HomeMy Public PortalAbout5118 GOLDEN WEST AVE_Building__ _ � r
76Al99A CE 809.9-60 APPLICATION FOR BUILD NG PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADORES
BUILDING AND SAFETY DIVISION LOCALIT
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. L
DISTRIC NO. GROUPI TYPE PR ESSED BY
FOR APPLICANT TO FILL IN d CONST. _ 0 J
BUILDING /�// L ,J/� �C�N� /��Jfr STATISTICAL CLASSIFICATION SEWER MAP
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CLASS'}NO. DWELL. UNITS '
LOT NO. .7� "" �G�' �a BLOCK MAPNUMBERS-c.� E YE NO
TRACT r "7 USE ZONE SPECIAL
I NO.OF BLDGS. CONDITIONS
SIZE OF LOT Jr 0 L)0 K % NOW ON LOT Y4' n - f��
USE OF V
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
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ADDRESS 7Ysy -�r� S� '�'n. SIDE
ARCHITECT OR TEL. P.I
ENGINEER NO INSPECTION RECORD
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CONTRACTOR NO. _
ADDRESS _ �•'" ._7_
DESCRIPTION OF WORK / u
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NEW `HADD ALTER REPAIR DEMOLISH
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T /I 3 NO.OF FAMILIES
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STORIES FAMILIES _
USE OF `-•-' '
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TURE OF
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APPROVALS DATE INSP CTOR'S SIGNATURE
/ I FOUNDATION: LOCATION
P C
FEE 5600 I FEE $ FORMS, MATERIALS /
FRAME: FIRESTOPS,
IHEREBY 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 THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED I SHALL NOT LATH, INT.
EMPLOY ANY PERSON IN Y MANNER 50 AS TO BECOME SUBUECT
TO THE WORKMEN'S/CO NSATION LAWS O ALIFO RNIA. LATH, EXT.
SIGNATURE OF/ GO�p ;L HOUSE NUMBER COR-
PERMIT
'EElll��� RECT AND POSTED
ADDRESS Sr 5.'S FINAL
CLYDE N. DIRLAM, PRINCIPAL STRRAL ENGINEER
PLAN CHECK VALIDATION cK M.O. CASH PERT VALIDATION CKPERMITM.O. CASH
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