HomeMy Public PortalAbout4973 LOMA AVE_Relocation__ DEPARTMENt OF BUILDING AND SAFETY ? APPLICATI�NFOR
-BBUILDI�NTG
M_OUNTY OF LOS ANGELES REL®C A 1 I O
WILLIAM J. -Y'OX, CHIEF ENGINEER FOR OFFICE USE ONLY
DISTRICT NO. RECEIVED BY DATE RECD RECEIPT NO.
FOR APPLICANT TO FILL IN I
PROPOSED ) `� �� 1 27r _1�`,J
ADDRESSO L/L.BUILD
�,�f`�J s � ,
//�p�p',,,,,�� BUILDING APPLICATION
LOCALITY�.t�i2-+•1.� PLAN CK_NN 13 PERMIT
NO.
PRESENT
BUILDING , S� (/ e w - 3 / /} 6I -/
/�{(J� v !J
ADDRESS RECEIVED BY DATE OFAiPPL. DATE ISSUED
LOCALITY �//D�/CI�.R�d/Y/Y,1rI�.C�..��jp1 �
OWNER 1t4`MAILnnA/J''/ ,(.,�{(�(.rL�/((Jb UIJ // ,t�P ZONE PLANS TYPE cam' GROUP
0 BLDG.
ADDRESS V{ l7 /V .�J-aPJL.�-�J A SETBACK LINE O�P.NO.
USE
CITY'l•�"'�+°"tG MOVING ® ��:�dU���( .I.��-� NO./ Mf/fBp�17,01pd ZONE- / By DATE DATE
CONTRACTOO/IR/719-cI Ov ka4'�IL NOL /�! ,y /HOUSE NUMBERING
ADDRESSGi `J / 1jj /�e��• �f MAP NUMBER / ASSIGNED BY
`` S� SURETY �J DATE RE •D4V �y ter
BUILDING y ^� TEL./. �S. / y� A BOND 1$ _406 FILED
CONTRACTOR11-01/ NO. /L( 4 J j `
/ /, �� /I�� t . CASH DATE RECD
ADDRESS+ v e�CAX DEPOSIT S FIL[o BY '"
PRESENT MISC.RECEIPT No.
USE OF ._ �j FOR CASH DEPOSIT
BUILDING
PROPOSED -' CORRECTIONS
USE l Id�rtily�e
BUILDING
B NO OF
ZE () ROOMS STORIES
WALL ROOF {{��� ~
COVERINGCOVER NO L'+Os
LEGAL /V
DESCR�IPPT+� /ION ,ggL�O/T�D
r_ 13O / BLOCK
TRACTJl e� �P ~ C2 -/.3
• // y NO. OF SLOGS. ,,AI
SIZE OF LOT (a X ' NOW ON LOT O A/
USE OF NO.Or
APPROVALS
EXIBTIN BLDG F MIINSPECTOk'S SIGNATURE DATE
I HEREBY STATE THAT THE INFORMATION GIVENN IS COR-
RECT. �� FOUNDATION:LOCATION
SIGNATURE OF FORMS, MATERIALSir�� /� / d�
APPLICANT ,
ADDRESS�7 O71A/. SR,JCX�KA FRAME: FIRE STOPS, ti _
BRACING, BOLTS '
FURNACE: LOCATION 1
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT,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.
LATH, EXT.:
SIGNATURE OF
PERMITTEd 7 E / �//(/� 9PLASTER, INT.
/ i
ADDRESS � A
/y J.r� 4f PLASTER, EXT.
AUTHORIZED AGT.r HOUSE AND POSTED CORRECT/
RELOCATION APPLICATION FINAL
VALUATION $ FEE $10.00
_ I 1 DISTRICT ENGINEER !(/
® FEE WORK COMPLETED
GWS SURETY BOND
76A639 OSa 79 7-57 FEE $ �r RELEASED