HomeMy Public PortalAbout5339ALESSANDRO AVE_Building APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING COUNTY OF LOS ANGELES
ADDRESS 0333 /ESS 17 NelO RCrE DEPARTMENT OF COUNTY ENGINEER
z-/,� /- �� zip q/ 7 8D BUILDING AND SAFETY DIVISION
CITY
NO OF BLDG5 BUILDING
SIZE OF LOT X Z 2 D NOW ON LOT L. ADDRESS J y
TRACT/,/y -j/ BLOCK L LOT NO LOCALITY
TEL NEAREST
OWNER/7O�)5-/YT 7O 017 NO.2M-S'917 CROSS ST
ASSESSOR
ADDRESS �3�d�~ _ SS/�I��LY �/7 Uf MAP BOOK PAGE PARCEL
{� �� q/7' DISTRICT GROUP TYPE FIRE CfSSED BY
CITY C ZIP ��7�'� CONST ZOj
ARCHITECT OR TEL O /
ENGINEER _ NO STATISTICAL CLASSIF TION SEWER-KAP \
ADDRESS CLASS NO �/ DWELL UNITS L BKIGRG
CONTRACTOR usSe//A/,*IrP'� NO 'Vtp-6af7 USE ZONE NO
ADDRESSS/� 2�1�i�F0��1 �T NO�7 /6� .( SPECIAL
CITY,61A4 B 1V 7A,�M LIC-CLASS �i l/ CONDITIONS
ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO
CONSTRUCTION LENDER ❑
NAME AND BRANCH D/VA: BLDG BACK FROM
FRO PROP LINE OF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ FT NO OF NO OF CHECK HI WAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
SIZE STORIES- FAMILIES ONE r
DESCRIPTION OF WORK NEW ❑ + 0
ADD ❑ BLDG SETB
V .5 0,7'77 SIDE PROP LINE OF (STREET) O
ALTER TOTAL SETB TYPE OF EXISTING Vu
r Vlp..) HIGHWAY + YARD = _ SIDE PROP LINE IGH WAY WIDTH N
USE OF - r REPAIR ❑ - Z
EXISTING BLDG �'s �G DEMOL ❑ +
APPLICA EL n r CORNER CUTOFF YES C] NO ❑
(FIR NIT) $ .S� /" /9 l'(U� N��/�''d3 /
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATUR 0-
�0
N COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE e
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSURANCE
SIGNATURE
PERMITTEE
ADDRESS
FINALS /0-7,!',l
� Bey _
TE DATE
CITY N '
MAKE CHECKS PAYABLE TO FEE PC $ FET
HARVEY BRANDT COUNTY ENGINEER ,>1_7/1
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CASH
4 5 8 0 1 D 2 1 .7 5 A�c r
®s 76A638A CE#803 3 75