HomeMy Public PortalAbout5822ALESSANDRO AVE_Building (4) 76A638A CE�;,#803 3 69 APPLICATION FOR BU ILDI G PERM/
N COUNTY OF LOS ANGELES BUILDING /
DEPARTMENT OF'�COUNTY ENGINEER ADDRESS � --
BUILDING AND SAFETY DIVISION '
JOHN A LAMBIE COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS SUP T OF BUILDING NEAREST
CROSS ST
DISTRICT NO R YPE PR C E
FOR APPLICANT TO FILL IN ,
(PRINT OR TYPE ONLY)
BUILDING _ n ,�� ��� STATISTICAL CLA , ATION _ SEWER MAP
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ADORES CLASS NO �} DWELL UNITS° BK PG I
LOT NO` BLOCK USE ZONE MAP PI yp ry }
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SIZE OF LOT NOW ON LOT r
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/rl 0 e 'Cp y NOL FRONT PROP LINE OF (STREET),
OW NER /1 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS,592-2— L�5�4 o HIGHWAY WIDTH FROM C L
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ARCHITECT 0 TEL BLDG SET M (STREET)I
ENGINEER NO SIDE PROP LINE 0
TYPE OF EXISTING SETBACK HIGH + YARD = TOTAL
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HIGHWAY WIDTH FROM C L ..�
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SIZE STORIES FAMILIES NEW
USE OF ADD El
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APPLICANT
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VALUATION $ / APPROVALS DATE { INSPECTOR S SIGNATURE
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FEE $ FEE $ f FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION I
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC GAS VENT DUCTS t
TION I CERTIFYTHAT IN DOING THE WORK AUTHORIZED HEREBY I ssi�cc
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH INT I
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM A
PENSATION INSURA � , _ Y
LATH EXT
SIGNATURE OF ,
PERMITTEE e7e4 iD---1�LL ✓ HOUSE NUMBER CORRECT
AND POSTED
ADDRESS- FINAL [212-TI70
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH - PERMIT VALIDATION CK M 0 CASH
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