HomeMy Public PortalAbout9574-9592 LOWER AZUSA RD_Relocation__ DEPARAIDIENT OF BUILDING AND SAFETY APPLICATION FOR BUILDING
COUNTY OF LOS ANGELES OCT t01948 L U G A T I O N
LLIAM J FOX, ,CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
PROPOSED
BUILDING RELOCATION APPLICATION
eb
J►DDRES �
a� DISE DISTRICT NO RECBY DATE RECD RECEIPT No
OGI
LALITY ��
PRESENT V
BUILDn48 �. A�LICATION
_ADDREBB
LOCALITY w �.. P ?Cv PERMIT NO
OWNER Loy
MAIL
RECEIVED BY DATE OF APPL DATE ISSUED
ADDREB'
CITY s
TEL
D4 /GI FIRE NO.OF TYPE GROUP
ZONE PLANS
MOVING
CONTRACTOR NOS BLDG.
CLINE
ADDRESS APPROVED
BUILDING 1 TEL BY DATE
CONTRACTOR��QP y�/� NO USE APPROVED
ZONE BY DATE
ADDRESS _ � _ HOUSE NUMBERING
PRESE
USE or _ t Map NumberField Check By
_BUILDING
PROPOSED & No Assigned By Date
USE OF IV
_BUILDING
Bq FT O.or,
SIZE IROMN' STORIES
WALL ROOF
COVERIN COVERI
LEGAL '
DESCRIPTION^ L'OJTN %A J YBLOCK ''``'' f�-
TRACT �1Z �/ zO16y
0 l o f or' u
No or RLD(
ZE OF LOT 0A O NOW ON LOTS
SIS �
USE OF 1 NO OF NO OF
FXISTINO 42 FAMILI ROOMS
1 HEREBY STATE THAT THE INFORMATION GIVEN AND
THE PLOT PLAN SUBMITTED ARE CORRECT
APPROVALS
SIGNATURE OF
APPLICANT �i FOUNDATION LOCATION INSPECTOR DATE
FORMS,MATERIALS
FRAME FIRE STOPS,
OPS,
BRACING,BOLTS
LATH,INT
y RELOCATION
APPLICATION $10.00 LATH,EXT C
REE
$ P C $ PLABTER.INT
FEE PLASTER.EXT.
VALUATION FEE FINAL
76AS39 3750 SETS 3-49