HomeMy Public PortalAbout5037ALESSANDRO AVE_Building (4) I6A638A CE#803 5 61APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN
DISTRICT FN GROUP TYPE PR ED BY
CONST
BUILDINGSTATISTICAL CLASSIFICATION SE ER MAP '
ADDRESS�Q K PG
CLASS NO DWELL UNITS
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE lz� r
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MAP HIGHWAY STATE MAJOR SECOND OAL
NOWBLDGS NO . (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL '
USE OF CONDITIONS
EXISTING BLDG /
I TE
OWNE N BUILDING YARD HWY S NAME EXIST
ADDRESS^D SETBACK WIDTH
FRONT
ARCHITECT OR EL P L
ENGINEER NOSIDE d
P L VADDRESS A
TEL / l INSPECTION RECORD
CONTRACTOR NO
ADDRES C7
DESCRIP O O WORK f 7 H
Z
NEW ADD ALTER REPAIR DEMOLISH s
SQ FT NO OF NO OF
IZE STORIES FAMILIES
USE OF
r
ST CTURE
SIGNATURE OF
APPLICANT
VALUATION$ c
' APPROVALS DATE INSPECTOR S SIGNATURE
PC PMT �O FOUNDATION LOCATION
FEE $ FEE $ - FORMS MATERIALS
FRAME FIRE STOPS
IHEREBY ACKNOWLED E THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION / IY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORKL /
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
W
TION OF THE LABOR CO E O HE STATE OF CALIFORNIA RELAT \
ING TO ORKMEN S C TION URANCE LATH EXT t /
SIGNATURE O HOUSE NUMBER COR {
PERMITTEE I RECT AND POSTED
ADDRESS FINAL / fj
CLYDE
PLAN CHECK VALIDATION C& H O CASH p DERM1T T VALIDATIONclCc RMAo ENGIN ER
Lh,-r,3 3 7 1 J{)u 1 D 6 00
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