HomeMy Public PortalAbout9093 OLIVE ST_Relocation__ 'GABS94 CE 879-2-60
APPLICATION FOR RELOCATION LDING PE MIT
COUNTY OF LOS ANGELES BUILDING iq
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPNEARESTT OF BUILDING CROSS ST. - . : M
DIST
FOR APPLICANT TO FILL IN .NO GROUP TYPE SEWER MAP PR C D BY
PROPOSED - 7 i+r CO I B T� I
BUILDING; t MAP J �� STATE
ADDRESS " NUMBER �� fir, / HWY. YES 10'
LOCALITY r,.7 !� �- / USE ZONE SPECIAL ^. (�
PRESENT CONDITIONS 1
BUILDING I dr; � ;
ADDRESS 4n
tr r�'' I
LOCALITY \ BUILDINGEXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER " 4. f FRONT
MAILP. L.
ADDRESS fir°Fo �' �.' Yom' C: SIDE
TEL. P. L.
CITY e_
MOVING TEL. SURETY 7/ DATE ii RECD
BOND $ �/ i FILEDy
CONTRACTOR NO.
CASHDATE RECD
ADDRESS DEPOSIT $ FILED BY
BUILDING TEL. APPROVALS DATE INSPECTOR'S SIGNATURE
CONTRACTOR NO. FOUNDATION: LOCATION Q'
FORMS, MATERIALS - O
ADDRESS FRAME: FIRE STOPS,
PRESENT
USE OF --BFACING, BOLTS
-
BUILDING FURNACE: LOCATION 0
PROPOSED GAS VENTS, DUCTS
USE OF U
BUILDING
LATH, INT. (1a
SQ. FT. NO. OF LATH, EXT. Z
SIZE - ROOMS STORIES
WALL ROOF HOUSE NUMBER COR-
COVERING I COVERING REC7 AND POSTED
LEGAL FINAL
DESCRIPTION I LOT NO. I BLOCKT
TRACT 1 WORK COMPLETED Dc G/(
NO. OF BLDGS. / SURETY BOND
SIZE OF LOTA �Ltk' I NOW ON LOT ;'' p RELEASED
USE OF No. of I HEREBY ACKNOWLEDGE THAT�I VEREAD THIS
EXISTING BLDG. - I FAMIUEs APPLICATION AND STATE THAT THE ABOVE IS CORRECT
I HEREBY STATE THAT THE INFORMATION GIVEN IS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
CORRECT. AND STATE LAWS REGULATING BUILDING CONSTRUC-
SIGNATURE OF i TION.
APPLICANT 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1
ADDRESS �^ 3 - <- i - -`- - - - - - WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COMPEjNSATION LAWS OF CALIFORNIA.
VALUATION $ P. C. c» jam' SIGNATURE OF
FEE -_2. } PERMITTEE
FEE $ ACDRESS
VALIDATION CK. M.O. CASH CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL 7p�';G1NEE
PERMIT VALIDATION CK. M.O. 6ASH ®p