HomeMy Public PortalAbout5329 ZADELL AVE_Relocation__ /6A639 - CF 879 - 8-62
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.
DIST.NO. GROUP TYPE SEWER MAP PROCESSED BY
FOR APPLICANT TO FILL IN CONST. SK PG
PROPOSED
BUILDING WATER
ADDRESS CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑
LOCALITY MAP - HIGHWAY
PRESENT NO. - (CIRCLE) STATE MAJOR SECOND: LOCAL
BUILDING (`J �/P,E�jt/ S�. USE ZONE SPECIAL
ADDRESS Cl�7/ CONDITIONS
LOCALITY �' 'J
OWNER BUILDINGYARDHWY STREET NAME EXIST.
MAIL /'/' p��� .,a. SETBACK - WIDTH
ADDRESS l U!/cZ 7 �� �/� FRONT
TEL. P. L.
CITY NO. SIDE
MOVING TEL. P. L.
CONTRACTOR NO.
BURETY DATE RECD d
ADDRESS BOND $ FILED BY O
BUILDING TEL. CASH DATE RECD U
CONTRACTOR NO. DEPOSIT $ FILED BY Lu
_ APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS LL.
PRESENT FOUNDATION: LOCATION
USE OF FORMS, MATERIALS >_
BUILDING FRAME: FIRE STOPS,
PROPOSED BRACING, BOLTS
USE OF 0
BUILDING FURNACE: LOCATION CL
GAS VENTS, DUCTS
W
_ H
SQ. FT. NO. OF ° LATH, INT.
SIZE ROOMS STORIES
WALL ROOF LATH, EXT.
COVERING COVERING -
LEGAL HOUSE NUMBER COR-
DESCRIPTION LOT NO. I BLOCK RECT AND POSTED
TRACT FINAL
NO. OF BLDGS. DISTRICT ENGINEER
SIZE OF LOT I NOW ON LOT SURETY BOND
USE OF NO. OFRELEASED
EXISTING BLDG. - FAMILIES I HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION
I HEREBY STATE THAT THE INFORMATION GTVEN IS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CORRECT. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
SIGNATURE OF BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
APPLICANAUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
/ \
TION OF THE LABOR CODE OF;TR& STATE OF CALIFORNIA RELAT
ADDRESS ~ ING TO WORKMEN'S CQMPEI{B�ATI�IfJ5 UR4NC'E _
j11 I
VALUATION $ P. C. $ SIGNATURE OP,
FEE �`-'" PERMITTEEf��
I ADDRESS
FEE $ --- -- — _
VALIDATION CK. M.O. CASH JOHN F. LEWI S, PRINCIPAL STRUCTURAL ENGINEER
PERMIT VALIDATION CK. M.O. 'CASH