HomeMy Public PortalAbout6256 BURTON AVE_Relocation__ APPLICATION FOR- RELOCATION BUILDING PERMIT
DIVISION OF BUILDING AND SAFETY BUILDING it (�
Deportment of County Englneer ADDRESS
County of Los Angeles
76AG39 JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY
OBbae-11.55 CASSATT D. GRIFFIN. SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DSTRICTTNO. I GRGUP YPE SEBERMAP
PROPOSED / Y��/l s�� -� I /
BUILDING /) �j '� CON�v.T. �oq
MAP - STATE `
LOCALITY .."-'+/7�J//J-� §�L+l�'.T��-i NUMBER HWY. YE/S,
BUILDING ♦ / `'�� //� '� USE ZONE SPECIAL
ADDRESS l / L"' _3�.h. CONDITIO
r.cam , . I q0
LOCALITY .I• L�' BUILDING EXIST.
YARD STREET NAME
SETBACK WIDTH 1
OWN /- ♦ �! '// �/'�/1 f FkONT 1 1
MAIL ♦ r ♦ " ._.y--� P. L. J/
ADDRESS
/ TEL.
CITY�)tXx� NO. Ov
SURETY --�i /^� //,, qq!!
MOVING TEL. BONDS% �!'J FILED_ BYC'D
CONTRACTORNO.
DASH DATE BEC'D
DEPOSIT II-FILED BY
ADDRESS
BUILDING TEL. APPROVALS
CONTRACTOR NO. DATE INSPECTORS SIGNATURE
ADDRESS - FOUNDATION:LOCATION
FORMS.MATERIALS
PRESENT
USE OF /•'�"�, //- // FRAME: FIRE STOPS. Q 9,
BUILDING � �--C' GRACING.BOLTS
PROPOSED /
USE OF //L��,Gf ,/ �/�' FURNACE: LOCATION
BUILDING GAS VENTS.DUCTS
✓ LATH. INT. / -moo YO t•...
SO.FT. /%7 '/ NO. OF A_
SIZE v �' tel- ROOMS C:' STORIES J
WALL /�, J"'� I ROOF j LATH.EXT.
COVERING fiL�� COVERING A-7;)'l HOUSENUMBERCOR-
LEGALRECT AND POSTED /
DESCRIPTION I LOT NO. .J I BLOC/
FINAL II��� /�•?Ky�
TRACT C�JJ (NEER
SIZE OF LOT AM I NO.OF BLDGS.T "•' WORK COMPLETED
J.T.- NOW ON LO `--/
USEOF
EXISTING BLDG: L/4 /� �(J I FAMNO.LFEe SURETYBOND
I HEREBY STATE WHAT THE INFORMATION GIVEN IS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
CORRECT. / ! '� / ( APPLICATION AND STATE THAT THE ABOVE IS CORRECT
v-SIGNATURE OF ♦ �.;� (/ /�� ./ AND STATE LAAND AGREE TO WSM.LEG WITH ALL BCOUNTY
DING C NS RUC.
APPLICANT �i1
,7 TION. ✓ /�
ADDRESS /- d SIGNATURE OF L ,
PERMITTEE
VALUATION S v P. C. S L CT- / .f
' FEE )' ADD RES
Sid - od /'
FEE S
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION_) CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR
CK NO
i1 7 4 7 6� MR 92 5A 15.00 A
LAC,,9 3 1 0 APRR 2 5 6 A 1'8.O 0 `D