HomeMy Public PortalAbout8641 GARIBALDI AVE_Building__ c■ IEuJ.'enel
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELS BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDREss L�7
BUILDING
ADDRESS LOCALITY
NEAREST
CITY ZIP CROSS 5T.
OP
"L! ASSESSOR
SIZE OF LOT ON MAP BOOK P GE .
DISTRICT GROUP TYPE PRE ESSED BY
TRACT Q/ BLOCK LOT NO. CONIT.� E
Q�
OWNER TEL
', NO.
STATISTICAL CLASSIFICATION SEINER MAP
ADDRESS CLASS tNO. �yLDW'R 1 UNITS BK PG
QTY ItL ZIP
ARCHITECT
ENGINEER OR �� NO. VALUATION $
ADDRESS FROM
EL PROP.LINEOF r (STREET)
CONT OR TEZ— 6 TOTAL SETBACK FROM TYPE OF EJGSTING
[/ F{K�1fWQY + YARD FRONT PROP.LINE HIGHWAY WIDTH
A CO I,� LL �N
uc + 2--
CITY CLASS
CONSTRUSIDE PROP.LINE LENDER BLDG. O .LININ FROM
NAME AND B E OF (STREET)
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CIT( SIDE PROP.LINE HIGHWAY WIDTH
SO.F. NO.OF NO.OF CHECY + L7
SIZE STORIES FAMILIES ONE O
D PTION OF WORK NEW P.G Fee$ Permit Fee O
ADO Issuance Fee /fes
ALTER _
REPAIR Total Fee .0C)
USE OF }r.
EX1STINGE�LDG. Cr DEAhOL Z
L,,`
APPUCANT CTN�� a/f/t TEL
1 PR7 NTl
BY(SIGNATURE) ��
IHEREBY A024OWLHx.E THAT I HAVE READ THIS APPLtCA.TION AND STATE t7
THAT THE ADOVE IS CorrRxa AND AGREE TO COMPLY wITH ALL ORDINANCES �L6 6 fi 3 A
AND LAWS REG"TING BUILDING CONSTRUCTION.I CSMFY THAT IN DOING THE j5 ;
WORK AUTHO0ZED HERBY I WILL NOT EMPLOY ANY P� IN VKXATION OF
THE LABOR CODE OF THE STATE OF CAUFORNIA IN RHATING TO YK)RKMEN'S COM- Z .
PENSATKXI INSURANM # a o 0 0 0 1
o o ? a 0 0
SIGNATURE OF
PERMITT �o 0 o G �0 0
ADDRESS
TEL 0 9, 1 3-79
CITY NO.
USE ZONE MAP /--
NO.
! SPECIAL
CONDIT1
DA BY
A
.YaACNA APPLICATION FOR BUILDING PERMIT 1'
COUNTY OF LOS ANGELES BUILDING
DtTAETMENT OF COUNTY ENGINEER. ADDRESS
BUILDING AND-SAFETY DIVISION . LOCALITY -
JOHN A. LAM81E. COUNTY ENGINKRX NEAREST
CA••ATT D. GRIFFIN • or Rumpima _ CROSS ST. _
DISTRICT O. GROUP T PEE PR
FOR APPLICANT TO FILL IN CONST.
au N)
ADDRE S /, Hi ATI ICAL CLASSIFICATION S
At J410 d1w CLASH.-NO —DWELLjwUNrrS
40T NO, MAP - .. ATH
Jj O�.W/G.� NUMBER - HWY YEH O' .
TRAC • � � f' U$E ZONE SPECIAL
NO.OFBLDGS., _ � � CONDITIONS
SIZE
OF NOW ON LOT. 7�
USE OF
EXISTING BLDQ, BUILDING YARD HWS' STREET NAME EXIST.
SETBACK WIDTH
OWNER FRONT
P.L.
ADDRESS - SIDE -
EL P.L ..
c No" INSPECTION RECORD
x-11
R. TEL-
ENG
EL.
ENGINEER - NO.
ADDRESSTEL- -
-CONT'RACT /
No,
O / � I .
ADDR EHH
DESCRIPTION OF-wOHB
NEW ADD ALTER REPAIR E OLIH
8Q. FT, - NO. QR _ -
81ZH STORIES. AMILIEB
USE OF
STRUCTURE
SIGNATURE OF -
ApPL I ClRNT
APPROVALS DATE INSPECTOR'3 SIGNATURE
ADDR
. 50 DATION; LOCA ION -
FOR
M§ MATERIALS
VALUA'{IOht s FRAME:,FIRE STOPS',
BRACING BOLT
FURNACE: LOCATION,
FEE
P C_ PMT. `� GAO VYNT DUCTS. .
IEEE
I HEREBY ACKNOWLEDQE THAT I HAVE READ THIS AP-.- LATH INT
PLICATION AN-D STATE THAT THEE ABOVE "'c ECT AND
AGREE TO COMPLY WITH' COUNTY ORD CEO AND
STATE LAWS REGU 1 U NG STRUCTION. LATH £JCT.
HIGNN�A.TURN HOUSE N MBER COR-
PHR] ITTE RECT AND POSTED Q,
ADDrf Ott F I
CLYDE N. D1ktLAM, PRINCIPALTR�U RAL ENGINF.MR
PLAN CH= VALIDATION � m.-o- �++ PERMIT VALIDATION V/M.Q. r-k,H
LG 4.2 9 $ �71 DEC 14 1 A .� ,�,
Mksl.,,ax10C3.-- APPLICATION FOR BUILDING P IT ;
COIINTY OF lOS ANGELES BU I LD I N1V A
D�AkrMENT OF COUNTY ENGINEER wDDREeH
BUILDING AND'SAFEPT DnWON LOCALITY
JO N A LAMBIE, COUMFY ENQIN� NEAREST
TT D. GRIFFIN G CUt a DISTRCROS8T.
DISTRL NO. O �.pE � PR
FO$ APPLIC TO FILL IN CONST.
BUILDING STATISTICALC IFICATION SEW ER MAP
D
ADRESS BK �pjpr�5
CLASS. NO ELL UN
LOT NOSTATE
(aA�L✓lF7e"ItIVNUM
MAP
HvyY `
s Am
TRACT O U$E ZON4 -S &IAL '
/ NO.OF BLDG$. CONDITIONS
SIZE bF b f NOW ON LOT
U8Q OF '
EX I ING BLDG BA
UIBICK YARD STREET N"F- W DTH
OWfJE ONT i
MAIL, P.L.
ADDRF.BH IDE - - - -
CITY NO. INSPECTION RECORD
RITE
ENGINEER
G WOpe
ADDRESS
TEL .
cONTRACTO a - Nojkr 7
ADDRAz&mFlr
Dt4CRERTION OF WORX
N ADD ALTER REPAIR DEMOLISH
FT.. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF _
.HTR-UCTURI!
141.
SIGNATURE OF ,
. APPLICANT'
APPROVALS DATE INSPECTOR'S SIGNATURE
DREBH FOUNDATION:LOCATION
FORME MATERIALS i
VALUATION FRAME,.FIRE STOPS,
BRACING BOLTS —L3-31
-
P.C. PMT. FURNACE:tOCATION, -
FEE FEE GAB VENT DUCTS
1 HEEr�iEBY ACKNOWLEDO Hb
THAT I AVE REATHIS AP- LATH, ANT
PLICATION AND STATE YHA .THE ABOVE S'CORR AND
AGRETO COMPLY WITH C U �W.T
AND
-
$TATE LAWS RE LAT 1ION. LATH EXT•HIGNATUtE p HOU9E NUMBER COR-PERAIITTREGT AND POSTED
ADDR FINAL. 3
CLYDE N. DIRLAM, PRINCIPAL STRV=j"ENGINEM
PLAN CHECK VALIDATION hLo• aAwl PERMIT VALIDATION �✓�•�• �
L-o42990� 4L14 1A 9.00
TeAeaeAuq#eoa a az APPLICATION FOR BUILDING P M1
COUNTY OF LOS ANGELES ErUILDINO
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BT3aDING AND $A.FETY DIVMION L-'oCALiTY
JOHN,A. LAMBIE. COUNTY ENPINEER NEAREST
WILLIAM A.JENSEN, fur'T of EUILDINa CROSS ST.
DISTRI NO.- GROUP TYPE P EBBED BY
FOR APPLICANT TO FILL )N CONST. e
BUILDING (� STATISTICAL CLASSIFICATION AtWEPt MAP
ADDRESS l CLASS. NO.__C<i___DWELL. UNITSBK
LOT NO. 1 7 BLOCK WATER
CIfRTIFIC.ITE: NOT REQUIRED RECEIVED
TRACT D MAP HIGHWAY .
NO.OF BLDGB. NO. ICINCLINI STATE MAJOR SECOND CAL
QIZE OF LOT 17 NOW ON LOT- USE ZONE SPECIAL
USE OFCONDITIONS
EXISTING BLDG. dAU414nj "R
TE
OWNER NO BUILDING YARD Hwy EET N ME EXIST'
SETBACK WIDTH
ADDRESS C FRONT
ARCHITECT OR EL. P. L
ENGINEER NO. S
P!
IIDE
ADDRESS O
TEL
CONTRACTOR NO. h
aC
ADDRESS O
DESCRIPTION OF WORK
CL
N ADD ALTER REPAIR DEMOLISH
Z
. FT. NO. OF NO. OF —
SIZE ST IES FAME IES
USE OF
6TRUCTURE
SIGNATURE O
APPLICANT -
VALUA'iION $ _
APPROVALS DATE IN ••SI ONATURE
P.C. PMT. FOUNDATION; LOCATION
FEES '� FEE S �� FORMS, MATERIALS
FRAME: FIRE STOPS,
I Hsi EBY ACKNOWLINDGK THAT 1 FAVI ROAD THIS APPLICATION B IN BO TS '
AND STATE THAT THIN ASOVI 18 CORRECT AND AOR" TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS RZOULATINO OAS VENT, DUCTS
SUILDI NO CONSTRUCTION. I CERTIFY THAT IN DOING THIN WORK
AUTHORrL]M HKA"Y I WILL NOT EMPLOY ANY PFJt&ON IN VIOLA- LATH. INT.
TON OF
THIN LABOR CODE'' F THIN STATE OF CALIFQRNIA RILAT-
INO TO WORKMEN' COY SATION INS U NC[. LATH, EXT.
SIGNATURE O HOUSE.NUMSER COR- -
PERMITTEE [ RECT AND POSTED
ADDRESS Q �'` FINAL
JQHN F: LEWES, l3Rrl4CIPAI STR CTURAL ENGI
PLAN CHECK VAIMATION cK- M.O. cAS+i ` PE$IUT VALIDATION CK. M.Q. CASH
LA[o 2 9 3 7�2 Ar R 1 Ar 4,00-
F