HomeMy Public PortalAbout4815ALESSANDRO AVE_Building (2) us cmc WAf"7" R0 ci h/
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APPLICATION FOR OUNTY OF LOS ANGELES_
DEPARTMENT OF COUNTY ENGINEER U_
BUILDING PERMIT BUILDING AND SAFETY DIVISION
BUILDING
FOR APPLICANT TO FILL IN ADDRESS
BUILDING
ADDRESS E' LOCALITY
NEAREST
CITY ZIP CROSS ST
I NO OF SLOGS ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
�� DISTRICT IGROUPITYPE AFIRE OCESSED BY
y^ CONST ZONE
TRACT BLOCK LOT NO � .-il- `7
TEL
OWNER NO STATISTICAL CLASSIFICATION
( SEWER MAP
ADDRESS CLASS NO-'2— 1 DWELL UNITS / BK37 PG
USE ZONE
CITY ZIP _1 NO
ARCHITECT O TEL It SPECIAL
ENGINEER NO 'L' CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED ,YES .09
CONTRACTOR NO
TEL BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
LIC
ADDRESS NO HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING
LIC
NT PROP LINE HIGHWAY WIDTH
CITY CLASS _
CONSTRUCTION LENDE +
NAME AND BRANCH BLDG SETBACK FROM CD
ADDRESS
S CITY SIOEPROP LINEOF (STREET) U
SO F NO OF NO OF CHECK HIGHWAY } YARD = T SE BAC F M TYPEOF EXISTING O
SIZE STORIES FAMILIES ONE I E PR P LIN HIGHWAY WIDTH
t LLJ
DESCRIPTION OF WORK NEW 11N
ADD CORNER CUTOFF YES ❑ NO ❑ Z
ALTER ❑
r7IN OPEN SPACE YES ❑ NO
REPA
USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG EMOLIR❑ '
APPLICANT TEL
(PRINT) K NO
BY (SIGNATURE
I HEREBY ACK NOWLEDG HAT I HAVE READ TNI APPLICATION
AND STATE THAT THE ABOVE S CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES D AWS REGULATING BUILDING CON
STRUCTION I CERTIFY TH 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 PE NSATIOH INSURANCE
SIGNATURE O
FINAL !JX/J BY
PERMITTEE DATE
ADDRESS//� 7
CITY ( �!>>(1 h(� NOL P C Fee$ Permit Fee �. L�
Issuance Fee Q
VALUATION�6 �Da Total Fee �`'�` 7
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CASH
719-.mAY 31. 1 4825' m-lb
76AG38A CE*803B 12/75 SI j r