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HomeMy Public PortalAbout5606 GOLDEN WEST AVE_Building__ ADDRESS lli 0LO C.IM_„ywy" I ` APPLICATION LOCALITY . "G✓�^stz+cu DIVISION OF BUILDING AND SAFETY NEAREST CROSS BT. Department of County Engineer DISTRICT ti O. RECEIPT NO. P RMIT NOS County_of Loa Angeles ` J ?i WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CASSATT D. GRIFFIN, SUPT DF BUILDING FOR APPLICAN TO ILL IN _ TYPEJ�a,91BT• RECEIVED BY /,�ISSU D BY OWNER �/�.L- ' MAIL [`` �y t MAP /ZO'� D STATE K6B� T�1 ADDRESS/ K0 :AqAq S NUMBER d HWY L� USE ZONE SPECIAL TEL. �— ¢ONDITIONB CITY Nt'I.' ARCHITECT OR � � TEL.' ENGINEER '. NO. BUILDING YARD HWY STREET NAME EXIST. ADDRESS !SETBACK WIDTH �"-� , FRONT CONTRACTOR NO. P.L. , BIDE. ADDRESS BUILDING DATE CORRECTIONS INSPECTOR ADDRESS - � ' ,N'l F /o'��of f[ and Vko'e s dr dr C7 LOT NO BLOCK � TRACT I, NO.OF BLDGS. �A P�+✓t E'T_sL SIZE OF LOT I NOW N LQT ! UBE OF �?' �O T2 4.l Ifs, [ om� E 1 TI DESCRIPON WORK - �10� '' TI / O NEW ADD ALTER 7/ REPAIR o DEMOLISH Z Sq.FT. NO. OF NO.OF Y SIZE �[n STORIES �- FAMILIES r USE OF STRUCTURE 1 NO.OF ' MP OY I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IB APPROVALS INBPECTORIS SIGNATURE DATE CORRECT. _ 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATIONt LOCATION AND STATE LAWS REGULATING BUILDIN=_el,TION. FORMS,MATERIALS 2- S °—a FRAME: FIRE STOPS, SIGNATU 1,!2BRACING,BOLTB PERMI lllFURNACE: LOCATION, 1 a _ OAS VENT,DUCTS ADDRES C/ LATH, INT. AUTHORIZED AST. p�6MMM! FEELATH, EXT. �� Z„t lC1 $ �� O C. m HOUSE NUMBER COR- v I(ji/ � RECT AND POSTED VALUATION FEES �, Of FINAL 75A63BA D88 3 4-54 7BA638ACE#80'9_6_57 APPL.ICAT'IOIC_I FOR BUILDING PERMIT COUNTY OF LOS ANGELES - BUILDINGS`D DEPARTMENT OF COUNTY ENGINEER ADDRESS 6 BUILDING AND SAFETY DIVISION LOCALITY ' JOHN A.LAMBIE,COUNTY ENGINEER NEAREST p CASSATT D GRIFFIN,SUPT OF BUILDING CROSS ST - DISTRICT NO. GR UP TYPESEWER MAP FOR APPLICANT TO FILL IN B P � CONST BUILDING / 1I STATISTICAL C SSIFICATION AD RES?; M; - ' �" Ji9�oFLo7 CLASS NO DWELL,UNITS L NO. MAP QQH�TE YES, ' O NUMBER TRACT USEE-Z NE SPECIAL NO OF BLDGS ...00 CONDITIONS - SIZE OF-LOT - NOW ON LOT - - - - - USE OF /'+ ' EXISTING BLDG BTJILDING YARD HWY STREET NAME EXIST ^� OWNER SETBACK WIDTH . J FRONTS' -6a - MAIL / P L ADDRES 6Dd,6j-, 1-heL—v SIDE - _ y� TEL P L CITY I i TE INSPECTION RECORD ARCHITECT OR - TEL - ENGINEER - NO ' ADDRESS - - - y�II TEL CONTRACTOR -0 NO - - - -ADDRESS-- DESCRIPTION DDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH - SQ FT. !/77 NO OF NO OF SIZE d/ STORIES / FAMILIES USE OF STRUCTURE /'^ Dg . SIGNATURE OF APPROVALS APPLICANT-, - _ - ,�/ DATE* INSPECTOR'S SIGNATURE ADDRESS FOUNDATION LOCATION - ///---��� FORMS,MATERIALS $ -A-PR x , F C- _ FRAME_ 'FIRE STOPS, ///""""'777 r FEE• BRACING. BOLTS VALUATION�'J .� FURNACEGASVENT.DUCTS LOCATION. FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH,INT ' PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU.4..4T-ING BUILDING CONSTRUCTION.• LATH,EXT. SIGNATURE OF ifl_� - HOUSE NUMBER CCR- FERMI TTE / .•3S.'f/,Y'1,/,/,{�n/ RECT AND POSTED ADDRESS +� /� /'�^�"�" 1 /� FiNAL JOHN A.LAMBIE,COUNTY ENGINEER. CLYDE N DIRLAM, PRINCIPAL STRUCTURAL E " PIAN CHECK VALIDATION CK. M.O. .CASH PERMIT VALIDATION cll. M.O., CABH w - 3 Q 4 '4 m APR 1 1 A 4-.0-0 , M WO$KERS' COMPENSATION DECLARATION 60 hereinsure, o as certif carte of Workers' Comtpensation Insurance-, APPLICATION FOR BUILDING, PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) -t Ia COUNTY OF LOS ANGELES BUILLIJNa AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING / C/�11✓Q.S tion department. ADDRESS 6 C d0 CITY GEti1 G2 ZIP / � LOCALITY Date Applicant NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 60 X lag O NOW ON LOT / CROSS ST. ! COMPENSATION INSURANCE / ASSESSOR (This section need not be completed if the permit is for one TRACT I ! BLOCK LOT NO. MAP BOOK v PAGE PARCEL—' -7- hundred dollars ($100) or less.) TEL. p q OWNER t NO "f USE ZONE MAP NO. I certify that in the performance 1.of the work for which this SPECIAL } permit is issued, I shall not employ any person in any manner �y� ADDRESS �' / 'a •" r�` ���` , yI CONDITIONS O so as to become subject to the Workers'Compensation Laws: l > / U `h1 CITY Cf [ ZIP [ Date Applicant V` ARCHITECT OR g) TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY � NOTICE TO APPLICANT: If, after. making this.Certificate of ENGINEER /`�� E G�Jd Al& NO �- ? CONST. ZONE � Exemption, you should become subject to the Workers' —` U Compensation provisions of the Labor Code, you must forth- ADDRESS �� 2 a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. I CONDO. to deemed revoked. ` CONTRACTOR 04JAJ C12- NO. Z LICENSED CONTRACTORS DECLARATION s UC. CLASS NO. 14419 DWELL. UNITS�-1; I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business I ov and Professions Code,and my license is in full force and effect. CITY CLASS BK PG ---VALIDATION. SQ. FT NO. OF NO. OF CHECK License Number Lic. Class SIZE 3 STORIES FAMILIES ONE -- _ (� VALUATION Contractor Date DESCRIPTION OF WORK S . NEW yq� $ /�4,J10- J r j 1ADDL—J L/l / f Q., ? ❑I am exempt under Sec. 1 �� �� ALTER ❑ ► ic�t - ;� = B.BP.C. for this reason \ REPAIR ❑ $ Qkthi- E -•, ;„.:. USE OF Date: t EXISTING BLDG. fINJ/L Y DEMOL ❑ _., - Signature APPLICANT e L g (PR Z)AS Ek NO . .Z �„- �j�� FINAL OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License ADDRES 1a� (fra! Law for the following reason (Section 7031.5, Business and FINAL � � �. _ a- •t; .r :, Professions Code): PRESENT ByL% �'„'C�` j y BUILDING -i' !Z _ ❑ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and >< the structure is not intended or offered for sale(Section LOCALITY 0 'QQ 7044, Business and Professions Code.) MOVING TEL. �1 kt a' ._I(, CONTRACTOR NO. 1• I, as owner of the property, am exclusively contracting . ,t +•. a with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) • REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE "E P.L: Lender's Name 11' $ / Al '`D LDMA Ref. # Lender's Address P.C. Fee$ ( �• Permit Fee Al r 1 certify that I have read this application and state that the Issuance Fee 115. Ov LDMA P/C# 8 above information is correct. I agree to comply with all County Investigation Fee R ordinances and State laws relating to building construction, 1 Total Fee of "/ LDMA Perm. # a and hereby authorize representatives of this County to enter upo the above-mentioned pro r for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE f\ Signature of Applicant or Agent Dai I WORKERS',COMPENSATION DECLARATION . n+eure herebyaffirm certif carte of Worke srlifi'cate of Comtpennsat on consent Insuran of , A P P Insurance, CATION F O R �B U I L bI N G ' PERMIT or a certified copy thereof'(Sec 3800, Lab C ). „ „ COUNTY OF LOS ANGELES"' BUILDING AND SAFETY Policy No CompanyBUILDING F-1Certified copy is hereby furnished FOR APPLICANT TO FILL IN - t ADDRESS' ❑ Certified copy is filed with the-county building inspec- BUILDING ' !:)e Z CSS' - tiondepartment �, ADDRESS © O !GG �; Date Applicant CITY"{� " _ 'G j' ZIP,', lI LOCALITY NO,OF BLDGS NEAREST ' b CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT '/+ZO 'NOW ON-LOT - CROSS ST 1 ±yiy y COMPENSATION INSURANCE _ t ASSESSOR (This section need not be completed if the permit is for one TRACT` ' " BLOCK LOT NO. L MAP' K PAGE I ' PARCEL d� hundred dollars ($100) or IT , TELd USE ZONE • MAP yy OWNER s NO�2,P5 NO Y'�t f I,certify that in the performance of the work for which this / w permit,is issued, I shall not'employ„any person in any manner •ADDRESS5 ! ��yt/„j- SPECIAL_; ' 0 �so'as to.become subject to the Workers' Compensation Laws _ CONDITIONS a O U {” CITY -7- - -Cil r zIP Date` Applicant ARCHITECT OR TEL p :i+DISTRICT. ' 'GROUP TYPE FIRE ;PROCESSED BY ;_n�.,r.., ENGINEER ,.�� �Y, 0 C NO�(�Ot,��&7 �.: ,,NOTICE TO APPLICANT If,,after making this Certificate of CONST ZONE x- U �- tiExemption,•you'•should become subject to the,Workers" ' Compensation provisioris of the Labor Code, you;must forth- ,ADDRESS ! " z '' with-comply,,with 'such provisions or this' permit, shall be TEL STATISTICAL CLASSIFICATION APT , CONDO to r� `� Z 'deemed revoked CONTRACTOR ¢iG> NO ' _- ' LICENSED CONTRACTORS.DECLARATION LIC. CLASS NO DWELL UNITS ' I hereby affirm that I am licensed urider provisions of Chapter 9 f ADDRESSNO " •(commencing with Section 7000)of Division 3 of'the Business LIC ; SEWER MAP and Professioris Code,and my license isin full force and effect CITY CLASS BK PG VALIDATION SQ FT NO OF NO OF CHECK License Number Lic 'Clciss SIZE STORIES IFAMILIES ONE VALUATION DESCRIPTION OF WORK Q O NEW Contractor Date !N ❑ G^L S /�I �F !�• ADD ' 1 am exempt under Sec z ALTER' [Ell B 8P C for this reason - $ USE OF' REPAIR ❑ _ DateEXISTING BLDG 1' DEMOL Signature APPLICANT- JEL' FINAL 7-45-7(1 77 /// p - OWNER-BUILDER DECLARATION (PRINT) �A -.5 'i` Z(J NO 1 7 45 / / , ' _ DATE, / ! I " I herebyaffirm that I am ezem t from the;Contractor's License'_ / /' # e PADDRESSJ612 7V Low for the following.reason (Section 7031 5,'Business and FINAL` Professions Code) .,y• PRESENT BUILDING _ ❑ I, as owner of the-property, or my employees with, ADDRESS i '"' •'� ' wages as theif,sole compensation,will do the work and ! �,1� �� H_•_,(,e;a LOCALITY 7 - the structure isnot mtended'or offered for sale(Section" . � ,_,lir' - - ' Fir" ' 7044, Business.and Professions Code ) MOVING -Y ,- '-,TEL PV CONTRACTOR NOr- +_' I, as owner of the property, am exclusively contracting 1 1 i }n , with licensed contractors to construct the project (Sec- ADDRESSi l 0� tion 7044, Business and Professions Code ): - y REQUIRED -TOTALSETBACK FROM EXIST • r ^'Il � i IWit'' ,G+ i CONSTRUCTION LENDING AGEYARD H AGENCY SET BACK PROP LINE WIDTH I hereby affirm that there is a construction lending,agency for FRONT ' the performance of the work'for which-this permit is issued. P17 =•HAN E oE_ti' (Sec 3097, Civ C ) -SIDE .P L _ n Lender's,Name " LDMA Ref # i rel!x 1 P C Fee$ Permrt Fee Lender's Address ,.. �, _ o I-certify that.I have read this'applcation and.state'that the - Issuance Fee. LDMA P/C# g' above information is correct I ogree'to comply with'611 County nvestigation Fee t - ordiriances and Stafe jaws relating to building'construction, Total Fee LDMA Perm # ' ,Q and hereby authorize,representatives of this County to enter upo the bove-mentioned perty for inspectio purp es - SEE REVERSE FOR EXPLANATORY LANGUAGE 'Signature ofSApplcant or Agent w a e - ,