HomeMy Public PortalAbout4848ALESSANDRO AVE_Building (2) 78A638A CE 803 8 64
APPLICATION FOR BUILC t( PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRES �Y�-•L
BUILDING AND SAFETY DIVISION LOCALITY S
JOHN A LAMBIE COUNTY ENGINEER NEAREST r
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
DI TR NO GPCU.P_ I TYPE -PRpCyE BY
FOR APPLICANT TO FILL IN d dJ CONST
BUILDING ,4 STATISTICAL CLASSIFICATION SEWER MAP
ADDRES CLASS NO E -3`—' DWELL UNITS BK PG
LOT NO BLOCK USE ZONEMAP /y
` NO !J
TRACT �./ SPECIAL t
NO OF SLOGS /�_ 111 CONDITIONS
SIZE OF LOT (Xi NOW ON LOT
USE OF 1
SLOG BLDG SETBACKFROM
TEL FRONT PROP LINE OF / (STREET)
OW O TYPE OF EXISTING I SETBACK HIGHWAY YARD = TOTAL
ADDRESS MIOM Y FROM C L
CITY
BLDG SETBACK FROM
ARCHITECT OR TEL SIDE PROP LINE OF (STREET)
ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L a
TEL + = r 0
CONTRACTOR NO
LIC CORNER CUTOFF YES NO d0d
ADDRESS NO 0
H
cl Y LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS w
DESCRIPTION OF WORK Z
NEW ADD ALTER REPAIR DEMOLISH
T NO OF NO OF
SIZE /S' ORIES FAMILIES
USE
ST R UR
SIGNA
APPLICANT
VALUATION$ V\
APPROVALS DATE INSPECTOR SSIGNATURE
P C PMT FOFORMSIMATERIALSON
FE FEE
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS (APPLICATION BRACING BOLT y
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS J
9UILDING CONSTRUCTION i CERTIFY THAT IN DOING THE WORK I
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT C/
TION OF THE LABOR CODC OF THE STATE OF CALIFOR �RELAT
ING TO WO K ENS MPENSATION INSURA CE LATH EXT
SIGNATUHOUSE NUMBER COR
PERMITTEE a RE T AND POSTED
ADORES O✓`y F I N A L g�uq
JOHN F LEWIS PRINCIPAL STRUCTURAL,E E
LAN CHECK VALIDATION C M O CASH _ PERMIT VALIDATION CK MO CASH
�) Ao9368 hIlk 9 1 D 200-