HomeMy Public PortalAbout5741ALESSANDRO AVE_Building 76A638A CE x803 4/72
APPLICATIO FOR B ILDING PERMIT �]
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE - PARCEL
BUILDING AND SAFETY DMSION BUILDING �*
INANE CHECKS PA)ABLE !O ADDRESS�J �L.y
HARVEY T BRANDT COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN NEAREST
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ADDRESS / AL F- S S I ' Y D KID A 5 Q � CONST �
STATISTICAL CLASSIFICATION SEWER AP
LOT NO ` BLOCK CLASS NO '�/--DWELL UNITS BK P(K,33
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X�/ Q NO OF BL NO Q
SIZE OF LOT NOW ON LOT
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USE TI ReE--T/ T� �)c CONDITIONS
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OWNER�09C/� T �'Nj_S < NO
BL SETBACK FROM
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j ( TYP F EXISTING SETBACK GHWAY } YARD = TOTAL
CITY / /LY HIGHW DTH FROM C L
ARCHITECT OR TEL =
ENGINEER NO BLDG SETBACK FROM C�
ADDRESS SIDE PROP LINE OF (STREET) O
TEL TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL
CONTRACTOR NO HIGHWAY WIDTH FROM C L p
ADDRESS NO + = W
LIC N
CITY CLASS CORNER CUTOFF YES ❑ NOCONS ❑
NAMEANDBION RANCHNDER SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS -
SQ FT NO OF NO OF 7-3
NEW 11SIZE STORIES FAMILIES
USE OF ADD ❑ 914b'5 Ag, 116d Ile
STRUCTURE ALTER [:3 REPAIR❑ /
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION $ /00,G d APPROVALS DATE INSPECTOR S SIGNATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE S 3 U O 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
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON 1 GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NO LOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF E TATE OF CALIFORNIA IN ELATING TO
WORKMEN S COMP TIO IHS LLBAMC'E� LATH EXT
SIGNATURE OF r HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL J14 7
PLAN CHECK VALIDATION CK MO CASH _ PERMIT VALIDATION CK MO 0---
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