Loading...
HomeMy Public PortalAbout6049 GOLDEN WEST AVE_Building__ APPLICATION Fr�BUIL�NG PERMIT FOR AP LICANT TO FILL-IN . wr'int or type only) COUNTY OF LOS ANGELES BUILDI,NG ADDtESS , - f, DEPARTMENT OF COUNTY ENGINEER CITYTem la Cit' � - ZIP 1 80, BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIZE OF LOT NOW ON LOT 2 ADDRESS TRACT 6561 BLOCK LOTNO 90&91 LOCALITY TEL INEAREST OWNER C.R„JAhnstoh . NO CROSS ST ASSESSOR ADDRESS '2, Z'a dell. _ MAP BOOK PAGE y PARCEL ` _ DISTRICT ' GROUP TYPE ' FIRE t;)PROC D BY CITY T ZIP � T CONST FZO IR ARCHITECT O'R TEL V vV v ENGINEER - NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS- TEL CLASS NO DWELL UNITS . BK//3 P� CONTRACTOR-ChUlZ_ Bros,, NO 85-541USE ZONE NoP• � ' LIC ADDRESS 1 , 8,E 1 . , _ NO 1 6 , ''' 19a, SPECIAL LIC CONDITIONS CITY San Gabriel-, CLASS B 1 CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH BLDG SETBACK FROMA /�n FRONT PROP'LINE OF /ifaI'd�( ` (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF NO OF CHECK HIGHWAY, + YARD = TOTAL SETRACKOP FROM HIGHWAY WIDTH SIZE 88 STORIES 1 FAMILIES• 1 ONE FRO //'' a } DESCRIPTION OF WORK' D�t:aA NEW + �� ' (O�/ O BLDG SETBACK FROM - . ' Car ara S' ADD ❑ SIDE PROP LINE OF (STREET) O ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING a USE OF 422,-044 REPAIR ❑ SIDE PROP LINE HIGHWAY WIDTH Z EXISTING BLDG Re$fdbnae IDEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ PRINT( N IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE( .1IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ 3©© PAV?W[��r I HEREBY ACKNOWLE E THAT I HAVE READ THIS APPLICATION AND STATE / L v'� eK 7b Gp� THAT THE ABOVE IS CORRECT AND AGREE COMPLY WITH ALLORDINANCES `_- AND LAWS REGULATING BUILDING CONSTRUCTION DON I CERTIFY THAT IN DOINGGTHETHE v WORK AUTHORIZED HEREBY I.WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 COM y� PENSATION INSURANCE G 9 SIGNATURE OF PERMITTEE ADDRESS �7 TEL DATE 7/.L BY CITY NO - MAKE CHECKS PAYABLE TO , PC Q PMT $ HARVEY T.BRANDT,COUNTY ENGINEER FEE U FEE /c27. 49 O l X00 PLAN CHECK vAu0AT1,ON cK" M o cnsH PERMIT VALIDATION CK MO CASH =7.2 �:e. 2,'7=:8 4��� 6 5'. its' 13 LL� ® -1 5 0.0 0 A* 76A638A CE#803 3x75 v •'` y