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Home My Public Portal About6337 GOLDEN WEST AVE_Building__ 79AS38A CE#8°9.9.60 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ,r / DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY l =I-f 'I-t' �- JOHN A. LAMBIE, COUNTY ENGINEER NEAREST �f WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. 40, DISTRICT NO. GROUP -HYPE __.I PROCESSED BY FOR APPLICANT TO FILL IN 1, f CONST. BUILDING - STATISTICAL CLASSIFICATION I SEWER MAP ADDRESS f `- �s B _PGs CLASS NO. DWELL. UNITS p- ./ LOT NO. Z_`��v. q,.('X� BLOCK MAP _ STATE YES .NO, NUMBER f� �"� -d HWY. TRACT USE ZONE SPECIAL 77� �+� IN NO.OF BLDGS. r CONDITIONS SIZE OF LOT NOW ON LOT ,_, USE OF 9 J EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER /�"�'{� O.Y�<��/ FRONT n;�! P. L. ADDRESS "T� SIDE ARCHITECT OR[1 /J TEL,.>�i't�ip P.L' ENGINEER �.Bi'b (�Lfi6I� NO { j / INSPECTION RECORD d ADDRESS � %AC' s � ��LL O TEL. V CONTRACTOR NO. Q' ADDRESS O DESCRIPTION OF WORK ' W N NEWADD ALTER REPAIR DEMOLISH Z SQ. FT. n 2! NO.OF NO.OF / r - C. SIZE /L STORIES FAMILIES ` USE OF f 4 STRUCTURE 1 I Z-01 / . ArIT'jr- AZ SIGNATURE dF/ APPLICANT VALUATION APPROVALS DATE INSP ,CTOR'S SIGNATURE _ FOUNDATION: LOCATION PC FEE $ �% I FEE $t� "" FORMS. MATERIALS ,- - - FRAME: FIRE STOPS. /1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTSAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT. " EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT. - URE O ` HOUSE NUMBER COR- SIGNAT SIGNATRECT AND POSTED PERMIADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUyz1`1RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION /K. M.O. CASH 533 223U 3i .5 t 7 1 G 6 3 .c t 78A838A CE#8.S_., APPLICATION FOR BUILDING PEWIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS I.;'� BUILDING AND SAFETY DMSION LOCALITY r JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. G� FOR APPLICANT TO FILL IN DISTRICT--f N G,IOUP TYPE ESSED BY ISI �� L' S� `'L CONST BUILDING ` 3 � STATISTICAL CLASSIFICATION S WER MAP ADDRESS `J Q9-,-,v $7BK CLASS. N � DWELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT NOP �� HIGHWAY STATE MAJOR SECOND, LOCAL - NO NO.OF BLDGS. / SIZE OF LOT V IN ON LOT / USE ZONE SPECIAL USE OF I CONDITIONS EXISTING BLDG. 1�5 A a I /� TEL. OWNER Loy[) C(>�tMAN NO. BUILDING EXIST. SETBACK -mac YARD HWY R ET NAME ADDRESS J AA1F WIDTH r FRONT ARCHITECT OR C"' TEL. P. L. ENGINEER A 1 C� NO. SIDE CL O �I P. L. ADDRESS �kp�' ` 11 TEL INSPECTION RECORD CONTRACTOR�� 1 A 12�")S NO. ADDRESS g-'�0 AT' Fll f C V W DESCRIPTION OF WORK CL z ADD ALTER REPAIR DEMOLISH S NO.OF NO. ZE T v X .Z STORIES FAMIO IES USE OF STRUCTURE // /0 3 vl- tu• tedL SIGNATURE OF J APPLICANT VALUATION$ < V APPROVALS DATE5 INSPECTOR'S SIGNATURE P.C. PMT. FO FORMS.MATERIALSON _ FEE $ FEE $ - FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CI.E.OF THE iTTASTUEROFELAT- ING TO WORKMEN' O NATI LATH,EXT. SIGNATURE OFHOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL ' a CLYDE N. DIRLAM, PR CIPAL STOM.O.AL ENGINEER PLAN CHECK VALIDATION M.o. cwse PERM VALffiATION cwsH t!. APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) O. �m �L Ci�Ty BUILDING ��t/ COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY (, CXV ZIP BUILDING AND SAFETY DIVISION TO.OF BLOGS. BUILDING SIZE OF LOT I O LOT ► ADDRESS 3 L TRACT BLO Kl I LOT NO LOCALITY l— C/T TEL NEAREST s _ OWNER D NO. � CROSS ST. ASSESSOR ADDRESS R MAP BOOK PAGE PARCEL DISTRICT IGROUPITYPE FIRE PR ESSED BY CITY &ME ZIP CONST. ZON ARCHITECT O TEL. vJ/C/C. ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL.UNITS _—_ BK PG ICONTRACTOR41L)rn(' NO y USE ZONE MAP an`' ADDRESSIJ 6 jr. �) NICD _ Q �" C/tJ SPECIAL LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.L,INEOF (STREET) ADDRESS CITY HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT, ,NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE a DESCRIPTION OF WORK Iv m NEW 1:01 + V ADD ® BLDG.SETBACK FROM (STREET) � SIDE PROP.LINE OF "��J +� sr ALTER ❑ = TOTAL SE BACK FROM TYPE OF EXISTING O J�. _io HIGHWAY } YARD U REPAIR El SIDE PRO R. LINE HIGHWAY WIDTH W a USE OF } = N EXISTING BLDG.UJI E:L DEMOL ❑ Z APPLICANT TEL CORNER CUTOFF YES El NO C] RINT) NO. BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ � VALUATION� Op Q -o-- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATI N INSURANCE. SIGNATURE PERMITTEE ADDRESS FINAL BY TEL. CITY NO. DATE - %LAKE C111-'(_FS PA)',1131-E '10: F EFEE —y� HARVEY T. BRANDT, COUNTY ENGINEER PLAN'CHECK VALIDATION . MO. CASH - PERMIT VALIDATION K. M.O. CASH 5U 2 3 U 4.5 � y3yr4Pn :�0 1 U_ 1 5.0 � ♦ o 76AG38A CE*803 5/74 LI CATION FOR BUILDING PERMIT OP LOS ANGMJM BUILDING AND SAFETY 7- BUI-13M COMpE7tsAT10N DECLARATION POR AP�LICAP TO FILL M afar.that I twM a ogrttflc m of oorwent t'aeff �� a ora Z LOCALITY ie& Az* NO.OF BLDC38.NOW ON LOT ❑ Owtr;od oopy Y harWy tumWW. rEAR!33T CHOEd ST. fled W bu TRACT BLOCK LOT No . UM ZONE AMP No. ASEEMOR AMP BOOK RAaE PARCEL _ &-BDIAL CONDITIONS CM11F ATE OF DATION FROM worms' COIPENSATION NISURANCE vYfr W 10M FT.OF SCI No No [ADCFVM (Thh aaatton nwd not be co n*W H-the W"Y for one hundred 1311 CT GROUPFWE ZONE RPOCE98E D BY dQm--.a 410I3)or Yoe) CITY � CC I arttfy ttW h the pe kx..enc.of the work for whksh thk patmH )s WI I W M not employ arty P050 h arty awrwr ao as to ARCI-STECT OR ENgaAIERTa.Na bacr aub)act yottw%bri afY Oomper5aation LawL STATAMIAL CL AB6a9G4TONt Apr COMDO pays T/many( ADDRESS ct"NO o?, PwELL UNITS NOME TO APR-fCWr: H, et'tbr rrwldn0 thb CwVW caLa of RBOIHREO TOTAL SETBACK FROM EXOT Exemption, you should b000me aubfeW t4 the Wbrkerv' SETBACK "m Fwy PROP UNE WIDTH Oomper>lalfon proyWorw of the Labor Coda, you mud fortttwtth FRONT cbmpfy wRh auoh prxrrtiiorw or t*PartnH W l be daanwd Tellokad. ` P L LFCBfSED DECLARATION CRY SDE U PL thereby affkm that I am ( '0 tioartlad order prov(of Of 0 EQ FT.SIS No.OF STORES Na OF FAt�t$ BK YAP ProfaaalorM h foil force Ir4dye� NEW. . ❑ BK PG L ioarw LRS.Ciaai of p ADD ❑ vAtW' I» IV I Aof 1r— 33 C9�5J AL.1 LK El ❑ I.m exempt wK r Seo. REPPI ❑ B.ARG tor.thY reason 14 DEAAOL ❑ LDAM PIC R Datr UBE OF EXXrr Nf3 BLDQ UREA ❑ ACCT POUR- A?��T(�7 TEL NO. LDW Pam r ACCT.T ❑ L. m'oww of the property, or my empfoyaaa with wapaa m their ec"comparnatlon,M0 do the work and the oVuohua Y ADDREBB3�'Ij]j not l ibm or oft sd for cele (Section 7044, Buahaaa and FINAL DAT9 ` Pro%niorw cod,.) G 1 ITEMS w . ILTHE IrPLIO►NT OR MunE e1 000lJP T..HA!i%dA KA�Q..AL . ❑.l as owlwr of the Props ty. am mxoknh y,conpvcttn0 vft TW AAirO�rp A rw uaXr�ixHCFMCIONL TO OR Q n FWALairTPIL O 205 - 65 > T_ Ikw mind .w.IbacloN bo O net uct thi. pro}arrt.(Section 7044„ Ym❑ Ho❑ . Bx#i*n�►d Prvfeniom coda) CHECK 205.65 wau THE arrvDao ce THo w■mm w THo AITUnM1T on ninum mAum4e LEMING AGENCY W «AUTY MAMA WNT0DMITRUCPCAQW DrKWUMN T.a910YCHNIieTPOR GUKMLPM ' 1 haI aNtrm ttwt ttw e Y a con/truofion km K& Hwy for YES❑ No❑ the perbrnwnca of ttw work for wNah No parffitt Y iaw»d(Sen i i wt ACRD.THe Fw.ARMA bL40' "!lOrlAPUXH daoe AND THC aaoo o! 9007.Ctx C.). OOI f`r a°r��°"ra°tcII r�IIIIII Ds MY FE` ,w`aEOR TFE LC40IOA �r LM 4 0 1 2f .'} / I Ph 12.ffj d L.endara t'�frw .. FMZAHSOUa YQIKALE r�'OffTMO IMP r'On Of Ul11a A rpfT�IiOY TFaI aCJ1n\O. V 7 uwKw•a Ad*ep C�a err I Cordy that I tMP4 read thY appfloatiorL and ataya th*t t M above P.C.Ft's PE Wr FEE _ hfornwrion oortaoi with acounty Ordlnrwaatxilidi and ,_ 1881.1ANCE-FEE NVEBTK3QF FEE TOLALFEE M AEWM KM 013"NATOW LJNIOUAtiC.