HomeMy Public PortalAbout5758 GOLDEN WEST AVE_Relocation__ - DEPARTMEN OF BUILDING HIED SAFETY APPLICATION FOR BUILDING
C' OF LOS ANGELES Rj�j� �TJ
WILLIAM J: FOX;CHIEF ENGINEER -E L O- AT I ® 1 V
OR APPLICANT TO.FILL -IN FOR OFFICE USE ONLY
[7GOldenwest
SED RELOCATION APPLICATION
SSBUILDING 5758 No. oerwes __ DISTRICrT NO. RECEIVED BY DATE RECD RECEIPT NO.
TY lGA / 5i�TNG 308 So. Del Mar Ave
SS 'pBUILDING APPLICATION
TY San Gabriel, Cali PLAN CK.NO. PERMIT NO.
� Jordan `M#v 3
RECEIVED BY DATE OF APPL. DAl'E ISSUED
SS 5758 No. GOldenwest ,s �TEL
Temple City, Calif NO.ATedN FIRE NO.OF TYPE GR/UP
ZNE PLANS 7ING TEL.TRACTO or na NO. 69371 BLDG. ORD.NO.
623 S.SanGabrielBlvd, SanGabriel SETBACK LINE znL-o I
ADDRESS APPROVED
B U I L D I NG AMS"-aT TEL. BY DATE
CONTRACTOR T. Jordan NO. AT
p�
p USE APPROVED
ADDRESS 5758 No. Gold.enwest TemleCi ZONE�-1 BY DATE
HOUSE NUMBERING
--PRESENT_
USE OF VaCant Map Number 2g9 9----- Field Check By________----_-__--_.--_
BUILDING
PROPOSED No.Assigned By----------------- Date-----------------------------------------
USE OF Garage
BUILDING _ -
SIZE T 19x20 ROOMS.' 1 STORIES 1
WALL ROOF
COVERIN6R.1:stile sidini COVERING ,Shin le
LEGA
DESCRIPTION 'I' LOT NO.NORTH c�OBL Lot 454
TRACT 6561 _
NO. OF BLOGS..
SIZE OF LOT I NOW ON LOT
USE OFp�p�7s O.OF' l ,ROOMS 6
EXISTING BLDG.dvellin +FAMILIES
I HEREBY STATE THAT,THE INFORMATION GIVEN AND
THE PLOT PLAN 'SUBMITTED ARE CORRECT.. -
- - -- - - APPROVALS
SIGNATURE OF
APPLICANTma
(!✓ FOUNDATION: LOCATION INSPECTOR DATE
- �:. MATERIALS
5758 No�. olden'w 'st,, Temple Cit FRAME:BRACING,FIRE STOPS,
--
ADDRESS �9
LATH, INT.:
RELOCATION
APPLICATION_ $.10.00 LATH, EXT.:
t.NF. FEE ' I
Qf1v P C $ ... PLASTER, INT. A .
FEC- l PLASTER, EXT. ( --
VALUATION _ -- - ._ - - •'FEE . ./ f�.
-'- FINAL
76A639 0.49