HomeMy Public PortalAbout6045 GOLDEN WEST AVE_Relocation__ 76A639 - CE 5Zy8-62
APPLICATION FOR REL "'4 ATION (BUILDING PERMIT
COUNTY OF LOS ANGELES ' t' BUILDING '
DEPARTMENT OF COUNTY ENGINEER ADDRESS `
BUILDING AND SAFETY DIVISION LOCALIT
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST
DIST.NO GROUP TYPE SEWER MAP ESSE
BY
FOR APPLICANT TO FILL IN CONSOR APPLICANT TO FILL IN COjS K G
PROPOSED u � t-,-1441 ,09
BUILDINGzl� '�11 WATER
ADDRESS -r NOT REQUIRED1-1RECEIVED
��- CERTIFICATE
LOCALITY i A O HIGHWAY
No (CIRCLE) STATE MAJOR SECOND LOCAL
PRESENT
BUILDING �,�� USE ZONE SPECIAL
ADDRESS J1 CONDITIONS b
LOCALITY �-F�l� I ( R
a
OWNER BUILDINGYARD HWY STREET NAME EXI$T�-a G�
(' SETBACK WI sHMAIL '
ADDRESS r.! �' 1/,-// FRONT I'
TEL P L
t
CITY i NO SIDE ^I
MOVING TEL P L
CONTRACTOR NO
_ SURETY DATE RECD ^ )
ADDRESS ��-} ,C7�� - BOND $ - FILED BY-
BUILDING
Y BUILDING TEL. CASH DATE REC'D �e ,
CONTRACTOR NO -DEPOSITS—FILED—BY-
ADDRESS
ry��dy�lDEPOSITFILED BYADDRESS
_ APPROVALS 715 INSPECTOR'S SIGN
Ev
Z�� -!r'/>/ ��/--� CT
FOUNDATION LOCATION
USE OFPRESENFORMS, MATERIALS
BUILDING t'l7 FRAME FIRE STOPS, 0^22-
^�
PROPOSED BRACING. BOLTS
USE OF
BU LD NG �-� ('I FURNACE LOCATION
GAS VENTS, DUCTS
SQ FT. NO OF // LATH, INT a
SIZE .�--- ROOMS 47- STORIES n //� ,°4
WALL ROOF
COVERING P�Cy' I
COVERING 'u/10r� LATH, EXT
LEGAL I ,qf� I HOUSE NUMBER COR- r� �77
DESCRIPTION // LOT N BLOCK RECT AND POSTED
TRACT 6 / FINAL
NO OF BLDGS. DISTRICT ENGINEER
SIZE OF LOT I NOW ON LOT SURETY BOND
USE OF NO OF RELEASED
EXISTING BLDG FAMILIES I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
1 HEREBY STAT AT HE 1 F ATI GIVE IS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CORRECT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '
SIGNATURE O /J BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
APPLICANT (fjAUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ADDRESS ING TO WORKMEN S PEN SURAN
VALUATION $ P C -��� G7l SIGNATURE OF\ �ias�
FEE �J PERMITTEE (•� '
Ivo� W f
FEE ADDRESS
VALIDATION CK. MO. CASH JOHN F LEWIS, Pi ]PAL STRUCTURAL GER
PERMIT VALID TION CK. M O. CAS
0 2 5 D 52.50A�,6
r
�, 1 2 7 SFR 10 6 D 3 52 5-®v,