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HomeMy Public PortalAbout5563 HALLOWELL AVE_Relocation__ 76A639 - CE 879 - 8-62 APPLICATION FOR R OCATIQK BUILDING PERMIT COUNTY OF LOS ANGELES BUILDINGAll DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING NEAREST V - CROSS ST. DIST.NO. GROUP TYPE SEWER MAP RO SE ESD BY FOR APPLICANT TO FILL IN I coN BK PG PROPOSED _ _ ��� �' BUILDING WATER ADDRESS CERTIFICATE: NOT REQUIRED ❑ RECEIVED Lj LOCALITY MAP �p HIGHWAY STATE MAJOR SECOND: LOCAL PRESENT NO ©(� (CIRCLE) BUILDING E ZONE SPECIAL nn ADDRESS ) CONDITIONS P4.p /'1"� •CL.D+r..Y -C/ ° LOCALITY Y" ©0 OWNER "Ci• BUILDING YARD HWY STREET NAME EXIST. J' SETBACK WIDTH ADDRESS i� /(,.�� FRONT /1 - TEL .�`O� P. L. (i, _ CITY N. SIDE MOVING TEL. P. L. _ CONTRACTOR &z NO. SURETY DATE RECD ADDRESS BOND FILED BY �- a BUILDING TEL.cy CASH DATE RECD O CONTRACTOR NO.p� ��` DEPOSIT FILED BY V APPROVALS DATE INSPECTOR'S SIGNATURE = ADDRESS FOUNDATION: LOCATION // //ff �7 /J� , ) O USE OFT FORMS, MATERIALS . `' /V 7" U BUILDING FRAME: FIRE STOPS, Wa PROPOSED BRACING, BOLTS N USE OF BUILDING FURNACE: LOCATION ? GAS VENTS, DUCTS �7 SQ. FT. O� ® ROOMS STORIES LATH, INT. O ^/-S a SIZE WALLROOF / LATH, EXT. COVERING ^Q/ I COVERING ��+� LEGAL �7 HOUSE NUMBER COR- DESCRIPTION I LOT NO. (r I BLOCK RECT AND POSTED TRACT O c" FINAL f NO. OF SLOGS. DISTRICT ENGINEER SIZE OF LOT G r 3£ NOW ON LOT SURETY BOND l RELEASED USE OF NO. OF EXISTING BLDG. A FAMILIES 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I HEREBY STATE HAT THE INFORMATI GIYEN IS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CORRECT. ����//yy WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING SIGNATURE OF ,�jj�JBUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK APPLICANT 'L�L��..�� OOO AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABO CODE OF THE STATE OF CALIFORNIA RELAT- ING INC r0 WORK IFN'S OMPENSATION INSURANC VALUATION P. C. "1L"`,�� SIGNATURE OF FEE ��,J PERMITTEE T TT �(9�L7 E O ADDRESS VALIDATION CK. M.O. CASH JOHN F. LEWIS ,RINC[PAL STRUCTURAL Fy R PERMIT V ATION cK• M.O. CASH 4 8ErIMAR 11 2 5 D =3 5.0 6 7 0r'-'J!+-: 10 6 D 4 u,;' 5 4��