HomeMy Public PortalAbout4824 GOLDEN WEST AVE_Building__ 76A638A CE¢80310-68 APPLICATION FOR BUILDING PERIVI,3T, J ,.
COUNTY OF LOS ANGELES BUILDING L / / J
DEPARTMENT OF COUNTY ENGINEER ADDREss r
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE PIsSSED BY
FOR APPLICANT TO FILL IN �' . CONST. ;��eL
ABUILDINGDDRESS ��f�{il}� STATISTICAL CLASSIFICATION 'Sf_I HK MAP PG
CLASS.NO. DWELL.UNITS
LOT NO. ® J II Lt �� P BLOCKN MAP STATE ER � HWY. YES NO
TRACT GAJ-%�C (I /y C/.s (jj USE ZONE SPECIAL—
NO
PECIAL—
.1� j NO.OF. LDGS CONDITIONS
SIZE OF LOT Z �/ NOW ON LOT N
USE OF
EXISTING BLDG. BUILDINGSETBACK YARD HWY �F F_E NAME WIDTH
OWNER FPROL T �,bd .�{,_!_ /
MAILq ,{� ^y / LI� _ 3
ADDRESS'—/ / J/' /, !I N• y�� P SIDE d
P.L. t 4 A
CITY PIP NOI. INSPECTION RECORD Y
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORT{'
NEW DD ALTER REPAIR DEMOLISH
SQ.FT. / NO.OF NO.OF
SIZE f 7� ,.,�.-� STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE O _
APPLICANT _ APPROVALS DATE INSPECTOR'S SIGNATURE
a ADDRESS FOUNDATION:LOCATION
FORMS,MATERIALS k
VALUATION$ I FRAME:FIRE STOPS, ,, r •_ �;, - e
BRACING,BOLTS .`:Ls t` _'i
- FURNACE:LOCATION.
P.C. PMT. GAS VENT,DUCTS
FEE '$ I FEE -$3 � I r
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH AL?Uo�UTDIN
ANCES AND
STATE LAWS REGULATIt` ONSTRUCTION. "LATH,EXT.
SIGNATURE O HOUSE NUMBER COR-PERMITTE ` d2'✓�—'"'--�- RECTANDPOSTED
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ADDRESS FINAL p:✓ ,r'i,.>,7t^x>"-4[I...:;..t�.4�1,,.d�p�.: - ..
CLYDE N. DIRLAM, PRIN6PAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
( 6 4 7 3 OCT 6 I A 3 .0 Ci ^
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