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Home My Public Portal About6121-6135 GOLDEN WEST AVE_Building__ APPLICATION- FOR'.BU ILDI NG PERMIT FOR APPLICANT TO FILL IN (Pnnr or type only) BUILDING COUNTY OF•-LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY �j zIP �/ p BUILDING ^AND SAFETY DIVISION NO OF UILDIN SIZE OF LOT NOW ON LOTS B QX ADDRESG - TRACT BLOCK LOT NO LOCALITY ' TEL NEAREST OWNER NO CROSS ST /. ASSESSOR ADDRESS �j MAP BOOK - PAGE PARCEL DISTRICT - GROUP TYPE ' FIRE ESSED BY CITY ZIP - -- - CONST �% Zp __ ARCHITECT O®GG TEL JQ� 2, ,•.// -" ; ENGINEER N G - _ STATISTICAL CLASSIFICATION I SEWER MAP ADDRESS r' CLASS NOL/ 77�DWELL UNITS:]� BK7G CONTRACTOR NO - USE ZONE MAP -2- O NO LIC ADDRESS _ NO ,_Z• SPECIAL LIC CONDITIONS CITY _ CLASSYES[-] • ROAD DEPARTMENT APPROVAL REQUIRED NO ❑ CONSTRUCTION LENDER - } NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINED (STREET) C ADDRESS CITY V - HIGHWAY } YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING SQ FT}`�/yam NO OFNO OF, CHECK FRONT PROP LINE HI WAV WIDTH C SIZE !ry� STORIES -2/ FAMILIES • ONE - �j DESCRIPTION OF WORK NEW ❑ Z ADD BLDG SETBACK FROM (STREET) SIDE PROP LINEOF ALTER ❑ HIGHWAY } YARD = TOTAL SET BACK FROM TYPE OF EXISTING REPAIR❑ SIDE PROP LINE HIGHWAY WIDTH USE OF t = EXISTING,BLOG, DEMOL ❑ ' APPLICANT 7 CORNER CUTOFF, YES ❑' ` NO ❑ (PRINT) O BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ -VALUATION ' CATEGORICAL EXEMPTION •, YES❑ NO ❑ P HEREBY ACKNOWLEDGE THAT I HAVE READ THIS-APPLICATION ENVIRONMENTAL , AND STATE THAT THE ABOVE IS CORRECT, AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) ' WITH ALL ORDINANCES AND LAWSREGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT-EMPLOYW;A PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE LIFORNIAIN R ATING TO WORKMEN'S COMPENSAT I E 0�4vs•L� <K- SIGNATURE OF V ,,�yy.�,• PERMITTEE r ADDRESS �• ' / � TEL 7 FINAL BY_ {1-� DATE f� CITY ALL L—�_,/�/ N 0.. Q Q ' MAKF CHECKS PAYABLE TO F E +' FEE •I' HARVEY T. BRANDT. COUNTY ENGINEER /�/j 7 e� PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M b CASH ,1 9 4iMAY 29 2-3 1 6 '02 0 B9 76A638A CE#803 7/73 •— - — ' APPLICATION FOR BU ILD-I NG PERM-IT' - FOR APPLICANT TO FILL IN (Print or type only) I I "fl 6UILCING , COUNTY OF LOS ANGELES ' ADDRESS _�Z 4ZDEPARTMENT -OF COUNTY-ENGINEER CITY ' �G ZIP BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIZE /OFF 1_OTg0X� NOW ON LOT ADDRESS TRACT/� - BLOCK LOT NO - LOCALI TEL NEAREST OWNER NO CROSS S - ASSESSOR. ' ADDRESS b12,12 'MAP BOOK PAGE PARCEL DISTRICT I GROUP TYPE- FIRE ESSED BY CITY G��C�/ T IP J - CONST ARCHITECT O G�� TEL ENGINEE �- NO STATISTICAL CLASSIFICATION SEWER MAP I ADDRESS '� CLASS NO DWELL UNITS •� L BK PG CONTRACTOR - - NOL USE ZONE MAP /J O - LIC NO ADDRESS. NO L SPECIAL + LIC CONDITIONS - CITY CLASS - - ROAD DEPARTMENT APPROVAL REQUIRED YES NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM a FRONT PROP LINE OF (STREET) ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING cz HIGHWAY - } YARD - -SQ FT NO OF NO. OF CHECK _ FRONT PROP, LINE HIGHWAY WIDTH L. SIZES STORIES l/ FAMILIES ONE _ l _ I cd-0 a- DESCRIPTION OF WORK NEW } I O BLDG SETBACK FROM ADD Z ._ ❑ SIDEPROP. LINEOF (STREET) ALTER ❑ - TOTAL SETBACK FROM TYPE OF EXISTING REPAIR SIDE-PROP LINE HIGHWAY }- YARD = HIGHWAY WIDTH , USE OF } _ EXISTING BLDG _ DEMOL ❑ , APPLICANT TEL '� CORNER CUTOFF YES ❑, N0. ❑ < (PRINT) 0 BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE - YES ❑ NO Q �)/j� ❑ - VALUATION•Y �O/IC/i/b - CATEGORICAL EXEMPTION YES❑ NO ❑ , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL r - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO-COMPLY - IMPACT EXEMPTION DECLARATION SIGNED (DATE)" , WITHALL ORDINANCES AND LAWS REGULATING- BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT'REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY"PERSON IN VIOLATION OF THE .LABOR CODE OF THE5 ATE OF CALIFORNIA IN RE TING TO WORKMEN'S COMPENSA I U E �7 SIGNATURE OF PERMITTEE ADDRESS v ^ L FINAL _ Y• yam' _ CITY-////s)JY L..+(/�7 NOPMT DATE v• Q ) MAKF CHECKS PAYABLE TO FEE FEE.I HARVEY T. EIRANDT, COUNTY ENGINEER ;PLAN-CHECK VALIDATION 0 .. CASH PERMIT VALIDATION CK M O CASH 1 9 5iirAY 29 2 3 U 1 6-0.2,0 65 1 ; 76A638A CE#803 7/73 -APPLICATION FOR; BUILDING PERMIT �I FOR APPLICANT TO FILL IN (Print or type only) U BUILDING COUNTY'OF LOS ANGELES ADDRESS ! .Ui DEPARTMENT.OF COUNTY ENGINEER CITY /OLS ZIP " BUILDING AND SAFETY DIVISION• - q NO OF BLDGS BUILDING SIZE OF LOTJeX v NOW ON LOT 7� ADDRESS TRACT /l/Q� BLOCK /V LOT NO LOCA LI Y TEL NEAREST OWNER NO CROSS ST _ / ASSESSOR ADDRESS (A7 r MAP BOOK ? PAGE PARCEL .�/ DISTRICT GROUP TYPE FIR CESSED BY CITY / ZIP G e� CONST - 'ON - '\ ARCHITECT OR TEL` �7J -�� f•O�J - ENGINEE - NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS r `(CLASS NO _DWELL UNITS , / BK/77PG CONTRACTOR NO. ZONE NOP O.d_3>, ' ADDRESS _ NO J _2_� SPECIAL ' CITY LIC CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ I f CONSTRUCTION LENDER NAME AND BRANCH - BLDG SETBACK FROM / d ' FRONT PROP LINE O (STREET) L ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF NO. OF - CHECK HIGHWAY } YARD - 1 FRONT PROP _LINE HIGHWAY WIDTH MM � C SIZE W STORIES 7j FAMILIES NEWCLI +,2.�) `� a DESCRIPTION OF WORK ❑ ADD BLDG SETBACK FROM Z ' SIDE PROP, LINE OF (STREET) ALTER ❑ HIGHWAY }- 'YARD TOTAL SETBACK FROM TYPE OF EXISTING = REPAIR❑ SIDE PROP LINE HIGHWAY WIDTH USE OF EXISTING BLDG, DEMOL ❑ } I APPLICANT TEL CORNER-CUTOFF YES ❑ " NO ❑ (PRINT) �I /'Tf NO, ` BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ Q IN COASTAL ZONE YES 1:1E]- NO VALUATION i+ CATEGORICAL E%EMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL , AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING 'BUILDING CON- , STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY-PERSON IN VIOLATION OF THE �( n LABOR CODE OF THE ST E8�:w NG TO WORKMEN'S COMPENSAT,OH SIGNATUREOF ' PERMITTEE �� ✓ �.y� ADDRESS --7�f , T]ENGINEER L / [ � FIN'AL CITY //�jr,//(��//// _NDATE Q PMT r ' MAKE Cf/F_CKS PAYABLE O FEE p FEE,$ HARVEY T. BRANDT. COUNTY Sq 'PLAN CHECK VALIDATION CKM O CASH _ PERMIT VALIDATION CK M O _ CASH }, r '197r--MRY_ 2923 D 8 5.9 5 e ; ' 76A638A CE#803 7/73 'APPLICATION .FORIBUILD.ING PERMIT_, , FOR APPLICANT TO FILL IN (Print or type only) BUILDING ��—� COUNTY OF LOS ANGELES D ADREss DEPARTMENT OF COUNTY ENGINEER CITY gg ZIP �Q - - BUILDING-AND SAFETY DIVISION- -�}- SIZE OF LOT �4ZO NOWOON'LOTS ADDRESS / 33— /BUILDING JCC TRACT BLOCK I LOT NO- - LOCALIT - TEL NEAREST_ , OWNER 14" GQ NO OSS,ST - ASSESSOR " 1 ADDRESS / MAP BOOK - PAGE - _ PARCEL / l DISTRICT GROUPTYPE FIRE P EASED BY CITY CONS ys/`rZ N - ARCHITECT OR G 6 TEL ENGINEE NO - - ��/ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS TEL,- !!' CLASS NO O 2—DWELL UNITS 2' L BK77PG CONTRACTOR - NO - USE ZONE MAP 1U D LIC NO ADDRESS _ Np ,rte. SPECIAL CITY LIC CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FPO M% - a �'- - -- FRONT PROP LINE O (STREET) U ADDRESS CITY HIGHWAY } YARD - TOTAL SETBACK FROM TYPE'OF EXISTING tx SQ F NO OF !1/ NO OF CHECK, -FRONT PROP LINE HIGHWAWIDTH, SIZE STORIES 'r HIGHWAY WIDTH ONE - y NEW- _ I LL )DESCRIPTION OF WORK } �� coo: ADD ❑ BLDG SETBACK FROM Z SIDEPROP LINEOF (STREET) LTER ❑ _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY - } YARD - - - REPAIR❑ SIDE PROP LINE HIGHWAY WIDTH USE OF } _ EXISTING BLDG DEMOL_❑ ' APPLICANT - TEL CORNER'CUTOFF YES ❑ N_O ❑ (PRINT) BY (SIGNATURE) IN OPEN SPACE t YES ❑ NO ❑- QQ' IN COAS TAL ZONE YES,❑• = NO ❑ VALUATION s CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION ENVIRONMENTAL ti AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING, CON- STRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE VIFO,RNIA IN REL ING 70 < �- WORKMEN'S COMPENSATIO /yam SIGNATURE OF62 PERMITTEE �! ADDRESSqe� G FINAL n //J T E L CITY I�// //�/1�`" NO DATEy� PMT Q MAKE CHECKS PAYABLE TO FEE $ ' FEE K HARVEY T. BRANDT. COUNTY ENGINEER 9,2 0 20 'PLAN CHECK VALIDATIONcKJ M O CASH _ PERMIT._VALIDATION CK M o CASH 196(MAY 2923 D 1 60,20 8 76A638A CE9803 7/73 APPLICATION FOR BUILDING, PERMIT " FOR APPLICANT TO FILL IN (Print or type only) Y OF LOS UL ELES ADD Ess ,3 t G'�lJLO /IU� DEPARTMENT OF COUNTYGENGINEER CITY" G / ZIP zlea - - -BUILDING AND SAFETY DIVI ION �''X,L2V NO OF BLDGS BUILDING 'SIZE OF LOT" 7J NOW ON LOT ADDRESS` TRACT ��f, BLOCK LOT NO LOCALI '- / EL NEAREST - - OWNT _ER / l�j��- NO •CROSS ST ASSESSOR -ADDRESS Z �pG: MAP BOOK - PAGE ARCEL _ DISTRICT GROUP TYPE FIR PRO ESSED BY CITY G ZIP OCONSy� Z - ARCHITEC T.OR GILL-may "NEEL -�q3 - O8 . ENGINEER-_"- _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ,CLASS NO v / _DWELL UNITS BK PG- CONTRACTOR - TEL. USE ZONE MAP LIC NO ADDRESS NO �2j SPECIAL ' LIC CONDITIONS CITY CLASS _ ROA'D DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER :I- NAME AND BRANCH BLDG SETBACK FROM �- -- FRONTPROP LINED (STREET), C C ADDRESS CITY HIGHWAY " } YARD TOTAL SETBACK FROM TYPE OF EXISTING SO _FT NO OF NO. OF L CHECK 'FRONT PROP LINE' HI WAY WIDTH SIZE �� STORIES FAMILIES / ONE L } 6o DESCRIPTION OF WORK NEW Z ADD ❑ -BLDG SETBACK FROM (STREET) SIDE PROP. LINE OF ALTER ❑ HIGHWAY- } - YARD = TOTAL SETBAC K.FROM TYPE OF EXISTING ( REPAIR❑ SIDE PROP LINE HIGHWAY WIDTH USE OF- _ } EXISTING BLDG DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ _ NO ❑ (PRINT) / Oji- a N0. 1 IN OPEN SPACE YES ❑ NO BY (SIGNATURE) ❑ QQ IN COASTAL ZONE YES ❑ NO ❑ VALUATION P - CATEGORICAL-EXEMPTION YES❑ NO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL - AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) ,WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- _ STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED - (DATE) ' HEREBY I WILL' NOT EMPLOY ANY -PERSON IN VIOLATION OF THE LABOR CODE OF THE ST E CALIFORNIA IN ELATING TO WORKMEN'S COMPE VSAT N CE q(y.�-criL�ti"� ZL'� 4.w/ I SIGN4TURE OF / PERMITTEE ADDRESSuu v CITY / %��/[/� NO _ FINAL BY _ DATE Q MAKE_ Cf/ECKS bAYABLE Tlj F e FEE p HARVEY T. BRANDT. COUNTY ENGINEER G�L. •PLAN CHECK VALIDATION CK ' M O CASH PERMIT VALIDATION CK M O CASH i '1 9.8,`_rttAY .29, 2.3' D- 8 5.9 5. 76A638A CE4803 7/73 .- -r .