HomeMy Public PortalAbout8760 LONGDEN AVE_Relocation__ DEP,,�kTMENT OF BUILDfNG AND SAFETYAPPLICATION FORe—_n_ --=-=A r
COUNTY OF-LOS ANGELES. N
- WILLLA-M J. FOX: CHIEFENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY F
PROPOSE
F,�' F RELOCATION APPLICATION
BUILADDRESS e.9 DISTRICT NO. RECEIVED BY DATE RECD RECEIPT NO.
LOCALITY
PRESENT
BUILDING
ADDRESS BUILDING APPLICATION
LOCALITY. 'a, . !'Ji ✓ PLAN CK.NO. `PERMIT NO.
OWNER
MAIL J RECEIVED
��� �TE OF�3 APPL.� DATE ISSUED/
ADDRESS � �D_
EL. a G V
CITY O. FIRE NO.OF TYPE / i GROUP
ZONE PLANS
MOVING TEL. G. ` �✓
CONTRACTOR NO. = SETT ACK LINE 2 O y D.NO.
ADDRESS APPROVED /
BUILDING TEL. BY DATE
CONTRACTOR NO. USE APPROVED
�. ZONES/ BY DATE
ADDRESS HOUSE NUMBERING
..PRESENT- __
USE OF - _ Map Number.: _U_ -_-
Field Check By_________________________ 1
BUILDING
PROPOSED . . . . ...... .. . . r :. No.Assigned By___4---------.Date-------------------------------------------
USE. OF
.BUILDING .�'C 'C•,- _GC'.�� ,�y ��-�
SO. FT. NO-OF
SIZE ROOM_ SSTORIES /♦ „ // ��/
WALL ROOF •�' v
COVERING COVERING
T�fl
LEGAL... _ !�`.. - .. 77 .-:SY� !i1%! A,6-L
\I / =
DESCRIPTION_ LOT�-O. :.BLOCK•_•
TRACT V
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i. 'rs1 ��L.j.. ",.1\ r_ :i.o,�`.�_NO:,O!✓iBLDGS: %. �_�L�t-��C�! (/ /rf ✓l]�if= •D
SIZE OF LOT NOW ON LOT
USE OF NO:OF NO.OF
_ j
EXISTING BLDG. - .FANNIES '.ROOMS
1 HEREBY STATE THA -THE'INFORMATION�GIVEN-ANDY -- ' �� •-., �W 117AII) RZ-27 &M
THE PLOT`PLAN SUBMITTED ARE CORRECT.,
T'l/G/E'D �G�/l/,fug
1 Dpp1b WjU APPROVALS
-SIGNATURE OF �
APPLICANT IFOU NDATION: LOCATION INS ECTOR DATE
FORMS, MATERIALS I_ ( Z•L.)
rµV FRAME: FIRE STOPS, I �
`! ADDRESS 7�'•'��7..� ++ BRACING,-BOLTS- •'.i
- .,,. - .,f. _�;.•:. ,. LATH, INT::
RELOCATION- �*"`"'� J
�PLICATION $.IO.00.'e LATH,'EXT.:
FEE
P.C._$ _ PLASTER, INT..
--FEE-= - PLASTER, EXT.
$'Q%
VALUATION FEE FINAL ( I a'��'t�./
76A639 8-49