HomeMy Public PortalAbout5839ALESSANDRO AVE_Building (6) 76A638A CE #803 12/69 TEMP i� �CI �v v f
A APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS a
COLEMAN W JENKINS, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST yU /
(Print or tVDe onl CROSS ST �X
BUILDING DIST.RICT NO GOOUP TYPE PROD BY
ADDRESS $ North J 0 / CONST 7
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO BLOCK
CLASS NO�jDWELL UNITS SK —PG—
TRACT USE ZONE MAP /, /j
NO OF SLOGS NO (/ (j
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG
TEL
OWNER Mrs. B. Stark NO BLDG SETBACK FROM
ADDRESS FRONT PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY Tem le Cit HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL i + -_
ENGINEER NO
BLDG SETBAC
ADDRESS SIDEPROP LINEOF (STREET)
TEL TYPE OF EXISTING SETBACK HIGHWAY, YARD = TOTAL
CONTRACTOR V Np 2 HIGHWAY WIDTH FROM C L
LIC
ADDRESS6O0 S. San Gabriel Bl NO 160650 + = a
O
CITYS n Gabriel 1 6 CLASS C- CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS !Z3
ADDRESS d
SQ FT NO OF NO OF ❑ Z
SIZE STORIES Z FAMILIES NEW
USE OF ADD ❑ _
STRUCTURE Reroof with 2
Composition Shingles ALTER
SIGNATURE OF ❑ ' °
REPAIR
-
APPLICANT DEMOL ❑
VALUATION $ I1,0 0.00
APPROVALS DATE INSPECTOR S SIGNATURE
FEE $ FEE$ 12.00 rOFORMS I MATERIIALTSION
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE M COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY-PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPE NSATI INSURANCE
LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE ��� RECT AND POSTED
ADDRESS
FINAL /
PLAN CHECK VALIDATION cK Mo CASH JOHN F LEWIS PRINCIPAL ST RAL ENGINEER
PERMIT VALIDATION CK - M O CASH
fi 7 1v-6'1ti OCT 14 1 D 1 2.0 0' a