HomeMy Public PortalAbout5921 KAUFFMAN AVE_Relocation__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION
FORBU7ILDI�NTG
COUNTY OF LOS ANGELES R E L O C A 1m1 O lr
WILLIAM J. FOX, CHIEF ENGINEER FOR OFFICEMSE ONLY
FOR APPLICANT TO FILL IN
DISTRICT NO. RECEIVED BY DATE RECD "'RECEIPT NO.
�-
PROPOSED •9"i� '�" '� �✓J" (.L � ?-3,3,44
ADDRESSBUILDING APPLICATION
// —� � PLAN CK., O. PERMIT NO.
LOCALITY L.J' �� � - /-/ -gyp/
SENT
BUILDING _ `"'� 11
ADDRESS .[ "/'"'��' v^y'� RECEIVED BY DATE OF(AAPPL/ DATE ISSU(E�D
FIRE NO. DF TYPE - GROUP
OWNER -jI �1��(... �p� ZONE PLANS T_
MAIL q / ��X/ BLDG. I OI D.NO.
ADDRESS ,/ / J, SETBACK LINE ! 1
CITY:J� NO. �L/�(p���^' USE APPROVED //n__ i �9
ZONER+I BY ,fLj l_ DATE `c�7
MOVING d TEL. / J HOUSE NUMBERING
CONTRACTOR Lr< NO.CdA (p
.MAP NUMBER ASSIGNED BY
ADDRESS
SURETY DATE RECD
BUILDING TEL. BOND$ FILED BY
CONTRACTOR NO.
CASH �i DATE / `> REC•D�""'�bt..p•E- c�
ADDRESS DEPOSIT$ �" � FILED
PRESENT MISC.RECEIPT NO.
USE OF FOR CASH DEPOSIT (� -�
BUILDING
PROPOSED
USE OF CORRECTIONS
BUILDING-
��/S la, /✓D !PL , (- a/"
S4•FT. li1
SIZE �� � ROOMS STORIES WALLI ROOF
DI '�
�,/
)—
COVER NG COVERING , /C� /Y I�
LEGAL
DESCRIPTION .LOTH �,�� BLOCK
TRACT NO. 13F E/ , dl�
SIZE OF LOT v / 5 NOW ON LOTS AI+7J/oAll?,s!S/ PP&P-i' X /1 R/3UP�E'
USE OF - No.OF
, �; APPROVALS Gtr/GC Da N'4/41
EXISTING BLDG. FAMILIES
I HEREBY STATE THA H NFORM ION GIVEN IS COR- INSPECTOR'S SIGNATURE DATE
.ECT. FOUNDATION:LOCATION
SIGNATURE OF FORMS, MATERIALS
APPLICANT / FRAME: FIRE STOPS,
%�
BRACING, BOLTS
°-URNACE: LOCATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ HIS 'GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT,
AND AGREE TO COMPLY WITH ALL COUNTY:;,ORDINANCES'Z LATH, INT.:
AND STATE LAWS REGULATING BUILDINGi' CONSTRUC-
TION.
LATH, EXT.:
SIGNATURE OF_C�t
PERMITTEE �y�(/�(� �j�• , /� PLASTER, INT.
ADDRESS-0 '� �. �`1 F3.�f LASTER, EXT. .
` AUTHORIZED AGT. HOUSE AND POSTED CORRECT
ra _
RELOCATION APPLICATION FINAL
VALUATION $ - V O - FEE $10.(313 DISTRICT EN/GI�INEERP. ®'D� �b
FEE• $ WORK COMPLETED ��
SURETY BOND
76A639 DBS 79 7-SI FEE $ RELEASED al-l'Al=Y3
1.01 /