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Home My Public Portal About4922 GOLDEN WEST AVE_Building__r" DBS-3 25M SETS 6-46 DEf3ARTMF+NQ' fe!F BUILDING AND SAFETY 7 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' ® ' • WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESSIPr .� LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST Y7 CROSS ST. BUILDING OWNER Iw ADDRES9 MAIL LOCAL ITY ADDRESS -� NEAREST J7 TEL. CROSS ST. CITY NO. NO. FIRE NO.OF I TYPE�^",` I GROUP ARCHITECT OR - TEL. ZONE .PLANS ENGINEER "'--'�- BLDG. ` ORD. NO. ADDRESS SETBACK LINE APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE BY DATE LEGAL -DESCRIPTION LOT NO. I BLOCK CORRECTIONS TRACT SIZE OF LOT + NO. OF BLOCS. NOW ON LOT USE OF I NO.OF I NO. OF EXISTING BLDG. �'�°'" FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH p SQ. FT. NO.OF Z SIZE ROOMS - STORIES r WALL ..,- - ROOF COVERING COVERING USE OF NEW BUILDING ' Y 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 OWNER LATH, INT.: AUTHORIZED AOT t-'`' i LATH, EXT.: S P. C 8 PLASTER, INT. OFEE v' PLASTER, EXT. a VALUATION FEE FINAL DIVISION OF BUILDING AND SAFETY � ' ® ' - NG -v `apartment of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FI INFOR OFFICE USE ONLY DISTRICT NO. PLAN CK. OR REC.No. f PERMIT NO. BUILDING DRESS 49 P- 2 O I c S L ��3 S 13 LOCALITY AD6i' RECEIVED BY DATE OF ADPL. DATE ISSUED VANE WARIEST CROSS ST. Lw,2 ra BUILDING G� y �J Q/�R !/✓�J OWNER �[, iS R IG L" AD , MAIL LOCALITY "7 (`e (/ ` ADDRESS J4Q NEAREST T11_ /� C R 098 ST. WOO CITY tyL L_� �� NOL �2 /23 FIRE NO.OFI TYPE / GROUP v ARD HITECT OR TEL ZONE I PLANS -4 I ENGINEER NO. BLDG. ORD. NO. SETBACK LINE ADDRESS USE ,/� APPROVED �1i, c TIO. ZQN_ ECJ BY DATE _ CONTRACTOR IiU G NO. ya HOUSE NUMBERING ADDR EBB MAP NUMBER L-'d NO. ASSIGNED BY- LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT , �. 4n 9No. or I SIZE OF LOT -'y.,J I NOW ON LOTI35. USE OF r NO. OF 1 EXISTING BLDG. Iq,��L�. FAIAI LIBa DESCRIPTION OF WORK A NEW ALTERATION L ADDITION Z D REPAIR DEMOrLITION i 80. ZEFT' X'� / RONo'OMSOF RIE EXT.WALL ROOF _ COVERING tCb I OOVERING USE OF 9 CTURE 4 �1e1f11 C3C9 dJM �► S�otutpae yc 1), For -Deafer F�'� INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR'SSIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS ^,_.;jam I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 19 FRAME: FIRE STOPS, CORRECT. BRACING, BOLTS I AGREE TO 00 PLY WITH ALL COUNTY ORDINANCES FURNACE. L , AND STATE LAWS EGUI�AT UILDING FUOCATION NSTRUCTION, pRNACE. , DUCTS SIGNATURE OF LATH, INT. (, PERMITT _ c LATH, EXT. ADDRESS PLASTER, INT. AUTHORIZED ADT. PIASTER, EXT. P.C.$ HOUSE NUMBER COR- RECT AND POSTED VALUATION FEE ' '-"-- FINAL 76AG36A DBS 3 1-52 —�� .d5-a 25M SE 9 Z-^ DEPAI,' D°End S�OF BUILDING AND SAFETY APPLICATION FOR PERMIT CC UisTY 'OF LOS ANGELES g � I ` DING WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRE53 �f��`•• /�f��. LOCALITY �� RECEIVED BY DATE OF APPL. DATEISSUED NEAREST -.>•-��F' /(� CROSS ST. BUILDING D OWNER "/�i , d�� :- ADRESS III MAIL / LOCALITY ADDRESS Y'Soo -- - TEL. NEAREST CITY NO. CROSS ST. - .a f.,_.L FIRE NO.OF TYPE GROUP ARCHITECT OR - TEL. ZONE PLANS _ENGINEER _ NO. _ BLDG. ORD. NO. ADDRESS SETBACK LINE TEL. APPROVED CONTRACTOR ,y..r O, BY DATE USE APPROVED ADDRESS �� i�^^` ZONE BY DATE LEGAL DESCRIPTION I LOT NO. I BLOCK CORRECTIONS TRACT //�� ;f�Xa�,� ( NOWON LOT i,,° <.. SIZE OF LOT USE OF I NO.OF s 1��YYY NO. OF EXISTING BLDG. FAMILIES ' I ROOMS DESCRIPTION OF WORK NEW ALTERATION _ADDITION r 41f— REPAIR <'- O REPAIR _ _M_OVING L D_E_M_OLISH ,.+t SZEFT. RO(//OJMIS .,,.ice--STORIES J > WALL fff iif//NE'N/T/7 Kms' ROOF r COVERING i COVERING v USE OF NEW BUILDINii - ------ - -- I HEREBY ACKNOWLEDGE THAT I HAVE READ THISAPPROVALS ------- APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, I SPECTORL-Al AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, BRACING, BOLTS SIGNATURE OF _ OWNER �`` LATH, INT.: AUTHORIZED AGT LATH, EXT.: P C !$ PLASTER, INT. FEE PLASTER, EXT. VALUATION FEE FINAL