HomeMy Public PortalAbout4845ALESSANDRO AVE_Building (5) '�/
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78A838A CEAB03 B 83 APPLICATION FOR BUILDING PERM T
COUNTY OF LOS ANGELES BUILDING
L
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT I GROUP I TYPE OCESSED BY
FADDRESS
R APPLICANT TO FILL IN coNsr �
STATISTICAL C�FICATION EWER MAP
O K
CLASS NO DWELL UNITS"�
BLOCK WATER NOT REQUIRED I YIRECEIVED
CERTIFICATE MAP u�' HIGHWAY
NO OF BLDGS NeyLi(f (CIRCLE) STATE MAJOR SECOND OCAL
NOW ON LOT USEZONE SPECIAL
_rRCONDITIONS
DG Y
TEL
OWNE ) LIL L7 LD NO BUILDING EXIST
SETBACK YARD HWY T ET NAME WIDTH
ADDRESS qfyr /g�,e-5 R-�/f�I'ea FRONT J n A
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P L
ADDRESS
d
TEL O
CONTRACTOR /V R NO V
ADDRESS O
DESCRIPTION OF WORK u
W
a
NEW ADD LTER REPAIR DEMOLISH
SQ FT NO OF NO OF
SIZE 1 STORIES FAM ILIIE/S
USE
STRUOCTUR Ai-I- Cl-C O S F
i.L Ei cEfil C G R A&
SIGN ALM4 F
APPLICANT
VALUATION $
APPROVALS DATE INSPECTOR 5 SIGNATURE
PC PMT e, FOUNDATION LOCATION
FEE $ � FEE $ FORMS MATERIALS
FRAME FIRE STOPS �/� �///✓I
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 COUNTY ORDINANCES AND STATE LAWS EGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOIN THE WORK LATH INT �i/ b/'ov�
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERS N IN VIOLA
TION OF THE LABOR C OF T STATE CALIF RNIA T
ING TO WORKMEN S C
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERM,,LT TEE RECT AND POSTED I w
ADDRe55'� '� FINAL
PLAN CHECK VALIDATION CK M o CASH JOHN F LEWIS PRINCIPAL STRUCTURAL E ER
PERMIT VALIDATION CK M o CASH
L4uo 5 0 6,9:o OCT 2 0 1.5 D 6 �'0 Iq