HomeMy Public PortalAbout5622ALESSANDRO AVE_Building APPLICATION FOR BUILDING PERMIT
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FOR APPLICANT TO FILL IN (Prlo, type only) T-�"4)L E: , *'y
BUILDING COUNTY OF LOS APQGELES ' _
ADDRES
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DEPARTMENT OF COUNTY ENGINEER < t,
CITY G ZIP - -BUILDING AND/SAFETY DMSION / -
LDING
SIZE OF LOT '- X I U NOW NCI OON LOTS ADDRESS
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TRACT BLOCK LOT NO LOCALITY ✓J"1+✓
O TE NEAREST �
OWNER J O��313 CROSS ST
ASSESSOR
ADDRES MAP BOOK PAGE PARCEL
DISTRICT G P T PEt FIREPRO SSED BY
CITY ZIPT Z4r1
ARCHITECT_ TEL
ENGINEER NO
STATISTICAL CLASSIFICATION r4 SEWER MA
ADDRESS Y CLASS NO DWELL UNITS!__!_j IV BK` G
TE USE ONE MAP
CONTRACTOR Jlm NO MA rj c !� r
!!11LIC No
ADDRESS, NO s _' SPECIAL r
' LIC CONDITIONS
CITY ' CLASS
ROADEPARTM ENT APPROVAL REQUIRED YES[jNO ❑
CONSTRUCTION LENDE
NAME AND BR NCH 0 BLD SETBACK FROM
FRO T PROP LINE OF (STREET)
ADDRESS ITYTOTAL SETBACK FROM TYPE OF EXISTING
SQ FT NO OF NO OF CHECK HIGH W } YARD = FRONT PROP LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE y �`
DESCRIPTION OF WORK ' M NEW ❑ + n O
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ADD BLDG SETBACK FROM — w �
G SIDE PROP LINEOF IS TR EET) CD�
s13 LTER ❑ =— TOTAL SETBACK FROM TYPE EXISTING F_
❑ HIGHWAY } YARD
REPAIR SIDE PROP LINE HIGHWA WIDTH Lu
USE OF } - N
EXISTING BLDG i (IIW DEMOL ❑ c Z
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) NO
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BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ r
IN COASTAL PERMITtZONE YES ❑ NO E]VALUATION s <r o _ :<
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .M1
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON
STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED J
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE r r
LABOR CODE Of THE STATE OF CALIFORNIA IN RELATING TO { 1 1 t
WORKMEN S CO PENSAT N INSURANCE y t ' 't
SIGNATURE T a
PERMITTEE
ADDRESS F 1 f t
FINAL t BY tw
a e TEL 5 n t at
CITY NO DATE .� rw y4
P C $ - j PMT
MARE CHECKS P-11ABLE 70 FEE P FEE �
HARVEY T BRANDT COUNTY ENGINEER
/30--51 -1 a k / .
PLAN CHECK VALIDATION . PERMIT �VALID�N(c. M "CASH H R
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4,9,t5�JUL 17 3 ,y 1-30 Opo r
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. _ 4.9 btiJUL 17
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