HomeMy Public PortalAbout6321 GOLDEN WEST AVE_Building__ 76A W EA C E/EGJ 9-8E
APPLICATION FOR BUILDI G P.RMft
COUNTY OF LOS .ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS J
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER EST
COLIEMAN W. JENKINS, 6Ur'T Or BDI
UILNG NEARNEARCROSS ST
FOR APPLIC T FILL IN DISTRICT NO GR P TYPE P BY
Print or • only) CONST.
BUILDING 1 STATISTICAL CpL�A6SIFICATION SEWER MAP `
ADDRESS O{ e. CLASS NO._(LDWELL,UNIT9 BK PG
LOT NO. BLOCK. USE ZONE MAR D
NO.
TRACT SPECIAL
tJO:OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
Lis r= O
EXISTING BLDG. BLDG,SETBACK FROM
T L FRONT PROP.LINE OF- (STREET).
E OF EXISTING SETHAC]( HIGHWAY + YARD = TOTAL
HI WIDTH FROM C.L. '
A Am
+ _
CITY
BLDG.9ETBACK FR
ARCHITECT O TEL. SIDE PROP.LINE OF (ATREET)
EINGINEER NO.
TYPE DF IDTING EET6ACK -H_IGHWA t YARD = • -TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L -
I TEL, l} + _
O. 7
A NO. Q CORNER CUTOFF YES ❑ NO S
cl tai ci oss SEE.RE E SIDE FOR SPEC APPROVALS
DESCRIPTION OF WORK
GCID
W
NEW ADD ALTER REPAIR DEMOLISH —
SQ. FT. NO. OF ) NO. OF
SIZE STORIES / FAMILIES
USE OF �i l
STRUCTURE TJ D
SIGNATURE OF
APPLICANT
VALUATION 3 APPROVALS DATE IN/PECTOR'[ SI[MATUR[
P.C. PMT. FOrMATER.MATERIALS FORMS
FEES FEE f �!OD
I HI11QlY ACKNOWLEDGE THAT I HAVE READ THI/,APPLICATION FRAME: FIRE STOPS,
BRACING BOLTS
AND STATE THAT THE ABOVE 1/ CORNiCT AND ACRE[ TO COMPLY FURNACEI LOCATION,
Wr.rH ALL COUNTY oRDINAMCES AND /TAT[ LAWS REGULATING GAS VENT, DUCTS
EUILDI NO CONSTRUCTION, 1 CGTHAT IN DOING THE WOR
fTIFY TK
AUTHoorZED HERESY I WILL NOT EMPLOY ANY PERS.QN IN VIOLA-
TION OF THE LABOR Cool[ OF THE STAT[ OF CALIFORNIA RELIT- LATH, INT.
ING TO WORKMEN'/COMPENSATION IN/U CE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED r
ADDRESS FINAL 6
JOHN F. LEWIS. PRI CIPAL STR RAL ENGINEER
PLAN Cl= VALIDATION cx M.o. cA H _ PERMIT VALIDATION cK M.O. CASH
I L .,2430-c" X127 1 0 9.00
APFPI:.�.G TION FOR- BUILDING PERMIT 1
COUNTY'OVA,,Q� ANGnLEs BUILDING
W1 .
DFPA EfjT-.OF COUP IIjGfNF.ES ADDR@88 _
BUMPING, AND'SAFErY DIVISIOM LOCAUTY. TI ® GAS -
JOHN'A.-4AMME, COUNTY ENangxXR NEAAREST. �1d�1R VB.
CA6IATT D ORIFRIl4I Ot ntni_olM• -
D1 O: P
.� ORO T 11 _ R
FAL IN. boil
BUILDING STAT I BTI CAL,CLASQ I FICAT I R MAP
at . 1 1
UN
'LOTNO.'• LOCK PI Ft Q Y, gT/ITg O
TRAG r -3 _ _ USE ZON Mi KCIAL' .
O,O ra
COND I-i'I ONB a
B=OPt NOW O.N
'EJCIBTrNdBLbO. r-r. ..-:, .BL1IpI6E, �TH
YARD
MMAtiWY
p aFCLJz-�Q�+ '�Oi►LL� r.- MONT 1 /,•..
L,
ADDRE88 '-•. ,91D'��
TF.I_.
cI i;( IIffPEChON HECOED
ARCHIT$CTO14 TQ
ENOIN6ER Nb :.
ADDREBH -
-CONTRACTOR 'NO
ADDREHH 3133 . i , X14-.'
DESCHW71ON Off'
NEWALTER REPAI 4 yDEIAOLIBH'. r
B4 PT. NO.OF No:OF _
tl4ZH -f' BTORIEA FAMMM9 - . . -
1J OF - ••t _ ..
UC URE O
bld AAPPUTtJ}fRdr
CCAANNTT
h tJ�DA/PPROYA�.LOD DATE I CTORJ 519PtATURE
ADRL$� FO�tll TEIlIAL4TiOti
LI3153
VALUATIONVIR71PIgP.7M
YRAiI$ R!!>TTOPIQ.
BRACIN IIOLTH-
P.0 r1J C$:LOCAN. ~
�I HEREI3Y 4CKN WtmO� 7 HAYS REA15 IH.
PLICkTION AND STATE T4A7 AryOYS 1H CCQQRRECT- L+�
-AoRkTo-COMPLY WITH ALL COUNTY ORDIfi.�NCEB 4�1q
STATE LAWS RSQ TIN(# BUU D Q u ON. L.�. mLT.'
HIONATURE Or ♦ HOUSE Null coA- ,3
QER)V I �
AbD � .. •. AVO
loom *r.
C4YDE N. DIRTAK-PfttNtjllALj3j R 9NGT XXR.�x
PLAN Cl=.V=ATIQN c. .'mA- cAm $EMT VAMATION hL0. .CA5H '` a