Loading...
HomeMy Public PortalAbout5760ALESSANDRO AVE_Building (2) APPLICATION FOR BUILDING PERMIT - FOR APPLICANT TO FILL IN (Print or type only) mmmommaimm noo ADDRESS 4-760 , f��.r.�S N 6 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER CITY EMrz C17ZIP 9/ 7 eo BUILDING AND SAFETY DIVISION , U x IY, N OF BLDGS BUILDING -71%�O , SIZE OF LOT s NOW ON LOT ADDRESS � TRACT�yf ' - BLOCK I LOT NO 7 S LOCALIT TEL o /NEAREST �i✓V R OWNER p61/ �, SON NO O 7 2�I _.0 CROSS ST ASSESSOR ADDRESS MAP BOOK PAGE PARCEL r DISTRICT GROUP TYPE ' FIRE ESSED BY CITY 7/-M �Ii CZIP 7(ro Dg � CONST _ZONE ARCHITECT OR TEL —,— ENGINEER 01u/v1=- JR NO STATISTICAL CLASSIFICATION - SEWER 6P ADDRESS CLASS N04,:?-/--DWELL UNITS BK PG CONTRACTOR -- NOL - USE ZONE MAP � d LINO � ADDRESS14 1 OC 2 -.,, SPECIAL LIC CONDITIONS CITY IV CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO CONSTRUCTION LENDER a NAME AND BRANCH BLDG SETBACK FROM � C FRONT PROP LI NE OF (STREET) L ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING LY SO FT NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH c SIZE STORIES FAMILIE ONE L DESCRIPTION OF WORK NEW ❑ v ADD © BLDG SETBACK FROM Z SIDE PROP LINE OF (STREET) ALTER ❑ TOTAL SETBACK FROM TYPE OFEXISTING HIGHWAY + YARD = HIGHWAY WIDTH REPAIR❑ SIDE PROP LINE USE OF + _ EXISTING BLDG gDEMOL ❑ AP PRINT)N - NOL�v CORNER CUTOFF YES ElNO ❑ BY (SIGNATURE) IN OPEN SPACE YES ❑ NO E] QQ IN COASTAL ZONE YES ❑ NO ❑ bALUATION ,P _( JV i ' CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THEA LABOR ODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COMPENSATION INS URA NC SIGNATURE OFA PERMITTEE ADDRESS C740 C• t FINAL BY CITY �\i i NOL/-0 / 7 � DATE �� O MAKF CIIFCKS PAYABLC TO FEE $ FEE HARVEY T BRANDT COUNTY ENGINEER I PLAN CHECK VALIDATION CK M 0 CASH _ MIT VALIDATIO CH M O CASH 30 1 4200 ®L'11 76A638A CE4803 7/73