HomeMy Public PortalAbout10663 LORA ST_Relocation__ DE 5NT OF BUILDING AND SAFETY APPLICATION FOR BUILDING
�X:OF LOS •ANGELES
_ REI�-OCAITION
' WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
PROPOSED 30/�' /! RELOCATION APPLICATION
BUILDING G ! of
ADDRESS •' /
� DISTRICT NO.I RECEIVED BYD-A�T.E RECD RECEIPT NO.
LOCALITY �/ yL: /YI �1 +( _ /• y S� I -c, L ZO3V!
PRESENT lJ
BUILDING f ,/ J /So `Ly��.�,�5
ADDRESS._,f � �y- �Y %C: BUILDING APPLICATION
LOCALITY 1f ... fr ./ . r +;r.!�,''- PLAN CK.NO. PERMIT NO.
OWNER �k•r'lf'l�r'!% / !!/f✓�/' ��i r
ou
RECEIVED BY DATE OF APPL. DATE ISSUED
MAIL
ADDRESS �/7I --11,-/F /r /'i:�C�J�.��i�,i•!"' �a /'• Ir/rJ
TEL:� O
NO/-!9< " f� r f ' FIRE I NO.OF��-I' TYPE I. GR�P,• 1
It/Y �J'e'/' ,, TELA .` ZONE PLANS V
MOVING(/ °
CONTRACTOR ��f/ C� tSNO/ (`r'� I.. `~f BLDG. �7' t OR�D,..,r
�y J�J SETBACK LINE�"^�•�f d ,i''+;1� �
ADDRESSCi ..\G!.±�+°t S I/rfiC�.•yJ, 1 '�% APPROVED o-', / I
BUILDING ' - F. TEL. BY DATE
CONTRACTOR ( 1 ,"j//-s NO. USE APPROVED
ZONE /T BY- DATE
ADDRESS HOUSE NUMBERING
PRESENT' • r -
USE OF -'e� r '/ !� :- Map Number..Z,b 1.D..... Field Check By--------------------------
BUILDING" -�
PROPOSED --�j D .s NO.Assigned By !' ___ Date--------------------------
USE:
---------------- ---
BUILDING- -fl1 � r C� f%QAC ~
` l..o P m IV A 9'
SO. FT. NO. OF' Tololl
ROOMS
s'
SIZE ;'I, lh STORIES
WALL � ROOF I !7,°rl'ri
I rk' -'Z 7
COVERINGCov
ERING'.`
LEGAL V aro
O.�DESCRIPTION LOT NH.✓..!1.�----`�
TRACT
NO OF BLDGS. +
SIZE OF LOT '//:4,1, !�f NOW ON LOT
USE OF NO.OF NO.OF
EXISTING BLDG. FAMILIES IROOMS
I HEREBY STATE THAT THE INFORMATION_GIVEN AND
THE PLOT PLAN SUBMITTED ARE CORRECT. ,
�. APPROVALS - - - -
SIGNATURE OF ,�T�(l
APPLICANT" �='�J -ter'f� � f dl r`` FOUNDATION: LOCATION 1 S TOR _DATE
+j FORMS, MATERIALS I '•'-`- �7f���
/�• n f �/ FRAME:FIRE STOPS,I
ADDRESS !ii!•9 �, �✓�^ ^� - r •^ BRACING. BOLTS
LATH, INT.: 1
I -RELOCATION
APPLICATION •$10.00 .LATH, EXT.:
' FEE
(�r.J P.C.$ PLASTER, INT.
FEE PLASTER, EXT. I
VALUATION FEES FINAL-
�.'
76AS39 6.49