HomeMy Public PortalAbout5133 ARDEN DR_Relocation__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR-BUILDING
COUNTY OF LOS ANGELES RELOCATION
WILLIAM J. FOX, CHIEF ENGINEER FOR OFFICE USE ONLY
"FOR APPLICANT TO FILL
DISTRICT NO.I RECEIVED BY DATE RECID �iECEIPT N
s(�,� �
PROPOSED
BUILDING
ADDRESS ���JJ!!l1977977 BUILDING APPLICATION
PLAN CK. NO. PERMIT NO.
LOCALITY
PRESENT
BUILDING
ADDRESS RECEIVED BY DATE OF APPL I DATE ISSUED
LOCALITY '
FIRE NO. TYPE GROUP
OWNER ZONE "' PLANSS
MAIL BLDG. (
ADDRESS SETBACK LINE lzo
TEL. USE a� APPRDVED
CITY (1�� 1 NO. � S - ZONE Y DATE
MOVINGCON RA OR' d NO. «� q, HOUSENUMBERING
fL® ' lJ AssirNED BY
MAP.'NUMBER
ADDRESS S �7 1
'�^,C2' DATE RECID
BUILDING TEL. BDND$ —FILED—BY
CONTRACTOR NO.
CASH DATE RECD
ADDRESS DEPOSIT$ FILED Br
PRESENT , MISC.RECEIPT NO. -
USE OF FOR CASH DEPOSIT
BUILDING
PROPOSED CORRECTIONS
USE OF
BUILDING
Sq.FT. ^� NO. OF
SIZE Off• ROOMS STORIES
WALLROOF 17
COVERING COVERING
fyl
DESCRLIPTION AL Qgm� Crz X- BLOCK f
TRACT . e. o
NO. OF BLDGS.
3IZE OF LOT U3 X-1-1 NOW ON LOT
USE OF No. DF �I APPROVALS
EXISTING BLDG. FAMILIES - INSPECTOR'S SIGNATURE DATE
I HEREBY"STATE THAT THE kINFORMATIO`N_GIVE IS COR-
RECT. '` FOUNDATION:LOCATION
SIGNATURE OF FORMS, MATERIALS
APPLICANT RAME: FIRE STOPS,
r BRACING, BOLTS
ADDRESS _ FURNACE: LOCATION
I HERE19Y ACKNOWLEDGE THAT I HAVE READ TH13 AS VENT,DUCTS 4
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.:
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION.
LATH, EXT.:
SIGNATURE OF
PERMITTEE PLASTER, INT.
ADDRESS PLASTER, EXT.
HOUSE NO.CORRECT
AUTHORIZED AGT. AND POSTED
RELOCATION APPLICATION FINAL
VALUATION $ FEE $1 O.DO DISTRICT ENGINEER
P.C. $
'FEE WORK COMPLETED
SURETY BOND -
76A639 DBS 79 7-51 FEE $ RELEASED