HomeMy Public PortalAbout9106 LAS TUNAS DR_Relocation__ DEPAJRTBCENT OF BUILDING AND SAFETY APPLICATION FOR BUILDI�NTG
COUNTY OF LOS ANGELES R E L O C A T I O l�
WILLIAM J. Fox, CHIEF.ENGINEER FOR OFFICE USE;ONLY
FOR APPLICANT TO FILL IN DISTRICT NO. REC VED BY I DATE RECD RECEIPT-NO.
PROPOSED"'BUIL6I � • / ,� �'� � '�/egq
ADDRESS /0
-_ BUILDING APPLICATION'
LOCALITY .4
PLAN NO. PERMIT NO.
PRESENT !-
BUILDING
ADDRESS z •s UAV orD' Y DATE OFAPPL. DATE ISSUED
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LOCALITY / 60 2 Is �-
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OWNER /, GJ /= ZONE FIRE
PLOP Ns TYPE GROUP
MAIL O C� BLDG. c • / ORD.NO.
ADDRESS .,L J ISETBACKLINE
CITY ! ( NO� C' USE APPROVED
ZONE C-L-6Y DATE
MOVING TEL. HOUSE NUMBERING
CONTRACTOR/ NO.
ADDRESS
MAP NUMBER �C7 GO�G ASSIGNED BY
-
`SURETY DATE R •D
BUILDING TEL. BOND 111-
CONTRACTOR NO.
CASH DATE RECD
ADOREBS DEPOSIT M FILED BY
PRESENT / - :MISC.RECEIPT No.
USE OF j�/ FOR CASH"DEPOSIT
BUILDING /7 [
PROPOSED CORRECTIONS
USE or
- 7LA, f r
BUILDING �_
sm
SIZE T. ?- ROOMS STORIESWALL /
COVERIN -L'/�COVERINO /F/ I y 1 _L I C CL GC�
LEGAL (r t
DESCRIPTION /L�O;NO. ✓ BLOCK ` f'.� ( yr /T�Q(7
TRACT L/
NO.OF SLUGS. �,J C f�c
SIZE OF LOT. NOW ON LOT
USE_OF No.or APPROVALS.
EXISTING BLDG.. _ FAMILIES INSPECTOR'B SIGNATURE DATE
Ir HEREBY STATE THAT THE INFORMATION GIVENOIS COJRRECT. y�� F
OUNDATION:LOCATION
SIGNATURE OF �.•,/w _ �// ,'.MATERIALS
APPLICANT wf/L/ .FIRE STOPS,
- G, BOLTS
ADDRESS E: LOCATION
I HEREBY ACKNOWLEDGE THAT I HAVE'READ THISNT,DUCTS
APPLICATION.AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.:
AND STATE LAWS REGULATING BUILDING,CONSTRUC-
TION. `J//- yF LATH, EXT.:
SIGNATURE OF/Y/A
PER MITTE //AYY' // .P_LASTER, INT.
ADDRESS y� , `�' "� V - �_../I PLASTER, EXT.
HOUSE NO. CORRECT
AUTHORIZED AGT. AND POSTED
RELOCATION APPLICATION FINAL
VALUATION $ C7- !] WTRIKPW;RFEE $10.0
Z O .
P. C. $ - S'
FEE WORK COMPLETEDi '! /
SURETY BOND !
76AS39 DBS 79 7-SI FEE $ Z ..��' RELEASED