HomeMy Public PortalAbout4832ALESSANDRO AVE_Building (2) 76A638A CE #803 1/71 —
APPLICATION FOR BUILDI G PERM , - fl
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST O r
CROSS ST
Print or tvDe only)
DISTRICT NO GR TYPE R C B
BUILDING CONST
ADDRESS �3 i
Jr STATISTICAL CLASSIFICATION SEWER MAP
LOT NO BLOCK
CLASS NO DWELL UNITS BK PG
TRACT , USE ZONE MAP /
NO OFBLOGS NO
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG a \
TEL
OWNER NO �— BLDG SETBACK FROM
1 FRONT PROP LINE OF (STREET)
A DDR ESS
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTA�
CITY HIGHWAY WIDTH FROM C L
ARCHITECT R +
ENGINEER
} _ \
ENGINEER O BLDG SETBACK F M
ADDRESS SIDEPROP LINEOF (STREET)
TEL TYPE OF EXISTING SETBAC HIGHWAY } YARD = TOTAL 0:
CONTRACTO NO HIGHWAY WIDTH FROM C L O
U
ADDRESS } Np
O
1 LIC
CIT
CLASS 4,24L7 CORNER CUTOFF YES ❑ NO ❑ W
CONSTRUCTION LENDER N
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ?
ADDRESS
SQ FT NO OF NO OF NEW ❑
SIZE STORI S FA IL 01USE OF ADD
STRUCTURE
ALTER ❑
SIGNATU OF yA� REPAIR
APPLICA T "IDEMOL ❑
VALUATIONS 6
APPROVALS DATE INSPECTOR 5 SIGNATURE
P Ca PMT — FOUNDATION LOCATION
FEE S FEE $ FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STA77 OF CALIFORNIA IN RELATING TO
WORKMEN S CONSA 0 SURANCE LATH EXT
SIGNATURE OI X, HOUSE NUMBER COR
PERMITTEE RECT AND POSTED /' iJ
ADDRES 'FINAL
PLAN CHECK VALIDATION CK M O CASH JOHN F LEWISPRINCIPAL 1STRCK TURMo cASH
LEN ER
_ PERMITT V VALIDATION
1 G
Lnbo 'd R ti 6IR 1 0
9 00-