HomeMy Public PortalAbout5327 GOLDEN WEST AVE_Building__ 76AE96ACE#608'II.87 'APPLICATION FOR BUILDING P R: M T
"COUNTY OF LOS ANGELES BUILDING
_DEPARTMENT OF COUNTY ENGINEER ADDRESS t`
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE.,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST
_ DISTRICT NO. GROUP .TYPE SEWER MAP
FAD'DRE
OR APPLICANT TO FILL IN --BK
CONST
STATISTICAL CLASSIFICATION
/
CLASS NO DWELL UNITS
. LOCKMAP STATE
NUMBER HWY YESUS ".'SPECIALNO OF BLDGSCONDITIONS OEOW NOW ON LOT "
USE OF -
EXISTING BLDG L BUILDINGYARD HWY S REET NAME EXIST.
SETBACK WIDTH
_
OWN E _ FRONT s7l.L
MAIL P L
ADDRESS O GvE SIDE
TEL. P L
CITY No INSPECTION RECORD
ARCHITECT OR
ENGINEER NO
a
ADDRESS
-TEL L.
CONTRACTO NO/a%:
ADDRESS 4_.. --n*
DESCRIPTION OF WORK
14NEW ADD ALTER REPAIR DEMOLISH
SQ FT. 'r NO OF NO'OF C I I
SIZE L J STORIES FAMILIES - v
"USE OF STRUCTU • _ _ �/ ti
` ' -
SIGNATUREOF R APPROVALS
APPLICANT -' `– -
DATE INS GriATURE
ADDRESS FOUNDATION LOCATION '
FORMS,MATERIALS
P C. s Q'd FRAME FIRE STOPS.
C./ FEE - BRACING. BOLTS
VALUATION _$ �V�v FURNACE LOCATION, ,
FEE- GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- - LATH!INT. v ��
PLICATION AND STATE THAT THE ABOVE-IS CORRECT AND ,
AGREE TO COMPLY WITWVLL COUNTY OR INANCES AND
STATE LAWS REGULJdclrIf,41QVBUI D NG NSTRUCTION. LATH,EXT. D
SIGNATURE OF HOUSE NUMBER COR- l
PERMITTEE RECT AND POSTED /
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURA—L7ENGINEER
PLAN CHECK VALIDATION cK M.O. CASH PERMIT VALIDATION CK. MO CASH
LA
CO3 a o _ AUG 15, 2 3' w tD
LACo3 9i1 9 auc 15 1 A 26.0-0 �®F
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