HomeMy Public PortalAbout5754ALESSANDRO AVE_Building (2) APPLICATION FOR BUILDING PERMIT
FOR APF:ICANT TO FILL IN (Print or type only)
COUNTY OF LOS ANGELES
BUILD 0`H L E� N
ADDkESS SS +7 d DEPARTMENT OF COUNTY ENGINEER
CITY �`�/.�pLd C`)7'f ZIP y/ j SS pByUILDING AND SAFETY DIVISION
NO OF BLDGS BU
SIZE OF LOT NOW ON LOT ADIDRESS - /S
TRACT BLOCK LOT NO �'S� LOCALITY
NEAREST
OWNER p(j .5(', ��/� NO.Z�fOJ ,Z CROSS ST
ASSESSOR
ADDRESS'� L/ LC,�'S P+N 0 EMAP BOOK PAGE PARCEL
CITY Jj,k /T ZIP
DISTRICT GROUP TYPE FIRE ROC ED BY
C 7{ONE7
ARCHITECT OR TEL Is-08 _Z CONS`
ENGINEER NO STATISTICAL CLASSIFICATION ISEWER MAPF
TEL
ADDRESS _ CLASS NO DWELL UNITS BIC 3 14
CONTRACTOR NO USE ZONE No O
LIC /7 /
ADDRESS NO �'C.�' SPECIAL
— - - LIC - CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO
CONSTRUCTION LENDER r
NAME AND BRANCH BLDG SETBACK FROM
FRONT PROP LINE OF LST TI
ADDRE CITY TOTAL SETBACK FROM I TY OF EXISTING
SQ FT NO OF NO OF CHECK HIGHWAY + YARD = FRONT PROP LINE HWAY WIDTH
SIZE STORIES l FAMILIES ONE
DESCRIPTION OF WORK^ �pM Y 60 NEW ❑ + O
BLDG SETBACK FROM
13 Al ft e,v T OGS (STREET) O ADD SIDE PROP LINE OF 0
� ALTER ❑ A SE CK FROM TYPE OF EXISTING w
Z FEET HIGHWAY + YARD = N
REPAIR ❑ SI OP LINE HIGHWAY WIDTH
USE OF __ Z
EXISTING BLDG DEMOL ❑ +
APPLICANT TEL CO ER CUTOFF YES ❑ NO ❑
(PRINT) NO
IN OPE PACE YES ❑ NO ❑
BY(SIGNATURE)
I I OASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION Q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAIDOING
E
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THE p.WORK AUTHORIZED HEREBY I WILL NOT EMPLOYANY PERSON IFTHE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO W ,7
PENSATION INSURANCE
SIGNATURE OQ� j2 �� jD s'G,cZf}T�9I C>Aj .v
PERMITTEE
CITY /L NI,I�� / T Np.`Z�SSr �1SfyI DA EL — �3 2 BY J
MAKE CHECKS PAYABLE TO FEE $ FEET � S
I L LMARVEYT BRANDT COUNTY ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CASH
- - 0 0 30 f 1 U 55 cJ U
®S 76A638A CE N803 3 75