HomeMy Public PortalAbout5030ALESSANDRO AVE_Building (4) 76A838A CE*803 10 56 APPLICATION FOR BUILDING PERMIT
1
BUILDING AND SAFETY DIVISION BUILDING
Department of County Engmeer ADDRESS
ESSS
County of Los Angeles LOCALIT
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING I CROSS ST
DISTRICT GRO TYPE I SEWER MAP
FOR APPLICANT TO FILL IN FOR PG
CONST
BUILDING
ADDRESS STATISTICSSIFICATION
LOT NO F CLASS NO DWELL UNITS--t�l
MAP D STATE YES NO
((� NUMBER HWY
TRACT -J USEZOIjE SPECIAL
.
NO OF BLDGS // CONDITIONS
SIZE OF LOT NOW ON LOT -a
USE OF
BUILDING
EXISTING BLDG YARD HWY STREET NAME WIDTH
EXIST
SETBACK
OWNER L FRONT
MAIL / P L
ADDRESS 1 / L SIDE
TEL P L
CITY NO ,
ARC TEL
INSPECTION RECORD
� T �--
EN 1 NO V 11 u�xy`
ADDRESS 1c It � I I
TE
CONTRACTOR NO L j �t0' 7,,-e
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SO FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
APPROVALS
SIGNATURE OF
APPLICANT i DATE INSPECTOR S SIGNATURE
ADORES pip 11 IV A a 43rlil)— FOUNDATION LOCATION
FORMS MATERIALS
$ Q a P C FRAME FIRE STOPS
FEE BRACING BOLTS
VALUATIONq6 $ FURNACE LOCATION
GAS VENT DUCTS
FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT
STATE LAWS RE71JTIN BUILDING COTRUCTION
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE ° RECT AND POSTED
ADDRESS FINAL
JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STR L ENGINEER
PLAN CHECK VALIDATION cK M o cwsH PERMIT VALMATIOICcK o cAsH
F 13 1 A 3.0 0