HomeMy Public PortalAbout5622ALESSANDRO AVE_Building (2) 6A638A CEO PPLICATION FOR BUILDI G PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS d'
BUILDING AND SAFETY DMSION LOCA
L I T Y
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST ,r
DIST ICT NO GROUP TYPE PRO S BY
FOR APPLICANT TO FILL IN J` 0 � CONST
BUILDING STATISTICAL SSIFICATION SEWER MAP
ADDRESS p�, �� Sap CLASS NO DWELL UNITS BK PG
LOT NO of C Ld IB O C K USE ZONE MAP;;Zoo C7
NO CJ
TRACT C(`Q I SPECIAL
CONDITIONS
NO OF BLDGS
SIZE OF LOT D Q NOW OH LOT
USE OF �OU\Se
S BLDG SETBACK FROM �} !
TEL FRONT PROP LINE OF �� (STREET)
OWNER fO NO �71 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH f F �.MslC�
+ � O
CITY e-- ��� . ' BLDG SETBACK FROM
ARCHITECT OR TEL SIDE PROP LINE OF (STREET)
ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY WIDTH FROM C L a
ADDRESIS _ O
TEL + V
CONTRACTOR 0 NO
I
LIC CORNER CUTOFF YES ❑ NOP91-
ADDRE.SS NO O
LL VAPPROVALS
VERSE SIDE FOR SPECIAL APPROVALS w
CITY
DESCRIPTION OF WORK 4 �. �
NEW ADD ALTER REPAIR DEMOL � � d,p,gaJ{
SQ FT 0( y v� STOROF IES ES O OF .� ` ✓ �/'
SIZE
X. oC, y
USE OF
STRUCTURE O_ Q.-SIGNATURE OF �''AAPPLICANT f
VALUATION$ J � Q✓��jATpE INSPECTOR SSIONATU E
PMT
FOFORMSI MATERIALS LOCATION
Pi y
FEE FEE$ �
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
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 I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODCOF THE TE OF CALIFORNIA RELAT --r
ING TO WORKMEN S COMPENSATION 1 S RANCE LATH EXT
SIGNA URE OF � HOUSE NUMBER COR
R
PEMITTTEE ` . RECT AND POSTED /
ADDRESS oNd - FI NAL
- JOHN F LEWIS PRINCIPAL STRUCTURAL ENG
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK Mo CASH
�,l�08 0 5 811-2 JAN2 9 1 0 1 150-