Loading...
HomeMy Public PortalAbout5429 GOLDEN WEST AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN ADDRE ADDRESSSS BUILDING ADDRESS LOCALITY L' P NEAREST CITY Tw.M, " ZIP CROSS ST. NO.OF BLDGS, ASSESSOR SIZE OF LOT 5412G, NOW ON LOT MAP BOOK PAGE PARCEL TRACT 35012 BLOCK LOT NO. DISTRICT GROUP TYPE FIRE CONST. ZONE PROCESSED BY TEL. OWNERFF�IRM L� N .�,.! rk STATISTICAL CLASSIFICATION SEWER MAP ADDRESSIGASA ,rt r" CLASS NO. DWELL.UNITS BK PG CITY w7'�t+: ZIP USE ZONE MAP NOSPECIAL. TOC&*.OIRE HAaN1�Ori NO. 9 k CONDITIONS ADDRESS TEL ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ �����C- CONTRACTOR i,�{; Ef NO_ BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS9 *'E AS fit TIVE.. NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + NAME AND BRANCH BLDG.SETBACK FROM ADDRESS CITY SIDE PROP.LINE OF (STREET) SQ.FT 1 rrs� NO OF NO.OF CHECK HIGHWAY + YARD — TOTAL SETBACK FROM TYPE OF EXISTING SIZE i.�.20 STORIEU.A° ' FAMILIES i`1," ONE SIDE PROP.LINE HIGHWAY WIDTH DESCRIPTION OF WORK NEW SIALLF_ f'AHILY ADD ❑ CORNER CUTOFF YES ❑ NO ❑ :J ITIH A I TACt Eo C;i ,�M1,.,,�.. ALTER ElIN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ USEEXIOF BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT + �1�.r TEL > (PRINT) i"t4 S G } �.t#� '#} NO.li.LA - .. 0 O v BY(SIGNATURE) = Lz IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES Q AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE 0� WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF 0 d THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- � PENSATION INSURANCE. w LESS FINAL BY DATE TEL P.C. Fee$ Permit Fee NO. Issuance Fee 4 JIA,: ,' Total Fee PLAN CHECK VALIDATION CK M O. CASH _ PERMIT VALIDATION CK. M.O. CASH ©5 76A638B CE N803B 6/76 ©'a 76A638)* CE X1803?REV 1 1/78) - -^�« - �� � • - "�%���L '+ �� * t �. APPLICATION -PO UILDIN RM17"' _' . . COUNTY OF LOS-ANGELES BUILDING-AND SAFETY _: _.. • r� _. FOR APPLICANT TO FILL IN ADIDRESS BUILDING r ADDRESS. J42 I LOCALITY , NEAREST CIT ZIP CROSS ST NO,OF BLDGS ,`,- ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK'- PAGE PA RCEL C�.�^ /J '1 (STRICT GROUP TYP FI O ED BY TRACT 3.N'(. BLOCK LOT NO L/ _ -r• CONST `E - __TL. 7 �' _OWNER NO STATISTICALCL'-ASSIFIC TION SEWERMA'P ADDRESS - CLASS,NO DWELL UNITS• ) BK PG CITY "�� ZIP. ARCHITECT,' TEL f " -� VALUATION ENGINEER - NO ADDRESS BLDG SETBACK FROM Y « _ TEL- FRONT PROP LINE O (STREET) CONTRACTOR' 41<C •NO �' TOTAL SETB (K'FROM TYPE OF EXISTING LIC HIGHWAY + YA = --FRONT PROP LINE HIGHWAY WIDTH ADDRESS { NO • '• , + -LIC CIT ' CLASS p BLDG SETBACK FROM f' t CONSTRUCTION LENDER SIDE PROP LINE OF (STREET) . NAME AND BRANCH HIGHWAY + YARD _' TOTAL SETBACK FROM;TYPE OF EXISTING , ADDRESS z CITY ~- :SIDE PROP LING HIGHWAY WIDTH,_ +Q SO FT NO OF NO OF CHECK " +' _ - -V" 09 SIZE 'STORIES FAMILIES 'ONE- � USE ZONE MAP 0 � _ �Q DESCRIPTIO N.OF WORK NEW ❑ NO "« ' SPECIAL L ADD, El - CONDITIONS y� l,i. BY. Z•. ALTER FINAL a. ' REPAIRS ❑ DATE © ��� USE OF ❑ s r ' DEMOL EXISTING BLDG - APPLICANT TEL c.. G - PRINT) NO O :3 = BY(SIGNATURE( _ ; V�!�� n ', s _ a 1 HEREBY ACKNOWLEDGE THAT (•HAVE READ THIS APPLICATION AND STATE k �'{Y� �9 4 4,4'A .. THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY-WITH ALL ORDINANCES - �--� tL s. ' AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE • - '' _ « - #•o o'O-o'O WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V ` THE�LABOR CODE,OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM Z . PENSATION'INSURANCE s «_' ., .i,.`,�. 2`c D 2 a.01 0 G `((�� "Y - - .. a .Ie•' •il0'p o 215 V 0 xv SIGNATURE OF 4 PERMITTEE ADDRESSc:o 3,2 0.�8 0 �f` ?TEL P C Fee$^ .._ Permit Fee •u ,•�• _�, ._. ti.� ; Issuance Fee P Total Fe - ._.E - L. d� 76A6380I CE#803(REV 11/78) t; '•`! AP_PLICATION, -F.O,R,BU-IL--DIN,G P,E_RM1T COUNTY,OF_LOS ANGELES. _, BLIILDlNG•AND.SAFETY-'. FOR.APPLICANT TO F_ILLJN BUILDING XI/, _ ADDRESS _ BUILDINGr ADDRESS LOCALITY y NEAREST CITY r T ZIP CROSS,ST 4 �� NO OF BLDGS ASSESSOR ` SIZE OF LOT "NOW.ON LOT, MAPBOOK, ^`� . -'7 PAGE�` PARCEL , " DISTRICT • GROUP TYPE wF,IRE r PROCESSED'BY TRACT BLOCK LOT NO (%`.:� CONS i .ZONE. r- .f c•e _TEL "DO �„ OWNER NO STATISTICAL GLASSIFICATION­` " ' �' SEWER MAP ADDRESS CLASS NO DWELL'UNITS BK PG J' ' CITY - r ZIP'. ARCHITECT OR TEL VALUATION ---- ENGINEER .. .: NO•.j,... ADDRESS BLDG SETBAC-IFF eZyp ), TEL FRONT PROP LINE OF� (STREET) CONTRACTO ,NO r+/ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE, HIGHWAY WIDTH ADDRESS OQ' NO _ "LIC CITY /Z/ CLASS BLDG SETBACK FROM CONSTRUCTION LENDER- --•- - ^- - SIDE PROP LINE OF (STREET) NAME AND BRANCH ?� _ HIGH WAYy + YARD -TOTAL SETBACK FROM TYPE OF EXISTING IL ADDRESS - CITY ,y � y SIDE PROP LINE HIGHWAY WIDTH <4••. Q, V SQ FT NO OF NO OF CHECK ' +; '^ _ t' ` SIZE STORIES' FAMILIES-' C !+ USE- ONE _ ,MAP DESCRIPTION Of WORK• - NENO ,W' r, SPECIAL. {L tA ADD U CONDITIONS_ ` o- _ ALTER �❑ FINAL�� BY fj <p-i ®`LL r - ❑ DATE` REPAIR USE OF z DEMOL ❑ i.. ;, , EXISTING BLDG r„_^�_ - Z : W APPLICANT EL - - O ' (PRINT(% NO` BY ISIGNATU I HEREBY, EDGE THAT I HAVE READ IS APPLICATION`AND STATE I r` `i xu THAT THE ABOV S ORRECT AND AGREE„TO_COMPLY,WITH,.ALL ORDINANCES _ ��_ _ W � AND LAWS RE LAT G BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE U G C 6 r7+/� yr , WORK AUTH IZE HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF // G 5J IL / T1,„E THE LABOR C F THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM r+ > (.L •�•' �„Z, • n` ,.R, PENSATION INSURANCE , ' /�jr” �•t 'J(� t 0,0 O.OO SIGNATURE O :2 O o,.� n.0`0 ~r PERMITTEE (/ _ ADDRESS ;llmb�y _ Y-Z. p O'O 1 2'0 0 _. TEL 6 3.2.61_8 . F ' O, CIT NO �J� p 1.. ;•� '' F{ PC Fee$ Permit Fee ' - Issuance Fee' ,m d Total Fee