HomeMy Public PortalAbout5324ALESSANDRO AVE_Building (2) 76A638A CE$;803 6-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY 1
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
D15-DICT N UP TYPE P C ED BY
FOR APPLICANT TO FILL IN � 1 0'yj coNsr. �
BUILDING STATISTICAL CLAS IFICATION S M ER MAP
ADDRESS N fIj 1c. _ e Y,O T6 Q ' BK �G >
CLASS. NO. DWELL. UNITS
LOT NO. LOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT MAP HIGHWAv
NO.OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND LOCAL
SIZE OF LOT .,f.3�/B x ///` NOW ON LOT USE ZONE SPECIAL ?
USE OF ^ CONDITIONS
_J L
EXISTING BLDG.
OWNER �7 ji/�/ JL NO ,!5 NO. yOII BUILDING EXIST.
_ / SETBACK YA HWY STREET NAME WIDTH
ADDRESS lJ tD,_3 C �. ZOWP.ti J? VS.'`. ��tl k FRROLT O/
ARCHITECT OR TEL.
ENGINEER NO. SIDE
P. L. C LC }
ADDRESS CL
TEL.. 0
CONTRACTOR Q LL--ILA- NO.
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ADDRESS _
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DESCRIPTION OF WORK -- OF
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NEW ADD ALTER REPAIR DEMOLISH n'
N
. FT. NO.OF NO. OF Z
SIZE / STORIES FAMILIES
i
USEj
STRUCTURE f
r', yy o
SIGNATURE OF O
APPLICANT
VALUATION $ / P v-p
APPROVALS .DATE INSPECTOR'S SIGNATURE
IAT FOUNDATION: LOCATION
FEE $. 5 FEE $ 3 FORMS, MATERIALS
FRAME: FIRE STOPS.
-
f 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- IATH, INT. I -
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. f=v`
LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE Com. �'V RECT AND POSTED _
ADDRESS //' ., FINAL �.
JOHN F. LEWIS, PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION DK. M.D. CASH _ PERMIT VALIDATION4K. M.O. CASH