HomeMy Public PortalAbout4929ALESSANDRO AVE_Building (5) 76A�38A CE#803 9 68 /
` APPLICATION FOR BUILDING ERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS E
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE PROCESSED BY
(Print or type ly) �Vd CONST
BUILDING � /;2 2 STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS / CLASS NOle' DWELL UNITS BK PG
LOT NO BLOCK USE ZONE MAP
.i NO d
TRACT / SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG BLDG SETBACK FROM
OWNS —� / / TEEL � FRONT PROP LINE OF -(STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADORES 4 C, e- ��y HIGHWAY WIDTH FROM C L
C +
BLDG SETBACK FROM
ARCHITECT OR TEL SIDEPROP LINEOF (STREET)
ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL t = C
CONTRACTOR NO
C.
ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ G
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS c
CONSTRUCTION LENDER Li
D
NAME AND BRANCH
ADDRESS
SQ FT NO OF NO OF NEW ❑
SIZE /�� ST RIES FAMILIES
USE O ADD
STRU TUR
ALTER ❑
SIGNATURE. REPAIR❑
APPLICANT DEMOL ❑
VALUATION $ . APPROVALS DATE INSPE R s SI ATURE
P C PMTr•
a OUNDATION LOCATION r i(f Ir 4116�
FEE $ FEE S -CFV FORMS MATERIALS
FRAME FIRE STOPS /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS (�(,s
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 I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VM,,,,MSE
�� �/ q�,�
LABOR CODE OF THE STATE OF CALIFOR IA LATH INT b ��(
WORKMEN S COMPENSATION INSURANCLATH EXT
SIGNATURE
PERMITTEE NUMBER COR
RECT AND POSTED
ADDRESS I /
FINAL
PLAN CHECK VALIDATION CK M O Cq SH JOHN F LEWIS PR NCI AL STR RAL ENGINEER
PERMIT VALIDATION c.!K7
M O CASH
7 P-127 10 9 �0 `i