HomeMy Public PortalAbout5335ALESSANDRO AVE_Building APPLICATION FOR BUILDING PERMIT
FOR-„aPLICA NT TO FILL IN (Print or type only)
_ ��JJ COUNTY OF LOS ANGELES
ADDRESS �7 33.5 r/1e—.SS /J Vd DEPARTMENT OF COUNTY ENGINEER
CITY ZIP Q BUILDING AND SAFETY DIVISION
NO OF BLDGS BUILDING ,/!
SIZE OF LOT ,� b NOW ON LOT ADDRESS Q Y /�
TRACT n BLOCK LOT NO yLOCALITY
TELNEAREST
OWNER �j C✓ d P NO p(O-O CROSS ST `^
ASSESSOR
ADDRESS J'3`J � A ✓� e MAP BOOK PAGE PARCEL
C yr7� DISTRICT GROUP TYPE FIRE PROCESSED BY
ZIP
CITY 924 u CONST ZONE
ARCHITECT OR TEL
ENGINEER - - NO STATISTICAL CLASSIFICATION SEW R MAP
ADDRESS / CLASS NO G�1DWELL UNITS BK PG
CONTRACTOR 1P P V!�! h, T O �O � USE ZONE NOP O C7
LIC
ADDRESS S {i)�+ NO J� �/ SPECT L
LIC , ` CONDITIONS
~CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER I'
NAME AND BRANCH /V Q C'/ BLDG SETBACK FROM ✓
FRONT PROP LINE OF ISTREETI
ADDRESS - CITY HIGHWAY + TOTAL SETBACK FROM TYPE OF EXISTING
SQ FT NO OF NO OF CHECK YARD = FRONT PROP LINE _ HIGHWAY WIDTH
SIZE - STORIES FAMILIES ONE _ }
DESCRIPTION OF WORK C I:g/ NEW + F OU
ADD ❑ BLDG SETBACK FROM (STREET)
ce
O
SIDE PROP LINE OF
ALTER ❑ IAL S CK FROM TYPE OF EXISTING w
❑ HIGHWAY + YARD = P LINE HIGHWAY WIDTH Q-
USE OF REPAIR Z
EXISTING BLDG j DE_MOOL ❑/ +
A(PRINT) NO.2Ylo p 2(, CORNER CUTOFF YES NO ❑
IN OPEN SPACE YES ❑ ❑
BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO
,�_
VALUATION
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE � I/V
HEREB
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF
STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 COM 41
PENSAT ONINSURANCE U?/f 7p A ��0u7- SADA/ND
SIGNATURE OF _ JGJ `
PERMITTEE
ADDRESS / �j� �� /�'
CITY -1 TELNO FINAL BY�'��5,.
MAKE CHECKS PAYABLE TO FEE $ / FET
HARVEY T BRANDT COUNTY ENGINEER
PLAN CHECK VALIDATION GK M 0 GASH PERMIT VALIDATION GK c M o GASH
®! 76A63BA CE#803 3 75 9 9 0 L`2A R 49 1 L 2%�✓/8//�5 0 `9