HomeMy Public PortalAbout5319 GOLDEN WEST AVE_Building__ DkPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT'
COUNTY OF LOS ANGELES It I N G
WK J. FOX, CHIEF ENGINEER„ ,
TO FILL IN FOR OFFICE USE ONLY
FOR APPLICANT
BUILDING //� T DISTRICT NO. PLAN CK. NO. PERMIT NO' '
ADDRESS
LOCALITY, R E Yl ; DATE OF APPL. DAT ISSUE -
NEAREST S
CROSS STBUILDIN
/J ADDRESS
OWNER
MAIL LOCALITY ♦ °S ,
ADDRESSNEAREST
TEL. CROSS ST.
CITY NO. FIRE �— I I TYPE GROUP'
ARCHITECT OR TEL. ZONE PLANE
ENGINEER • NO. BLDG. / R ' N
. O
SETBACK LINE 2O 1�G "
ADDRESS". APPROVED _ �L
TEL
9 BY - t DATE �2j w ,
CONTRACTOR i��wY� NO.A •.3g� USE ' APPROVE
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�/ BY DATE�Z/
ADDRESS D' HOUSE NUMBER G
LEGALt I '
DESCRIPTION LOTNO. — BLOCK MAP NUMBER �� '' FIELD CHECK BY'
CC
TRACT Y �i ���D - NO. ASSIGNED BY�+X/sATE i
NO.,OF SLOGS. CORRECTIONS
SIZE OF LOT NOW ON LOT •• ' /! -
USE G OF NO OF
E�.r X=E7CISTING BLDG. 4•$•I �C.h I FAMII Ms ° '
DESCRIPTION OF WORN
NEW ' ALTERATION I •' I ADDITION I -
0'
REPAIR I I DEMOLITION I I I -• - - -
SQ. FT. OF 0
SIZE / ..f/ ROOMS f STORIES , z
NO.
- a
COVERING WALL�—�/pl G I COVERING ROOF r
USE OF STRUCTURE
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 ✓fCCe�.�/l. i �'7� ��
CORRECT.
1 "AGREE TO COMPLY WITH THE CORRECTIONS, LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
_ LAWS R66ULATIN6 L ING ON T,RUCTION. - _
FURNACE: LOCATION,
SIGNATURE OF // GAS VENT, DUCTS , _
PERMITTER r ,may H®
LATH, INT. ,
ADDRESS
LATH, EXT. -
AUTHORIZED AGT.
PLASTER, INT. •_
®AC38A• DEss 10-50 $ �,', P C. $,��_
��� FEE PLASTER, EXT.
VALUATION / �OO FEE $ �`� FINAL (N•"�° r'
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES �' 1 ® �
4 WM. J. FOX. CHIEF ENGINEER
iLEPPLICA APPLICANTTO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDIADDRESNl
/ Y,
� RECEIVED BY DATE OF'APPL. DATE ISSUED
C RON REST
SS � � _X3 ` �BUILDING
OWNER ADDRESS
MAIL LOCALITY
ADDRES - a— �
NEAREST
TEL �T CROBS ST.
CI NO.
'FIRE NO.OF TYPE GROUP
ARCHITECT ff TEL. ZONE Y• PLANS
ENGINEER NO.
BLDG. ORD.NO.
ADDRESS SETBACK LINE 2--n'
.�� (f•�[L
APPROVED
TEL.
CONTRACTOR NO. USE � f APPROVED
ADDRESS ZONE 'S/•• BY DATE
LEGALCORRECTIONS ,
DESCRIPT113N�, LOTNO. -s� BLOCK
`
M
TRACT I1^ is�f
V `./ S'r I NO.OF BLDGS.
SIZE OF LOT NOW ON LOT i
USE OF I NO. N F '
EXISTI FA IES R -
DESCRIPTION OF WORK
NEW ALTERATION ADDITION - ✓
_ � C
A
REPAIR I MOVING ix I DEMOLISH 1.
84.FT. NO.OF
SIZE e3 WOMB STORIES D
WA ROOF - '' ;t Ii.�`�.� r
C❑ + I COVERIN
USE OF NEW
BUILDING4 42
f�
/�//)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONI: LOCATION INSI?.JeCTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY.ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONELT.RUCTION. _ ss••
FRAME: FIRE STOPS,
SIGNATURE O BRACING,BOLTS
PERMITTE LATH, INT.
AUTHORIZED AOT
LATH, EXT.
76A636A 94 I PLASTER, INT. '
OBS-3 SOM SETS ®_d p,C,III
SOS
FEE 2 PLAgTER,EXT.
Ep
VALUATION FEE /1 FINAL
rDEPARTMENT OF BUILDING AND SAFETY T� APPLICATION r PERMIT
COUNTY OF LOS ANGELES m m ' L 1
q, 4'6 WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL Di FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS fA ..� /
LOCALITY +' f /., $ RECEIVED BY DATE OF APPL. w- DATE ISSUED
NEAREST . ��-- �'� / !r^�Z�j SV
OR
S A " Q,
d BUILDING 7
OWNER ADDRESS l /✓J�
MAIL ( I
ADDRESS p LOCALITY✓ c> /
NEAREST- -�� �' `
TEL, r CROBB ST.�''
CITY 4,.4 NO. lom +
FIRE NO.OF ARCHITECT OR- TEL. ZONE PLANH�.� TYPE GROUP/
ENGINEER NO.
BLDG. OR NO.
ADDRESS SETBACK LINE
APPROVED
CONTRACTOR -A- NO. BY DATE
USE APPROVED
ADDREBSI
ZONE BY DATE
LEGAL --�7 CORRECTIONS
_ DESCRIPTION LOTNO.V<�/ I BLOCK !�L/
TRACT 'AA —
NO.OFBLDGS.
O '�- S' J GV+•-��"'"�'�"�.�/
SIZE OF LOT 6:7 NOW ON LOT �s Lei�1�
USE OFNO.OF NO. ,
EXISTING BLDG. FAMILIK RO B
DESCRIPTION OF WORK CI If
/
NEW ALTERATION ADDITION
!A_
REPAIR MOVING DEMOLISH �V �A-GC _� +� O_
Sq.FT. NO.OF Z
SIZE � . •, �ROOMS STORIES .0A r
WALL /"' ROOF ,
COVERING_<; COVERING gyp,.-1,�- s'
USE OF NEWU � /J/�✓ �, -_ _
BUILDING
• /Jaya. .
s
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
t= FRAME: FIRE STOPS,
SIGNATURE OF d @p' � BRACING,BOLTS ` J/
PERMITTE ,,."` !13 1� LATH, INT, /
AUTHORIZED AOT LATH, EXT.
7GA63SA-3 7-49 $ P.C. PLASTER,INT.
/ FEE PLASTER.EXT.
$ lamVALUATION FEE FINAL