HomeMy Public PortalAbout5036ALESSANDRO AVE_Building I �
I '
6 8
7 A 38ACE#8031 62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING���
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DIST U
ICT NO GROUP TYPE C SSED BY
FOR APPLICANT TO FILL IN CONST
BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP
ADDRESS --MBK
CLASS NO DWELL UNITS �J
LOT NO / BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACTIt'll MAP - 7 NO157 HIGHWAY
I HWA STATE MAJOR SECOND LOCAL
NO OF BLDGS
SIZE OF LOT NOW ON LOT USE ZONE 79PECIAL
USE OF CONDITIONS
EXISTING BLD
TEL
OWNERAg-oO BUIL NG EXIST
SETBACK YARD HWY T NAME WIDTH
ADD SS - FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P L a
ADDRESS 104 O
010� EL ^
CONTRACTOR C
O = r:�� ,(�,
ADDRESS `j / ` ` " v ry! O
DESCRIPTION OF WORK I W
CL
NEW ADD ALREPAIR DEMOLISH _z
SQ FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT Kil/
00
VALUATION $ �
APPROVALS DATE INSPECTOR S SIGNATURE
PC MT
FOUNDATION LOCATION
FEE. $ .-» FEE $ FORMS MATERIALSzn
FRAME FIRE STOPS , �✓�'�'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS I /
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION /4 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS `
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 NOT EMPLOY ANY PERSON I VIOLA LATH INT
TION OF THE LABOR D F THE STATE OF CALIFOR RELAT
ING TO WORKMENaSSATION INSUR CE I \ 9
r, LATH EXT
SIGNATURE HOUSE NUMBER COR +
PERMITTEE RECT AND POSTED
ADDRESS '' FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL EN RI
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK MO
CA5
t
A4190Do SEP 12 1D 600- v