HomeMy Public PortalAbout5525ALESSANDRO AVE_Building 78A638A CE#803 863 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING °
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
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JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP TYPE PRO ESSED BY
FOR APPLICANT TO FILL IN j'Ln 7 CONS
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BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP
ADDRESS A-hP,S CLASS NO DWELL UNITS L_ B 7G
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LOT NO BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT MAP HIGHWAY
NNWBLDGS NO .9-003 (CIRCLE) STATE MAJOR SECOND OCA
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG
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OWNER C- Q BUILDINkHWY STREET NAME EXIST
SETBACK WIDTH
ADDRESS , JSS FRONT / _5�/ i p D/ I
ARCHITECT OR TEL P L
ENGINEER NO SIDE
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ADDRESS t
j� MM03HO PERMIT REQUIRED
CONTRACTOR o� I b NO / oaucf4 GFIADm APPROVIEDo U
ADDRESS p LEI (Ij 'AAL OFMOING APPROVID1 of
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DESCRIPTION OF WORK
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NEW ADD ALTER REPAIR DEMOLISH Z
SQ FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF Q�
STRUCTURE �\ AA %Al Th c4m
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SIGNATURE O
APPLICANT
VALUATION $ 960, 00
IIIIIIIIIIIIIZII APPROVALS DATE INSPECTOR 5 SIGNATURE
PC PMT FOUNDATION LOCATION
FEE $ FEES l QO FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 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 5 COMPENSATION INSURANCE
LATH EXT � ° 1'
SIGNATURE OF HOUSE NUMBER COR
E
PERM ITTEI I �(iU - f-i RECT AND POSTED
ADDRESS -Li `
FINAL
PLAN CHECK VALIDATION CK M o CASH JOHN F LEWISPRINCIPAL STR URAL ENGINEER
PERMIT VALIDA'T'ION CK M O CASH
-- 5220Z8- OCT10 1 D 6.00- q