HomeMy Public PortalAbout5336ALESSANDRO AVE_Building 76A638A CE#803 8 64 PPLICATION FOR BUILD NG PER
COUN 'OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION L O C A L I T Y
JOHN A LAMBIE COUNTY ENGINEER NEAREST C
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
ISIR NO G Y P E P
FOR APPLICANT TO FILL IN , coNST
BUILDING STATISTICAL C IFICATION SEWER MAP
ADDRESS ,s `(I 7 CLASS NO WELL UNITS BK PG O
LOT NO BLOCK USE ZONE MAP Q
1 NO
TRACT /�V e(y(a G SPECIAL
NO OF SLOGS / CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTLNG BLDG. BLDG SETBACK FROM
OWNER i Cr/7/V NOL FRONT PROP LINE OF - (STREET)
TYPE OF EXISTING 9ETBACK HIGHWAY YARD - TOTAL
ADDRESS HIGH Y M C L
CITY ^� G� BLDG SETBACK FROM
ARCHITECT OR TEL SIDE PROP LINE OF (STREET)
ENGINEER NO
TYPE OF EXISTING SETBACK HIGHWAY '+ YARD = TOTAL �
ADDRESS HIGHWAY WIDTH FROM C L a
+ O
CONTRACTOR/Z
=
n V
ADDRESS
fI Wd-Zo NO CORNER CUTOFF YES NO O
CI Y I
LICLA SEE REVERSE SIDE FOR SPECIAL APPROVALS w
DESCRIPTION OF WORK �v// to
NEW ADD X ALTER REPAIR DEMOLISH
SQ FT (% NO OF NO OF
SIZE0 O" STORIES � FAMILIES/
USE OF 4A T
STRUCTURE S-
SIGNATURE OF '
APPLICANT )422
VALUATIONS #0(90 APPROVALS DATE INSPE TO SSIGNATURE
PC PMT FOUNDATION LOCATION D�Lf r
FEE$ FEE$ ( FORMS MATERIALS-
0
ATERIALS_
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT CTS
SUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TIONOF THE LABOaNSATI OF THE STATE OF CALIFORNIA RELAT
INC TO WORKMEN SON INSU NE d IIS
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEElll�i�CCC/// RECT AND POSTED
ADDRESS Fl NAL
PLAN CHECK VALIDATION CK Mo cnsH _ JOHN F LEWIS PRINCIPAL ST URAL ENGINEER
PERMIT VALIDATION CK M O CASH
LPLo 5 2 9 8 OCT 14 1 D 1 8.5 0-