HomeMy Public PortalAbout5842 GOLDEN WEST AVE_Building__ 76A638A CE y8032-63 APPLICATION FOR BUILDING PERMIT , - °-
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION- LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST
DIST
RICOT NR- ` P TYPE PR
FOR APPLICANT TO FILL IN t✓S rJY coNsr
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BUILDING - STATISTICAL CLA S ATION SEWER MAP
ADDRESS
CLASS NO ELL UNITS El �
LOT NO BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT MAP HIGHWAY STATE MAJOR SECO D, LOCA
G NO OF BLDG NO (CIRCLE) -
SIZE OF LOT } �( 1 NOW ON LOT USE ZONE SPECIAL ,
USE OF CONDITIONS
EXISTING BLDGTE
77�� YYY
NO /-b0 BUILDING YARD HWY STREET NAME EXIST
SETBACK WIDTH
ADDRE .1 FRONT
ARCHITECT OR TEL P L
ENGINEER _ NO SIDE" a,
P L
ADDRESS; 0
TEL
CONTRACTOR , NO -
. O
ADDRESS F-
DESCRIPTION OF WORK ' CLu
L
Z
NEW ADD ALTER REPAIR DEMOLISH
SQ FT NO 'OF NO OF
SIZE STORIES FAMILI S
USE OF
STRUCTURE,
C
SIGNATURE OF
APPLICANT
VALUATION $ / -
APPROVALS DATE INSPECTOR'S SIG URE
PC PMTgyp. FOUNDATION LOCATION
Of
FEE
FEE $ _ $ • FORMS, MATERIALS
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING' BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION _WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN S COMPENSATION INSURANCE LATH, EXT _
SIGNATURE OF-/ - HOUSE NUMBER COR-
PERMITTEE ���...///_ RECT AND POSTED l`
ADDRESS 9" FINAL
PLAN-CHECK VALIDATION CK Mo dA�SH _ JOHN F LEWIS PR,NCIIPAL ST R JURAL ENGINEER
=
{vl PERMIT VALIDATION CK M O CASH
L,i�o / 3 7 3 nH 7 1 D -4.0 0 J
DEPARTMENT OF COUNTY ENGINEER BUILOLOI)INOG •
DIVISION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION _
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.OR REC.No. PERMIT N
ADDRES
LOCALITY / C� I�\ �^• �l �� �!' - °' (! ��RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST ` .� > ca (/r�ci� .... 3
CROSS ST .>,- f'�l S( s�lgV-+�'� BUILDING ` // t•� _
OWNER ,A�f ✓�J 5 � t�l-r /`�ti,d t-:. ,�a- '� ADDRESS � � jl z' �4 C G�7 ed '
MAIL ADDRESS to" ,�� t� j�c�? /'� LOCALITY I -
ITY ��L C'�j•- 'f NO 141 ��✓RQ/� CROSS ST.NEAREST �Q A V-•!,t .I
ARCHITECT OR I TEL. FIRE ZONE �- I PLANS I TYPE GROUP
ENGINEER NO.
BLDG ORD. NO.
ADDRESS SETBACK LVE
TEL USE PPROVED
CONTRACTO NO. ZON Y DATE
ADDRESS - v HOE NUMBERING
LEGAL /_ " ,L„ MAP NUMBER Za O NO. ASSIGNED BY
DESCRIPTION LOT NO. �/* BLOCK - j'
0 CORRECTIONS
TRACT �T Ifs
�^ ' / NO. OF BLDGS.
SIZE OF LOT J / �/ NOW ON LOT /
USE OF NO. OF '
EXISTING BLDG. 45 SCA 49-- FAMILIE
DESCRIPTION OF WORK D -
NEW ALTERATION ADDITION _
Z
REPAIR DEMOLITION Y
SO _ r
8 ZE T �, r .�ROOMS STORIES
EXT. WALL ROOF
COVERING COVERING
USE OF STRUCTURE
APPROVALS
_ - INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-. FRAME: FIRE STOPS, /
PLICATION AND STATE THAT THE INFORMATION GIVEN IS ' BRACING, BOLTS /
CORRECT.
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT, DUCTS
SIGNATURE OF l0:,--zwar. LATH; INT.PERMITTE i
` LATH. EXT. �r7
ADDRESS j _ ,
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT. '
$ S P. C.
HOUSE NUMBER COR-
� FEE ^� RECT AND POSTED '
VALUATION J FEE S G �� FINAL /, F
78A898A D093 9-82
I
76A638A CE 7803 2-63 APPLICATION FOR BUILDING PER IT;
COUNTY OF LOS ANGELES BUILDING 1
DEPARTMENT OF COUNTY ENGINEER AD°REss : . 11
BUILDING AND'SAFETY- DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST �,
-WILLIAM A JENSEN, SUP r OF BUILDING CROSS ST. �� _ �l
DIS TR CT GROUPTYPE-,'•- RO ESSED BY
FOR APPLICANT TO FILL IN coNsr - �� �
BUILDING STA I ICAL CLASSIFICATION SEWER MAP
ADDRESS584�
z - G3 �i.�BK_ PG -
'I-CLASS NO DWELL UNITS .Y �-
LOT NO REQUIRED RECEIVED
NO �� BLOCK WATER
CERTIFICATE
El
'TRACT'- 1&41 MAP - {( HIGHWAY' STATE MAJOR SECOND, OCAL
NO OF BL'DGS N, -ef" (CIRCLE)"•-
SIZE OF LOT NOW ON'LOT USE ZONE SPECIAL..
USE OF, d,�- CONDITIONS''
EXISTING,BLD G',
OWNERMr• 'J• Benesch N� [17'.- BUIL ING 'r sEXIST-
ADDRESS 5842 N.Goldenwest l�V'e SETBACK , YARD HWY N E K WIDTH
FRONT
ARCHITECT'^OR _ -- - TEL P L j✓
ENGINEER NO SIDE
P L
ADDRESS - - O
TV
CONTR'ACTORVir in Roof ' NE S
ADDRESS600 S• San Gabriel Blvd. 0
DESCRIPTION OF WORK San Gab w
t a.
NEW ADD ALTER REPAIR�� DEMOLISH . Z
SQ FT a„ Nd—Or— NO OF517E STORIES STORIES _ FAMILIES 1 -
USE OF
STRUCTURE,-
Re-'roof House & Garage, ,
:SIGNATUREOF
APPLICANT
VALUATION $-434.00 - �- �
APPROVALS DATE INSPECTOR'S SIGNATURE
PC PMT - FOUNDATION LOCATION" -
FEE'$ •'"��'T FEE,$�6,e'00 FORMS MATERIALS -
FRAME FIRE STOPS ..
THEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS '+ _
AND STATE THAT THE ABOVE,IS CORRECT AND AGREE TO COMPLY - FURNACE' LOCATION'' -
'WITH 'BALL-,COUNTY ORDINANCES AND STATE LAWS REGULATING1�•' '
GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT;IN DOING THE WORK -
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY'PERSON IN-VIOLA- LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- `
ING TO WORKMEN S ENSATION.INSUR CE - '�
SI Mi// LATH EXT
SIGNATURE OF O MBER COR'• _
PERMITTEE NO POSTED,
ADDRESS 600 S e San -Gabri e 1 B1` • :' FIN -
San G'abrie•1 JOHN F L'EWIS PRINCIPAL STR RAL ENGINEER_
PLAN CHECK VALIDATION CK M O CASH' PERMIT VALIDATION cK M o CASH '
4 4`9 1-" JAN 15 1 D 6.0 ON.