HomeMy Public PortalAbout9440 OLIVE ST_Relocation__ DEPARTMENT OF BUILDING AND'SAFETY APPLICATION FOR--BUILDING
COUNTY OF LOS ANGELES R E L O C A T I O N
WILLIAM J. FOX,CHIEF ENGINEER FOR OFFICE USE .ONLY
DISTRICT NO. RIVED BY DATE RECD RECEIPT NO.
FOR APPLICANT TO FILL IN L,rr,
PROPOSED
BU
ADDRES ILDING h/ D C, BUILDING APPLICATION--
- •
f ,n
LOCALITY PLANCK.NO. PERMIT NO.
PRESENT - •� ,r
BUILDING L D
ADDRES RECEIVED.BY DATE OF APPL. DATE ISSUED '
LOCALITY �Y4J /�/lr� iby
OWNERS'l/lil+-r �_ �r( FIRE NO'.OR TYP.E�.+ GROUP
�1 ZONE PLANS 1 R.��
MAIL i�.r��'Y LO ^`
ADDRESS y' SETBACK LINE Y a t �C L'• , G( O•
'CITY �i/ fi/ f NOLA 7.- h.�6n APPROVED
MOVING r TEL. BY. DATE
CONTRACTOR N USE Ir!V ( j APPROVED
ZONE BY DATE
ADDRESS NPUSE NUMBERING
BUILDING TEL. MAp.NUMBER 0 I `� FIELD CHECK BY
CONTRACTOR NO. =
NO.ASSIGNED BY- DAT
ADDRESS • SURETY DATB, REC D
PRESENT '
USE OF BOND$ FILED By
BUILDING- CASH
�. DATE: RECD
PROPOSED DEPOSITS -FILED nr
USE OF
� �� � �l-v+�<•r Misc.RECEIPT NO.
UILDIN6 _ -
'FOR CASH DEPOSIT
NO.OF CORRECTIONS
SIZE ROOMS . STORIES
WALLA aROOF .®o,
COVERING •\ COVERING
LEGAL -
..r,
DESCRIPTION p I LOT NO. BLOCK
TRACT
NO.OF BLDGS.
SIZE OF LOT ✓ ®A Cf NOW ON LOT APPROVALS
USE OF
< ���� No.OF
EXISTING BLDG. FAMILIES iNSPECTOR.'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FOUNDATION:LOCATION
FORMS.,MATERIALS .
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FRAME: FIRE STOPS.
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES BRACING,BOLTS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FURNACE:LOCATION
SIGNATURE OF // GAS VENT,DUCTS
PERMITTE �'¢�r"~�`�`"�
/ LATH,INT.:
ADDRESS
r LATH,EXT.:.
AUTHORIZED AGT. PLASTER.INT.
RELOCATION PLASTER.EXT.
APPLICATION .StO.00�
FEE
FINAL Z
P.C.$ s
FEE 'l RICT ENGINEER
1 4�I L dQ U WORK COMPLETED r &a ���/O �✓
VALUATION FEE 16 SURETY BOND
RELEASED