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HomeMy Public PortalAbout9421 BLACKLEY ST_Relocation__ 76A639 - CF'879 - 8--* r APPLICATION FOR RELOCATION ZLDING RMIT COUNTY OF LOS ANGELES BUILDING DEPARTENT OF COUNTY ENGINEER ADDRESS M BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST { WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST DIST NO G P TYPE S WER MAP- P S BY FOR APPLICANT TO FILL IN co K PROPOSED ' BUILDING C3� BZ�.C�{Z�� Street WATER ADDRESS J CERTIFICATE NOT REQUIRED RECEIVED LOCALITY - MAP HIGHWAY NO ICIRCLE) STATE MAJOR SECOND LOCAL PRESENT /r1 y,,,,�,� .7 ABUILDING DDRESS 4410 TA m€�n? Rod USE ZONE SPECIAL f LOCALITY Glendale ' CONDITIONS&J m OWNER Robert M. Smith BUILDING EXIST J�}'� 7� SETBACK YARD HWY STRE NAME WIDTH MAIL ADDRESS 9421 Blackley St' ' T !+ FRONT © -� CITY Temple Cit, No 287-3670 SIDE MOVING TEL P L CONTRACTOR NO SURETY � iDATE REC D ADDRESS BOND $ `-C/ FILED BY BUILDING TEL CASH DATE RECD d CONTRACTOR NO DEPOSIT $ FILED BY O APPROVALS DATE INSPE 11 S SIGNATURE U ADDRESS Ce PRESENT FOUNDATION LOCATION USE OF Chi»..1�f`�m�Zy residence FORMS MATERIALS 0 ^ BUILDING '�'u�'"i FRAME FIRE STOPS, PROPOSED ? .t� ,td'�1BRACING BOLTS CL W BUILOF D NG Single—family r�esi �� FURNACE LOCATION / Z GAS VENTS DUCTS SQ E 13.�0 NO OF 9 LATH INT ROOMS STORIESWALL COVERING StUCC©' COOVERINGWoCd shingli LATH EXT LEGALpt HOUSE NUMBER COR--- DESCRIPTION LO NO® ® I BLOCK RECT AND POSTED TRACT Mission View Acres, FINAL SIZE OF LOT7A7�6xl50 I NO OF BLZ SURETY BOND R12T ENGINEER s5ec. NOW ON LOT OT RELEASED USE OF ,] 1 NO OF EXISTING BLDG Residence FAMILIES I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI N 1 HEREBY STATE THFy INFORMAT ON GIBE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CORRECT 0�l/,Jl_�n�,S�l��' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I SIGNATURE O BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK APPLICANT ''II l,, �t fit AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA ADDRESS 21 Bla.6lo St0 . em le City -TNGNTO WORKMEN OF THE OSRCOMPENSATION INSURANCECODC OF THE VALUATION E OF CALIFORNIA REL4T VALUATION $ P C I SIGNATURE OF - /�}�j FEE PERMITTEE 3 (/ v FEE $ � ADDRESS �g VALIDATION CK MO CASH JOHN F LEWIS PRINCIPALS UG RAL ENGINEER PERMIT VALIDATION DK M O CASH LACO0704MAR 2325 D 25OOA v LAUo 1 8 4 6 F4AY 6 6 D 1 8.5 0 76A639 - CE @79 - 8-62 , APPLICATION FOR RELOCATION BUILDING PERMIT 'LII COUNTY OF LOS ANGELES BUILDING �)! /^ DEPARTMENT OF COUNTY ENGINEER ADDRESS % G BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST r WILLIAM A JENSEN SUPT OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DIST NO IGROUPITYPE SEWER MAP PR C BY CON K PG PROPOSED IS BUILDINGWATER ADDRESS -2) CERTIFICATE NOT REQUIRED RECEIVED ❑ LOCALITY MAP HIGHWAY NO ` ICIRCLE) STATE MAJOR SECONLOCAL PRESENT BUILDING USE ONE SPECIAL ADDRESS � CONDITIONS LOCALITY V V OWNER BUILDING YARD HWY STREET AM EXI MAIL SETBACK W ADDRESS FRONT TEL ? P L CITY NO J SIDE MOVING TEL P L CONTRACTOR NO SURETY DATE RE D ADDRESS BOND $ FILED A BY >- CL BUILDING TEL CASH DATE C CONTRACTOR NO DEPOSIT $ FILED BY _ U APPROVALS E NSPECT R S SIGNATURE ADDRESS PRESENT FOUNDATION LOCATION 1 0 USE OF FORMS MATERIALS r l.1 BUILDING ��'� FRAME FIRE STOPS, 7 w PROPOSED BRACING BOLTSff ) ( y OF BUIELD NG FURNACE LOCATIcpN p Z GAS VENTS D1rUCC//TT''S " SQ FT NO OF / / LATH IN � \ t' SIZE ROOMS STORIES IvI WALL ROOF LATH EXT / COVERING COVERING LEGAL HOUSE NUMB COR- DESCRIPTION LOT NO BLOCK RECT ANQ, InSTED 1 TRACT FINAL NO OF BLDGSDISTRICT ENGINEER SIZE OF LOT NOW ON LOT SURATY BON LEASED USE OF WNO OF EXISTING BLDG FAMILIES I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1 HEREBY STATE THAT THE INFORMATION GIV N IS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CORRECT _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING SIGNATURE OF BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK APPLICANT AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ADDRESS ING TO WORKMEN S COMPENSATION INSURANCE Ole VALUATION I P C SIGNATURE OF FEE PERMITTEE FEE $ ADDRESS VALIDATION CK MO CASH JOHN F LEWIS, PRINCIPAL STRUCTURAL ENGINEER PERMT VALIDATION CK M O CASH " 1432- MAY 1125 D 25,00A 4