HomeMy Public PortalAbout5940ALESSANDRO AVE_Building (3) 76AfjfI%A CE#803 9 66A
j APPLICATION FOR BUILDI G PERMIT '�J1
' COUNTY OF LOS ANGELES BUILDING 0
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY `
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO6ff GR P TYPE E
(Print or type only) _ r CONST
BUILDINGU STATISTICAL C SIFICATION SEWER MAP
ADDRESS �/ 5.C3 CLASS NO DWELL UNITS BK PG
LOT NOBLOCK USE ZONE MAP O D
NO
TRACT �3 SPECIAL
NO OF BLDGS ( \ CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG BLDG SETBACK FROM
OWNER �l P14
O l ���� NEOL r A� FRONT PROP LI NE OF - _(STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
+ _
CITY
BLDG CK FROM
ARCHITECT OR or TEL SIDE PROP L (STREET)
ENGINEER NO TYPE OF 1EXISTING SETBAC HWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
CONTRACTO13
+ F NOL +(, t —
ADDRES r NI J.J.� CORNER CUTOFF YES ❑ NO
CITY_:5, — CLASS SEE REVERSE SIDE FOR SP�FCIAL APPRO ALS
CONSTRUCTION LENDER
co
NAME AND BRANCH
ADDRESS
SQ FT NO OF NO OF NEW ❑
SIZE STORIES FAMILIES El
OF ADD
STRUCTURE
ALTER ❑
t0AMAq1
SIGNATURE OF REPAIR
APPLICANT DEMOL ❑
VALUATION $ 0�'� APPROVALS DATE INSPECTOR S SIGNATURE
PC PMT FOUNDATION LOCATION
FEE $ FEE$ _ G�� FORMS MATERIALS
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
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODEOF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSATION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEERECT AND POSTED
ADDRESS 9 [FINAL �b Q
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M D CASH _ PERMIT VALIDATION CK M O CASH
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