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Home My Public Portal About4934 GOLDEN WEST AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS « / DEPARTMENT OF COUNTY ENGINEER CITYzIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. qq BUILDING SIZE OF LOT NOW ON LOT „c ADDRESS TRACT 06BLOCK LOT NO. LOCALITY TEL. / NEAREST OWNER / k NO CROSS ST. ASSESSOR ADDRESS / MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED Y -CITY v ZIP (117 i - �j ter^ CONST. ZONE ARCHITE RTEL. UG+ JIT ENGINEER , L7 NO NC STATISTICAL CLASSIFICATION SEWER MAP ADDRESS i CLASS NO. DWELL.UNITS BK PG TEL. CONTRACTOR G c NO L(o "o &ZONE MAAP LIC. 1ADDRES IN 3 C SPECIAL LIC. CONDITIONS CITY „ _y CLASS CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES [jNO ❑ NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF ISTREETI ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT.; NO.OF / NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES ( FAMILIES / ONE } _ a DESCRIPTION OF WORK Zai �` NEW ❑ + O ADD BLDG.SETBACK FROM oc SIDE PROP.LINE OF (STREET) O ALTER _ TOTAL SETBACK FROM TYPE OF EXISTING w ❑ HIGHWAY + YARD — SIDE PROP.LINE HIGHWAY WIDTH N USE OF REPAIR Z EXISTING BLDG. DEMOL El + APPLICANT / TEL CORNER CUTOFF YES ❑ NO NO. ❑ PRINTI k X t IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION ?U a IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. SIGNATURE OF IE7 A — PERMITTEE ADDRESS JA--j D/ FINAL Q� BY CITY AA-.-b �/! NO a v �(C' DATE MAKE CHECKS PAYABLE TO: F E FET HARVEY T.BRANDT,COUNTY ENGINEER _ 7 7 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH as 76A638A CE#803 3-75' i GE#803)REV.6/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ' ADDRESS L BUILDING ADDRESS N'43 {JO- Cm04,9*r1J A%W LOCALITY — NEAREST CITY ZIP ci CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT 1-50X'S 1 NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUK I TYPE FIRE SSED BY TRACT U� BLOCK LOT NO. T CONST. ZONE OWNERT4K.L>M 1 OCA 1 tJD NEO y _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS � �n0 0 Wt-5--r kms' CLASS NO. DWELL UNITS BK PG CITY ::jj1 ZIP gp ARCHITECT OR TEL. VALUATION $ ' ENGINEER N 0 t)tr NO. ADDRESS BLDG.SETBACK FROM TEL FRONT PROP,LINE OF (STREET) CONTRACTOR wO 0& NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING _ LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. _ LIC. + CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER \ NAME AND BRANCH Nb IJF, SIDE PROP.UNE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAYI WIDTH ILO SO FT. NO.OF NO.OF CHECK + = U SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK O {►J NEW ❑ P.C. Fee$ Permit Fee / V 11- 1244uCA A'R+la El ❑ W ADD Issuance Fee y ALTER ❑ Z REPAIR Total Fee e USE OF EXISTING BLDG. CpA- DEMOL ❑ 2 APPLICANTTEL / O PRINTI�/�I�y�1 ��1 tjC> NO.ya�y O � J BY(SIGNATUREI I HEREBY ACKNOWLEDGE THAT I HAV R AD THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND ACRE T COMPLY WITH ALL ORDINANCES uvi AND LAWS REGULATING BUILDING CONST TION.I CERTIFY THAT IN DOING THE _ WORK AUTHORIZED HEREBY WILL NOTE LC ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM Z PENSATION INSURANCE. g d SIGNATURE OF \ PERMITTEE R O 1 k QV A ADDRESS 0` (• 2 TEL � # • • • • • CITY Cil` NO � Q UAZO'E MAP 1 / a 2 • • 1 9.00 SPECIAL F- • • • 1 4 0 0 CONDITIONS G FINAL BY d DATE DEPARTMENT OF B SND SAFETY APPLICATION FOR PERMIT COUNTY OF L NGELES BUILDING WM. J. FOX. CHIEF ENGINEER " FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS 'J — RECE,JVED BY DATE FAP L. DATE ISSUED LOCALITY f NEAREST y ,�•/ CROSS ST. BUILDING ADDRESS OWNER MAIL LOCALITY ADDRESS NEAREST TEL. CROSS.ST. CITY NO. FIRE.. I NO. OF I TYPE GRQ�IP ARCHITECT OR. TEL. ZONE, PLANS y .�...�"�' , j ENGINEER - NO. gORD. NO. SET CK LINE ADDRESS g a �y XY. ROVED DATE TEL. CONTRACTOR NO. USB APPROVED ZONjiis-/1' BY DATE ADDRESS `" HOUSE NUMBERING LEGAL DESCRIPTION I LOTNO. I BLOCK MAP NUMBER Z-G' _FIELD CHECK BY TRACT - NO. ASSIGNED BY_LDATE NO. OF SLDGS. CORRECTIONS SIZE OF LOT I NOW ON LOT USE OF I NO. OF T _ EXISTING BLDG, FAMILIES DESCRIPTION OF WORK /2,- NEW NEW I I ALTERATION I I ADDITION REPAIR I I DEMOLITION SQ. FT. . NO. OF w .YZ SIZE i '"` . .4 ROOMS STORIES > EXT. WALL ROOF , f' COVERING I COVERING USE OF STRUCTURE Ci APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION _ PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF _ GAS VENT, DUCTS PERMITTED •• _7 L LATH, INT. ADDRESS LATH, EXT. AUTHORIZED AGT. el PLASTER, INT. 76Afl3BA DBaa 10-50 P. C. I �/ FEE /'y� �� PLASTER, EXT. VALUATION FEE $ v. FINAL I 76A638A CE#8032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY >7rL JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST, DISTRIC N G TYPE D BY FOR APPLICANT TO FILL IN ( coNs . BUILDING (j STATISTICALCL S ICATION SEWER MAP ADDRESS 7 CLASS. NO. DWELL. UNITS LOT NO. BLOCK WATER NOT REQUIRED rKzl-- RECEIVED ❑ CERTIFICATE: EEEEJJJJ�� TRACT MAP9 HIGHWAY STATE MAJOR SECOND, LOCAL NO.OF BLDGS. NO. / (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL I USE OF /� / CONDITIONS EXISTING BLDG. TEL OWNER NO. 1 71 BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS tQ- FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L } ADDRESS - D- EL. CONTRACTOR NO. rl. fY ADDRESS r O DESCRIPTION OF WORK w CL NEW ADD ALTER REPAIR DEMOLISH N Z SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ APPROVALS PATE INSPECTOR'S SIGNATURE P.C. PMTFOUNDATION: LOCATION FEE FEE-5-224 FORMS, MATERIALS FRAME: FIRE STOPS. y_ , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE 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 WORK AUTHORIZED HEREBY, I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANC LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS_ FINAL •� /L". JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION CK. M . CASH _ PERMIT VALIDATION CK. M.G. CASH t 9 4 4 2wo AUG7 7 1 2 2.0 0 c . APPLICATION FO BUILDING PERMIT � COUNTY OF LOS ANGELS& BUILDING AND SAFETY MfORIWITS COMPENSATION DECLARATION roR AAPLicAwr To ALL w %MP. o ADWdMS BUILDM I hereby affbm fiat I have a oerdflgato of ooraartt to sed Insure, AJ7oFtESe or a oarthflate of Vlbriasrs Oompansatlor IraiusriG,or a Carthflad -�n./-/ �• CL copy llow f(Seo.3Hb0,Lab.C.) CITY aP L:OGLJ-TY . PoiDy No nt4611up comparry STA`TE FLTDTD- sr�of nor ( TTYNa of ENDM NOW ON Lw Q NeAJ�T CRoee ST.cerilfbd DDpy b harptry�1ed. • �.Cartffled owy Isfw'wHh tf,a county butldlnq tropwtkx, TRACT BLOCK LOT N0. lteEzorE. deparftrom DW 1--9?Appbti„r RANDOL ROOFING ABSEBSOR ASAP BOOK PAcaE PABCaL pSIMBOLAL CERnRC'.ATE OP EXE PTION FROM WORIE�S' owNeR Ta No. COiPI WTION lHI1RANCE - W.MAIN ipoo'Fr.of ecrtooLl AJ MUM (rile need not be cofnpleted If itis Pw6*6 for arw Ngwrrd 4934: . GOLDEN T � FSE ZONE PBOCESKD BY Ootiars or law.) Orly - �.• / irzI aittfy that to U,.perfomMr�ce-of the work+or�rf,lct,0*parmFt Ty, 1 s 0 ,. a � ;! V � . le issued, I shell not.employ wry person In airy manner so as to ARCHrrl!CT OR EMPTEL:" beoog"subject to the Vlkx wne Gcmpenaatto Dura. tSTATrdTKJ1L AF'T CO.DO Dale 'APptlicard Ate. _ CLASS MO.m-F�DWELL U NOTNC8 T&APPLK'MT. If, atter mildN thls.Cwbhosta of Rt�oust80 TOTAL SETBACK FiiOM DOST Ex mptlori, you should bodome subject to the Worker' COWPACTOR TEL. Na. SErBeCK YAW- HVfY PROP LINE VADTH Comps>eafbn privvblons of.the Labor Code, tlou.rrUk iorthwfth MOW comW with fi such proyi iorw or lo perm It aha&be deemed revoked. ADDRESS -Lr-NO. -p L- . 599 F,.VATT.T%T 'RL 491 17 SME UCENSKD CONTRACTORt DECLARATION crrr - a�ee C– , i hereby affirm OW I sun Tori*0 under provision of Chapter B Fr. STOR® N0.of FiNEJtS cc (oorrxrren h kg with Secdw 7000)of Division 3 of to Qrwkaw and PrgMwiorw Code,and my liter Is In P.force and effect NEW ❑ EK Po "/ d oilLicenseNumber 451.4'17 L kL ql@..' C-3PT) ON DEBCRJPTN Of WORK.. A [TDD" VALUATM . . + �U r-RANDQT. gQ0VTHCwe 1-31-94 _ Aim ❑ $ "900-0.0 • - GLASS A TIMBERLINE FIBIIKGLAS REPAIR ❑ I am azwnpt under Seo $- K&P. .for this reason SHI�NFGLES. DEMOL ❑ LJ�YA Pro 0 Dada SfC EXOM °B`D uRM. ❑ T ftnaLJrs - AP.PL lCA T MWO) _ TPL NO. LDWA Perm f Ftp• +■T El l as &wrier of 11,e or my employ. ft wages as RANDOL ROOYING 288-4040 7• .98■� . their eoM-�w1I do)he work-and the struchas Is ADOMM MOIL ons 1 ITEI3 not Intended or offered"for..te (section 7044, &,sin... and Ti]TA� 98; 63 Pr'o a Cada•). wLLTHE APPMANToRFvnraN I urn000.fiVITHA DUAHAZAFDOr1 WaMALIT 4% v a f 0A A H7 nAW C0NMkPd n A HAZMDOUa WQaaAL MwAL TO OFF OFe ATdr THAN ` , ❑ I, r QwnQr. fire I am Cy � TM AYOIXra R OKTFQ FMZAfOOIA YIGiAAL/flOFi{RM]N Q�M FINAL tT '� ` + 1• tioenead tiro b 4onstnrof tt» Ix41eot.(8edlon 7D", ver❑ rd❑Buskiess � �� {�� {� and Profaasione(,.Oda•) YVLL THE MTDDeD ue<Or TFa F�■DM ey m-*Apm-PaNWr OR ruTLRw er■urn. _ . �•1"F$�1L y#V0� . 00CUPANT FEMME A PUM,r'on ooNwrR1DTION on NODa70i mTROY TFm SOUTH �MQ AQ�Y COAST AA QUALITY WrMOO!!r DOTFACT PICAP�i�PUGMTSMp 01- J FOR GLffi?M2RW I her"gMrm tint ft"b a wraMx;'Jorl bndng aperwy Mae❑ No 1:1 nr the pw*xTr w,oe or the work for which fhb pem h Is Issued(Sec 2417 t I HAIa FauD mi HAxArDDue aFvsraALe eawDFauvuorr aLioe Aro ma,auAouo ■ dp.. 3007:Chi G.)• PeiaTTMa rr..•�ra.T I w Feousa�rn soap m•e tun Arradee � - - � .2 �..�•42 ' d Lender's Name- FAZ�AFDOl01 eWQ;e FNPC"TM MSD FM O�NM A PUWfr MOM THE Lenders AddrMic ' Or of Ars o• I oerWy that I have mad thIs application and able that the above RQ FEE Pt3tltr HE Inforhwbw b correct F agree to comply with all county 73.89 and bre rek#V to budding F$ _ .the minty to 24.75 _ PIVETnGATM FEE TOU1L FEE 9W 1 98.63 itltlQ F&VMM TOR EXPLAMATORY LANOUAW,