HomeMy Public PortalAbout4901 GOLDEN WEST AVE_Building__ 16EPARTMENT OF BUILDING AND SAFETY T APPLICATION FOR PERMIT
' COUNTYOF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER B U I L D I N G
FOR APPLICAN_T TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING I r'
ADDRESB .. -r -
LOCALITY �J RECEIVED Bl DATE OF APPL. DATE ISSUED
NEAREST
CROSS ST.
BUILDING ,
OWNER ADDRESS
MAIL / LOCALITY 77=,C-4/,V/�'
ADDRESS
NEAREST
! TEL. CROSS 5T.
CITY NO.
FIRE NO.or TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS — T
ENGINEER NO. 1L ---
BLDG. /y ORD.NO.
ADDRESS
SETBACK LINE
---
APPROVED
,.+
CONTRACTOR TEL BY DATE� -`j NO. -
f
APPROVED
r,
/0
ZONE, / BY DATE
-' -
LEGAL // CORRECTIONS
DESCRIPTIO�Nr LOT NO. 1D BLOCK -`;?% Q 14
TRACT J crC
.p' .y� NO.OF BLOBS. __
SIZE OF LOT J '� "' -;_; NOW ON LOT J _ _
USE OF ,*t I NO.OF I NO.OF
EXISTING BLDG., j 'FAMILIEs ROOMS �f
•r
DESCRIPTION OF WORK
NEW �_ ALTERATION I I ADDITION
A
REPAIR MOVING DEMOLISH
Sq.FT. ��^^? NO.OF Z
SIZE C.' ROOMS STORIES D
WALLFip6OF r
COVER OVERING
USE OF NEW
BUILDING ._
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS _
AND STATE LAWS'REGULATING BUILDING CONSTRUCTION. C,
FRAME: FIRE STOPS,
SIGNATURE 0 . A-� BRACING,BOLTS
PERMITTE -��� ! � ���✓(J1
LATH,INT.:
AUTHORIZED AOT
LATH,EXT.:
DBS-3 50M SETS 7-47 $ v0 P.C.! PLASTER, INT.
FEE ~v PLASTER,EXT.
VALUATION
FEE �� FINAL
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES g U 1 L D i N G
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING /�—
ADDRESS
LOCALITY r` +!' RECEIVED BY DATE OFAPPL. DATE ISSUED
NEAREST „
CROSS ST. ZIA 4& w
•r
BUILDING
OWNER He q j,- ADDRESS
MAIL ADDRESS "/ J / � d Gs'C1/cl m.1 Q LOCALITY
_ NEAREST - i
%.z TEL. CROSS ST. /
CITY 1 " °'� NO.
FIRE NO.OF TYPE•'""'�"' GROUP -7 '
ARCHITECT OR TEL. ZONE PLANS f
_ENGINEER NO.
BLDG. - l.. ORD.NO.
ADDRESS SETBACK LINE rl i � • -'
APPROVED ,
TEL. BY DATE
CONTRACTOR NO.
USE APPROVED
ZONE BY DATE
ADDRESS
LEGAL
DESCRIPTION LOT NO. �r� BLOCK . CORRECTIONS
TRACT
NO.OF SLOGS.
SIZE OF LOT .l�n I NOW ON LOT
USE OF NO.OFNO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION X
O
REPAIR MOVING DEMOLISH
Sq.FT. NO.OF Z
SIZE ROOMS STORIES D
WALL 1 ROOF f'
COVERING I COVERING
UBE OF NEW :.! •...---, "
BUILDING rzF
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGU}ATING BUILDING CONSTRUCTION.
�f6 FRAME: FIRE STOPS,
SIGNATURE OF /J�J_//`/// /l._r• BRACING,BOLTS
PERMITTEE —.—T-y f l.� �--- LATH, INT.
AUTHORIZED AGT LATH, EXT.
76A638A 9-48
OBS-3 SOM SETS $ A 8 P.C.$ PLASTER, INT.
FEE „may PLASTER,EXT.
VALUATION FEE N '" FINAL
APPLICATION FOR COUNTY OF LOS ANGELES
'BUILDING PERMIT DEPARTMENT BUILDING AND SAFETY DIVISION
R
BUI DING i
BUILDING
FOR APPLICANT TO FILL IN/ ADDRESS 90
/J •
ADDRESS V o 4
j 44 LOCALITY
/( NEAREST
CITY ZIP (.j CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARC L
DISTRICT IGROUPITYPE FIRE PROC S ED BY
TRACT 3y BLOCK LOT NO. 1�f CONST/ Z`6�1E
y ��
OWNER TEL.NO. 97-37/ STATISTICAL CLASSIFICATION
SEWER MAP
I/liADDRESS Q/ fJ y' CLASS NO.ODWELL•UNITS BK C,?
US ZONE MAP
CITY C. / / ZIP �� dj NO.
ARCHITECT O �-+ TEL ��'LLL✓✓✓ _ SPECIAL
ENGINEER / NO. 7 7 ONDI TIONS
ADDRESS (, ROAD DEPARTMENT APPROVAL REQUIRED YES EJ NO
TEL, 7 BLDG.SETBACK FROM /�,,/�
CONTRACTOR D r! 4 NO ssC ���� FRONTPROP.LINEOV 'l_lA —�""" '
STREET)
s r LIC _ TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS/ Gp d� t{ NO, HIGHWAY + YARD - HIGHWAY WIDTH
�� LIC. FRONT PROP. LINE
CITY l j CLASS _
`
CONSTRUCTION LENDER +
NAME AND BRANCH
o�
BLDG.SETBACK FROMp
ADDRESS CITY SIDE PROP.LINE OF (STR ) U
SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYP"F EXISTING O
SIZE STORIES FAMILIES ONE SIDE PROP. LINE H WAYJ WIDTH U
k/S7 U« zuvg G`ervv�IeT 8/icx�'o + = CLLI
L.
DESCRIPTION OF WORK NEW
# .� ....� r DD ❑ CORNER CUTOFF YES ❑ NO ❑ Z
C / ilk
ALTER ❑ ❑
IN OPEN SPACE YES NO
REPAIR❑
USE OF ��- IN COASTAL PERMIT ZONE Y NO ❑
EXISTING BLDG. / [ DEMOL ❑
APPLICANT�^/ / TEL y
(PRINT) / N0. 21 A•_ ,)
BY (SIGNATURE) 1.1
;y
I HEREBY ACKNOWLEDGE THATC1 HAVE READ THIS A PL AT IONrA
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYWITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- gSTRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED �,HEREBY I WILL NOT EMPLOY ANY PERSONIN VIOLATION OF THELABORCODE OF THE STATE OF CALIFORNIA IN RELATING TOWORKMEN'S COMP ONINSURANCE.SIGNATURE F �- BY / { r� ,�..,PERMITTEE ADDRESS �� Q _TEL . Permit Fee �1 �j
CITY � NO. ` �" �•3QQ `/ �,fOZ-V Issuance Fee
VALUATION$ QS ��j / 'C
T`r Total Fee
PLAN CHECK VALIDATION CK. .0. CASH _ PERMIT VALIDATION/"C K. M O. CASH
5 2 U N qr, 6 2 3 2 5.2 • 1 r ar1G 6 1 0 2 1 9.C? •
76A638A CE#8038 12/75
APPLICATION• FOR, BUILDING PERMIT
00MM OF-LOS ANGLES SUHINNa AND SAFETY
WOFdCM CONPE14SATION DECLARATION' 1100 APPLr..AWr TO PLL M BULDINQ ADDRESS
I hereby dorm tfmd I.here a cer 1flosto of oorserrt a saff Inure,
or a owUkob of Wukoa Gomperiaatlen.Iramw oe,or,a Ca Itfle 1 O (a►
ooPy Mom 8x00,Lab a) aLOCAUTY
.1�
�y C� TX�=— +i /�� d�OF LOT- C/ "ao OF BLDG MOOY.LST J
❑ Crttfled copy Is hereby fumbtsd NEWEST CROBO ST.
�Certtfled oopy is reed with county bu TRACT BLOCK EAT N O.
tJqE axe NIOn('09
ASSESSOR YAP BOOK PAW PARCEL. O�
BPBDLAL CONDTTYON1
CEATiFMATE OWNM3
NO. 3 Z YES- NO
COIMMDWTION INWRANCE � W"taco Fr.OF SCHOOL? -
ff tft section need not be cornpMbd ff the permit Is Wors hundred• DJeTwc.'T aRouP I FRE ZONE FVDCBBBN BY
dotian(*100)or len) CrrY aP
I crt!!y that In the prforrryanci of to Work Ior whloh tt"PwTr�t ��W 43
Is fawrd I shatl not rrlpi0y rry person in-any marr»r so r,to ARCHTECT OR E?4G* Tt�NO cc✓✓ 1
beoon Subject to to V"karrr Comprsa Lrrs. ffvTa TCJAL APT CONDO
Dab Apptioafrt AoOtEBe . - CLAN NO. DWELL UNTB
NOTICE TO..APP(IC•A t H. after maktnfl thle.C'r#6oste of RECUEFED TO-G LSETBACK FRCP EXIST
r
6mption,• you should b000me, subject to the Wo*sre' � SETBACK vW0 +WY PROPLPE wwt-Fi
Compersetlon provYbrr of the Libor Code you nxlet*X trw1th F#roNTT
c«►lp1Y srfth�'ProvWoTr Or P M ett@fl be deemed Tevoked AM NO P
I I aver I l RAC u TORS PECLARATION _ �-e/ T uG � P L S.
( �wttr 8 ia, )of���rov'Mont of Chapter°3 of to Business end No.OF STORE -NO.OF rum r BevEA wa
Prvf.e.iors lh'fui farce and NEW ❑ sic Po
Llcr»egA 04,
-ANWV Lk,Ciirte A1� 0. CN
C01-
rn am.pt urrdr sec
REPAIR ❑ .
B.aP.C. afWOL ❑
ME OF EKtFnNQ BLDG URM ❑ LIMA Prc f ;
' � • ;3307
APP1-I('.WT(PHf�f►) TES No. LD14A.P�r.. 'MC
lqp
owner of the or my a 00yeaa�h wwas 1 ITEMS
nia ksier�,d.d or oft f�.Ne ((Sea orto wo n �&dn'°G'°e TOTAL 2�� _ a
F@MLown/� 7Q/� -
Professions Cods.) MLLtHKAPPLg ff ORMJnlllwM rN0000li► HANDL[AtwliaoLUW4aarW1L f - jv r+ `� CHECK
OR A L 7 CONVWN 0 A}�AZArba!<WO'6sAL EaLV.TO OR R643i THAN
4f7i+4T1 Lvl+
❑ I, tel ed O Of W prop", sin ntv�ty.t.PecctfnG Dwith44, THR ANOWMIN WrM ON THE HAZARDOUS W07RMl MOFwxn0M tamp
6oerped. oorrtT@p4ora to oorstrtrot the pro)ect.(8eotton 7044, roe� No❑ [ •
Blllhetfa and Vl'044asiOrrs Code.)• wq.L TIM DUME D USE OF THE WAMM M W TM APMJD KT OR ryiUM A.DM -
000U PANT FrOLaFs A P OOT FOR OONSTRDOTION OR MODrKAnoN r*oM
CONSTRUCTION LANDM AGENCY COAsT Ail ouAu Ty YAIMaemENT OrrRcT poAa a ask Pwa&Trsa
OWO—M
I hereby aft. that two Is a construction ierK*Q apempf for ❑ No❑ i V30/90
pp, of the work for wNoh thr.permit 4 famed(sec. AM 7:115
i WW ROAD
TTHIIa wsTAr�l of a wpvlHFAALS raoPMOUIOMY Ne �TM soAorb3W,Dc �.7 } �,
COUfTY TYRI1,O I L1PTl1 f..a7 e�T10lll r�lm TH LlU
LOS ANGHLOW
Lenders NanTM HAZAFOOUA W nUkkA FEPdrTM Aro POR 06DWalM A PEW T Flew TFs e0Aoln
Landers Address
a�a1 err
I orttfy that I hom read thfa g4AkaHon and via*that the above
In}ornsrion is 4o"o I @Grog to pompfy with all oounty PC FES. PEIMrPEEA
ordilromee and 80 to laws reiath to buUdrp oonsbucttor�ar7C Q�
this Canty to aniam upon MLLE FEE /�. ~
Ptap RANTnArioN F�-E TO11AL FES
tls�REVEM POR EXPLAMTOW LANGLIAM