HomeMy Public PortalAbout4845ALESSANDRO AVE_Building (8) 7,6A639A CSE9803 9 67
_, z APPLICATION FOR BUILDING PERMIT
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COUNTY OF LOS ANGELES BUILDING CF N
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION �" A L� f ,,
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING NEAREST
ICROSS ST er
I DISTRICT NO GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN E CONST
(Print ort a only) >,
BUILDING ,�/ STATISTICAL CLASSIFICATION SEWE MAP
ADDRESS 4 /V CLASS NO 49 DWELL UNITS BK T PG 37
LOT NO BLOCK USE ZONE MAP
rNO
TRACT �.S _ SPECIAL A1 I
NO OF BLDGS / CONDITIONS
SIZE OF LOT& `D NOW ON LOT
USE OF
EXISTING BLDG G5 TFROM
EL BLDG FRONTPROPCLINEOF Al/esan I'D (STREET)
OWNER/ _S G G! a O -
TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL
ADDRESS O /%I-L - t�V IO&A HIGHWAY WIDTH FROM C L
CITY L-E [ r } DC7 = 2
ABLDG SETBACK FROM
ARCHITECT OR TEL ( T)
SIDE PROP LINE OF
ENGINEER NO
TYPE OF EXISTING SETBACK HIGHWAY } = TOTAL
ADDRESS ' f , / HIGHWAY WIDTH FROM C L
// NOL } _ a_
CONTRACTOR Q
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LIC
ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ U
CITY CL SS SEE REVERSE SIDE FOR SPECIAL APPROVALS o
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DESCRIPTION OF WORK c-
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NEW ADD ALTER REPAIR DEMOLISH
SQ FT NO OFNOF
SIZE STORIES
O FAMIILIIEE/S
USE
STRUOCTURE Q { lsT! N
No A C11 ro F-A-M(,I-y R 00 AA
SIGNATURE OF
APPLICANT
VALUATION $.+00,
� APPROVALS DATE INSPECTOR 5 SIGNATURE
P C PMT FOUNDATION LOCATION
FEES FEE $9 OO FORMS MATERIALS Of 9
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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY i WILL NOT EMPLOY ANY PERSON IN VIOLA
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT LATH INT
ING TO WORKMEN S CO PE NSATIO INSURANCE
t LATH EXT
SIGNATURE HOUSE NUMBER CORNUMBER COR
PERMI TEE RECT AND POSTED
A FINAL y
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK 110 CASH PERMIT VALIDATION CK mo CASH
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