HomeMy Public PortalAbout5325 1/2 GOLDEN WEST AVE_Building__ 7BAS38A CE#80911-37 APPLICATION FOR BUILDING PERI/IIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST s- -
DISTRICT NO. GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN ,� - BIS AG
CONST." _
BUILDING` qq STATISTICAL LASSIFICATION-
ADDRESS
1C 4
CLASS NO DWELL UNITS _
LOT NO. BLOCK MAP STATE-: ,
NUMBER - 0 i 4 �HWY � YES
TRACT G(/ USE ZONE SPECIAL
NO OF BLDGS CONDITIONS /
SIZE OF LOT O I NOW ON LOT /� p y,c._ .� �•w., I
USE OF l
EXISTING BLDG. W BUILDINGEXIST
SETBACK =YARD HWY." i STREET NAME WIDTH -
OWNER - FRONT a� /�, -/• .I
MAILP L re
�V L.� ♦ ter�./ -
ADDRESS COQ CC/ - - SIDE
,.� TEL P L. - - •r '.f
CITY ^_ NO
ARCHITECT OR TEL, INSPECTION*RECORD,-; >
ENGINEER NO. - t
,�cc�--
ADDRESS J
TEL.
CONTRACTO NO -7,C '
ADDRESS ,
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH I
SQ FT, NO.OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE ��_ _ •` � t
SIGNATURE OF , �� APPROVALS �,g�� - "'•;^
APPLICANT
R '
i DATE INSPECTOS-SI TU RE '
ADDRESS FOUNDATION LOCATION _.--
$ P C $ FORMS.MATERIALS
FEE �7 FRAME FIRE STOPS.
(p� 0 \ BRACING.BOLTS � b
VALUATION v' O - s - FURNACE .LOCATION,
FEE GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH,INT. i
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY DINANCES AND
STATE LAWS REGU_jL4TIN BU L ING ONSTRUCTION. LATH.EXT.
SIGNATURE OF HOUSE NUMBER COR-
'PERMITTE RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL- GINEER
PLAN CHECK VALIDATION CK. M.O. - CASH PERMIT VALIDATION CK M 0. CASH
1 :5;0 0
��;-' Auc*1'5 i A 2'6::0'0 R