HomeMy Public PortalAbout10662 FREER ST_Relocation__ I
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR BUILDING
COUNTY OF LOS ANGELES AN 2 "" 'I�'5QR E I, ® CATION
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
PROPOSED �7
BUILDING RELOCATION APPLICATION
�/^, I 1 � ��-;--. -� _
ADDRESS-.. wC.
DISTRICT NO. RECEIVEDBY DATE R�-E'"C'Dt RECEIPT NO.
LOCALITY :_i r 2
PRESENT �-�` -
BUILDINGC//�
ADDRESS
BUILDING APPLICATION
LOCALITY PLAN CK.NO. PERMIT NO.
OWNER
RECEIVED BY DATE OF APPL. DATE ISSUED
MAIL ,J
ADDRESS J CF, -e,_.ata CIY I I ?
CITY 3L NO. 4(J FIRE NO.OF TYPE GROUP
ZONE PLANS ,.
MOVING �, / TEL. '
CONTRACTOR C/ NO. - d BLDG. t) ORD.NO.
SETBACK. LINE
ADDRESS APPROVED
BUILDING TEL. BY DATE
CONTRACTOR
NO. USE - APPROVED
ZONE BY DATE
ADDRESS HOUSE NUMBERING
PRESENT -
USE OF Map Number_Za-/..__'--- Field Check Bv-------------------------
BUILDING
PROPOSED —: No.Assigned By----------------- Date-----------.---------_.
-
USE OF ------- ----'----'--
BUILDING -____ t•.
SO. FT. NO. OF �J
SIZE ROOMS / STORIES /
WALL ? r ' ROOF
COVERING COVERING
LEGAL I -
DESCRIPTION I LOT NO. BLOCK i
TRACT - ✓fa'�l� •7i R .J'`d40i[./:�".._...,
NO. OF
BLDG
SIZE OF LOT I NOW ON LOTS - t
USE OF NO.OF NO.OFEXISTING BLDG. i FAMI LIE4" ROOMSI HEREBY STATE THAT THE INFORMATION GIVEN ANTHE PLOT PLAN SUBMITTED ARE CORRECT.
APPROVALS
SIGNATURE OFAPPLICANT UNDATION: LOCATION INSPECTOR DATE
ORMS, MATERIALS
AME: FIRE STOPS,ADDRESS !� RACING. BOLTS
LATH, INT.:
RELOCATION
APPLICATION $10.00 LATH, EXT.:
FEE
P.C.$ PLASTER, INT.
FEE PLASTER, EXT.
hL'ALUATION FEE ""�� FINAL -
539 B-49