HomeMy Public PortalAbout4914ALESSANDRO AVE_Building (5) r
APPLICATION] FOR COUNTY OF LOS ANGELES
PERMIT D R
BUILDING AND SAFETY DIVISION
BUILDING / 4
FOR APPLICANT TO FILL IN ADDRESS f A
BUILDING
ADDRESS l �4/� ///�� LOCALITY
CITY l ZIP /� NEAREST T '
6 CROSS ST
NO OF BLOGSASSESSOR r
SIZE OF LOT J- x It 0 NOW ON LOT �. MAP BOOK PAGE PARCEL
r�
DISTRICT GROUP TYPE FIRE OC ED BYE
TRACT �'�,�BLOCK ~ LOT NO I3- CONST _ Z_µE s
17/
TEL
OWNER NO 2 tr6 T Z STATISTICAL CLASSIFICATION
_ ^SEWER MAP
ADDRESS ��/ fS�GdT CLASS NO-924—DWELL UNITS j BKr3-/G
CITY-/ L L'` �t ZIP ?� USE ZONE MAP O�
� ) N O C7^^— 6
+'
ARCHITECT OR TEL ! SPECIAL
ENGINEER -L NO CONDITIONS '
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ _NO
CONTRACTOR NEOL BLDG SETBACK FROM 1
_ LIC FRONT PROP LINE OF (STREET)
ADDRESS y NO HIGHWAY } YARD TOTAL SETBACK FROM OF EXISTING
LIC FRONT PROP LI HIGHWAY WIDTH
CITY +- CLASS �
S
CONSTRUCTION LENDER +
NAME AND BRANCH .4 L
BLDG SETBACK FROM (STREET) O
ADDRESS CITY SIDE PROP LINEOF V
OTAL SETBACK FROM TYPE OF EXISTING
SQ FT NO OF NO OF CHECK HIGHWAY + YARD - HIGHWAY WIDTH O
SIZE STORIES FAMILIES ONE SIDE PROP LINE �j
DESCRIPTION OF WORK NEW ❑ + - t N
_14 ADD m CORNER CUTOFF YES E] NO ❑ Z
y / ALTER ❑ '
V REPAIR❑ IN OPEN SPACE YES ❑ NO ❑
USE OF IN COASTAL PERM ZONE YES ❑ NO F-]
EXISTING BLDG DEMOL ❑
APL ANT /y TEL
(PPRINT) (
J
BY (SIGNATURE)
I HEREBY ACN WLED THAT I HAVE READ THIS APPLICATION I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON
STIR UC
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY P"SON IN VIOLATION OF THE
LABOR CODE OF TH 1 STATE OF ALlIF NIA IN RELATING TO a
WORKMEN S COMPE T /NS QE
SIGNATURE OF FINALjV�/� n BY
PERMITTEE DATE /
�
ADDRESS / / y
CITY 6
>� NO 13�y. PC Fee$ F Permit Fee
Issuance Fee
VALUATION Q� I -� �4 F
Total Fe
,PLAN CHECK VALIDATION CK M b CASH _ PERMIT VALIDATION CK m-0 CASH
1
079L4AY 25 1 D ? 850 &-n r
I
76A638A CE#803B 12/75