HomeMy Public PortalAbout4930ALESSANDRO AVE_Building (2) f
I188898A /e88 APPLICATION FOR BUILDING PERMIT ],
DIVISION OF BUILDING AND SAFETY BUILDING 417 p /` �&2212
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Deportment of County Engineer ADDRESS
County of Los Angeles LOCALITY ZZFLIC CIT
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST AO&OR+ hZJACA
FOR APPLICANT TO 'FILL IN DISTR GROUP TYPE SEWBK MAPPG
ER
l CONST
ADDRESS �� L.,�S��y- 'I] NUMBER O BUILDING MAP SHWY YES NO
LOT NO a I BLOCK USE ZONE SPECIAL
/( CONDITIONS
ATRACT J 74 A -1
NO OF SIZE OF LOT 16Q'X 16� I NOW ON LOTS / /BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
USE OF
EXISTING BLDG ,ZlM/-z/lYG-- FRONT
P L
OWNER �/¢L,�/S! /C STv/31.3it SIDE
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MAIL
ADDRESS O Jq-LSS/¢NO�
�F'L O TRACT DWELL f UNITTEL 5 INDUSTRIAL
CITY LB �!T NO XT 6V116 1 DWELL 1 UNIT
6 PUBLIC BLDG
ARCHITECT OR TEL 2 DUPLEX 2 UNITS
ENGINEER NO 3 APT UNITS 7 ADDN ALT ETC
8 MISCEL
ADDRESS 4 COMMERCIAL
TEL
CONTRACTOR OLrfj�/,F/'L NO INSPECTION RECORD
ADDRESS ! L
DESCRIPTION OF WORK
NEW AD ALTER REPAIR DEMOLISH
" FT NO OF NO OF
SIZE //�O STORIES FAMILIES
USE OF STRUCTURE
�O.t2G,d1
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS DATE INSPECTOR S SIGNATURE
^ U0 FOUNDATION LOCATION
P C $ FORMS MATERIALS
d FEE FRAME FIRE STOPS
VALUATION $� 6 _ BRACING BOLTS
FEE FURNACE LOCATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT
AND STATE LAWS RE LATING BUILDING CONSTRUC
TION
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDApeff,, CLYDE N DIRLAM CHIEF BLDG INSPECTOR
CK MO CABH
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