HomeMy Public PortalAbout9550 WEDGEWOOD ST_Relocation__ DEPA T'MENT OF BUILDING A*D-SAFETY APPLICATION FOR BUILDING
COUNTY OF LOS ANGELES RELOCATION
WILLIAM J. FOX, CHIEF ENGINEER FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN DISTRICT NO. RECEIVED BY DATE RECD RECEIPT NO.
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PROPOSEDBUILDINIf �,/�/ h
ADDRESS --` `'-" /'-T." T
/may r� BUIL ING APPLICATION
LOCALITY Q�'� /` t./E- PLAN CK. NO. PERMIT NO.
PRESENT �
ADDRESS
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ADDRESS L /•^ted AA// REC,YEWED BY DATE OFAPPL. D�AIIE IS UEDLOCALITY I�` ' !c ./ � 1 `'/S � I 1 ._
A FIRE NO.OF TYPE QROUP
OWNER r�r /e T ��/�fK'`I✓Pl t� �''�� ZONE PLANSMAIL
ADDRESS $ �C �"f'cJ /"-A4.�*J ��✓, BLDG. - j - ORO.NO.
SETBACK LINE
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CITYTEL. jr USE APPROVED
ZONE BY DATE !
MOVING TEL. HOUSE NUMBERING t'\
CONTRACTOR NO.
MAP NUMBER ASSIGNED BY la
ADDRESS /
SURETY DATE RECD _
BUILDING
/� 'TJ,J/MJFEL. BOND
CONTRACTOR IC OP(�({!O. �y
CASH DATE RECD
ADDRESS
y-10 4� - r&4.t41 A,,, n, DEPOSIT$ FILED_ BY
PRESENT MISC.RECEIPT No.
USE OF ; I`Q �, / FOR CASH DEPOSIT
BUILDING , �- L Ci
PROPOSED CORRECTIONS -
USE OF
BUILDING
i
N,.
r
SQ. FT. Y �NO. OF
SIZE it ROOMS STORIES
COVERING CC:Ca LVE R"G I-AR
LEGAL
DESCRIPTION LOTNO. BLOCK
TRACT V1���
NO. OF BLDGS. 4
SIZE OF LOT• '7 14� r ` NOW ON LOT
USE OF No. or APPROVALS
EXISTING BLDG. �— FAMILIES
�I INSPECTOR'S SIGNATURE DATE
1 HEREBY STATE THAT THE INFORMATION GIVEN IS COR-
RECT. FOUNDATION:LOCATION
SIGNATURE OF FORMS, MATERIALS
APPLICANT
FRAME: FIRE STOPS,
j� ,�/ G' BRACING, BOLTS
ADDREB. ` ,T '�� ` 1
FURNACE: LOCATION
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.:
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION.
LATH, EXT.:
SIGNATURE OF _frV why (F Wre1f�_
PERMITTEEQ PLASTER, INT.
ADDRESS � 1 {'1''1�"' '�` PLASTER, EXT.
.�^f. .,t�.y �y°-�. -!.ta �..,,.,. HOUSE NO. CORRECT
AUTHORIZED AOT. - AND POSTED
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RELOCATION APPLICATIONFINAL
VALUATION $ FEE $10.00 DIS I T ENGINEER
FEE _ WORK COMPLETED �
SURETY BOND
76A639 DBS 79 7-51 FEE $ RELEASED 7