HomeMy Public PortalAbout6448 GOLDEN WEST AVE_Building__ Xi PARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES k?. SUILDING 1
WM. J. FOX. CHIEF ENGINEER
_ FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY - RECEIVED BY DATE OF APPL. D-ATEE'I13SUtED��11
NEAREST L .� r' l /•I-^ > u
CROS.ST. T 'Co/ g
BUILDING
OWNER ADDRESS
MAIL LOCALITY
ADDRESS
TEL, NEAREST
CITY NO. CROSS ST.
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL, ZONE PLANS
ENGINEER NO
" BLDG. ORO.NO.
ADDRESS SETBACK LINE ��
APPROVED
_ C.w' V. ;'ii• } -
TEL BY DATE
CONTRACTOR
NO.
USE APPROVED
_�LDDREBEJ ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. BLOCK
_TRACT
NO.OF SLOGS.
__SIZE OF LOT Q � NOW ON LOT
USE OF NO.OF NO.OF -
EXISTING BLDG. I FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A_
_REPAIR MOVING DEMOLISH L1
Sq.FT,
NO.OF Z
SIZE ROOMS STORIES r
WALL ROOF Lvt•-IMI `
_COVERING _ �.`�, r- (►,'�'� I COVERING
USE OF NEW
-BUILDING `:,y!c,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS _
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DAT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS -T ,(•"�
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. — - ,
FRAME: FIRE STOPS,
a
SIGNATURE OF - BRACING,BOLTS
_
PERMITTEE____ — --- LATH, INT.
AUTHORIZED AGT— LATH, EXT.
76A63HA-3 7-49 $ p C PLASTER, INT.
EE PLASTER,EXT.
VALUATION cEE FINAL