HomeMy Public PortalAbout4929ALESSANDRO AVE_Building 71 f,18A CE #803 4/70 �/
��'•�' APPLICATION FOR BUILDINZPERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK 'PA`GE P_A�R,CEEL
BUILDING 4e?
BUILDING AND SAFETY DMSION ADDRESS ��M
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY �rj7 C�
FOR APPLICANT TO FILL IN NEAREST
(Print or twe only) GROSSEST a:
DISTRICT NO GRO PTYPE P CESSED BY
BUILDING 7, �O CONST
ADDRESS pp!! /
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO BLOCK
CLASS NO a/ DWELL UNITS BK PG
TRACT M., USE ZONE MAP r�
NO OF BLOGS ` NO Grp/
SIZE OF LOT f X �U NOW ON LOT / SPECIAL
USE OF CONDITIONS
EXISTING BLD
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T'� E � �
OWNE NO BLDG SETBACK FROM
ADDRESS 9� �� FRONT PROP LINE OF (STREET)
TYPE OF ING SETBACK HIGHWAY } YARD =r TOTAL
CIT s HIGHWAY WIDT OM C L
ARCHITECT O TEL
ENGINEER NO BLDG SETBACK FROM
ADDRESS SIDE PROP LINE OF (STREET)
TEL TYPE OF 1EXISTING SETBACK HIGHWAY } = TOTAL
CONTRACTOR NO HIGHWAYI WIDTH FROM C L r
ADDRESS NOp } = O
LIC C7
CITY CLASS CORNER CUTOFF YES ❑ NO
CONSTRUCTION LENDER , / CD
NAME AND BRANCH �l/ SEE REVERSE SIDE FOR SPECIAL APPROVALS
ti
ADDRESS Z
SQ FT NO OF NO OF - NEW ❑
SIZE STORIES FAMILIES
USE OFADDADD
STRUCTURE CIC —$ s
9521 IVAp yy� ALTER ❑
'�"�`� REPAIR❑
SIGNATURE
APPLICANT EMOL ❑ _
CIO
VALUATION $ APPROVALS DATE INS P CTOR S S N URE
P C PMT ^^ FOUNDATION LOCATION
FEE $ FEE $ QV FORMS MATERIALS
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 ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED /
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIO N OF THE
LABOR CODE OF THE ST OF CALIFORNIA�N R LAT}.NG TO LATH INT
WORKMEN S COMPENSA S`RANCE r — LATH EXT /
SIGNATURE O OUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADORES
FINAL 141711 Xu-J�
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK M O CASH
PERMIT VALIDATION3 M O CASH
kr,. 9 8 6 11 APR 2 2 1 D 9.00-
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