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Home My Public Portal About4919 GOLDEN WEST AVE_Building__ DEPARTMENT OF BUI'.DING AND SAFETY APPLICATION FOR PERMIT COUJiTY bF L'O�`AIfGELES AtlG 2 B V ' ` D ' NG WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING _ DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS - LOCALITY RECEIVED BY DATE OF A/PPPLL` DATE ISSUED NEAREST BUILD'NO / OWNER l /�? ADDRESB ADDR / LOCALITY )ti •( EL NEAREST CROBB ST. CITY -Dt -� -r f ., ,�_ �` � NO. FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANS T� ENGINEER NO. BLDG. t r ! ORD.NO. I .ADDRESS BETBACK LINE / i" APPROVED TEL BY DATE CONTRACTOR NO. UHE ��-- ,APPROVED ADDRESS ? ZONE !!' �' BY DATE LEGALCORRECTIONS DESCRIPTION /I LOT NO. �� I BLOCK TRACT �7 V�)T r' �� '� /..�•• _ NO.OF BLDGS.i�7 _SIZE OF LOT I NOW ON LOT iJ� USE OF I NO.OF NO.OF �..... EXISTING BLDG. `l FAMiL.. C:T ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION 1_71O REPAIR MOVING DEMOLISH — G7 S4.FT. NO.OF Z SIZE ROOMS • STORIES f D WALL ROOF .^ r COVERING I COVERING,� USE OF NEW ��+_ BUILDING �(�L$.�.{ 1, c�ffl �• cma "imp= - � V 1 HEREBY ACKNOWLEDGE THAT I 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. FRAME: FIRE STOPS, SIGNATURE O BRACING,BOLTS PERMITTEE �'- �" .2 -`` LATH,INT.: AUTHORIZED T LATH,EXT.: DDS-3 5OM SETS 1-48 $ y d 0FFEE pPLASTER,INT. FO /Q PLABTER,EXT. VALUATION O FINAL DEPARTMENT OF BUILDING A 4D SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING /y� � 7 DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST ." (� CROSS ST. �j t: BUILDING - OWNER - - f ADDRESS .� L'• ✓.L+ _ MAIL ` LOCALITY �. ADDRESS NEAREST TEL. CITY 4.n.j l... 'l- N D, CROSS BT:eeZ . {9-� FIRE NO.OF TYPE ---i- I GROUP L ARCHITECT OR TEZONE PLANS ' ENGINEER NO. BLDG. AIT( D4 NO. ADDRESS SETBACK LINE - '� APPROVED TEL BY DATE CONTRACTOR NO. L USE APPROVED ADDRESS - � � ZONE BY DATE LEGAL ' CORRECTIONS DESCRIPTION y� LOT NO. -�'" _ BLOCK _TRACT S _SIZE OF LOT - 6' I NOW ON LOTGs USE OF I NO.OFI NO.OF G EXISTINBLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION A _REPAIR MOVING DEMOLISH Q Sq.FT. NO.OF Z SIZE ROOMS STORIES y WALL ROOF r COVERING I COVERING USE OF NEW BUILDING tf I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAW REGULATING BUILDING CONSTRUCTION. — _ FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE LATH,INT.: AUTHORIZED AST LATH,EXT.: UBS-3 sant SETS 1-4e $ P C • PLASTER,INT. FEE PLASTER,EXT. VALUATION FEE FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES B I L ® 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 7 'ln LOCALITY RECEIVED BY j DATE OF APPL. DATE ISSUED NEAREST CROSS ST. BUILDING OWNER ADDRESS 1 MAIL LOCALITY r t ADDRESS NEAREST TEL CROSS ST. CITY NO. FIRE NO.OFTYPE G.P ARCHITECT OR - TEL ZONE PLANS ENGINEER _ NO. BLDS. BETS ACKLINE ADDRESS APPROVED TEL BY DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE BY DATE LEGAL BLocK CORRECTIONS � ,; DESCRIPTION LOT NO. TRACT NO.OF SLOGS. _SIZE OF LOT - I NOW ON LOT USE OF NO.OFNO.OF EXISTING BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH c7 S4.FT. Q NO.OF Z SIZE v ROOMS 'S STORIES WALL ROOF COVERING - -.: COVERING ---. !' USE OF NEW BUILDING 'Y J/C 1 HEREBY ACKNOWLEDGE THAT I 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. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE LATH,INT.: AUTHORIZED AOT LATH,EXT.: DBS-3 soM SETS 1-48 $ F:C PLASTER,INT. PLASTER,EXT. VALUATION I .. FINAL r �mP le �;fy a 7eAel'e,k =g#e°a °°'APPLICATION FOR BUILDING-PERMIT LJ ' S �` COUNTY .OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS Sr BUILDING AND SAFETY DIVISION LOCALITY" 1 JOHN A. LAMBIL, COUNTY ENGINEER 12L C—Il-V COLEMAN W. JENKINS, SUPT Or BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PROCESSED BY Print or a only) O CONST. BUILDING /J �fJSTATISTICAL CLASSIFICATION SEW MAP ADDRESS - 1157 CLASS NO /0- DWELL,UNITS=-L— BK PG LOT NO. BLOCK USE ZONE MA NOP O TRACT SPECIAL COEDIT TIONS NO.OF BLDGS. SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM E L FRONT PROP.LINE OF (STREET) OWNS O. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL A D DR ES3 HIGHWAYWIDTH FROM C.L. CITY BLDG.SETBACK FROM ARCHITECT 6R TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF ISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + _ CONTRACTOR NO. ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ CITY CILASS C. SEE REVERSE SIDE FOR SPECIAL APPROVALS 8 DESCRIPTION OF WORK a I z NEW ADD ALTER REPAIR DEMOLIS SQ. FT. _ NO. OF N SIZE STORIES FAMILIES USE OF STRUCTURE Oil SIGNATURE OF _ APPLICANT VALUATION S/OO.OO APPROVALS DATE INSPECTOR'S •IG)IATUN[ P.C. PMT. FOUNDATION:MATERIALSLOION FEE S FEES 6,(J FRAME: RE FISTOPS, I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLI"TION BRACT NO BOLTS AND STATE THAT THE ABOVE 18 CORRECT AND AOR[[ TO COMPLY FURNACE: LOCATION, WrTH ALL COUNTY -ORDINANCES AND STAT[ LAWS REOULATIN13 GAS VENT DUCTS SUILDI NO CONSrr RUCTION. I CERY TIFTHAT IN DOING THE WORK AUT-IORMED HERE*Y I WILL NOT EMPLOY ANY PERSON IN VIOLA- TON OF THE L.ASOR COD[ Of THE STATE OF CALIFOIRNIA RELAT- LATH, INT. ]NO TO WORKM[N'E C NSATIO INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE' RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRI CI AL ST URAL ENGINEER PLAN CI�CK VALIDATION C'K. M.O. CASH _ PERMIT VALIDATION CK M.O. CASH s� .sem 2 6�ISN I.A6318A CF!:03 D-07 APPLICATION FOR BUILDING.PERMIT LJ ��. COIINTY OF LOS ANGELES BUILDING DEPARTMENT. OF COUNTY �NGINEEE ADDRESS ' BUIMING AND SAFETY DIVLSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUF'T OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PR ESSED BY Print o • only) O = CONST. BUILDING //,/ �f STATISTICAL CLASSIFICATION SEWERMAP ADDRESS ry / CLASS NO�DWELL,UNITS� BK E PO go LOT NO. BLOCK USE ZONEP . nTRACT _ SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOTIP ON LOT151 EXISTING BLDG. BLDG.SETBACK FR QM-,. TEL FRONT PROP.LINE OF (STREET) OWNE VjENO: TYPE OF EXISTING BET13ACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. I CITY /,c,,,,/ r'Ol BLDG.SETBACK FROM ARCHITE OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF ISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L TEL. + _ CONTRACTOR NO. ADDRESS NO. CORNER CUTOFF YES NO ❑ U CITY Ii SS SEE REVERSE SIDE FOR SPECIAL APPROVAL$ 8 DESCRIPTION OF WORK L" NEW ADD ALTER REPAIR DEMOLISH d v 1 Sq. FT. NO. OF NO. OF Q SIZE STORIES FAMILIES Z B T ` USE OF STRUCTURE 'SIGNATURE OF / ' 3 APPLICANT C VALUATION S �� Q a SOO APP ALS 9AT IKSP oR'• s MAru n[ IF P.C. PMT. FOUNDATION; LOCATION FEE 3 r J FEE $ FORMS MATERIALS FRAME: FIRE STOPS, I H[REDY ACKNOWLEDGE THAT I HAVE RAD THIS APPLICATION BRACING BOLTS AND RI LAD THAM THK ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK0,7 AUTHORIZED HERESY I WILL NOT [MFLOY ANY FERSON IN VIOLA- TIOOF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. N E INC TO WORKMEN'S CO FENSATIO INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS _ FINAL 7 Ce" JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PIAN CH= VALIDATION C M.O. CASH PEBNQT VALIDATION M.o. CAH e j� 5 2 9'4�- J1, 2 2 D fib- Y l 53E6 ;A g D142.50, WORKERS'COMPe4SATK}N DECLARATION • Inhe affirm that I hove a certificate of corsent to seff Insure,r a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING P E RM I T ora.cert h 3800, b. C.) � � COUNTY OF LOS ANGELES BUILDING AND SAFETY Policypany Cert ifled c Is here furl nd. BUILDING °�' �' FOR ICANT TO LL IN ADDRESS �]( Certified copy is filed with the county building Inspbc- BUILDING WfJ tion depapLant. ADDRESS LOCA TY / � NEAREST �/ Dat{ Applicant CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDG& ASSESSOR COMPENSATION INSURANCE RE OF LOT ON L MAP BOOK PACE PARCH (This section need not be,com leted If the permit Is for one L15E hundred dollars (;100)or.leas BLOCK ANO•. K1C0t`I1D1TK*Z } I certify that In the performance of the work for which this OWT� d permit is Issued, I shall not employ any person In arty manner DM111<7 GROUP TYPE FIRE rBY 0 so as to become subjectto the Worker&'Compensation Laws. ADDRESS5'a X- �) ad Data Appllcant CITY ARCD IffECT CH2 ZIP TEL STATIST AL CLASSIRCA1 Nl AFT. O NEER NOTICE TO APPLICANT: If, after making this Certificate of NO. C]ASS NO. DWELL UNITS Exemption, you should become subject to the Workers'' d Compensatlon provisions of the Labor Code, you must forth- ADDRESS SEWER MAF to with comply with such provisions or this permit shall be Z deemed revoked. TEL BK PG, VALIDATION cc� 2Y70 LICENS»CONTRACTORS DECLARAMN uc I hereby affirm that I am Ikensed under provlslons of Chapter 9 VA TION (commencing with Section 7000}of DNI;Ion 3 of the l3LWneMand UG Professions Code, and my license b In full force and effect. CITY 4/ alksS i (� SQ. FT., NO.OF NO.OF C7 ACX ,. License Num • Lic.CI ' SIZE STORES FAA�II� CXE Contractor DESQt1PT10N CIF NEW ❑ i I am exempt under Sec Ilk ADD fi ALTR A X3341 A B.aP.C. for this reason REFAi R ❑ # 0 ° ° ° 2 3 4Y Data: 115E OF pCMOL El R EXLSTI NG BY Signature ' TEL I ° - 49.41 OWNER/, am ER DECLARAT I NO. ° ° - 49.41 I hereby affirm that I ampt from th ntraeor'{Llcense Law for the followingn (Secilo 1.5, Business and Professions Code): � ,:..�'y` IQ25-85 BUIEDING I, as owner ofro pe , o'.my employees with ADDRESS wages as their smpo Ion,wlll do the work and L 3 3 Q 2 A the structure Is or offered for sale{Section 7041, Business Ions Cod MC7JING TEL I, as owner of t , am exclusively contracting # ° 0 0 o awith licensed cto construe the project (Sec- tlon 7041, BusinProfessloni Code) I ° ° 6.Q 6 3 CONSTRLENDING AGENCY �Q11aIACK YARD HWYRED TOT��FRaM wl°p�T, a aa6Q63t�I hereby affirm that th construction lending o¢ency for FRONTthe performance of thk for which this permit Is Issued P Sec 3097,.Cly. C.). SIDE I Q 2 5=8 5 P.1— Le nde r's. .L..Lenders.Npma- 77 r P.C-Fee,$ Permit Fee -5[.enders Address n I certify that 1 hove read this application and state that the ISF-Io„ce Fee aJ okove Information is correct. I agree to comply with.all County Investgatlon Fee ordinances and ,State krws relating to building construction, Total Fut and hereby authorize representatives of this County to enter upo the a v nt on property for Inspection purposes - � ft MUM FOR DCrLANATORY LANGUAOIII Signature of Appikant or Dale' APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY tiWORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN I hereby aftYm that I have a certffic:ate of correent to self kvsum, WI ADDRESS or a oertficate of Workers' Ccmpensathn Insurance,or a certified ► C�dL. N UJ��✓ �T;'� copy thereof (rte 3800,Lab.C.) I e ZJP '217re) LCC No. Cornparry V erg of � NIG.of eLDGs.Now GN LOT ❑ CertMad copy Is hereby furnished. 5 C/ x NEAREST CRCs ST. ❑ Certlfied copy b filed with the county bu>fldlrrg Iropectbn TRACT BLOCK LOT N0. � USE ZONE AARP rlo. ' Date - Applicant ASSES&)R AMP BOOK PAGE PARCEL . - - . BPECfAL CONDr1lON8 _ CERTIFICATE OF EXEMPTION FROM WORKERS' rt 19 Q,r,� / YES N O COMPENSATION INSURANCE D R451T"rL,/ r ^�S w�rra loco F r•oP scklOOL� Mrs aedlon need not be completed If the permit b for one hundred G,o,C p A DfBTPoCT GROUP CONST. PRE 2DNE PROCE88ED BY dollars ($100)or Vasa) ' I certify that In the per-fom,anCe Cf the work for which thio permit Ie Wsued, I shall not employ any pereon In any manner so §a to ARCHffEur ENG}NF�R / TEL NIG. o� •/ become subject to the Ykekm'Compensation Laws. • 8UU78T1GAL APT CONDO Date ApplbarTt. ADDRESS CtA s NG � DWF1L LRiTS NOME TO APPLIGWT. ff. after making this Ceftlfloate of REQLRRED TOTAL SET6hCK FROM EXIST Exemption, you should become subject to the VVorkem' SET BACK 'AM HWY PROP LIME WIDTH Compeneatbn provwom of the Labor Code, you mtret forthwith �O 7' r� FRONT corrpfy with such provisions or this permit shell be deemed revoked. ADDFjES8 LIC.NO. P L - LICENSED CONTRACTORS DECLARATION PDE UC,CLASS P L I hereby affirm that I am Ruanderprovi icm of Chapter d LE try/ e cn /C (comnchip mewith Section 7000.)d lon DMs3 of the BLArwm and 8Q EL No.of 9"IlEa No.of rSEVJE73 ANP AMM FPS N SBK E Po loop.Professions Code,and my Ilcenee le In full force and 0(fect /.� License Number LJc.Cfase gZaT " ADD El WLLKK)kO Contractor Date _ ALTER Els (� El am exempt under Sec. 0-d OS I / /,O REPAIR ❑ BAP.C.for this meson s w(g DEMOL Q LDAAA P/C+~ Date: - UM OF EGST1NO BLDCL " URM ❑ f er rC ^Y�Y LDAAA Pim r '�/+T T z YJ 1, as ownof the property, or my enplcyees with wages as ACCT. their sole coMpernaboo, will do the work and the structure Is f��. 192.45 not Intended or offered for Bale (Sec,•tion 7044, BurdrFees and /W FRW_p4Y PrCfeaaiCne code) 1 ITEMS V&L THE APPLT OR FUTLFE BLV-DNG CCC WT FM:ILE A FVZAFmoue MArEfNL r- . ql ❑ 4 as owner of the property, am excktetvety corrtrracting with OR A MUT FE QWRJ M A FIAZ.AFlDOL16 LWE3-t1AL�1CNS X43 THAN THE , i Ilceneed contractors to coratuct the project ISectlon 7044, ANOUNTs aaE+x�ON TIE FVZARDCua s «ioev FINAL BY TOTAL JL92 - 45 Buslness and Professlone Code.) YF-8❑ Ho❑ wLL THE NTDDED Uee Cr THE BUELM BY THE APr LCWrr OR Famrre Gine DECK 00CUR4rr RE9liTE A PEWT FOR 0CMTFULC, OR M0017C AT"FROM TI-JE SOUTH CONSTRUCTION LENDING AGENCY (tt CWT All OLLUJTY 6WVaEME34T DWFICT(WAQW SPMVKrrHO C♦-E(7Q.tar '-ami�R EE FOR .w r I hereby affirm beat there Is a corTstruction lerx h agency for YEs❑ No❑ the performance of the work for which thla pemdt Is leaned(-Oe,- i FVLe READ TFE WAIUCUO►mss NFOFOACICH GLIDE AAD THE SGbD PERM 110 3087,Ctv.C.) 22,q UN � rF L�Ez�i�M FwrY RODE �nr1 11/28/95 Dous Lender's Nen1e MAT3?V1Le FEPORZ AND FOR capias A PeWIT FROM THE eaACun Lender's Addraae 1 1 .E} 14 O QMW OR AM R I certify that I have reed this application end state rear penalty P.C.FEE PERMIT FEE of perjury that toabove Information Is correct.I agree to / vAth all county ordnencee and State laws refathng to buktw corzhuction, are hereby authortre repreeentatlYee of this Coupty SSLIANCE FEE the property for I , 30 c VNVESTYGATIGM FEE TOTAL FEE ^ d App�Q Aa+ SEE REVERSE FOR EXPLANATORY LANGUAGE