HomeMy Public PortalAbout9659 WOODRUFF AVE_Relocation__ APPLICATION FOR BUILDING
NT OF BUILDING AND SAFETY-
TYRELOCATION
1
J•NTY OF LOS ANGELES.
LLiAM J. FOX,CHIEF ENGINEER FOR OFFICE USE ONLY
DISTRICT NO. RECEIVED BY DATE RECD RECEIPT NO.
FOR APPLICANT TO. FILL IN I 9 4?-c i-s )
OPOSED , 3 BUILDING APPLICATION
UILDING
ADORE$- _ "` _
PLAN.CK.NO. PERMIT NO.
LOCALITYk.
PRESENT
BUILDING nw
ADDREB Tl- RECEI�ED BY DATE OF APPL. DAT IB 5Uffn
LOCALITY
So. Pasdena,Calif. f Id -!�l�S .I pmmmm �
OWNER GE-0. G, LSLOAN FIRE NO.OR' TYPE GROOP
ZONE PLANS
AAIDDRESS 820 Brent Ave
=BLDG. ORD.NO.
TEL. Sy 94405
/ /0 SETBACK LINE
CITY S'O.P2.sadena.Ga1_. NO. T�Y�Y APPROVED
BY DATE
MOVING TEL
CO TRACTOR Mr.Thompson NO.. AEO0 i-� FROVED
ZONE ": BY DATE
ADDRESS 84.16 E. Garvey Blvd..• y,� HOUSE NUMBERING
BUILDING ISo s San Gabriel TEL. MAP NUMBER '� 0- FIELD CHECK BY
CONTRACTOR NO.
'No.ASSIGNED BY SAT
ADDRESS 'SURETY DATE RECD
PRESENT BOND$ Mi.- By
USE OR
BUILDINGGqragpCASH %/_-� DATE� REC'D
PROPOSED DEPOSIT
USE OF Garage MISC.RECEIPT No.
BUILDING FOR CASH DEPOSIT
CORRECTIONS
Ma 18xlg ROOMS y STORIE6
LLt ROOF
ERING.> I COVERING.
LEGAL
DESCRIPTION; LOT NO. BLOCK
TRACT
NO.OF SLOGS.
SIZE OF LOT 60X100 NOW ON LOT APPROVALS _
US.E OF No.OF
EXISTING BLDG. TTnTnp FAMILIES INSPECTOR' SIGNATURE DATE
FOUNDATION:LOCATION ✓
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS. FORMS,MATERIALS
APPLICATION :/SND STATE THAT THE ABOVE 18 CORRECT FRAME:FIRE STOPS,
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES BRACING,BOLTS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION, FURNACE:LOCATION
GAS VENT,.DUCTS
-SIGNATURE.OF-
PERMITTE LATH,INT.:
ADDRESS L"ATH.EXT.:
AUTHORIZED AGT. PLASTER,INT.
1 RELOCATION
APPLICATION $10.00 :PLASTER,EXT.
FEE
$
P.C. FINAL.
V�
FEE DI TRIC GIN R
/ $ r WORK COMPLETED
6 9s""�'f SURETY BOND
VALUATION FEE .�� RELEASED
76AL99 DBS 79 10.90