HomeMy Public PortalAbout5307 PAL MAL AVE_Relocation__ APPLICATION FOR RELOCATION BUILDING PERMIT ],
,DIVISION OF BUILDING AND SAFETY BUILDING �3D � � ^
Department of County Engineer ADDRESS
County of Los Angeles
76A.39 WM. J. FOX. COUNTY ENGINEER _LOCALITY
DBS.Te
12.54 CASSATT D. GRIFFIN,SUIT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP I TYPE CONST.
PROPOSED -5-
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ADDRR EISS eTJ NO �U ry �Y� /� v
MAP c-7 � I O STATE YES O
NUMBER O'er- HWY.
LOCALITY �J/T7 �/? 'J / U E Z NE SPECIAL
PRSENT
BUILD NG -_J"'l'�-7TT---� 53/7 /� /M CONDITIONS
ADDRESS-
LOCALITY
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LOCALITY BUILDING YARD1 HWY STREET NAME EXIST.
A
+ . SETBACK 1 WIDTH
OWNER 6 /ALt 'L -f f e! V7 1/f EKY FP.
ROL T
MAIL J �� / / SIDE
MAIL
NO/ /i V p L
CITY ) e7Ar-p/c L y . .61-p4W?
) SURETY DATE flEC'D
MOVING TEL. BOND f FILED oY
CONTRACTOR NO. CASH •2 JD � DATE � Ec'D
DEPOSITS ✓ J FILED BY
al
ADDRESS //// �T
NG
CONTRACTOR�k J�ellly �r ry-JA.-"/��I �a �`�fl APPROVALS
ADDRESS /is.I-G .f "7 QDATE INSPECTORS SIGNATURE
PRESENT FOUNDATION: LOCATION -C
,{ p FORMS. MATERIALS J _
BU ILA ��/� FRAME: FIRE STOPS.
PROPOSED BRACING. BOLTS 7�J
USE OF FURNACE: LOCATION
BUILDING / GAS VENT, DUCTS
LATH. INT.
�).,.� _
SO.EFT. �VV NO. OF
SIZ /
ROOMS STORIES LATH, EXT.
WALL /41 ell HOUSE NUMBER COR-
COV ERMG 'S rU ROOF
COVERING RECT AND POSTED
LEGAL ^^ '•, /�+_
DESCRIPTION LOT NO. r/ BLOCK FINAL (�F! / tot1
TRACT//-;'-' Y,') u717- �J
o u �rfy / �/ , TR CT GIj1EF.R
ky ✓ WORK COMPLETED
SIZE OF LOT /\ O NOW ON LOTS / SURETY BOND
USE OF Fo! oF RELEASED
EXISTING SLOG. S CC AMILIEB I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
I HEREBY STATE THAT THE INFORMATION GIVEN IS COR- APPLICATION AND STATE THAT THE ABOVE IS CORRECT
RECT. Fy//�!) _ /�/s ,, I.�, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
SIGNATURE APCANT_tlYlll6/�./7 // N' TION.
AND BTATE LAWS REGULATING BUILDING CONSTRUC-
T ADDRESS /Z' SIGNATURE
PERMITT
VALUATION $ A
w $
FEE
3 FE $
0- o —
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
Bi ACo?. 1 1 5 m MAR 18 1 7 1 0.0 0 . 0 BY
! : 2225m MAR 217 APuTY 330.0 �r226OR MAR21 6 n 2.0 CF
BY BY
® jQj, ^DEPUTY ��IEPUygy