HomeMy Public PortalAbout6019ALESSANDRO AVE_Building (2) 76A638A CE 4803 z-63 APPLICATION FOR BUILDING PER IT
COUNTY OF LOS ANGELES BUILDING f
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY l
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST.
DISTRI T NO. G TYPE StED BY
FOR APPLICANT TO FILL IN q Oe IL CONST.
BUILDING // ,, I IJ/ STATISTICAL CLASSIFICATION WER MAP
ADDRESS ([' O / �V G BK
CLASS. NO. DWELL. UNITS ��
LOT NO. JL� '� /�[' Lj .� CK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT O MAP -4- HIGHWAY
NO.OF BLDGS.
NO. t L' (CIRCLE) STATE MAJOR SECOND, OC L
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL. p
OWNER „/L NO. fid' BUILDING YARD HWY TREET NAM EXIST.
SETBACK WIDTH
ADDRESS' FRONT
ARCHITECT OR frEL. P. L. ~�
ENGINEER NO. SIDE
P. L.
ADDRESS // a.
TEL 0
CONTRACTOR NO3�S f "'�:• e-j Y
ADDRESS ' G A�. O
DESCRIPTION OF WORKCL
NEW 640" ALYrIr REPAIR DEMOLISH "•+. Z
SQ. FT. NO. OF NO. OF _
SIZE D7wSTORIES FAMILIES ...
USE OF •{ i'" "'1Z+� .
STRUCTUR �,Y1•� /. >�" • '
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ys/ r fa
SIGNATURE OF �"' .f '"�" - oft,
APPLICANT r
VALUATION $ Gw C <"
APPROV LS DATE INSPECTOR'S SIGNATURE
P.C. PMT. /1 FOUNDATION: LOCATION /f �,*�,.,,�,. •
FEE $ �_ FEE $ �C J/ FORMS, MATERIALS f. a, yr- .1.•
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.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. -�"
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANCE. CATH-EXT. S / f sby14 7
SIGNATUREHOUSE NUMBER COR-
PERMITTEE _ RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL EnCA
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O.