HomeMy Public PortalAbout6217 GOLDEN WEST AVE_Building__ JAN 2 3 1963 �-
76A638A CE x$803 6.62 APPLICATION FOR PUILDI-NG PERMIT
COUNTY'OF LOS ANGELES BUILDING -7 j
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
DISICT NO GRQI?P pE P E D
FOR APPLICANT TO FILL IN 0 � oNsr
BUILDING STATISTICAL CL S (CATION S ER MAP
ADDRESS 4,2 1 7 BK P
CLASS NO DWELL UNITS__J_
LOT NO BLOCK WATER
CERTIFICATE NOT REQUIRED' RECEIVED - _� ,
TRACT T^ ,,//'' \
NO OF BLDGS - NO ' 6?e -3(iCI CyLE) STATE MAJOR SECON OCAL )
SIZE OF LOT NOW ON LOT +� -USE ZONE SPECIAL
USE OF CONDITIONS (/
EXISTING BL G _
TEL 5-0
OWNER NO 4-7'%, BUILDING (YARD WY STREET NAME EXIST
SETBACK WIDTH
ADDRESS � FRONT �/ j
ARCHITECT OR TEL P L (, 2 O
ENGINEER § NO SIDE - '
P L y,/ /���/,rte - d
ADDRESS TEL �^ W d l J - O
CONTRACTOR NO �. �p////I U
ADDRESS F y�0��+✓.f�' d �!C CL�/YI'' ,^3�. w�
DESCRIPTION OF WORK — (0 O�
NEW ADD ALTER REPAIR DEMOLISH �1/" ��V
CL
SO FT [� NO OF NO OF Z
SIZE �,�a �� STORIES FAMILIES J - / d
USE OF (''� /[ff"� JI��G/1•.! 1"8'/ � tC. ✓6��'
STRUCTURE D ' r
SIGNATURE OF -
APPLICANT
VALUATION $ ,
r ` APPROVALS ATE', INSPECTOR'S SIGNATURE
FEE $ , FEE $ `� FOUNDATION LOCATION '/�//��
FORMS, MATERIALS �/ (� , ,...�*
- FRAME FIRE STOPS /
I-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS / 31♦II/I A
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -FURNACE LOCATION � �I�.✓
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY-1 WILL NOT EMPLOY ANY PERSON IN VIOLA-' LATH. INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S CO PENSATION NSURANCE LATH, EXT I
SIGNATURE OF - HOUSE NUMBER COR-
PERMITT �•� /J�,.� RECT AND POSTED 7-, ()� i7DA4
ADDRESS / t�v.-e jam/ FINAL""r'+r�
JOHN F LEWIS, PRINCIPAL ST URAL ENGINEER
PLAN.CHECK VALIDATIONCK M O CASH _ 'PERMIT VALIDATION CK M U CASH
o S o 2 9 'AN 1 8 2 3`-D 3 3.75A
5 8 5 5 JUN 7 1 D 6 7.5 v N
J r