HomeMy Public PortalAbout5709ALESSANDRO AVE_Building (3) 76A638ACE#803 6-62 APPLICATION FOR BUILDING PER T
COUNTY OF LOS ANGELES BUILDING ` .� t1 t I
DEPARTMENT OF COUNTY ENGINEER ,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. ,..�. ,e G(.
DISTRICT NO, G@¢ldP TYPE P SSED BY
FOR APPLICANT TO FILL IN CONST. � I !mss
BUILDING STATISTICAL CLASSIFICATION S ER MAP
ADDRESS J AZ Q "�' CTK PG
/f CLASS. NO. DWELL.UNITS '-
LO NO. ' �µ BLOCK WATER NOT REQUIRED 11RECEIVED ❑
• CERTIFICATE:
TRACT j� 1 NO.OF SLOGS. j NOP .- f%l3 HIGHWAY
(CIRCLE) STATE MAJOR SECOND, OCAL.
1 SIZE OF LOT NOW ON LOT / USE ZONE SPECIAL
USE OF CONDITIONS
. EXISTING BLDG. fc.0. '
' TEL. {
OWNER r No.
/ - BUILDING EXIST.
SETBACK YARD HWY TREET NAM i WIDTH
I ADDRE S d FRONT
/�/ f
ARCHITECT OR L. P. L. -G(/ xx
ENGINEER O. SIDE
P. L.
j ADDRESS f.
TEL.
CONTRACTOR r O •./i -
ADDRESS_-
Al
DESCRIPTION OF WORK
r
NEW DD ALTER .REPAIR DEMOLISH' f
SQ. FT, NO.OF NO. OF y
SIZE ,r STORIES FAMILIES / _ -
--
USE OF - - -
STRUCTURE.
SIGNATURE - -
APPLICANT
VALUATION $ �j C�a r, -rf
i v APPROVALS .DATE INSPECTOR'S SIGNATURE
' P.C. PMT. �r FOUNDATION: LOCATION �.
{ FEE $r � FEE FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 'I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
! WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
t
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
I, TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED f
ADDRESS
JOHN F. LEWIS,TP ]NCIPAL ST URAL ENGINEER,
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH
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