HomeMy Public PortalAbout5827ALESSANDRO AVE_Building r� 7CA638A Cr- #803 1/71
APPLICATION FOR BUILING PERMIT C�fl
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print ort only) CROSS ST W�7
DISTRICT GROUP TYPERO SSED BY
ADDRESS , j2 �, 5 V - �BUILDINGCONST
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LOT NO —7�f4- BLOCK 5 I I IS I ICAi CLASSIFICATION SEWER MAP
/- CLASS NO DWELL UNITS SK PG
TRACT (Olr-7 LO ( USE ZONE MAP �--7
n NO OF BL
DGS s ' NO !✓�
SIZE OF LOTJ-0 ,C/� 0� NOW ON LOT (Z-3 SPECIAL
USE OF p�� Q L CONDITIONS
EXISTING BLDG OvS,& TEL
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OWNER,#46---)4 Q d Noly ' Ij" BLDG SETBACK FROM
ADDRESS�j�jTi FRONTPROP LINEOF (STREET)
Y TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY C HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL + _
ENGINEER NO BLDG SETBACK FROM
ADDRESS ISIDEPROP LINEOF (STREET)
�^^ J TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL (I-
CONTRACTOR cJ f, NO HIGHWAY WIDTH FROM C L V
LIC _
ADDRESS NO + - O
LIC U
CITY CLASS CORNER CUTOFF YES ❑ NO ❑ Lu
CONSTRUCTION LENDER N
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS Z
ADDRESS r4 0 IV
SQ FT NO OF NO OF ' NE
STRUCTURE W y -
SIZE
0V STORIES FAMILIES
USE T1 D ADD ❑ C
r
ALTER ❑ 6
REPAIR❑
SIGNATURE
APPLICANT DEMOL ❑ L
VALUAT N APPROVAS DATE N ECTOR S SIGNATURE
FEE $ FEE$ rOON FORMS I MATER A SIGN
FRAME FIRE STOPS
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 ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF HE STATE OF CALIFOR IN RELATING TO
WORKMEN S CO PE TION I SU
+ LATH EXT
SIGNATURE OF HOUSE NUMBERCOR
PERMITTEE RECT AND POSTED ry�
ADDRESS FINAL G(J
JOHN F LEWIS PRINCIPAL` STRUCTURAL ENGINEER
PLAN CHE VALIDATION CK M 0 CASH ` PERMIT VALIDATION 43CK MO > AS
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