HomeMy Public PortalAbout9509-9513 LONGDEN AVE_Relocation__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR BUILDING
COUNTY OF LOS ANGELES RELOCATION ,
WILLIAM J. FOX, CHIEF ENGINEER FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN DISTRICT NO. RE�.0- '07" ,
DBY, DATE EC'D RECEIP�TNO�q.
PROPOSED y_, � � �( / ® ��, 7, �!
BUILDINGIN
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ADDRESS BUILDINd APPLICATION
LOCALITY ! a+ PLAN Cr-NO. PERMIT NO.
PRESENT r.
BUILDING �7� Q�Q� ��
ADDRESS �""�"�'� RECEIVED BY DATE OFAPPL DATE ISSUED
LOCALITY
OWNER ZFIRE
ONE NO. TYPEGROUP J
MAIL Q a, BLDG. Q ORD.NO
ADDRES13 `v ti'/�y—�{ SETBACK LINE 21 0
CITY b�C NOL,(.��L V� USE #a APPROVED ]
ZONE r•f- BY J �i DATE
CONTRACTO 16, NOL t (lMOVING HOUSE NUMB RING
MAP NUMBER VASSIGNED
ADDRESS
SURETY DATE RECD
BUILDING. TEL. BOND$ FILED BY
CONTRACTOR NO.
CASH DATE RECD
ADD EHB DEPOSIT FILES BY
PRESENT MISO.RECEIPT No.
UBE OF ` ' FOR CASH DEPOSIT
BUILDING 'LJ
PROPOSED CORRECTIONS
USE OF `
BUILDIN
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COV RINB �/..�.i"e�mc' COV R NG
LEGAL p.
DESCRIPTION LDT NO. e o BLOCK
TRACT • / s r I3 7 �!/•
�y NO.OF BLDGB.
81ZE OF LOlV.� 1� NOW ON LOT
USE OF NO.DF APPROVALS
EXISTING BLDG. FAMILIES
I HEREBY STATE THAT TH INFORMATION GIVEN IS COR- INSPECTORPB SIGNATURE DATE
RECT. �J/p�p� FOUNDATION:LOCATION
BIQNATURE OF "�l�' FORMS.MATERIALS '
APPLICANT FRAME-FIRE STOPS, y
BRACING, BOLTS
ADDRESS / FURNACE-LOCATION 1
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT,DUCTS 1 1 / 1
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.- V'
AND STATE LAWS REGULATING BUILDING CONSTRUC- kyr
TION. LATH.EXT.-
SIGNATURE OF l ll
PERMITTEE PLASTER, [NY.
ADORE Sg PLASTER, EXT. `
HOUSE NO.CORRECT
AUTHORIZED AST. AND POSTED
' ERCLOMATION APPLICATION (NAL ,
VALUATION $ , $10.00 DISTRICT ENGINEER
.,r WORK COMPLETED
SURETY BOND
76AS39 DBS 79 7-8I RELEASED