HomeMy Public PortalAbout5811 RENO AVE_Relocation__ OA898-CE 878-2-E0
APPLICATION FOR RELOC_ ATION " BU_ ILDING PE M.IT
COUNTY OF LOS ANGELES BUILDING
DEPARTYEM OF COUNTY ENGDMR ADDRESS
BUTT ING AND SAFETY DIVISION LOCALITI"
rZ
JOHN A. LAMBIF.,_COUNTY ENGINEER NE4RESI -
WILLIAM A.JENSEN,.SUPT OF BUILDING CROSS:ST.. �J "
DIST.: GROUP TYPE SEWER MAP P:.ROC BY
FOR APPLICANT TO FII.i.,.IN CON E G
.PROPOSED' . I.
BUILDING MAP STATE
ADDRES NUMBER HWY., YES ..O'
LOCALITY USE.ZONE SPECIAL
PRESENT / , / CONDITIO .3:
BUILDING
ADDR ,.'�
.LOCALITY' SET��// / BU,L9CK ACK YARD HWY STREET NAME EXIST.
WIDTH
OWNER. /�/l �+%. Mem IWO FRONTMAIL. / �j
Q Q / P. L: r.
ADDRESS T✓ �/���r `- � SIDE / t �'.�'
CITY /�J C.��
TEL. P. L. t. :+ C�
NO, HUFtETY �� DATE
MOVING' TEL BOND'.$� Ga71--e" FILE.
CONTRACTOR NO.
CASH DATE' :REC'D
ADDRESS DEPOSIT $ FILES BY
BUILDING �e TEL. APPROVALSDATE INSPECTOR'! SIGNATURE
CONTRACTOR GCS NO.- ZM FOUNDATION LOCATION. /rj jj 4 D,
FORMS, MA4zR1ALS �//'fG+�•�rl` fVi`t�. ( O
ADDRESS PRESENT FRAME:FERE STOPS, V
USE OF: HR•AC1NG,.BOLTS a
,dG�cG L, e G 2
BUILDING..: F[7RNACE: LOCATION
PROPOSED GAS VENTS DUCTS
USE
BUILDIDIN.
LATH-, INT.NO.
SQ. FT. .OF LATH,.EXT..
salt ,/DODO ROOMS STORIESWALL .
�• ��•-^/� IiO,USE NUMBER COR` f
COVERING S'fiviceo COVERING`�"�/'U /e S ,USE
AND.POSTED
LEGAL / G7-W4 1 ✓ /I a5 L`�l '
DESCRIPTION LOT"NO.Av BLOCK — FINAL
TRACT. 17111IX3 _ WORK COM.PLETED� �,.�A 1017,71
l /: ... . _
i Jf�1� NO.OF BLDGS: SURETY BOND
(� /1[. 9'
SIZE O.F LOT NOW ON LOT RE
USE OR LUC'�� HA2 NG: OF ,
1.HEREBY ACKNOWLEDGE THAT, 1 HAVE READ THIS
EXISTING BLDG.p F]►MIUES APPLICATION.AND STATE THAT THE ABOVE IS CORRECT
I HEREBY STATE THAT THE INFORMATION GIVEN IS AND AGREE.TO COMPLY WITH ALL COUNTY ORDINANCES
CORRECT. ` AND STATE, LAWS REGULATING BUILDING CONSTRUC
SIGNATURE •- TION..
APPLICANT y Jam/ 1 CERTIFY THAT IN D61NG.THE WORK.AUTHORIZED.I.'
ADDRESS ✓a ��•- /� � ���/ Z4 7 wIL'L NOT.EMPLOY.•.ANY PERSON'IN VIOLATION OF THE
)WORKMEN'S CO PENSATIGN. LAWS: OF'CALIFORNI•
VALUATION $ ".-; P- C, $ 9 rSzr SIGNATURE OF
- FEE QCS PERMI.TT•E
7 !. FEE.$. .. ""' ADDRES
1/iWIDATZQN CIE. M:O. CASH CLYDE N...DIRLAM�,PRINCIPAL.ST. G`" �RAL:ENGI'1VEER
PMWT VALIDATION , ckt /m-0- CAM ®?
Aa Q 7 7 O% EiEfIY 2 6 y 6 A• 15.00"