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HomeMy Public PortalAbout5533 HALLOWELL AVE_Relocation__ %6A639 - CE•879f- 8-62 7 Br]A �/� APPLICATION FOR RELOCATION' B 1 /'`¢6PO•ERIYII� 11 +` COUNTY OF LOS ANGELES BUILDING 64 1 .01 40 `DEPARTMENT OF COUNTY ENGINEER ADDRESS L BUILDING AND SAFETY DIVISION LOCALITY !^ JOHN A. LAMBIE, COUNTY ENGINEER NEAREST , WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. - TYPE DIST.NO. GROUP TE WMAP PR ESS BY FOR APPLICANT TO FILL IN g ,./ YP gra PROPOSED BUILDING �� WATER ADDRESS / CERTIFICATE: NOT REQUIRED RECEIVED ❑. LOCALITY v MAP HIGHWAY AT STATE MAJOR SECOND: LOCAL PRESENT NO. 4' (CIRCLE) BUILDING U,$E NE SPECIAL / ADDRESS r CONDITIONS LOCALITY OWNER BUILDING YARDHWY STREET NAME EXIST. SETBACK WIDTH MAIL ADDRESS Q FRONT P. L. L-C/ CITY NO. �/�`� SIDE /� MOVING T L WLa . - CONTRACTORLir DATE RECD ADDRESS 807VC$ CLa�Q FILED BY BUILDING TEL. CASH DATE RECD CONTRACTOR NO. DEPOSIT FILED BY O APPROVALS DATE INSPECTOR'S SIGNATURE ADDPRESENT FOUNDATION: LOCATION USE FORMS, MATERIALS 0 BUILDING FRAME: FIRE STOPS, U PROPOSED BRACING, BOLTS CL BUILD NG FURNACE: LOCATION USOF Z GAS VENTS, DUCTS — SQ. FT. 1 `760 ROOMS STORIES / LATH, INT. SIZE WALL ROOF LATH, EXT. COVERING I COVERING . LEGAL _ HOUSE NUMBER COR- DESCRIPTION I LOT NO. I BLOCK •' RECT AND POSTED TRACT d� FINAL NO. OF BLDGS. SURETY BOND DISTRICT ENGINEER SIZE OF LOT U%--4/� Gp� NOW ON LOT RELEASED USE OF _ NO. OF EXISTING BLDG. FAMILIES I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I HEREBY STAT T AT THE INFORMA ON GIVEN IS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CORRECT. )/Jn WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING E SIGNATUROF BUILDING ! BUILDING CO TRUCTION. I CERTIFY THAT IN DOING THE WORK APPLICANT , AUTHORIZED EREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE BOR CODE- OF THE STATE CALIFORNIA RELAT- IONADDRESS ING TO WORKMEN OF (NSU of VALUATION FEE FEE $ PERMITTEE P C. SIGNATUREOF ®o -- ADDRESS ��-"�� VALIDATION CK. M.O. N ASH JOHN F. LEWIS, PRINCIPAL STRUCTURAL EGIN ER PERMIT VALIDATION CK. M.O. GASH' V-� _ALo ` 7 7 2 DEC 2 4 2 5 D 35.00- -" LI'ti�,oDEC 2 S 6 D 48-75 76A639 - CF 879 - 8-62 APPLICATION FOR RELOCATION BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING SS t.1� DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY f JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING NEAREST / CROSS ST. DIST.NO. GROUP TYPE SEWER MAP PR/QAC/ 5 BY FOR APPLICANT TO FILL IN o U T CONST. PROPOSED BUILDING ADDRESS �,. WATER NOT REQUIRED RECEIVED ❑ CERTIFICATE: LOCALITY MAP ?ee `•HIGHWAY STATE MAJOR SECOND'LOCA PRESENT NO.. (CIRCLE) BUILDING - ✓'�'� (JS�ZO SPECIAL ADDRESS /J /ivy CONDITIONS LOCALITY OWNER G�/ B ILDING YARD HWY STREET NAME EXIST. MAIL ppp SETBACK WIDTH ADDRESS FRONT TEL..- ` P. L. CITY NO. -/Oj. o SIDE MOVING TEL. P. L. CONTRACTOR O. SURETY DATE RECD ADDRESS BOND $ FILED BY >_ CL BUILDING TEL. CASH DATE RECD O CONTRACTOR NO. DEPOSIT $ FILED BY U ADDRESS APPROVALS DATE INSPECTOR'S SIGNATURE PRESENT FOUNDATION: LOCATION O USE OF FORMS, MATERIALS U BUILDING FRAME: FIRE STOPS, a PROPOSED BRACING, BOLTS In USE OF Z BUILDING FURNACE: LOCATION GAS VENTS, DUCTS SQ. FT. NO. OF % LATH, INT. SIZE ROOMS STORIES J7� WALL ROOF �' LATH, EXT. �g / „ COVERING I COVERING LEGAL HOUSE NUMBER COR- DESCRIPTION I LOT NO. I B/LOC RECT AND POSTED TRACT Q �/ D F`INA�� R=*� YJy-r i� L,I / Z• NO. OF BLOGS. SURETY BOND DISTRICT ENGINEER SIZE OF LOT" NOW ON LOT RELEASED USE OF Li EXISTING BLDG. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1 HEREBY STATE HAT THE INFO ATI AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CORRECT. ��jWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING SIGNATURE OF ,! BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK APPLICANT_/^_,____�_G (�- AUTHORIZED HEREBV I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ADDRESS ING TO WORKMEN'S COMPENSATION INSURANCE. VALUATION SIGNATURE OF FEE �T I PERMITTEE FEE $ ADDRESS VALIDATION CK. M.O.Kit SH • JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PERMIT VALIDATION CK. M.O. CASH ., 7OCT 9 2 5 © 25.000