HomeMy Public PortalAbout4844 GOLDEN WEST AVE_Relocation__ APPLICATION FOR RELOCA BUILD ER IT
DIVISION OF BUILDING AND SAFETY BUILDING
Deportment of County Engineer ADDRESS
County of Los Angeles
76A639 JOHN A. LAMBIE.COUNTY ENGINEER LOCALITY
Das-79-II-56 CASSATT D.GRIFFIN, SUPT OF BUILDING NEAREST
CROSS ST.
FOR A'IPPLICANT TO FILL IN DISTRICTNO. GROUP TYPE ER MAP
PROPOSED � / /tow � ielr AP �'"
(L/ JH 4/tow P
BUILDING
ADDRESS .,�� MAP STATE
LOCALITY /PM O/P L! NUMBER - HWY. YES NO
PRESEIy�' - P USE ZONE SPECIAL -'h
BUILDING Mrd P. � CONDITIONS
ADDRESc Y��H♦ )�� I�i^v �YF��Y�'f
Jam' 3
LOCALITY /_ ///�"u�f C/ r V ' y
BUILDING D H& ST EET NAME EXIST.
Y
SETBACK IDTH
OWNER [3✓ p r P/'0) FRONT
MAIL +� q / �/ w P.L. p�(f
ADDRESS /�/ �!'LQ�"��P/t/ � / SIDE
TEL. P. L.
CITY NO.
SUnaY ,q /� �� DATE i RECD
MOVING TEL. BOND S FILED BY
CONTRALTO d NO.
CASH DATE RECD
ADDRESS71f - ,: DEPOSIT$ FILED BY
BUILDING /� TL.O7,G) APPROVALS
CONTRACTOR`. )"oF/✓Z N .
f / / DATE INSPECTOR'S SIGNATURE
ADDRESS �DW'S r'10,r IF/I, ['rJAJ1 FOUNDATION:LOCATION
PRESENT- FORMS,MATERIALS
USE OF �p `I% FRAME:FIRE STOPS..
BUILDING .,h / �, BRA-CING.BOLTS'`
PROPOSED /�
USE OF // p /r� FURNACE:LOCATION
BUILDING /J GAS VENTS.DUCTS
LATH,INT.
SO.FT. NO. OF
SIZE ROOMS t STORIES LATH,EXT.
WALL /' ROOF
COVERING /c COVERING HOUSE NUMBER COR-
LEGAL RECT AND POSTED
DESCRIPTION I LOT NO. I BLOCK
FINAL
TRACT04
(;
DISTRICT ENGINEER
SIZE OF LOT / NO.OF BL GS. WORK COMPLETED { G ✓� ,
NOW ON LOT Ar
USE OF NO.OF SURETY BONDX51c')
EXISTING BLDG. � FAMILIES RELEASED
I HEREBY STATE THAT THEIN
MATION GIVEN IS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
CORRECT. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
SIGNATURE OP" AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
APPLICANT AND STATE LAWS REG TI LDING CONSTRUC-
TION
ONSTRUC-
/ TION.
ADDRESS rN C�� r a SIGNATURE O
PERMITTEE ,--C .1L
VALUATION $ P C $
FEE B ADDRESS G�iI"C
FEE$
zf-
DHN A. LAMBIE.COUNTY ENGINEER , ATION CLYDE N. DIRLAM.CHIEF BLDG. INSPECTOR
CASH
{{ CK O