HomeMy Public PortalAbout5335ALESSANDRO AVE_Building (3) v
76A$ e638ACE�k803369 APPLICATION FOR BUILDIN PERMIT �I
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COUNTY OF LOS ANGELES BUILDINSU&:2261LA-- 05
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY ~
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN DICT NO �GV TY ST PR SED BY
(PRINT OR TYPE ONLY)
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS G,$ .4 0 0
1 L PG�d
CLASS NO DWELL UNITS BK
LOT NO BLOCK ZONE LN
P'ZD 4
f TRACT ��~ ECIALSIZE OF LOT0��0 NNO OF OW ON BLOTS �a� NDITIONS
i�
USE OF G✓��
EXISTING BLDG DJ e- BLDG SETBACK FROWEM
/ TEL FRONT PROP LINE OF (STREET),
OWNER , 0 Q/s tv NO
TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL
ADDRESS t.7�7 SS- /7/s/i0o IC HIGHWAY WIDTH FROM C L
CITY CSI (C cel +
ARCHITECT OR TEL BLDG SETBACK FROM (STREET)
ENGINEER �o--fNO SIDE PROP LINE OF
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS HIGHWAY WIDTH FROM C L _
TEL _
CONTRACTOR Q e NO + CL
ADDRESS LI CORNER CUTOFF YES ❑ NO 0
LIC �
CITY CLASS SEE REVER SIDE OR SPECIAL-APPROVALS
CONSTRUCTION LENDER t r�� \ ~
NAME AND BRANCHCL
/(I �� �S
ADDRESS �t �? > >' �- a l„sJ ` V)Z
SQ FT NO OF NO OF e--
SIZE STORIES FAMILIES NEW ❑
USE ODD
STRUCTURE �,f�J AER ❑ ` Z\ 'h. �1~
REPAIRol
❑ �; °`' �`s ` _ 4y jL
SIGNATURE OF DEMOL
APPLICANT ❑ 2 �`
VALUATION $ 4B(0 n APPROVALS DATE 1NSP Toa s Sr NATURE
FEE $ FEE $ pC � ,, FOUNDATION LOCATION 110 ✓
FORMS,
ORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS
BRACING BOLTS /qc�
l. 17/7
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING C C GAS VENT DUCTS
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBYEREBYI �J R �-
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH INT / V
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSURANCE LATH EXT .z 0 /J
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTEE AND POSTED
ADDRESS FINAL
411ru—
JOHN F LEWIS PRINCIPAL ST TURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH - PERMIT VALIDATION CK M . CASH
� �,� 4 u 2 2P' MAR 0 1 D 2775-