HomeMy Public PortalAbout5813ALESSANDRO AVE_Building (5) 76A638A CE.803 2-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING {
DEPARTMENT OF COUNTY ENGINEER ADDRESS,` c -y-c,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. C-C:+^-L --.-�=^' �.2-c.Z,_ r".--c.._C/
DISTRICT NO. GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN S, r� coNsr. C_�; ,-�� t
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS JQ CLASS. NO.�DWELL. UNITS / BK` pG"`7
LOT NO. - 4`7BLOC (�� WATER NOT REQUIRED RECEIVED ❑
CERTIFICATE: 2
TRACT �� MAPHIGHWAY
x NO.OF BLDGS. NO. -< OC'7 (CIRCLE) STATE MAJOR SECOND LOCAL`
SIZE OF LOT13 v266
NOW ON LOTs-
USE ZONE SPECIAL
USE OF CONDITIONS
EXIST]N G.
TEL. +: % /\
OWNER 42 NO. 1 b BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P. L. - '�� --Jsw�t-•r.�CC�
ENGINEER NO. SIDE
ADDRESS
TEL.
CONTRACTOR NO. r I - - Ck
' ( )'r�r T Ea 4 e C
ADDRESS
DESCRIPTION OF WORK
NEW AD ALTER REPAIR DEMOLISH ✓7"'a I'
SQ. FT. NO. OF NO. OF ". ,.,.1?,L..y. .,.. """ >'•s"7 .
SIZE STORIES FAMILIES
USE OF
STRUCTURE
I
GNATUIA OF `'"- X t��.. ,�ir .-• 3:.,' �"J '� V'p'� f` "�
APPLICANT _Z'oe p, g
VALUATION �:...J.'/` - •
APPROVALS DATE INSPECTOR S SIGNA7U RE
P.C. PMT. / _�_ `i FOUNDATION: LOCATION
FEE $ FEE $ �/ FORMS, MATERIALS
FRAME: FIRE STOPS, t f FF//� ffii33
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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- ^LAl+t, INT I./ I(„ ;I
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. {'(/ 14
ING TO WORKMEN' OMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR- ._ ---..-_./'-._.----_--------------
PERMITTEE
,PERMITTEE RECT AND POSTED i r
ADDRESS - FINAL
Le I
JOHN F. LEWIS, PRINCIPAL STRUCTURAL EOCASH
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.U.
Ln 2628: AUG14 1 D 11.50- s
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