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HomeMy Public PortalAbout5623 1/2 WELLAND AVE_Relocation__ '•6A639- C879- 8-6Z y -APPLICATION FOR REL ATION BUILDING FIERMI.T. ' COUNTY OF LOS ANGELES BUILDING �[� DEPARTMENT OF COUNTY ENGINEER ADDRES5o7,3 . r. BUILDING AND SAFETY DIVISION LOCALITY t JOHN A. LAMBIE, COUNTY ENGINEER NEAREST a WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DIST.NO. GROUP TYPE SEWER MAP CESS D B FOR APPLICANT TO .FILL IN I � CONE BK ,! PG PROPOSED r/ BUILDING d V 3/ WATER ADDRES / NOT REQUIRED ❑ RECEIVED CERTIFICATE: LOCALITY /� • n Lq, MAP HIGHWAY STATE MAJOR SECOND:LOCAL PRESENT NO.c (CIRCLE) b�� ADDREBUILDISS /� �� �'� Li��°+ USE ZONE SPECIAL �^ p �c CONDITIONS . LOCALITY / 1 f..� /iC� �q OWNER l— ` !/r/� BUILDING EXIST. MAIL rjY ,p+ SETBACK YARD HWY STREET NAME WIDTH ADDREESSS yr FRONT CITY/k' Lv' a= NC..2 � / .73 P L SIDE MOVING TEL CONTRACTOR;aa�.i, NO; p P. L. K �y F�+f• SURETY DATE RECD ADDRESSBOND $ FILED BY BUILDING TEL. ( i� CASH DATE RECD / d CONTRACeeT��OR�j/ ��y/ �N/JO.�y L 6 a+J DEPOSIT $ FILED BY i ADDRESS 1 &J, r"_tk_ GLS; � APPROVALS DATE INSPEC R'S SIGNATURE a; PRESENTFOUNDATION: LOCATI USE OF FORMS, MATERIALS �U - 7 t BUILDING FRAME: FIRE STOPS, ��f � �//•�� d PROPOSED BRACING, BOLTS ��+v' 6, /` / �`�''�CF N USE OF BUILDING FURNACE: LOCATION r ? GAS VENTS, DUCTS SQ. FT.. �1 NROOOMS. OF H, STORIES LATINT. SIZE �(i' � J WALL ROOF pp� LATH, EXT: 1' COVERING _d' COVERING! ,!E LEGAL / HOUSE NUMBER COR- `s] DESCRIPTION I LOT.NO. i0 I BLOCK RECT AND POSTED - /P TRACT /('� G FINAL ���` y fNO. OF S. DISTRICT ENGINEER SIZE OF LOT/1 Z.(o I NOW ON OTSURETY BOND RELEASED USE O'F �./� No. OF EXISTING BLDG :.�V'� FAMILIES I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION I HEREBY STATE THAT THE INFORMATION GIVEN IS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CORRECT. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING SIGNATURE OF t� / BUILDING CONSTRUCTION. 1 .CERTIFY THAT IN DOING THE WORK APPLICANT 1. AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN. VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ADDRESS � ' l bG (• • INC TO WORKMEN'S COMPENSATION INSURANCE. VALUATION $ P. C. $ tJ�215�� SIGNATURE OF FEE PERMITTEE 5 ©o r 40 FEE $ O?+OQ ADDRESSs 5, 3`�� VALIDATIONM.O. CASH JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGI ER f UC PERMT VALIDATION CK. M.O. CASH 1 9 ti13 2 5 D 5 2.5-0 &267 2 tir>'R c0 6 0 4 2.v 0 -A