HomeMy Public PortalAbout4940 MCCLINTOCK AVE_Relocation__ f+„ DEPARRTMZNT OF ENQ'INEER APPLICATION FOR BUILDING•
fpI.YM-ON OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES RELOCATION
4%, WILLIAM.J. FOX, COUNTY ENGINEER
CASSATT D. GRIFFIN.-SUP-T OF BUILDING FOR OFFICE USE ONLY
FOR.APPLICANT TO FILL IN BUILDING C ®W�.®C
ADDRESS
PROPOSED
BUILDINGIr
� // � 4"7/,N///+yC Dc IBTJ`RICT NO. RECEIVEDBY DATE RrE�C�ID� RECEIPT
NO.
ADDRESS N
ITY ,
PRESENT BUILDIN APPLICATION.
BU'IL'DING w PLAN CK.NO. PERMIT NO.
ADDRESS /a
LOCALITY ®/y ✓1�� �j/ '✓''�/ - RECEIVED BY DATE OF:APPL DATE ISSUED
OWNER
MAIL ,ry USEZONE �Woup FIREZCNE
AODRE813 ItV rye�' , /o eve-✓ �`TL Ac r0-/ PLANS
1 .�'/iGo+��/ NO. /�d'��Y.� ZONING DATED
MOVING /// �� APPROVED BY
/j !G`w TEL ORD.ND.
CONTRACTOR / ! NO.. 'BUILDING
SETBACK LINES
ADDRESS HOUSE NUMBERING.
-BUILDING -TEL.. MAP NUMBER ABBIQNED_BY
CONTRACTOR NO. '
SURETY DATE REDID
ADDRESS _ BOND s FILES BY -
'PRESEN • CASH DATE REDID
USE DIUILDIN �.! �, a wI c- DEPOSIT S - FILED &Y—
PROPOSED MISC.RECEIPT NO.
USE OF3/ 49-e w�� •FOR CASH DEPOSIT
BUILDING
CORRECTIONS
SO.FT: NO.OF
size . 00 ROOMS. STORIES .
WALL. /'/ ROOF
COVER N �S ''� COVER. III"
Lc AL ti
DESCRIPTION LOT NO: I°�i+arr BLOCK.
TRACT
�Q e /Av NO.OF BLDGIL
SIZE OF L NOW ON LOT
USE of No.DR APPROVALS
EXISTING BLbGFAMILIES INSPECTOR'SSIGNATLIRE DATE
I HEREBY STAT T lH IN��OR✓ATION OIYEN 18 COR- FOUNDATION:LOCATION
RECT. ��/�/��J/,
SIGNATURE OF �r FORMS,.MAT.ERIALS
APPLICANT FRAME:FIRE STOPS,
,y BRACING,.BOLTS
ADDRESS /0 7 �l�. FURNACE: LOCATION.
I HEREBY ACKNOWLEDGE THAT -1 HAVE READ THIS GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE IS'CORRECT
AND AGREE TO COMPLY WITH ALL'COUNTY ORDINANCES LATH, INT:
AND STATE LAWS ,REEGF/ULAACTING BUILDING CONSTRUC-
TIONm .LATH,EX-T.:.
SIGNATURE.
PERMITTEE- i�ii�Gr�iW�L-�L�1 PLASTER.INT.
ADDRE$g
/0 -7 YS� �i.a W l�.• •�-6t�Y cL✓ P.LASTEIL E7LT.
HOUSE NO:'CORRECT
AUTH13RIZED AGT. AND POSTED
rREL06ATien APPLICATION FI ALVALUATION $ FEE $10.00DIBTRICTENGINEEREWORK COMPLETED
SURETY BOND7BAS39 DBS 79 1-53 EE $ - RELEASED
APPLIRTION FOR RELOCATION BUILDING PERMIT ],
SMION OF BUILDING AND SAFETY BUILDING
Deportment of County EngineerADDRESS
9
County of Los Angeles
DBB.79
BS'7WM.J. FOX. COUNTY ENGINEER LOCALITY
12.34 CASSATT D.GRIFFIN. SUPT OF BUILDING NEAREST JIlk
CROSS ST. /'�' ----
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE CONST.
PROPOSED .Y-
BUILDING -
ADORESS MAP STATE
NUMBER HWY.
YES r NO
LOCALITY / / '.v-"'� '- USE ZONE SPECIAL
PRESENT _.! / CONDITIONS
BUILDING
ADDRE -/-,
SS
LOCALITY BUILDING SETBACK
OWNER YARD HWY STREET NAME WIDTH
FRONT
/// � i�r <<�
MAIL
ADDRESS "4' �1 YL/ 7--•'! PDL.
SIE
1% ,� t
CITY •�� �C:.'� G NO.TEL/`•,` �=Y= SURETY � ���. � DATE_� _ "; RECD
MOVING y i TEL. BOND$ FILED
CONTRACTOR //' r,f _;., ,rte/ NO./y�G•1'l-`' CASH DATE REQ'
/ ((�� / �-� DEPOSITS FILED �+Y
ADDRESS
BUILDING TEL.
CONTRACTOR E c -1 ` ' NO, APPROVALS
DATE INSPECTOR'S SIGNATURE
ADDRESS
PRESENT FOUNDATION: LOCATION
USE OF / FORMS. MATERIALS y / �• -`-E> '`d'w•�'
BUILDING k J't - ' FRAME: FIRE STOPS.
PROPOSED BRACING, BOLTS
USE OF ,�Yp C�Lr,c__ FURNACE: LOCATION
BUILDING GAS VENT, DUCTS !
LATH. INT. �lO�
SQ. FT. - NO. OF
SIZE = �!-- ROOMS .E STORIESh'ff
LATH, EXT.WALL ROOF
COVERING _,�7' t.-- I COVERING ('4`:n_%I - HOUSE NUMBER
%'
RECT AND POSTED
LEGAL ,.,
DESCRIPTION I LOT NO. :/ I BLOCK �� FINAL L�J�
TRACT O lLj`C 1 I ;T DISTRICT ENGINEER
NO. OF BLDGS. WORK COMPLETED
��j -
SIZE OF LOT % !' l` .�-!_. I NOW ON LOT — SURETY BOND -
USE OF No.oF RELEASED
EXISTING BLDG. '--"- NFA "' 'I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS.
1 HEREBY STATE THAT THE INFORMATION GIVE IS R- —APPLICATION AND STATE THAT THE ABOVE IS CORRECT
RECT. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
SIGNATURE OF /��✓` AND STATE LAWS REGULATING BUILDING CONSTRUC-
APPLICANT 'e i. '(-1 C FION. .../
i
ADDRESS -i�}' .i�c-: !i- �>`J., i i., �t >a SIGNATURE 0F�//i'1
PERMITTEE
'
VALUATION S P.
FEE S ADDRESS
FEES
WILLIAM J. FOX.COUNTY ENGINEER VALIDATION
BY I +r s 2 OS FE0 2 3 6 8.00 9)
DEPUTY DEPUTY
BY BY
® DEPUTY ��EPUTY