HomeMy Public PortalAbout5019ALESSANDRO AVE_Building (2) 76A638AdCE #803 "'APPLICATION FOR BUILDI G PERM
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COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
(Printort a onl
BUILDING DIICDT GRO ITYP
CONST P ES
ADDRESS - !5 '� O 1/
STATISTICAL�CfLASSIFICATION SEWER MAP
LOT NO BLOCK , //�
CLASS NO DWELL UNITS V PG
s
TRACT V USE ZONE MAP
NO OF SLOGS NO (J
SIZE OF LOT NOW ON LOT / SPECIAL
USE OF r CONDITIONS
EXISTING BLDG S D G(=
L
^� C� E _
OWNER L O BLDG SETBACK FROM
ADDRESS q Pt L S 414 t�1`a FRONT PROP LINE OF -(STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL
CITY `r" r=7 4,t—a .. HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL + _
ENGINEER NO
BLDG SETS A ROM ..
ADDRESS SIDE PROP LINE (STREET)
" TEL TYPE OF EXISTING SETBACK AY } YARD = TOTAL
'III CONTRACTOR NEO �� HIGHWAY WIDTH FROM C L
d
ADDRESS - r L1r( NO + - O
U
LIC
CITY L9 CLASS CORNER CUTOFF YES ❑ NO
O
CONSTRUCTION LENDER I""
NAME AND BRANCH SEE REVERSE SIDE FOR SPECYL APPROVALS 93-aLAJ
'ADDRESS
SQ FT NO OF NO OF NEW ❑ yC
SIZE STORIES FAMILIES ❑
USE OF ADD
STRUCTURE
n D ALTER
- '�� vO` REPAIR❑
SIGNATURE OF
APPLICANT EMOL ❑
VALUATION $ A APPROVALS DATE INSPE TOR S S ATURE
FOUNDATION LOCATION
FEE $ FEE $ FORMS MATERIALS 7 O
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
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 VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSATION INSURANCE LATH EXT
5
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATION CK M 0 CASH _ JOHN F L DA PALTION<
PERMITT VALLIDAM o STRWjWGI
�ALEN CASH ER
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1 �r� 7 -5 8,81" ,NOV 12 1 D 1 2.0 0