HomeMy Public PortalAbout9165 BIDWELL ST_Building__ 76X" �CK1.=,o APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDIADDRESNG
1 p �.� S7
DEPARTb= OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY T nt .
JOHN A.LAMBIE,COUNTY ENGINQR NEAREST d!��7 A'G
CAQUATT D.GRI FTIN •U rT 0 HUI LD I N a Cgpeo 6T
VRIT NO. GROUPTYPE PROCESSED Y
FOR APPLICANT TO FILL IN ,a T CONST ('v L0 V K�v
BUILDING l TICAL IPICATION HEWER MAP
ADDRESS /� BK PG
i
CLASS,NO IT !--
LOT BLOCK H-TAT't YSA O
C)c, >( HWY.
TRACT _ E SPECIAL
NO.OF BLDGH. CONDI IONS
SIZE OP LOT NOW ON LOT USE OPNG BLDG, G YARD HWY STREET NAME EXIST.K WIDTH
OWNERMAIL / r S-61�• '
TEL P
CITY 22j::Z4e;0 . N
ARCHITECT OR TSL. O
ENGINEER NO.
TEL.
CONTRACTOR NO
7
DESCRTP'lION OF WORK
NEW ADD ALTER PAI DEMOLISH
SQ.FT. NO. NO.OF
—SIZE STORIES FAMILIES
USK OF STRUCTURE
SIGNATURE r APPROVALS
A PPL I CA
ADDR r � DATE IIIbPHCTOR'D bIONATURE
FOUNDATIONi LOCATION
s FORME MATERIALS
P.C- Z FRAME; FIRE STOPS.
BRACING BOLTS - -
VALUATION ; FURNACE: LOCATION,
F=
ENT DUCT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATI..I INT
PLICATION AND STATE THAT THE ABOVE I8 CORRECT AND -
AGREE TO COMPLY WI ALL COUNTY ORDINANC" AND LATH @CT.
STATE LAWS GU ING BU I ING CO UCTION.
SIGNATURE O HOUSE NUMBERCOR-
P E R M 1 RE CT AND POSTE
ADDR MNA
CLYD N.DIRLAK PRINCIPAL RAL ENGINK"
PUN WE= A CK. Wo. cwsrlFEIMT V C, �.o crrtl
4 0 0 5rAy 16.. , 1 D 6.00— v
.D.
,,..I TEMPLE CITY
7IM=4A CZ#114111-*.T APPLICATION FORBUILDING PERMIT
COMM OF LOQ ANGEM BUILDING 01
DUAIENT OF COUNTY ENGUgM ADDRESS
STIV
BIP ZING AND SAFETY DIVISION LOCALITY e, i
JOHN A- LAM11IE, COUNTY ENQiN=R NEAREST /
CROSS ST.
DIST!�LCT NQ. GROUP T'PE ED HY
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL CLASSI ICATION H ER ALAP
ADDRESS - K
.NO UNtTS
LOT NO. BL WATtR NOT REQUIRED RECEIVED
CERTIPICATE:
ThACT MAP GHIGHWAY STATE MAJOR RECON AL L C
NO.OF eLDs. No. (CI.,:LE
SGU<'OF LOT, NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG .
TE L
OWNER NO. BUILDING YARD HWII STRKKT EXIST.
SETBACK WIDTH
ADDRESS FRONT
ARCHITEC'i'ORT'SL P.L
ENGIN N • SID
DRESS ON BECOBD Q
COW.RACTO NO V
3
DR OC
DFSCMMON OF WORK O
-N ADD THP__ RM2AIR DIEMOLIEM N
SQ.FT. NO.OF NO.OF Z
IZE STORIES FAMILIES
U8 OR
STRUCTURE
fA
SIGN.ATURB OF `
APPLICANT
VALUATION Z
-APPROVALS IN3FE=b ''a ST IRIR
FOUNDATION: LOCATION
IPP,T. — FORME MATERIALS
FRAME: FIRE➢TOrB,
1 HERESY ACKNOWI X K THAT I HAVE READ M.
THIS APICATION BRACING BOLT
AND STATE THAT THE ASOVE IS CORRICT.AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES.AND STATE LAW■ REGULATING DUCTS
■UIL,DINO CONSTIRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PDNS*11IOLTA-
4,0
u•n,l INT
.n DW OP THE L-"OR CODE OF THE STATE OF CALI -
ING TO,IIyORK3dKH'S COMPENSATION INSURAN
LATH �cl.
81GNATURE OF J, HOU�it UMBERCOR'
PERMIT 7– PICT AND PO8TJkD
ADbRH - Z \
CLYDE N. DIRLAM, PRINCIPAL CTURAL EN
PLAN C®CC'Y VALIDATION cx mo. cAmm PFBIT VALIDATION m m.o. aAa.1
0 9 5 8-G FEB 1 1 D £ �
' WORKERSI CONIPIEISATION DECLARATION "
1 her , affirm thc*te o avb a eel qom e'of'consent to .elf AP.P L I CATION FOR: BUILDIKG� PERMIT
Iruuro, of a certlficpte of.Wgk6n"��oompens7itlon Irnurarlce,
or a•ce{ttflod copy thereof (Sec.3800, l b,.0)
CQUNTY OF LOS ANGELES BUILDING ANO 6AFM
_ . c Pbllcy Nos Company
El '_Grtified copy.ls•).er.by'fumirthe4..1_ FOR APPLICANT TO FILL IN ADS
❑ C.brttfled copy Is filed.with tha•county'btidcling Irispec- IIDING
r ,tion-departmoat.
:
0Q
Date Applicant: M1'S CITY' Q/M ZJP v'�. LpF1�1Yj y
NO. of
CfiRITFiCATE'bF"DaMPTIOtf FROND WORKERS'. iOt NOW ON LOT•. �ST: s f
COMPD4SATION INSURANCE• - ASR '. �
(This-section need no1"he c9m laced tf.the'perml}'lri foI• one TRACT • OOc LOT NO. - PAGE PAR[$
hundred dollars ($100)'orl.&w),
C)1� - USE Zot�
I c.-oy.that In,the perf9dnance of the•,.,Work, which this
permit Is Issued,.1.~hall aot ermploy any peno In'brtyman�er ADDRESS —,
-po as to become sub1ect to t�e V4drkwt,Qorhpernation'Larws_ p. � _ _ ._. O
i CITY- -ZIP 1�/C t Y r i O
Date.: - glYcartt" ' ,r , ., .. TTEC-T OR TEL ,. .: .• �
App DI {,ROUP- JYPE FIRE- PROCESSED-BY
NOTI(I.,TO APPIACANT:,If, offer.ihakaAg,`hls:.Od�tFNcgfe of E�lolf�t.. FJ� , OgrlriT, ','. ` z
Exemptlon, youvhould•,become`Aublect -to s'the;;Workw%'
'Co'moerisation provlslons-of the Labgr C` y0U most fgrt)r
Y✓Mh comply :with suck.�rovJsions.or:,t permit shall be T� :f- ST6TT5"BGA! AFT. CONDO. 2 .,
d mad,revoked. ; Oft' No. cr.
UCEN5EP C0NTRAC7QRS'DECLARATtQN, UG tdo, •UN
1�iereby affirm that I am llcensed Under provlifons of Chapter 9 - ADDR555 NO. SEWER AMP
(commertolnq with SedIan700djof1[wls]on 3 of'ifs
"&nIrest} UC'
and�'rofeaslbni Code,and fny.IIcerne Is In dull for4aand effect. _ Crrya,� B,c L� '� ALIDA
50. FT. NQ. OF, NO. OF CH
k SIZE B FAI�IIUES
Llcenl�e.N '
ambee r„7cClats._ VALUAbOf4
,T DESCRIP➢ON OF WORK _ ❑
Contractor Y,; DQte f
I am exempt under Sec. -
B.&RC. for tftls "_rori ��r ' F � R>� IR ;
MNG NDIG.
Sl9natyro, ' _ MAL .
0WN3243U J IDER.DEQARATION
Y hereby-affirm tftat I am exempt.frann thi CoptradorsLlconsi - , Z 3M +
Lc* for the followin0-reason{$ecflon7Q3T.5; Business and ADDRESS At. FWAI<
Profq Ions Code).
L1ra BVLDING
.11 as own& of the prOperh',:4r my 9JnplaYeft.Wtth ADDRESS
w3gai at tharr sole compensation;SIH do the work and L O � ~
the strud0re14 not Ihtendad�offeie Toc-to le(Section
7044, Nilneiand nd Professtbns m0�iNG — t Tf -
L-I "1,as oymW bf Jhe prbpertV,.am.ett4luxlvefy cootrattfny �tJTRACTOR t30.. �� :(_dI
with Ilcenaed cgntra9tots to conttrust the proled{Sec AlSS
tioh 7941-Bus]rKm and frofes7rons Code.)
EYJSTCON(STRUCTION LENDING AGENCY - 'YARD HWI
I hbreby affllrrn that fhere Is.a cottstr'uctiorl Iending agency for FRONT __
tile'pirfonnance Qf the .work jor 1vhl�h ihts.'permlt,ls lssyed _Sp.IL '
{Sec. 3097 Clv. )..- - 340 Z:05
P.L r.
.Lenders Name LDAAA Rsf. f
-
P.C. F" Pscnh FM
Lenders Address -
o I carllfy that l have read t}tia apinkatton and V" that"the (soon LDAM,P/C f t
above InforrtwtI6n Is correct. f agreeto comply withal[County nvet±Ypatloa.Fsr-
tRnces a laws rolatlnp To bulydlnq construdJbn, - Total Fss LDMA Perm
out r of thisCounty.to enter
e hove me propel Irapei:Hon purposes
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SO-19V l!ok tv�wr}Aao+nr rouAoa
5lpnaturs of I or Apsnr