HomeMy Public PortalAbout5332ALESSANDRO AVE_Building (2) 78A838A CEii803 B 83 APPLICATION FOR BUILDING PERMIT '
COUNTY OF LOS ANGELES BUILDING i' � r
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
DIST,$1CT Nr I G P TYPE
FOR APPLICANT TO FILL IN CONST
BUILDING i- STATISTICAL CLASSIFICATION SEWER MAP �y
ADDRESS 3 BK y
CLASS NO DWELL UNITS _/] P d O
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE El
TRACT / N W AXES MAP /' HIGHWAY STATE MAJOR SECON LOCAL
SIZE OF LOT ��7 NOW OF ON BLDGLOTS�� USOE ZONE SPECrIALCLE)/7/�
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SETBACK YARD HWY STREET NAME WIDTH
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DESCRIPTION OF WORK
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SIZE STORIES FAM
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STRUCTURE M rm r curb gutter sidewalk and driveway approach In•
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SIGNATURE OF 9 ice Immedra eI
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VALUATION $ e,p a L permit
APPROVALS DATE INSPECT R S SIGN 4
PC PMT FOUNDATION LOCATION
FEE $ FEE $ Ari OO FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT INkDNG THE WORKAUTHORIZED HEREBY I WILL a
OY ANYON IN VIOLALATH INTTION OF THE LABOR CODC OTE OFORNIA R LAT
ING TO WORKMEN 5 COMPE UR NC LATH EXTSIGNATUREOFHOUSE NUMBER CORPERMITTEE RECT AND POSTED
ADDRESS I FINAL i
JOHN F LEWIS PRINCIPAL STRAL ENGINEER
PLAN CHECK VALIDA CK M D CASH PERMIT VALIDATION CK M o CASH
LfiLo9573X1323 D 4800
ha W Leo S 9 � 2� AUG 3 � D9'15.0 0 N a