HomeMy Public PortalAbout5334ALESSANDRO AVE_Building (2) 76A38`A '#803 3 69. t
�> APPLICATION FOR BUILDING PERMIT
,5 t '`COUNTY OF LOS ANGELES BUILDING
DEPARTMENT'OF COUNTY ENGINEER ADDRESS 5.33 -
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BUILDINGsAND SAFETY DIVISION
aW 'JOHrN"A'` 64- MBIE COUNTY ENGINEER LOCALITY �/!�� C
�COLEMA"' " JENKINS SUP T OF BUILDING NEAREST
y t h 3 CROSS ST" 6 (�Ze
y . v-+^ x DISTRICT NO GROUP TYPE CONST PROCESSED BY
4SFOR,'APPLICANT TO FILL IN ��� � _
ri 'L4i�I P R I N T OR TYPE NLY)
BUILDING11 �;c � ,yam+ STATISTICAL CLASSIFICATION '+ SEWER AP
ADDRESS �, �" ' J "V j/JL®�/ 8 Q
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BLOCK USE ZONE MAP O/
y9��^��!!. NO
TRACT 1bS/d/1J�s �C� �L�i�� SPECIAL '
- �A ' NO OF BLDGS CONDITIONS
SITE OFt�LOT , L L NOW ON LOT
USE OF
EXISTING BLDG { BLDG SETBACK FROM - I
�j TEL 6 FRONT PROP LINE OF (STREET)
OWNER c Lnv NO TYPE OF EXISTING SETBACK HIGHWAY + YARD =+ TOTAL
ADDRESS r
HIGHWAY WIDTH FROM C L ' 7
+
CITY
ARCHITECT OR TEL BLDG SETBACK FROM $ STREET
ENGINEER + NO SIDE PROP LINE OF (STREET)
TYPE OFEXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL ` , r + __ I a
CONTRACTOR �� JJ NO ���� c
LIC
ADDRESS i //yam ��JL 1�LSN0 `A CORNER CUTOFF YES ❑ NO ❑
LIC c
CITY i✓'✓� CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER + ' U.
NAME AND BRANCH a
v
ADDRESS w a
SQ FT- NO OF NO OF
SIZE l STORIES FAMILIES NEW ❑
USE ADD
STRUCTURE yZ y( 7'
ALTER ❑
p'1 REPAIR ❑
SIGNATURE OF DEMOL ❑
APPLICANT
VALUATION $ APPROVALS DATE INSPECTOR S SIGNATURE
P C7O Od PMT FOFORMSO LOCATION FEE $ �j — FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC GAS VENT DUCTS
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH INT
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTEE AND POSTED
ADDRES FINAL '
JOHN F LEWIS P INCIPAL C URAL ENGINEER
PLAN wCH[[ECKg}VALIDATION cK M O =ASH — PERMIT VALIDATION CK M O CASH
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