HomeMy Public PortalAbout6009ALESSANDRO AVE_Building 76A638A CE#813 1/71
{� APPLICATION FOR' BUILDING PERMIT_
COUNTY OF LOS ANGELES ASSESSOR MAP BOOK Q 9 PAGE PARCEL
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN —^ 'NEAREST
P,,nt ort only) (CROSS ST
BUILDING / DrICTGROUP TYPE ESSED BY
ADDRESS Pf CONST IT_
s�/ ! STATISTICAL CLASSIFICATION `� SEWER MAP
LOT NO �(�t� BLOCK CLASS NO --7-` DWELL UNITS - BK/_ PG/
TRACT - USE ZONE MAP
{ NO OF SLOGS NO _ 4_
SIZE OF LOT NOW ON LOT ` _
SPECIAL I
USE OF / CONDITIONS _
EXISTING 81—PG 9 h
TEL
OWNER NO 2j - BLDG SETBACK FROM!
ADDRESS IFRONTPROP LINEOF (STREET)
(TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY (HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL
ENGINEER NO L� -
_ e BLDG SETBACK FROM
ADDRESS SIDE PROP LIN_E_OF _ ---.(STREET)
` -- (STREET)
TEL TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL O
CONTRACTOR 5 NO HIGHWAY WIDTH FROM C L U
ADDRESS NO } _
CD
LIC J y U
CITY CLASS CORNER CUTOFF __YESu❑ NO a
CONSTRUCTION LENDER N
NAME AND BRANCH /C�i� F SEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS
SQ FT NO OF ., NO OF NEW ❑ -Z y"71 /— C .�'1JrN�Fli=b' C'
SIZE STORIES FAMILIES
USE OF /f _ ° ADD ❑ '1�� /J /- I_ /.A.1 '-'qrA_ 1--ok
STRUCTURE
ALTER ��.�r_.c ��
❑
SIGNATURE OF REPAIR
APPLICANT DEMOL ❑ w r
VALUATION $ OO APPROVALS DATE INSPECTOR 5 SIGNATURE
P C PMT /Z �� FOUNDATION LOCATION _ 1
FEE S FEE $ 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 CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENS N INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED _
ADDRESS FINAL
iv JOHN F LEWIS PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION CK a'M O CASH _ PERMIT VALIDATION CK .0 CASH
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2 9 0 31-- AUG 19 1 D 1 2,00-
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