HomeMy Public PortalAbout4929ALESSANDRO AVE_Building (7) ^ i-1 APPLICATION FOR BUILDING PERMIT }
T'OF APPLICANT TO FILL IN (Print or type only)
BUILDING r COUNTY OF LOS ANGELES`
ADDRESS DEPARTMENT OF COUNTY ENGINEER ,
cIT ZTP BUILDING ANDISAFETY�DIVISION
O OF BLDGS BUILDING ,t $
SIZE OF LOT d NOW ON LOT ADDRESS 4Q � IQ IY• C r
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TRACT,/6 BLOCK LOT NO LOCALITY
TELREST
OWNE �/ ROSS ST
ASSESSOR11
ADDRESS MAP BOOK AGE PARCEL
° r DISTRICT IGROUPITYPE4 FIRE PROCESSED BY
CITY + ZIP �'` �'/ C I ZONE ^
ARCHITECT OR TEL J �D r f
ENGINEER NO
c STATISTICAL CLASSIFICATION - SEWER MAP
ADDRESS +
CLASS NO a^ 7 DWELL UNITS BK r PG
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CONTRACTOR NEL - - USE ZONE MAP
NO VV
ADDRESS C c It� SPECIAL
LIC CONDITIONS
CITY + +� � } CLASS _
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO
CONSTRUCTION LENDER
NAME AND BRANCH s BLDG SETBACK FROM4
« FRONT PROP LINE OF (STREET)
ADDRESS CITY' TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY } YARD HIGHWAY WIDTH
SQ ?FT NO OF , NO OF '+ CHECK FRONT PROP LINE
SIZE STORIES FAMILIES ONE ,
DESCRION OF WORK NEW ❑ } ' i O
BLDG SETBACK FROM V
i / D DD SIDE PROP LINE OF (STREET)
_ a LTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING �
—REPAIR
SIDE PROP LINE HIGHWAY WIDTHS W
USE OF _ = F > a"
EXISTING BLDG EMOL ❑ } Z_
AP PRIN ANT i TEL i 7 y, CORNER CUTOFF YESr❑ NO ❑
BY (SIGNATUR IN OPEN SPACE, YES ❑ NO ❑
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.rI IN COASTAL PERMIT+ZONE x YES ❑ NO ❑
VALUATION5 tj
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I HEREBY ACKNOWLEDGE THAT I HAVE,READ THIS APPLICATION Opt' !G"
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY f
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON
STIR UC
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED r
HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE +
LABOR CODE OF THE STATE OF CALIFORNI RELATING TO
WORKMEN S COMPENSAT I URANCE ti M
SIGNATURE OF
PERMITTEE
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ADDRESS w
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TEL
FINAL 'yI' 4 BY
CITY NO
DATE t
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MAKE CHECKS PA}ABLE 70 PC $ PMT $FEE FEE
HARVEY T BRANDT COUNTY ENGINEER 7
PLAN CHECK VALIDATION CK M O CASH PERMI VALIDATION CK ' M o CASH
l t L
5 10"'SEP 4" 1; 0 2 17 5 m
*78A838A CE#803 574 `` x
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