HomeMy Public PortalAbout5111 GOLDEN WEST AVE_Building__ 70
76ABD5A CE 6803 "+APPLICATION FOR BUILD NG PER IT
U COUNTY OF LOS ANGELES ASSESSOR
r DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS a
COLEMAN W. JENKINS, SUF'T OF BUILDING LOCALITY
APPLICANTMR T FILL(Print or t-vDa onIv) !INREST
S ST.
RICT N G P T P TCONST.ADD ESS TISTICAL CLASSIFICATION 3 ER MAP
LOT NO. BLOCKASS NO DWELL,UNITS BK PG
TRACT ZONE MAP
NO.OF BLDGS. NO.
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL
OWNER No..qfzBLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
TYPE OF ISTING SETBACK HIGHWAY + YARD = TOTAL
CITY aa HIGHWA WIDTH FROM C.L.
ARCHITECT JbR TEL. + _
ENGINEER' NO.
BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTINO SETBACK HIGHWAY + YARD = TOTAL
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L.
LIC. + _
ADDR /// P NO.
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO ❑ p�p
NAE AND BRANCH to SEE REVERSE SIDE FO PECIAL APPROVALS W
a
ADDRESS N
SQ. FT. NO. OF ZNO• NEW ❑
SIZE STORIES FAMILIES
USE OF ADD 4i-
STRUCTURE
a ALTER ❑ 11
REPAIR❑
SIG TURF OF
AP ICANT DEMOL ❑
VALUATION i f r APPROVALS DATE INGP R ■ GI -RE
P.C. PMT. FOUNDATION: LOCATION
FEE ! ` FEE f f/• Z FORMS MATERIALS L
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TS COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWB REGULATING BUILDING COR- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF •CALIFORNIA IN RELATING TO-
WORKMEN'S COMPENSATION INSURANCE. LATH, EXT.
SIGNATURE O HOUSE NUMBER COR-
' PERMITTEE RECT AND POSTED
ADDRE59 FINAL
JOHN F. LEWIS. PRIN &PAL STR AL ENGINEER
PLAN CHECK VALIDATION oK. H _ PEBMMIT VALIDA'T'ION CK. M.O. CASH
pr 7 6 2 4,P- wv 16 2 3 D 1. 0.3 51
fir. 7877P- DEE 3 - 1 D 17.25-
76A638A CE41309 }69.
'N' APPLICATION FOR BUIL ING PER IT
~ COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDINGS AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER ST
COLEMAN W. JENKINS, SUP'T OF BUILDING NEAREST
Yl
CROSS ST. Cl
FOR APPLICANT TO FILL IN DISTR CT N0. GROUP&I TYPE CONST. FAY
(PRINT OR TYPE ONLY) l/�J
BUILDINGlSTATISTICAL CLAS I ICATION SEWER MAP
ADDRESS 6JI
e
CLA53 N0. DWELL.UNITS BK �—_ PG
LOT NO. / BLOCK USE ZONE MAP yI
N0. 0
TRACT /�,►�/J� ISPECAL
N0. OF BLDGS. I COND TIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF (STREET)
OWNER N0. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS ` t HIGHWAY WIDTH FROM C.L.
CITY +
ARCHITECTTEL. BLDO.SETBACK
(STREET)
ENGINEER N0. SIDE PROP. LINE OF
TYPE OF EXISTIIG SETBACK HI + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. +
CONTRACTOR N0. �
ADDRESS NO CORNER CUTOFF YES E] No U
LIC. oic
CITY CLAS 3 SEE REVERSE SIDE FOR SPECIAL PPROVALS 0
CONSTRUCTION LENDER (1
NAME AND BRANCH ttgqLL
N
ADDRESS Z
3q. FT. NO. OF NO. OF
SIZE STORIES FAMILIES NEW ❑ �1!
USE O G l< wa// ADD
STRUCTURE ❑
ALTER
REPAIR ❑
SIGNATURE OF DEMOL ❑
r_-
APPLICANT
VALUATION a APPROVALS DATE INSPECTOR-8 SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEES FEE $ 0 T RI
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC-
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I 9&5 VENT, QXT3
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANC
LATH, EXT.
SIGNATURE OF
PERMITTEE HOUSE NUMBER CORRECT
/ AND POSTED oea
ADDRESS} �P/ � — FINAL S �/
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. W.O. CAeH _ PERMIT VALIDATION cK. r+•0. CASH
�4f'._ 2 7 7 8 NOV 19 1 0 9.0 0Ca
`7OA"BA,CE 0803 1/71
' APPLICATION FOR BUILDI G PERM
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGIN= MAP BOOK RAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS oix,
COLEMAN W. JENKINS, •UR•T OF BUILDING LOCALITY
FOR APPLICANT T L4HIG
REST
6S ST.
(Print w-type W14)
ICT OUP TYPE P ED BY
BUILDING CONST.
ADDRESS
TISTICAL C IFICA TION SEINER MAP
LOT NO. Zj BLOCK �-�
ASS NO ELL,UNITS BK PO
TRACT �p ZONE MAP ;Folk
NO.OF BLDGS. NO.
SIZE OF LOT NOW ON LOT -I SPECIAL
USE OF 1 CONDITIONS
EXISTING BLDG.
' TEL
OWNER NO• G.SETBACK FROM
ADDRESS NT PROP.LINE OF (STREET)
F [STING SETBACK HIGHWAY + YARD = TOTAL
CITY IDTH FROM C.L.ARCH[ ECT O }ENGINEER NO. G.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET) }}..
TEL. TYPE OF EXISTING SETBACK HIGHWAY RD = TOTAL G..
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L
LIC. 8
ADDRESS NO. + _
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO
CONST UCTION LENDS a
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVAL z
ADDRESS
SQ. FT. NO. OF NO. OF NEW �-
SIZE T RIES FAMILI
USE OF ADD
STRUCTUR
ALTER ❑
REPAIR❑
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION f APPROVALS AT% IN Tone -I-70f
IG RIL
P.C. PMT. FOFORM3IMNTE ALS ON I
FEE S FEE 3 Lo
AME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRAC31N0 BOLTS '
AND STATE THAT THE ABOVE ID CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKME N'8 COMPENSATION INSURANCE. LATH, LXT.
SIGNATURE O. HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED A Ll
ADDR
FINAL
JOHN
�+F..�LEWIS. P�R7[•�N AL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. uSH _ PMMIT VALLIJ/4tT CK. M.O. CAHi
5 4 4 8 33 MAY 9 1 0 9.0 0~ �
1 TEMPIE CITY
7BA63BA CE 0003 I"APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR'
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE• PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
4RAP L A T T F LIN NEAREST
(Print or YD@ only) CR ST.
DISTRICT N O TYPE SSL&WER
BY
BUILDING CONST.
ADDRESS el
STATISTICAL CL IFICATION
LOT NO. BLOCK CLASS NO 5 DWELL,UNITS
TRACT USE ZONE MAP ly
NO.OF BLDGS. NO. (1
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG. '--"
TEL
OWNER Mr �
NO. BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
B ® TYPE OF 19TING SETBACK HIGHWAY t YARD = TOTAL
CITY HIGHWAY WID FROM C.L.
ARCHITECT OR TEL, t =
ENGINEER NO. BLDG,SETBACK FROM
ADDRESS - '-l' J-- .. SIDE PROP.LINEOF (STREET)
TT D__�+ /� TEL. TYPE OF 18TING SETBACK HIGHWAY t YARD = TOTAL
CONTRACTOR Virgin-in- P600 CCrj NO. � HIGHWAY WIDTH{ FROM C.L O
ADDRESS - - - LIOC t = C>C
CITY San Gabriel 1776 CIC. _
9 LASS C— CORNER CUTOFF YES ❑ NO ❑ �y
CONSTRUCTION LENDER 4.
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS
SQ. FT. _NO..OF _ _NO. OF - -. NEW ❑ .
SIZE STORIES FAMILIES
STOCTUkE �+eroof-houzie & ara a AD
RULTFR ❑
' , with medium shakes
REPAIR
SIGNATURE OF
APPLICANT M DEMOL ❑
VALUATION S 1 597.00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT, FOUNDATION: LOCATION
FEE S FEES FORMS MATERIALS
FRAME: FIRE STOPS,
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALLORDINANCES AND LAWS REGULATING BUILDING COM- GAS VENT DUCTS
ST14UCTI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STA OFCALIFORMIA IN RELATING TO
WORKMEN'S COMPENSATION URANC[. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED 17
ADDRESS
FINAL
JOHN F. LEWIS. PRINCIPAL ST RU URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. wH _ PERMIT VALIDATION
L ,0 2 110 1 D 3.50 `7°