HomeMy Public PortalAbout5519ALESSANDRO AVE_Building (2) 76A838A CE0803 8 63APPLICATION FOR BUILDING PE MIT
COUNTY OF LOS ANGELES BUILDING `
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY r`
JOHN A LAMBIE COUNTY ENGINEER NEAREST i)
WILLIAM A JENSEN SUP T OF BUILDINT
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TRICT NO G UP TYPE PRO E SED BY
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OR APPLICANT TO FILL IN / CONS l
NG TISTICAL C ASSIFICATION SE ER MAP
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ASS NQ DWELL UNITS —
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IFICATE NOT REQUIRED ❑ RECEIVED
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/ NO OF BLDNO (CIRCLE) STATE MAJOR SECOND LO AL
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CONDITIONS
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BACK YARD HWY REET NAME WIDTH
SS SOLT �}ECT OR TEL (/EER NOIDEL }
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CONTRACTOR �/ NO
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DESCRIPTION OF WORK r)
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NEW ADD ALTER REPAIR DEMOLISH Z
SO FT �.q._y.� NO OF NO OF
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SIGNATURE OF
APPLICANT-
,
PPLICANT
VALUATION $ "'—
APPROVALS DATE INSPECTOR 5 SIGNATURE
`/ FOUNDATION LOCATION ClF E $ '�— FEE $ lL o-� FORMS MATERIALS C
FRAME FIRE STOPS / A�/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS �l 0Fj
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK /
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S oCnNSATION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0
Lko 9907 &M 9 1 D 6.00-