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HomeMy Public PortalAbout9066 RANCHO REAL RD_Relocation_1962-01-31 I' SAS89.:CE 879%-2-60 •. - .I -APPL.;ICATION FOR RELOCATION BUILDING_ PERMIT COUNTY OF LOS ANGELES aU1LD1N DEPARTMENT OF COUNTY .ENGINEER ADDRESS , p.! c BUILDING AND SAFETY DIVISION LOCALITY . JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING NEARS ST. DIST.N,x GROUP'TYPE SEWER.MAP PRO SS Y FOR APPLICANT TO FILL IN CONE) PROPOSED "• BUILDING J MAP STATE ADDRESS—Fee�(a NUMBER HWY. YES O LOCALITY '7T'� ..� r C f 4'r Sr USE:ZONE SPECIAL: PRESENT • CONDITIONS. r.%/ _<.�.. 7 BUILDING. 1. j ADDRESS— Lir b LOCALITY (1 ? �. UI.LDING' YARD. TREET NAME ...IST. '! SETBACK_ WfbTH OWNER N. �4'O L L- FRONTL P: . s MAIL ADDRESS AJ 4:� r 7-".S SIDE TEL. P.URETYL:° CITY NOd%' ."7'!. 16 S , .• ' J� DAT6 �/ R6C'D MOVING ' TEL.. MONO$ +l v LE Jy CONTRACTOR /4 li NO... - v CASH DA76 RECD ADDRESS DEPOSIT' ILEA S BUILDING TEL: '. e:A.,PROVALS DATE, INSPECT04S SI'G'NATURE �1 CONTRACTOR/ v R O S: QAtE � GSI+0.A. ADDRESS G_v , if d U PRME. FIRE,SPS,ENRACING, BOLTSUSE Op' BUILDING: FURNACE:: LOCATION PROPOSED GAS TS DUCTS USE OF RUILDINGL N LATH,, INT.. 131 S.Q..-FT. NO. OF LATH; SIZE CJ ROOMS .40STORIES .M- WALL I ROOF- .- $ HOUSE NUMBER COR- v ECT AND POSTED COVERING COVERING _,s.W,, _ LEGAL FINAL, DESCRIPTION LOT:NO. BLOCK TRACT WORK C.OMPLET_ ED .pISTRf. EER S /,t�'NO.OF" DGS. e SURETY BOND /!A jG• SIZE.OF LO /�J 1 NOW ON LOT M. > RELEAS:ED �! USE'QP' NO. OF 1. HEREBY ACKNOWLEDGE THAT I' HAVE READ THIS EXISTING B G. 5 C' FAMILIES. APPLICATION AND STATE THAT THE: ABOVE IS CORRECT I HEREBY STATE. T THE INFORMATION GIVEN 1'S AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES' CORRECT- o AND 'STATE LAWS REGULATING BUILDING CON6TRUC- SIGNATURE'OF TION. APPLICANT I. CERTIFY THAT IN :DOING THE WORK AUTHORIZED..1 ADDRESS G WILL.NOT EMPLOY ANY PERSON IN VIOLATION. OF;THE WORKMEN.'S' MSA ON LAWS CALIFOR IPI, VALUATION frj FEEC. 5 SIGNATURE 0 PERW117TE CO f _ FEE $/ l? ESS; k3els.,11i VALIDATION cx. M-O. CASH CLYDE,N. DI AM, PRI IPAL ST URAL'ENGINEER MWT VALID TION: N•O• CASH (DF ' „" ? 3 4 5 JAN 2 3 2 .5 D 1, 5.C,0 BA639-'CE 879-2.80 APPLICATION FOR RELOCATION BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. r �p DIST.NO. OUP TYPE SEWER MAP PROCESSED BY FOR APPLICANT TO FILL IN I GRI CONST. 15K PG PROPOSED 1-- - " BUILDING f MAP _ STATE ADDRESS '� ''� R t/' NUMBER f HWY. YES NO LOCALITY T �l?L, USE ZONE SPECIAL PRESENT CONDITIONS BUILDING ADDRESS i°`� BUILDINC EXIST. LOCALITY SETBACK YARD. HWY 1 STREET NAME I WIDTH OWNER _) ( - FRONT i MAIL ADDRESS r'�" SIDE _ TEL P. L. CITY ! �.. _ L NO. _y SURETY DATE - REC'D MOVING TEL. BOND $ FILED - BY CONTRACTOR, Z,,TNO. CASH DATE RECD ADDRESS DEPOSIT $ _FILED BY APPROVALS DATE INSPECTOR'S SIGNATURE BUILDING TEL. a CONTRACTOR NO. / FOUNDATION: LOCATION cc (�`�: > �,� - FORMS, MATERIALS / O ADDRESS �� J •- FRAME: FIRE STOPS, USE OFT �' � r BRACING, BOLTS BUILDING ? - FURNACE: LOCATION 0 PROPOSED GAS VENTS, DUCTS USE OF BUILDING ��� LATH, INT. Cl, SQ. FT. ,3i �' NO. OF LATH, EXT. Z SIZE „T ROOMS .J STORIES WALL ROOF HOUSE NUMBER COR- COVERING I COVERING-COVERING4,P,._S y RECT AND POSTED LEGAL DESCRIPTION I LOT NO. I BLOCK J FINAL C DIST I NEER TRACT _ WORK COMPLETED NO. OF BLDGS. SURETY BOND /0001 SIZE OF LOT - NOW ON LOT RELEASED �L USE OF "! .ai i' No. OF I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS EXISTING BLDG. *-_!i _ / FAMILIES APPLICATION AND STATE THAT THE ABOVE IS CORRECT I HEREBY STATE THAT THE INFORMATION GIVEN 1S ANO AGREE TO COMPLY WITH ALL COUNTY ORDINANCES CORRECT. ,./ AND STATE LAWS REGULATING BUILDING CONSTRUC- SIGNATURE OF',Z APPLICANT ✓� � -=. ` I TION. THAT IN DOING THE WORK AUTHORIZED I ADDRESS - ..�-,(� ,�crx � ', JlIILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMP NSATION LAWS OF CALIFORNIA. VALUATION ;'tl�`.- ;'-( P. C. $ SIGNATURE OF FEE PERMITTE I FEE $ ( ADDRESS VALIDATION CK. M.O. CASH CLYDE N. DIRLAM, PRINCIPAL STJUtI TURAL ENGINEER - PERMIT VALIDATION J CK./M.O. CASH ©F I ? a4 Imo, :, ? 50 15.(" '�