HomeMy Public PortalAbout4914ALESSANDRO AVE_Building (4) P, � ��
76A63cA CEu803 5 66 APPLICATION FOR BUILDING l�'ERIVIIT
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COUNTY OF LOS ANGELES BUILDINGC
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOC A LI T Y - -
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST f
DISTRICT NO U TYPET PROG OSED BY
FOR APPLICANT TO FILL IN ® CONST
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[EXISTING
LDING t STATISTICAL CLA SIFICATION _ S WER MAP
RESS \O CLASS NO DWELL UNITS BK PG
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NO I'/ BLOCK USE ZONE NOAP ���/
CT '`/�j c, ` t
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NO OF BLDGS CONDITIONS
E OF LOT NOW ON LOT
OF
B G BLDG SETBACK FROM
TEL FRONT PROP LINE OF "` (STREET)
OWNER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
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CITY �G.��•� BLDG SETBACK FROM
ARCHITECT OR T EkjL
ENGINEER NO SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
CONTRACTOR 6 NOL + , a
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ADDRESS CORNER CUTOFF YES NO V
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CITYtG L'C s -S SEE REVERSE SIDE FOR SPECIAL APPROVALS V
DESCRIPTION OF WORK f �-
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NEW DD ALTER REPAIR DEMOLISH [ -Z
SQ FT NO OF NO OF
SIZE Ob STORIES i
USE OF
STRUCTURE im
SIGNATURE OF
APPLICANT Ai� / r
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VALUATION$ ,,.
APPROVALS DATE e INSPECTOR SSIGNATURE
FEE$ FEE$ FOFORMS I MATERCIALSON f• F y' �,
FRAME FIRE STOPS �f�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDI NG CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN SCOMPENSATION INSURANCE LATH EXT
SIGNATURE OF " n
HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADRESSr�
DFINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATIONO MO CASH —
PERMIT VALIDATION CK Mr. CASH
LAL,01 4 5 510, APR 21 2 1-D 463- 1
1 1 4 5 6 APER 21 1 0 1' 8.5 a