HomeMy Public PortalAbout6235 LOMA AVE_Relocation__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR.BUILDING
CQ,!jN y-Y,-0F LOS ANGELES
WILL'It;M J.FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN
FOR OFFICE USE ONLY
PROPOSEDBUILDING RELOCATION APPLICATION
-ADDRESS - _—
,.s DISTRICT NO. RECEIVED,BY DATE RECD RECEIPT NO.
PRESENT
BUILDINGADDRESS. BUILDING,APPLICATION
LOCALITY -.v PLAN CK.NO. PERMIT NO.
t
OWNER
MAIL r _ RECEIVED BY DA E OF APPL. DATE ISSUED
.ADDRESS
-. TEL. ..� �%'..,-
CIT � NO.&/. is + ZONE` NO.
OS�'I.-.TYPE GROUP
MOVINGTEL. I PLAN
CON RACTOR�� � BLDG. j JQ/j OR NO.
' l �,rsl SETBACK LINE 7--C)
ADDRESS' .-%x=al.' - -7�� APPROVED
BUILDING - TEL. (� / BY. _ DATE
TOR
CONTRACNO. o
- USE J APPROVED
ZONE BY DATE
ADDRESS
HOUSE NUMBERING
PRESENT'• .� �.:f` a �:a' ZOU 75
USE OF. Map Number___. ___.__
BUILDING __ _____ Field Check By ____ ___
- ' /I/�
PROPOSED. .._ .: . _ No.Assigned By/'�a__?,�;1Vte--------------------- ----------_-----
_US.F'
BUIL
SQ. FT. NO. OF ! t %`: G�f
WALL ROOMS- J STORIES 70
COVERING COVERING kt
. .--LEGAL C-7
DESCRIPTION LOT NO. - -BLOCK - `�✓Jl�/p/ A/4
{
TRACT / D� ! �/iN7V'1A1� 4t/4R, �l.- d/✓•,�" ',
NO. OF BLDGS 1 �� lFr.: - �.."cti '�. .•.
I
SIZE OF LOT - NOW ON LOTUSE
OF N
EXISTING BLDG• _ Fo �/ -
V
I HEREBY STATE THAT TH NFORMATF N GIVEN AND
L
THE PLOT PAN SUBMITTED ARE CORRECT.
APPROVALS; d°�-P✓Ly
SIGNATURE OF 1`f`,
APPLICANT t! .e IN P AORID
FOUNDATION: LOCATION y
FORMS, MATERIALS I \FRAME: FIRE STOPS,ADDRESS ! � BRACING, BOLTSLATH, INT.:RELOCATION
_.APPLICATION $90.00, LATH, EXT.:FEE
P.C $ PLASTER, INT.
/ �D� FEE PLASTER, EXT.
FINALVALUATION FEE _
76AG39 8.49