HomeMy Public PortalAbout4941ALESSANDRO AVE_Building (2) 76A638A CE #803 3 69 APPLICATION FOR BUILDING PERMIT
COUNTY OF LCIS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION rLOCALITY
JOHN A `LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING NEAREST < ^� {s -
CROSS ST
FOR APPLICANT TO FILL IN DISTRICT No IGY TYP PROCESSED BY /
(PRINT OR TYPE ONLY) S , Y f 1 S / e,!%eff-
BUILDING STATISTICAL CLASSIFICATION + SEWER MAP I
ADDRESS41
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CLASS NO DWELL UNITS MBK j PG I
LOT NO S� BLOCK USE ZONE MAP
NO
TRACT / 7 S �I 3�`3 3 �n` SPECIAL Z�
yNO OF BLDGS /�• / COND TIONS _ }
SIZE OF LOT NOW ON LOT 7�
USE OF f
EXISTING BLDG BLDG SETBA FROM _ "' A
-� TEL FRONT PROP L OF - (STREET)
OWNER NO TYPE OF EXISTING S ACK HIGHWAY }` + YARD = TOTAL
HIGHWAY WIDTH FROM
ADDRESS
CITY _
ARCHITECT TEL BLDG SETBACK FROM
ENGINEER NO SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBAFK HIGHWAY + YARD TOTAL r
ADDRESS HIGHWAY WIDTH FROM C L_
TEL _
CONTRACTOR NO +
LIC
ADDRESS NO - CORNER CUTOFF a YES ❑ . _ NO ❑ C
CITY CLASS SEER VERS SIDE FORSPECIAL APP yR ALS o
CONSTRUCTION LENDER
NAME AND BRANCH F
ADDRESS
-GL ,
\ V
SQ FT NO OF NO OF �
SIZE STORIES FAMILIES NEW i
USE OF ADD ❑
STRUCTURE ALTERS ❑
REPAIR ❑
SIGNATURE OF DEMOL ❑
APPLICANT y
r�C(
VALUATION $ APPROVALSAT IN E TOR 5 IGN ATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE $ .00 FORMS MATERIALS O
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS
T
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC GAS EVENT DUCTS
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLAT ON OF THE LABOR CODE LATH INT
OF THE STATE OF ALIF RNIA;INREL G TO WORKMEN S COM
PENSATION INSUR CE LATH EXT
SIGNATURE OF "
PERM I TTER- HOUSE NUMBER CORRECT
AND POSTED
ADDRES S FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGIN
PLAN CHECK VALIDATION CK M 0 CASH - PERMIT VALIDATION CK m 0 CASH
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kr,, 4 5 1 F7ftY 8 1 D 6.0 0,i