BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ FT NO OF NO OF CHECK HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
SIZE STORIES A FAMILIES ONE - >
DESCRIPTION OF WORKNEW ❑ I + O
ADD BLDG SETBACK FROM (STREET(^ O
SIDE PROP LINE OF
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w
HIGHWAY + YARD = SIDE PROP LINE HIGHWAY WIDTHN
USE OF - REPAIR 13 Z
EXISTING BLDG DEMOL ❑ +
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) NO
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE)
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$ D
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION I 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 COM
PENSATION INSUNCE `� v
SIGNATURE OF
PERMITTEE
ADDRESS / IV t1j"_ 912'
FINAL l BY
TEL CATE f, r7�
CITY NO CV/ '}
AKE CHECKS PAYABLE TO FEE $ 2/ ��V FEET v2
HARVEY BRANDT COUNTY ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CASH
4 1 7L'MAY 12 2,15 ,U 2 1 6 0 A9b
4 1 8 PIAY 12 1 D 3 4.0 C) A�6
®s 76A638A CE#803 3 75