HomeMy Public PortalAbout4902ALESSANDRO AVE_Building (4) 76A638A CE4803863 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
ADDRESS _ L
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRJCT NO. GROUP TYPE - _ CESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING y STATISTICAL CLAS IFICATION S WER MAP
ADDRESS /f Q Z 14 etr,5 K G
CLASS. NO. DWELL. UNITS
LOT NO. D BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT MAP HIGHWAY
NO.OF BLDGS. NO, (CIRCLE) STATE MAJOR SECOND, 6CAL ,
SIZE OF LOT NOW ON LOT L USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. P�
TEL. ' 7
OWNER /G. Slif�fk NO. ,0_ BUILDING YARD HWY S EET NAME EXIST.
SETBACK WIDTH
ADDRESS �� �l �./ (�� FRONT
ARCHITECT OR , TEL. P. L. 124
ENGINEER L' NO. SIDE
ADDRESS a
CONTRACTOR
tG� iV Nl�� NO. O
ADDRESS Ix
O
DESCRIPTION OF WORK ^ `' ri
/ Lu
fir, 0-
NEW ADDALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES / FAMILIES
USE OF
STRUCTURE f7JLA4 / It UO"ell ,
SIGNATURE OF
APPLICANT
VALUATION �$ ', C APPROVALS JD4TE INSPECTOR'S SIGNATURE
L' FOUNDATION: LOCATI
FEE $ FEE -� FORMS, MATERIALS
FRAME: FIRE STOPS, ,, tr
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 Y
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- INT. ! i 1. (► ',` `
TION OF THE LABOR CODE OF THE STATE OF CAL( RNIA RE LAT-
ING TO WORKMEN'S CO PEN SATION INSURANCE. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERM ITTEE
OR-PERMITTEE , RECT AND POSTED
ADDRESS ��Dy �;-�J�.Siti� FINAL ef 9
JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LALO 1 9 6 31-0 JUL 29 1 D 1 5.0 0,