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HomeMy Public PortalAbout10051 GREEN ST_Relocation__ 879 - 8-62 APPLLCATION FOR RELOCATION BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING • DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ` JOHN A. A. JEN E, COUNTY ENGINEER NEAREST '0 WILLIAM A. JENSEN, Su Pr OF BUILDING CROSS ST. C DIST.NOG TYPE SEWER MAP PR C S BY. FOR APPLICANT TO FILL IN CONS. BK PG BUIOPOSED LDING � __' �. -+ WATER ADDRESS �(� �/ CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑ LOCALITY JFZ" /-�' G J / MAP /j HIGHWAY STATE MAJOR SECON . LOCAL NO. (CIRCLE) PRESENTBUILDNG 9 �1 ADDREISS ^ J S �C on/D US ' ZONE SPECIAL C` ,t � //_^ CONDITIONS (y LOCALITY /?G.-A f ,`/' A'V C �i J S L �+ paOG/G 6 416" OWNER v � C ! // /� BUILDING YARD HWY REET NAME WIDTH MAIL SETBACK DTH ADDRESS J ���'^C!/ FRONT © "5-tj TEL. // Z P. L. CITY A P1 A NOZ dv SIDE MOVING TEL. P. L. CONTRACTOR NO. / SURETY �Q r DATE `}_ RECD ADDRESS BOND $ FILED' BY BUILDING J/ TEL. CASH DATE RECD CONTRACTOR �J)t NO. DEPOSIT $ FILED By O APPROVALS DATE IN--J,EE•QR'S SIGNATURE V ADDRESS NT FOUNDATION: LOCATION PRESENT USE E FORMS, MATERIALS •-''`' ;. �r O j� H BUILDING �J '*5" FRAME: FIRE STOPS, Lu PROPOSED BRACING, BOLTS ;J CL USE OF c B U L N I DI G " �`� ~ FURNACE: LOCATION N Z 11, GAS VENTS, DUCTSF . / S14ZE T �~ ROOMS (� STORIES LATH, INT. WALLAA COV RING 4 r I COVERING O LATH, EXT. �. LEGAL HOUSE NUMBER COR- DESCRIPTION I LOT NO. I LOCK RECT AND POSTED TRACT 'tK FINAL r 1.`�'g-",f �._.,�•'l�.fi"/ ,..... NO. OF BLDGS SIZE OF L040&4 J1� NOW ON LOT . O SURETY BOND DI IC NEER RELEASED USE OF., NO. OF EXISTING BLDG. ty(,�>�. '��I FAMILIES I HEREBY ACKNOWLEDGE THAT I HAVE AD THIS APPLICATION I HEREBY STATE THAT THE INFORMATION GIVEN IS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CORRECT. ^/ /y( WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING SIGNATURE 00�. ' BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK APPLICANT C/.•YY �f••7D(%(� AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ADDRESS Z J ,Fad / CA�� ING TO WORKMcN'5 COMPENSATION-I N UURANCCE. VALUATION $ P. C. $ SIGNATURE OF FEE PERMITTEE e7 �r C /y��'' ADDRESS �. --•L_ �G O ..—� FEE $ r C/ G, �� ATION CK. M.O. CASH JOHN F. LEWIS, PRINCIPAL RUC URAL ENGINEER �i PERMIT VALIDATION GK. M.O. CASH 46—'a DEC 625 D 25.00+1 : Lt';vo 2 1 74 ",AY 19 6 D 2 9.0 0 ...✓., r 3- Vic:. ._-=-� .. ..• 76A639 - C F 879 - 8-62 APPLICATION FOR RELOCATION BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING SS DEPARTMENT OF COUNTY ENGINEER �- BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. DENS EN, SUPT of BUILDING CROSS ST. DIST.NO G "UP TYPE ; / SEWER MAP PROCESSED BY FOR APPLICANT TO FILL IN CONST(/ BK �Pc PROPOSED BUILDING -'� _ _ WATER NOT REQUIRED ❑ RECEIVED ADDRESS _ CERTIFICATE: LOCALITY f MAP ._•1 f HIGHWAY STATE MAJOR SECON LOCAL PRESENT NO. - - f (CIRCLE) BUILDING USE Z NE SPECIAL ADDRESS CONDITIONS v LOCALITY _�M _.. y r v f� .:+� /, r ✓ .•> 1�' f ;��/ OWNER -¢ _ ��— ' - '. i� BUILDING YARD, HWY STREET NAME :'EXIST. MAIL __- SETBACK WIDTH ADDRESS ' '� FRONT TEL.- P. L. CITY '' /''T NO:- ` �f(• SIDE MOVING TEL. P. L. CONTRACTOR NO. SC URETY ` (� DATE ! RED a ADDRESS BOND $ FILED ' BY 'O BUILDING TEL. CASH DATE RECD U CONTRACTOR NO. DEPOSIT $_F EDBy BJ APPROVALS DATE INSPECTOR'S.SIGNATURE ADDRESS FOUNDATION: LOCATION USE OFT FORMS, MATERIALS BUILDING FRAME: FIRE STOPS, Q PROPOSED BRACING. BOLTS USE OF .,.. 0 BUILDING FURNACE: LOCATION CL GASVENTS, DUCTS W F- SQ. FT.. NO. OF LATH, INT. I SIZE ROOMS STORIES WALL I ROOF ,,, LATH, EXT. COVERING COVERINGS . I .k. ' : . LEGAL HOUSE NUMBER COR- - DESCRIPTION I LOT NO. =� I .BLOCK RECT AND POSTED TRACT •� ;•�. ,.• .`.;,!.- FINAL DISTRICT ENGINEER I NO. OF BLDGS., SIZE OF LOT ti �, ""P NOW ON LOTS' ` SURETY BOND - USE OF NOF . O ( RELEASED EXISTING BLDG. - I FAMILIES / 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I HEREBY STATE THAT THE INFORMATION GIVEN 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- 4AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ADDRESS / - ,y'% N '4 ING TO WORKMEN'S COMPENSATION INSURANCE. VALUATION1 P. C. $ SIGNATURE OF $ - C- �_ ( ,I FEE h PERMITTEE - _ --.-� I FEE $ ��+'./ ADDRESS -- VALIDATION CK. M.O. CASH JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PERMIT VALIDATION CK. M'o' CASH z84 .