HomeMy Public PortalAbout5951ALESSANDRO AVE_Building (2) 76 r-C, ,CE $iBO3 3 69 l
APPLICATION FOR BUILDIN PER
'COUNTY OF LOS ANGELES BUILDING Ci
DEPARTI`4ENT OF COUNTY ENGINEER ADDRESS LJ
BUILDING AND SAFETY DIVISION LOCALITY }
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO GR TYPE ' 0 SS
(PRINT OR TYPE ONLY) �-
BUILDING �^ STATISTICAL CLAS CATION 4 SEWER MAP
ADDRESS J �� �/lI G� CLASS NO DWELL UNITS BK PG
LOT NO BLOCK USE ZONE MAP /g
'7 NO - Q
TRACT -S SPECIAL
NO OF BLDGS J CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG BLDG SETBACK FROM
� / TEL FRONT PROP LINE OF (STREET)
OW N E R O/ NO 2,S;
7 O TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
p HIGHWAY WIDTH FROM C L
ADDRESS '� / 'S �/ B ;,./,&443 C,) !
+
CITY �� L Zl d �CJ
ARCHITECT OR TEL BLDG TRACK FROM (STREET)
ENGINEER NO SIDE PROP LINE OF
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS d. IGHWAY WIDTH FROM C L
TEL _
CONTRACTOR y S T NNO / //�//fir + - a
ADDRESS �� ��S f�jjA/O.P"WO IC `(per/%�!'J CORNER CUTOFF YES ❑ NO ❑ u
CITY -�j��op /T�- CLASS 6 SEER VERSE SIDE FOR Sr CIAL PROVALS 0
CONSTRUCTION LENDER �y ~
NAME AND BRANCH
a
N
ADDRESS Z
SOF NO OF NO OF
T 'L M
SIZE 7STORIES FAM NEW ❑
USE OF ADD
STRUCTURE ALTER ❑
REPAIR ❑
SIGNATUREOF DEMOL ❑
APPLICANT
VALUATIO D� APPROVALS DATE NSP croR cNATURE
P C PMTFOUNDATION LOCATION yy
FEE $ FEE $ �� FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS i
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC GAS VENT DUCTS +
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
HILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH INT
OF THE STATE OF CALIFORNIA N RELATING TO WORKMEN S COM d e
PENSATION INSUR E /
l LATH EXT el
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTEE AND POSTED �!
ADDRESSr
3/ L $S
FINAL �� a�Q
s
JOHN F LEWIS PRINCIPAL ST TURAL ENGINES)
PLAN CHECK VALIDATION CK M o CASH — PERMIT VALIDATION CK M o cA
� Ar265uo NOV 12 1 0 27.75
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