HomeMy Public PortalAbout5420 ACACIA ST_Building_7/28/1969_expired APPLICATION FOR RELOCATION BUILDING PERMIT
DIVISION OF BUILDING AND SAFETY BUILDING r�
+' Department of County Engineer ADDRESS �� /
County of Los Angeles
76A639 JOHN A. LAMBIE,COUNTY ENGINEER LOCALITY �,/� N6-A-6,<(6
DBS-79.11-55 CASSATT D.GRIFFIN, SUPT OF BUILDING NEAREST
CROSS ST _ "j
' FOR APPLICANT TO.FILL IN DISTRICT NO. GROUP TYPE • BK R MAP
I fG
PROPOSED
BUILDING r�--
CONS ^V f
ADDRESS MAP STATE
LOCALITYACaCla St.near BdWy,east sid NUMBER ✓t5 HWY. YES O Q
USE ZONE SPECIAL
BUILD NI _ CONDITIONS
ADDRESS 120 DeAnza St. c`
LOCALITY �'an Ra},ri pl BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER W-A .Dp-rmi d FRONT
AMAIL DDRESS 122 _DeAriza St. P L
SIDE
CITY San Gabriel No'AT-11234 P L
SURETY DATE REC'D
a MOVING TEL. BOND FILED BY
CONTRACTOR NO.
CASH DATE RECD
ADDRESS p EPOS IT.S FILED BY
'
BUILDING TEL. APPROVALS
CONTRACTOR NO.
DATE INSPECTOAXS SIGNATURE
ADDRESS FOUNDATION:LOCATION
PRESENT FORMS,MATERIALS
USE OF FRAME:FIRE STOPS,
_BUILDING Rpctl rl oninna. BRACING,BOLTS
". PROPOSED
USE OF Residence FURNACE: LOCATION '
BUILDING GAS VENTS.DUCTS t
_ LATH.INT:
SQ.F.T. NO. OF
SIZE 821�7 ROOMS 4 STORIES 1
WALL_F COVERING Dry avail I COVOERING Comp LATH.EXTHOUSE U.MBERCOR- -J
LEGAL - RECT AND POSTED
DESCRIPTION I LOT NO, I BLOCK
Meets � Bounds FINAL
TRACT NO.OF BLDGS. DISTRICT ENGINEER
SIZE OF LOT I NOW ON LOT Sone WORK COMPLETED
USE OFI Noof SURETY BOND
.
EXISTING BLDG. RELEASED
FAMILIES
1 HEREBY_S. TE THAT NFORMA-NON IVEN IS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
CO.RRE.D APPLICATION AND STATE THAT THE ABOVE IS CORRECT
�IG'NATU F AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
APPLIC AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION.
f TION.
SIGNATURE OF
`
VALUATION S P C S PERMITTEE
FEE ADDRESS
FEE S
JOHN A. LAMBIE,COUNTY ENGINEER CIDATION CLYDE N. DIRLAM.CHIEF BLDG. INSPECTOR
CKj MO CASH
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