HomeMy Public PortalAbout9344 DAINES DR_Relocation__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR BUILDING
' COUATY OF LOS ANC9ELES - � •'-�. ,
WILLIAM'J. FOX, CHIEF ENGINEER RELOCATION +„
F2qOPLICANT TO FILL IN FOR OFFICE USE ONLY
PROPOSED o2
BUILDING .�,_ RELOCATION APPLICATION `
ADDRESS
DISTRICT NO. RECEIVED BY DATE RED RECEIPT NO.
LOCALITY I �G ( C
PRESENT ^ , L/(�
BUILDING I� -DO �,/
AooREss yy�.tiM NAY✓ BUILDING APPLICATION
LOCALITY ` //!w PLAN CK.NO. PERMIT NO..
OWNER r' ' `034 6
MAIL [� RECEIVED BY I DATE OF APPL. DATE ISSUED
ADDRE S T ` �I(G+
S �
TEL. I
CITY NO. FIRE NO.OF TYPE -__ GROUP
ZONE PLANS
MOVING TEL.
CONTRACTOR NO. BLDG. ORD.NO.
SETBACK LINE .1-'D �7
ADDRESS ♦ APPROVED
BUILDING BY DATE
CONTRACTOR Q +GAO.
USE //,/ APPROVED
ZONEfT 1 BY DATE
.ADDRESS HOUSE NUMBERING
.PRESENT• _. __ ' _
U BUILDINSE OF •.I - , -- - - - - Map Number--aP-��e-__ Field Check By-------------------------
G '�
PROPOSED ,,. - - _- No.Assigned By--/VG------ Date---`;-2----- p- �-------------
USE OF
BUILDING
SO. FT. NO.'OF
SIZE /ROOMS 6 STORIES;
WALL ROOF
COVERING COVERING
.LEGAL .-. .�/Olh
�TyI-/v LSO
i,DXSCRfPT10N I.-LOT,.N.rO. I.BLOCK,. j-
`TRACT�1�/�SJ�DII✓ �{P ... .•i .
!' _NO.'OF BLDGS. �-
SIZE OF LOT�� ♦:/ ti, NOW ON LOT
USE OF _ NO.OF' NO.OF
_.EXISTING-BLDG. _.FAM.ILIES- .ROOi�9
1 HEREBY-STATE THAT E-INFORMATION IVEN AND,.
THE PLOT P MITTED ARE CORRE&471/06, .
I APPROVALSZ
SIGNATURE OF
�• v`-(�-� INSPECTOR�� DATE
APPLICANT 't FOUNDATION: LOCATION
- . FORMS, MATERIALS
FRAME: FIRE STOPS, V
ADDRESS 5 ! BRACING, BOLTS
LATH, INT.:
. RELOCATIONS -
APPLICATION $10.00 LATH, EXT.:
FEE
P.C.$ - PLASTER, INT.
FEE _ PLASTER, EXT. `
FINAL
VALUATION
FEE.
76AG39 B-49