HomeMy Public PortalAbout4929ALESSANDRO AVE_Building (4) I
TEMPLE MPL CITY
a
� II
76A638A CE 4803263 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS t
BUILDING AND SAFETY DIVISION LOCALITY \
JOHN A LAMBIE COUNTY ENGINEER NEAREST lopv
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO GR UP I TYPE CESSED BY
FOR APPLICANT TO FILL IN A5-"() CONST
BUILDING STATISTICAL CLASSIFICATION S WER MAP
ADDRESS /
�� CLASS NO DWELL UNITS -- BK G
LOT NO I BLOCK WATER NOT REQUIRED ® RECEIVED
> I CERTIFICATE
TRACT/,-/,- MAP MAP HIGHWAY
NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND OC L
c I ® NOW ON LOT Q USS SONE SPECIAL
SIZE OF LOT��
USE OF T/ I CONDITIONS
EXISTING BLDG it-�
OWNER ��/. TELL'�U
��` BUILDING EXIST
I SETBACK YARD HWY S REET NAME WIDTH
ADDRESS illessamijFRONT
ARCHITECT OR EL P L
ENGINEER I O SIDE I
ADDRESS ,ry
P411
R` � 0^
TEL fI
CONTRACTOR NO
ce
I /, o
ADDRESS T1l 4F ` ��1��„ �_ V
DESCRIPTION OF WORK I (/ f5�(�,��' Sj/J a
NEW ADD i ALTER, REPAIR DEMOLISHv ✓ Z
(i
SQ FT �} NO OF NO OF
SIZE .,Z STORIES FAMILIES
USE OF
STRUCTURE I
� I
SIGNATURE OF
APPLICANT I
VALUATION $ /. � �
tiE
APPROVALS JDAIE INSPECTORS SIGN TyL&
PC
_ PMTFOUNDATION LOCATION
FEE $ FEE $ G"r FORMS MATERIALS
FRAME FIRE STOPSf
I HDEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION G�
WITH' ALL COUNTY ORDINANCESI AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOTI EMPLOY ANY PERSON IN VIOLA 'CI APFi INT
TION OF THE LABOR CODE: OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE
LATH EXT
SIGNATURE OF HOUSE NUMBER COR R
PERMITTEE RECT AND POSTED
ADDRESS FINAL !/
JOHN F LEWIS PRINCIPAL STRUCTURAL ENCCASH
PLAN CHECK VALIDATION CK MO CASH _ PERMIT VALIDATION CK M
I _ _
�I L Auo 8 3 7 1z� ( ilf 2 1 D 6 0 0-
r I —
I