HomeMy Public PortalAbout9863 OLIVE ST_Relocation__ APPLICATION FOR RELOCATION BUILDING PER IT
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CONTRACTOR NO. T-
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CONTRACTOR NO. r . . S frISRATUAE
DDR 8 FOUNDATION'LOCA N -7 _ : ti ,
�• FORMS.MATERIALS
BMW W fl !/L FRAMs'FIRE STOPS.
` BRACING.BOLTS
4 FURNACE:LOCATION A f /•. - f+f. -
`- • GAS VENTS.DUCTS '• `'
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FT. A- NO.OF ;C +
Ule •- I ROOMS f"r+ sTOR1eS u LATH.EXT.
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LEGAL RECT AND POSTED
DESCRIPTION L n BLOCK /
TRACT d �' ?— r DISTRICTIrINKER
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NO.OFBLDSIL • -,�.;�� WORK COMPLETED
USE OF NO.OF suasiY IO D IO
ma ml no I
1 HEREBY STATE T THe INFORMATION GIVEN e I HEREBY ACKNOWL®G9 THAT NAW READ THIS
APPLICATION AND ST TE THAT THE ABOVE 18 CORRECT
I SIGNATTUTRE OF AND AGREE To CO WITH ALL COUNTY ORDINANCES
APPLICANT AND STATE LAWS ULATING BUILDINGCONBTRUCr
TION. + r
ADDRESS SIGNATURE OR f I-
PEJIMTITeS
ALUATION S FEES$ �� ADDR :Oh"' j"C Eck MA P
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A.LAMBIE.COUNTY ENGINEER CLYDE N.DIRLAM.CHIEF BLDG.INSPECTOR
OIL MO GAON
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1, 589413 FEB 1 6 A 18.00 1
APPLICATION FOR RELOCA'T'ION' BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFM
BUILDING
Department of County Engineer ADDRESS L.L.
County of Los Angeles /
76;889 JOHN A.LAMBIE.COUNTY ENGINEER LOCALITY
OBS.79.11•SS CASSATT D.GRIFFIN,SUPT.OF BUILDINGS.
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT O, GROUP TYPE SEWER MAP
PROPOSED'
BUILD C .J . ., G`vrv� ` CON8T.
ADDRE``s/e` w a� MAP
LOCA L.IT / O��,L � (. -1. c j-,-/ NUMBER HWY. YES
PRESEBUILDING f... _ USE ZONE SPECIAL - / r- , !
ADDRESS
' 0I P' CONDITIONS .. LC+! "N G'
i� LOCALITY ' lB r� /�r• el. 3'Alt o 4":G'x.
BUILDINGST.
��}---�� SETBACK ARD HWY STREET NAME H
OWNER �/iL�Tr ►✓r-5rr,��/L t—
MAIL r �t P.L,T t'2
AWK
DDRESS :2Z /�_' J 1. ��(,�llVl SIDE 711
�, TEL. a • P.L.
CITY G^�- � NO. tl
SURETY DATE :RE
' MOVING TEL. BOND$ FILE
CONTRACTOR NO. A _
H DATE
iSEPOSIT$ FILE •
ADDRES 'rli !lJl� "u'
BUILDING TEL. APPKOYALS
CONTRACTOR NO. ,DATE SPECT 6NATURE
ADDRESS FOUNDATION:LOCATIQJR
PRESENT FORMS,MATERIALS
USE OF ME:
BUILDING FRAFIRE ST
?� BRACING',BOLI
PROPOSED
USE OF ,/ �� �jry FURNACE:LOCATI 4
BUILDING— GAS VENTS.DUCT 1
TH.INT.
SQ.FT. _ NO.OF
SIZE ROOM �- S.TDRIES b
WALLO ER CO
'1{A�. r ROOF H
COVERING' COVERING rre HOU
LEGAL I' RE A O. * D
DESCRIPTION I LOT NO. I BLOCK
FIN
TRACT DISTRICT ENGINEER
NO.OF BLDGB. WORK COMPLETED
SIZE OF LOT U X tor. I NOW ON LOT &4VId
USE OF No.of SU.RELEASED
EXISTING BOND
EXISTING BLDG. FAMILIES
I HEREBY STAT AT THE INFORMA, I.ON GIVEN, IS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
CORRECT. ' APPLICATION AND STATE THAT THE ABOVE IS CORRECT
SIGNATURE OF AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
APPLICANAND STATE LAWS REGULATING BUILDING CONSTRUC-
TION.
ADDRESS' ��(G SIGNATURE OF
PERMITTEE
VALUATION.$ P.C.i
FEE ADDRESR
FEE$
JOHN A.Li41vIBIE.COUNTY ENGINEER ;TION CLYDE N.D.IRLAM.CHIEF BLDG. INSPECTOR
CK. Mo CASH
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