HomeMy Public PortalAbout6047 GOLDEN WEST AVE_Relocation__ 4
76A639 E 879 - 8-62 U
s :APPLICATION FO RELOCATION BUILDING PERMIT
COUNTY OF LOS'ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADORES
BUILDING AND SAFETY DIVISION LOCALI
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST
IN
NOOUP TYPE SEWER MAPSSED BY
FOR APPLICANT TO FILL IN 11GR CONST. K PG
PROPOSED l�" (�'� jBUILDING TERADDRESS O / TIFICATE NOT REQUIREDLi m
RECEIVEDLOCALITY F '� i P HIGHWAYSTATE MAJOR SECOND LOCAL
OQ (CIRCLE)PRESENT BUILDING /�LC � O ZONE SPECIALADDRESS �3 CONDITIONS
LOCALITY f G,:,,OWNER L <-/�y � �'] LDING ygRD HWY STREET NAMEEXIST
MAIL / TBACK WIDTH
ADDRESS - ,�I��,/�L� /%t1-P FRONT
...terTEL. P L
CITY 8 / T NO SIDE
MOVINGt TEL 7'// P L
CONTRACTOR •T NO
SURETY DATE RECD
ADDRESS (N• BOND $ - FILED BY }
d
BUILDING TEL. CASH DATE RECD O
CONTRACTOR NO �- DEPOSIT $ FILED BY U
L APPROVALS DATE INSPECTOR'S SIGNATURF W
ADDRESS d
FOUNDATION LOCATION ,� ,,,. O
USE OF FORMS, MATERIALS 1 �` 7 V
BUILDING FRAME FIRE STOPS, /2„s�9 W
PROPOSED BRACING, BOLTS / D_
V)
USE OF
BUILDING FURNACE LOCATION ?
GAS VENTS, DUCTS
SQ E FT. LL NO OF r LATH, INT .�
SIZ �.7 ROOMS STORIES
WALL ROOF LATH, EXT
COVERING COVERING i
LEGALdd HOUSE NUMBER COR-
DESCRIPTION LOT NO 7 0 I BLOCK RECT AND POSTED f
TRACT 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
I HEREBY STA T THE 1 IS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CORRECT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
SIGNATURE F �).� BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK
APPLICANT Y� AUTHORIZED HEREBY i WILL NOT EMPLOY ANY PERSON IN VIOLA
TION OF THE LAE' DC TATE OF CALIFORNIA RELAT
ADDRESS ING TO WORK ME
SCO P SATIO SURA
VALUATION $ I P E SIGNATURE
7 5/`��•� FEE LJ G �J PERMITTEE
FEE $ � ADDRESS
VALIDATION CK. MO CASH JOHN F. LEWIS, RINCI Al_ STRUCTURAL ENGINEER
PERMIT V ON CK. M O. CASH
022NF_ 4 5 U 52.50 ®Ll:s
12rro 10 6 U 62.25A98