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HomeMy Public PortalAbout5323 GOLDEN WEST AVE_Building__ 76A439A,CE#803 8-64 APPLICATION FOR U�IC:DI.NG EFZMIT_ COUNTY OF LOS ANGELES BU I L D 1 N G DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION- LOCALITY f/ _ JOHN A.,LAMBIE. COUNTY ENGINEER NEAREST ' COLEMAN W JENKINS.SUP'T OF BUILDING CROSS ST " DISTRICT NO GROUP TYPIC P ESSED BY FOR APPLICANT TO-FILL IN „ CONSTT iC7 BUILDING STA T,IS T ICAL CLASSIFICATION _ SE ER MAP:' , ADDRESS '� CLASS NO _ WELL UNITS BK •LOT NO 'BLOCK USE ZONEMAP F - NO TRACT -5, SPECIAL - - - NO OF SLOGS ' CONDITIONS SIZE OF LOT NOW ON LOT USE OF ; BLDG. .,` BLDG SETBACK FROM T L n FRONT PROP. LINE OF (STREET) OWNER r ” O• a- TYPE OF EXISTING 9ETBACK 'HIGHWAY -YARD = TOTAL ADDRESS �+ _ GHW Y y 'F M C.L - - + CITY CTYARCTOR TEL. BLDG"SETBACK FROM ENGINEER NO + 910E PgOP, LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY- WIDTH . FROM C L __I d f TEL + O CON TRA CTO /,LL Z )S` _ V ADDRESS I CORNER CUTOFF YES NO 0 H C L d LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK ) f �+ z NEW ADD ALTER REPAIR DEMOLISH - SQ,FT. 1 NO. OF NO. OF SIZE Z STORIES FAMILIES USE OF ' / STRUCTURE CY SIGNATURE OF f APPLICANT VALUATION$ APPROVALS DATE INBPECTOR'981GNATUR6 PMT REE FEE. C1 FO FORMS!MALOCATION MATERIALS FRAME, FIRE STOPS, fl�i 64 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDI NO CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION I URANCE - LATH EXT SIGNATURE OF C ,HOUSE NUMBER COR- PERM OR- ls�' PERMITTEE'• RECT AND POSTEDoloe ,ADDRESS , FINAL 1, INE PLAN CHECK VALIDATION CK MO CASH JOHNPERMIT VALIDATION T7RURAL M O EN CASH ER .i.-. a a:0 „P12 1 o6.U0� 13 JS� 76A 83B A,CE##80314/70 ' 'APPLICATION FOR BU LDING P19RMIT 'r COUNTY OF LOS ANGELES _ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ct JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �. / COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY- FOR APPLICANT TO FILL IN NEAREST CR Print ortonly) OSS ST. DISTRICT ROLLP TYPE P ESSED BY BUILDING }}11CONST ADDRESS - /V '�� �2S CSV STATISTICAL r ,LASSIFICATION SEWER MAP LOT NO BLOCK. ` r CLASS NO. DWELL,UNITS_ TRACT. E ZONE MAP 4*-. 016 SIZE OF LOT NOW ON LOT SPECIAL" USE OF CONDITIONS EXISTING BLDG. TEL. /_ OWNER t� NO. / BLDG SETBACK FROM ADDRESS FRONT PROP LINEOF (STREET) ,� TYPED (STING SETBACK HIGHWAY + YARD = TOTAL � - L CITY IC - ��� HIGHWAY TH I FROM C L ARCHITECT OR jq TEL } _ ENGINEER NO. BLDG.SETBACK FRO ADDRESS SIDE PROP.LINE OF (STREET) _ TYPE,OF EXISTING SETBACK HI - +" YARD = TOTAL CONTRACTOR . NO HIGHWAY WIDTH FROM C.L. r r�� LIC. C' ADDRESS, G(D S NO, v O,� + = v IC � zvL . .{ CITY c� i CLASS CORNER CUTOFF YES ❑ NO ❑ O CONSTRUCTION LENDER / v NAME AND BRANCH "/(j SEE REVERSE SIDE FOR SPECIAL APPROVALS LcL'j cn ADDRESS - 12-b6,68Z SQ FT NO OF NO. OF NEW SIZE STORIES FAMILIES USE OF ADD' ❑ STRUCTURE!t5 ALTER ❑ SIGNATURE OF REPAIR❑ APPLICANT DEMOL ❑ w , _ VALUATION S� APPROVALS DATE INSPECT R'S SI NATURE P.c PMT. FOUNDATION: LOCATION F E.$ �s FEE$ CS •�0 FORMS, MATERIALS FRAME: FISTOPS, I HEREBY'ACKNOWLEDGE THAT I_HAVE READ THIS APPLICATION BRACIRE NG BOLTS - AND'STATE THAT THE ABOVE IS 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 �r� HEREBY LL NOT EMPLOY'ANY PERSON IN VIOLATION OF THE LATH, INT.^p&1_ r�• /6'� LABOR - E THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S N INSURANCE LATH, EXT 6I ` SIGNATIJR OF HOUSE NUMBER COR_ PERMITT RECT AND POSTED SA ADDRESS //v FINAL 2. ktj PLAN CHECK VALIDATION �Mo,: cast' _ JOHN F LEWIS PRCTURAL ENGINEER I CIPAL STRU PERMIT VALIDATION CK M 0 CASH 14AY 5 2 3 D. 2 �.J,�� I Ari 0 0 3 3'• ��inY 5 to 1 D 7,8A63'8A CE#803 B-64 APPLICATION; FOR BUILDING PERMIT - • " COUNTY OF LOS ANGELES B U I LOIN G{DEPARTMENT OF COUNTY ENGINEER A0DRESS__' "S .� ,BUILDING AND SAFETY DIVISION LOCALITY ' _ L Z JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W JENKINSSUP'T OF BUILDING CROSS ST X " DISTRJ,CT"NQ. - GROUP "' .TYPE PR ED'B•Y. FOR APPLICANT TO FILL IN CONST' BUILDING STATISTICAL CLASSIFICATION SEWER M•AP ADDRESS - CLASS NO DWELL UNITS SK PG •9:�' LOT NO -�, �� BLOCK /�U�^SyE NE MAP TRACT n !£ ,Ajf / �Y.l SPECIAL / t y CONDITIONS! lZeC , �' / 3 NO OF BLDOS SIZE�OF LOT .'� NOW ON LOT _ - USE OF ' I � ` ' I - - BLDG SETBACK FROM --p / , ,r.. TEL FRONT PROP. LINE OF m (STREET) OWNER NO EL TYPE OF EXISTING SETBACK HIGHWAY + f YARD = TOTAL ADDRESS r' X EM WI 'FR M C L 'CITY n 11 -80 / -8D / + '�O �� / BLDG SE BACK FROM _ ARC ECT OR, - TEL - NGINEER• NO SIDE PROP LINE OF (STREET) E " TYPE OF EXISTING SETBACK, HIGHWAY + YARD = TOTAL ADDRESS - HIGHWAY WIDTH FROM�C'L _ TEL + = O CONTRACTOR NO U LIC CORNER CUTOFF YES ❑ NOE] - W ADDRESS. NO - O CITY LnSl SEE REVERSE SIDE FOR SPECIAL APPROVALS " v DESCRIPTION OF WORK o V,a ed (4 NEW`/ ADD ALTER REPAIR DEMOLISH �, SO.FT NO OF NO OF SIZE STORIES - FAMILIES USE OFn' r. ?- ' STRUCTURE Z3 I SIGNATURE O F APPLICANT VALUATION$ �.�r,�,� APPROVALS DATE INSPECTOR'S SIGNATURE P C �O• PMT='d'• Q-d- FOUNDATION, LOCATION ^` FEE$ - FEE;$ "•' FORMS, MATERIALS__" O+:d„r3i>• f�,.� ,�1'Ij .y,l„�jr _ FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT, THE ABOVE IS CORRECT*AND AGREE TO COMPLY FURNACE: LOCATION Ate. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY'ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR CODE OF THE'STATE OF CALIFORNIA RELAT” - ING"TO WORKMEN S COM SATIO�SURA�CE — LATH.� EXT'SIGNATURE OHOUSE NUMBER CORPERMITTERE AND POSTED h • `ADDRESS Fl NAL f JOHN F LEWIS. PRINCIPAL STIR RAL ENGINEER `,PLAN CHECK VALIDATION CK MO CABH PERMIT VALIDATION CK ' MO CASH = �a O 3- 7— MAP, , 2 2-3 2 0.5-0, is .y 6 1 ,7- F�AR, D 5 7.0 0-