HomeMy Public PortalAbout8607 GARIBALDI AVE_Building__ •.7E/1Ea.A CE"e03 'APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 4'
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FBD
OR APPLICANT T FILL DISTRICT NO. GRO YPE PR ESS Y.
Print or • only) CONST.
• STATISTICAL CL„�S�FICATION S R MAP
D CLASS NO DWELL,UNITS
USE ZONE OP I//
. 7
SPECIAL
N0.OF BLDGS. CONDITIONS
T NOW ON LOT
BLDG. - BLDG.SETBACK FROM
TEL FRONT PROP.LINE OF (STREET)
' TYPE OF ISTING DE HIGHWAY + YARD = TOTAL
HIO WIDTH .L
+
CITY �d _
BLDG.SETBACK FROM (STREET)
ARCHITECT OR TEL. SIDE PROP.LINE OF
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. + _
CONTRACTOR NO.
ADDRESS O CORNER CUTOFF YES ❑ NO
Alu CITY CLASS SEE REVERSE SIDE FOR SPECIAL AP OVALS '
DESCRIPTION OF WORK
i
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT.011e NO. OF NO. OF �
SIZE STORIES FAMILIES
USE OF I r"
STRUCTURE
SIGNATURE OF Of
APPLICANT
VALUATION f / D
APPROVALS DATE IMS P[CTOR'S SIENA TUR
P.C. PMT, S FOUNDATION: LOCATION
FEES FEE f FORMS MATERIALS
FRAME:
R
1 HERESY ACKNOWLEDGE THAT 1 HAV[ READ THIS APPLICATION B A'
CINGBOLTS n•aRi"1
AND STATE THAT THE ASOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
561LOING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTH OAIZEd H[RESV I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TON OF THE LASOR COD[ OF TH[ STATE OF CALIFORNIA R[uT. LATH, INT.
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE OF �.t4f'>=� HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL 7
t, JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION
CK_ M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
�a
3 6 3 52 MM19 1.1.3-4N Q
4, -�. -. A ROAD DEPT. PERMR lS REQUIRED
F6R ANY MATERIAL STORAGE OR WORK
DE3tJE IN THE ROAD RIGHT OF WAY.
APPLICATION FOR f3;iIILLDING PERMIT1
COVNfY OF LOS ANGE:[FQ BU�RQ O r
DEPARTMENT OF COUNTY' ENGINEER _
BUHPINCi AND SAFETY DFVLSION LOCALITY +
JOHN A. L .MBIE, COUNTY ENGINzx R, NEAREST .
-CABSATT D. GRATIN, •IIT"!o►EUILDIwo CR088 BY. -
DISTRICT NO. GROUP
TYPE P ED BY
FOR APPLICANT TO FILL IN CONST.
BUILDINGSTAT STICAL IFIL CATION NAA
Ab O R18H BK
CLASS.NO LITE
LOT MAP I +y BLOCK. ' NUM ER STATEH` YES. O .
F- USE ZONE
TRACT SPHGIAL -
_ CONDITIONS
NO.OF.BLD GS '
r 42-4
SIZE OP LOT NOW ON LOT
USE OF / � ~ _
EXISTING BLDG. BUILDING YARD. HWY E EXIST'
SETBACK WIDTH
OWNER R 10 FRONS' .
MAI L P.•I'-
ADDRESS• SI K-
EL
CITY NO IIISPECTION BECOBD
ARCHITECT OR THL
ENGINEER NO.
ADDRESS '
TEL
-CONTRACTOR NO.
ADDRESS
DESCBIMON OF WORK
.NLrw ADD -ALTER REPAIR DEMOLI
84 FT. NO.'OF NO.OF
61ZH STORIES F ILIES
USE OF '
STR U CTU RE
SIGNATURE OF
APPLICANT , APPROVALS DAM III9F6CTOR'3 SIGNATURE
ADDRESS FO bAnON!LOCAnON' ry.
FO MATERIALS,
VALUATIONS �� FRAU F]RE>i i OPS.
BRA IN BOLT
P.C. W * all VENT DUCTS
FURNACE:Loe!ATIOM,
FEE P'�2 .,
1 HEREBY ACKNOWLADOM THAT 1 HAVE RMAIJ THIS AP-
PL.IOATION AND STAT7'!�THAT THE ABOVE IS CORRECT'AND LATH-INT.
AGREE TO . MPLY WITH ALL COUNTY ORDINANES AND
STATE LAWS CREG nN9 B Lbl CONSTRUCTION. LATH,EXT.
SIGNATURE OP HRSCT=%ZTColl_
ClIYDE H. DIFM-W PRINCIPAL STRUC'_IliRAL
PLAN CHECK VALIDATION, PERMT VALIDATION 'Ac-
5 0 9-1�3 JN 12 : l A 5.00. �: