HomeMy Public PortalAbout6149 KAUFFMAN AVE_Relocation__ APPLICATION FOR, RELOCAT10.N BUILDING PERMIT
•DIVISION' OF BUILDING AND SAFETY
BUILDING / .�/
1)@pOStaSOIIt Of County EIIgiII@@t ADDRESS' /
County of-'Los Ang@1@s
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DBS-7-7S WM.J. FOX, COUNTY ENGINEER LOCALITY
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12-3a CASSATT D. GRIFFIN,SUPT OF BUILDING NEAREST• - �/f
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CROSSST. �•�.�C
FOR APPLICANT TO FML IN 'DISTRICT NO.' GROUP TYPE CONST.
PROPOSED -�
BUILDING
ADDRESS
V A A- 'NUMBER '� H ATE
[,LOCALITY' to, flA
SEN E SPECIAL
PRESENT CONDITIONS
ABUILDING DDRESS �' 1
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LOCALITY a0. BUILDINGYARD HWY STREET NAME EXIST.
SETBACK' WIDTH
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FRONT
,OWNER P. L r-16
MAIL SIDE
ADDRESS ap L '
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'ITY VI►l NO. SURETY550 �� DATfi4 /Q RECD
,BOND$5"�/0�— RILED•�� •���RE
OVING- pp �/y��11,,.. TEL
S /CONTRACTOR C {vR NO. CASH DATE RECD
DEPOSIT$ FILED �Y
-ADDRESS
'BUILDING TEL. APPROVALS
CONTRACTOR NO.
" �✓f/ j�•g DATE INSPECTOR'S SIGNATURE
ADDRESS
PRESENT FOUNDATION:'-LOCATION Q /�
USE OF FORMS. MATERIALS 7 z7- -(
:-BUILDING Q LILL I FRAME- FIRE STOPS,
PROPOSEDBRACING, BOLTS
USE OF' ' vestr FURNACE: LOCATION
'BUILDING GAS VENT,-DUCTS
. - - 11• LATH, INT. -
•.SO. FT: lab � ROOMS 3 STORIES 1
bF
SIZE' vv LATH, EXT: •
WALLROOF /^. ` HOUSE NUMBER COR-
_C.OVERING-C�rtl I -COVERING RECT AND POSTED
LEGAL I J�-" I N
'DESCRIPTION- LOTT N NO. BLOCK FINAL
'5, SS5'1 N. i6S� of W. /7�. /3
TRACT @ - DMI) ENGINEER
WORK-COMPLETED iP
NO. OF BLDGS. /1 _
SIZE OF LOT 64T O•1 3 NOW ON LOT T SURETY BOND
USE OF /��,, n(7 � 5.�,�„e No.of RELEASED, ��%j
A I
EXISTING BLDG':"�� lT /': FAMILIES 1 HEREBY ACKNOWI eDGE THAT iLH'AVE READ`TH-(S
I HEREBY STATE HAT THE IN ORM IONGIVEN IS COR- APPLICATION AND STATE THAT THE ABOVE IS CORRECT
RECT. 1 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
-SIGNATURE OF AND STATE LAWS REGULATING .BUI DING CONSTRUC-
APPLICANT TION.
ADDRESSI&gwSIGNATURE OF
PERMITTEE
775-0
$ ! - P.C.
- ADDRESS FEE
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• FEE 5 •
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
jk? 9 6 Eu ' SrP14 1.7 1 0.00b v) BY /L
DEPUTY6 �T DEPUTY
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