Loading...
HomeMy Public PortalAbout5026ALESSANDRO AVE_Building (2) F ©S 76A638A tCE#803 WEV 6/78) Y t APPI.I,CATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY "U LDING FOR APPLICANT TO FILL IN ADDRESS BUILDING �� ADDRESS LOCALITY NEAREST CITY ZIP CROSS ST 0. NOF BLDGS ASSESSOR SIZE OF LOT NO ON LOT MAP BOOK PAGE PARCEL -7 � DISTRICT GROUP TYPE FIRE �PROCED BY TRACT 4 / S BLOCK % LOT NO �' `� � v Q CONST jffNE TEL j CJ VOWNER NOy STATISTICAL CLASSIFICATION SEWER P ADDRESS CLASS NO DWELL UNITS J BJ3rPG CITY \t ZIP ARCHITECT OR TEL VALUATION $ � ENGINEER NO ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) CONTRACTO NO HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING J LIC i FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO ' LIC + CITY CLASS « CONSTRU TION LENDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF (STREET( HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH SQ FT —n NO OF NO OF CHECK + = U SIZE �S v STORIES FAMILIES ONE In DESCRIPTION OF WORK NEW ❑ PC Fee$ Permit Fee 17 0 ADD ❑ Issuance Fee ALTER REPAIR ElTotal Fee USE OF � EXISTING BLDG DEMOL ❑ x Z APPLICANT TEL G (PRINT) NO Q D BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIC I N AND STATE uY THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH%A ORDINANCES U AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE _ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY`ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM Z PENSATION INSURANCE + SIGNATURE OF ;?661 9 A PERMITTEE ADDRESSTEL ` Z ��{ CITY NO ``� -�-.��Q \ 2 0 0 3[I 0 USEJO NMA O O/ Q O U ECIAL t CONDITIONS 0 9 1 2-7 9 oc 17 FINAL -7 �y W DATE aylV/ �