HomeMy Public PortalAbout5750ALESSANDRO AVE_Building APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING /� �^ COUNTY OF LOS ANGELES
ADDRESS J �J u /9��SS.9,rd,Q u DEPARTMENT OF COUNTY ENGINEER
CITY ��/ /c-D�Tf' ZIP 91 7 p o BUILDIN'G'7.AND SAFETY DIVISIONNO.OF /fJ
LDING
SIZE OF LOT 5.-X/�S- NOW ON LOTS ADDRESS L/
r_ P o/17'in
TRACT(rG f BLOCK LOT NO. �� LOCALIT �.
dde TEL. NEAREST
OWNER O/�j!}S •S, 44-7) No
. ap�j�a77� CROSS ST.
Q ASSESSOR .
ADDRESS S' S U L C SS �✓ 4 P MAP BOOK PAGE PARCEL
Q 0 DISTRICT GROUP TYPE FIRE ESSED BY
CITY ��=�,�1r C iT/ ZIP //,�� �'�9 yq� CONST ,ZONE
ARCHITECT OR TEL.. �. i
ENGINEER S/9'/htc 4S 461 NO. p2 �"t�7��
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO.�DWELL•UNITS L B►��G
CONTRACTOR HEEL. USE i ONE MAP /i
LIC. ///�_ FOP,
O. V
ADDRESS NO, �Jt ���^ ECIAL
LIC. DITIONS
CITY CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY I
IGHWAY } YARD ',TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE ! 0 STORIES FAMILIES ONE
+ O
DESCRIPTION OF WORK NEW CJ
ADDLDG.SETBACK INEOF
IDE PROP.LINE OF (STREET) c:)
O
�^1
ALTER _ TOTAL SETBACK FROM TYPE OF EXISTINGG� 'C ��� REPAfRIGHWAY } YARD. - SIDE PROP. LINE HIGHWAY WIDTH UJI
USE OF } = N
EXISTING BLDG. DEMOL ❑ z
A P(PRI NT)NT�/fG/f1/¢S.S, �/Q.TNO. p6� -�778 CORNER CUTOFF YES.❑ NO C]
BY (SIGNATURE
IN OPEN SPACE Y,ES ❑ NO ❑
`(`^
J IN COASTAL PERMIT ZONE YES ❑ NO
VALUATION,$ 7-f-0,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- /C Z
STRUC TION. 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 T0. -
WORKMEN'S COM�NNSURANCE..SIGNATURE OFPERMITTEEADDRESS ,r7POTEFINAL
CITY /L=i+�t P1C C- /!'"y- NOL (p 4z27 " DATE BY ��•
MAKE CHECKS PAYABLE TO: FEE' / FEE,
HARVEY T. BRANDT, COUNTY ENGINEER ,
PLAN'CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M,.o. CASH .
1 5."cER 10 1 35.25A JC
76A638A CE#803 574 (^/
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