Loading...
HomeMy Public PortalAbout5542ALESSANDRO AVE_Building APPLICATION FOR t y BUILDING PERMIT ' _ BUILDINGL/ LDING FOR APPLICANT TO FILL INr ADDRESS S -/-o� al- ADIDRESS J Scf f-}L��StLOCALITY NEAREST -. CITY E./ le 6:4-r7f ZIP CROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP I TYPE 'FIRE TRACT r,7 I a' KLU¢K LOT NO CONST ZONE PROC ED BY 108 _z: V OWNER /tC.0 NO STATISTICAL CLASSI FICAT ION `` SEWER MAP ADDRESS � r CLASS NO DWELL UNITS /J BKI V k CITY ZIPdVO E MAP O ARCHITECT OR 'TEL O� ENGINEER -NO SPECIAL i `�a NDITIONS � ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED -YES ❑ NO ❑ _ TEL CONTRACTOR f2A,'T e, ,%,>,-- NO BLDG SETBACK FROM a� ,erih /1 (STREET) f LIC FRONT PROP LINE OF 6T�1t ADDRESS" J kr Uri NO S�1 j TOTAL SETBACK FROM TYPE OF EXISTING //�� J�, n HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH CITY !v'-' 17`'11/ CLASS C�/ 1 /�/ CONSTRUCTION LENDER + U o� U b {lc, 6 NAME AND BRANCH BLDG SETBACK FROM _ OU ADDRESS CITY SIDE PROP LINE OF (STREET) � O SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING U SIZE STORIES n FAMILIES ONE + SIDE PROP LINE HIGHWA WIDTH a _ 11 + = Z DESCRIPTION OF WORK NEW ADD ❑ CORNER CUTOFF r YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ® -.- USE OF ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG DEMOL APPLICANT TEL (PRINT) L�//�w.T il:�VA' NO BY(SIGNATURE) 1HEREBY 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 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 } //✓fyr (ft9 '�J SIGNATURE OF� FINAL �6 r +� 1 BY a PERMITTEE DATE ADDRESS j"6,O 4 1f /r d� TEL ;�fiL� P C Fee$ Permit Fee CITY NO s 4+ - Issuance Fee VALUATION$ Total Fee PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDA N cK mo CASH 9 f4 3 tZ AN 9 Fl Y2 8.5,0 ®w� ©$ 76A638B CE N803B 6/76T y t