HomeMy Public PortalAbout4950 PERSIMMON AVE_Relocation__ DEPARTP1 A OF BUILDING AND SAFETY T APPLICATION FOR BUILDING
COUNTY OF LOS ANGELES RELOCATION� � ® � �� � ® �Tl�
WILLIAM J. FOX. CHIEF ENGINEER R
FOR APPLICANT TO FILL IN4.1N4.�. FOR OFFICE USE ONLY
.
PROPOSEDBUILDING ,( RELOCATION APPLICATION
ADDRESS _ "A' V C-.�-Lyst-Yr1..C1-t+.',,.:
oto ----- DISTRICT NO. RECEIVED BY DATE RECD RECEIPT NO.
LOCALITY
'%' SS
PRESENT
BUILDING -a/Ir.Yi Yt.A`�.
ADDRESS `OC- BUILDING APPLICATION
LOCALITY f PLAN CK.NO. PERMIT NO.
�
OWNER
MAILRECEIVED BY DATE OF APPL. DATE 1 SUED
ADDRESS V �' ;._ di C. {-.+ .-j.<1 ..
1 w
TEL.
CITY NO.J',' �r FIRE NO.OF I TYPE GROUP,
we ZONE PLANS ._.. Z
MOVING � TEL �-i ._.
CONTRACTOR NO �`r• -� BLDG. / ORD.NO.
SETBACK LINE
i
ADDRESS t. - _ ! - - APPROVED
BUILDING TEL. - BY DATE
CONTRACTOR NO. USE f APPROVED
ZONE / BY DATE
ADDRESS
HOUSE NUMBERING
PRESENT
USE OF s, Map Number-_F_ `----_-- Field Check By-------------
PR No.Assigned By � s elate--------------------------------------------
4,
BUIL __ _--__ —
SQ. FT. �j�/} NO. OF ,{
SIZEu�v `� ROOMS S, STORIES ql//J
WALL 7.t-t4 i��V u j ROOF -. � t`i. !1 a✓
COVERING h COVERING ,
LEGAL
DESCRIPTION LOT NO. -x*} r' BLOC
TRACT
NO. OF BLDGS.
SIZE OF LOT i NOW ON LOT C USE OF NO.OFNO.OF
EXISTING BLDG. ^' I FAMILIES I ROOMS
u'Y
1 HEREBY STATE THAT THE INFORMATION GIVEN AND
THE PLOT PLAN SUBMITTED ARE CORRECT.
APPROVALS
SIGNATURE OF - INSPECTOR DATE
APPLICANT_-�..� % _ FOUNDATION: LOCATION
FORMS, MATERIALS
FRAME: FIRE STOPS, I -
ADDRESS BRACING, BOLTS
LATH, INT.:
RELOCATION
APPLICATION $10.00 LATH, EXT.: �'"✓-
�� FEE
P.C.$ PLASTER, INT.
FEE PLASTER, EXT.
VALUATION FEET. FINAL
76A639 8-49