HomeMy Public PortalAbout8714 GARIBALDI AVE_Building__ APPLICATION FOR BUILDING PE T
COUNTY OF LOS ANGELES BUILDING i
EPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SA= DIVISION LOCALITY
JOHN A. LAMBIE, CouNrY ENGINEER NEAREST
WILLIAM A.JENBEN, SUF•T OF BUILDING CROSS ST.
L)IST7 NO. GROUP TYPE ESSED BY
FOR APPLICANT TO FILL 19 CONST.
BUILDING �] / - STATISTICAL CLASSIFICATION ER MAP
ADDRESS K G '
YJ CLASS. NO. DWELL. UNITS
LOT NO. / BLOCK WATER NOT REQUIRFO RECEIVED
CERTIFICATE:
TRACT D - MAP HIGHWAY
NO.OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND, C
SIZE OF LOT NOW ON LOT .�
USE ZONE SPECIAL
USE OF CONDITION6
EXISTING BLDG. - ,
OWNERTEL ?/
4. NO !(� BUILDING EXIST.
SETBACK YARD HWY REST AM WIDTH
ADbRESS FRONT /
ARCHITECT OR TEL P.
L.
ENGINEER - NO. . -SIDE
P. L.
ADDRESS `` - I ^
TEL. � VM
y U�d -
GONTRACTO NO
OC
ADDRESS
DESCRIPTION OF WORK ..
a
try
NEW ADD ALTER REPAIR- DEMOLISH Z
. FT. -NO. OF NO.OF '
SIZE STORIES J ,FAMILI
USE OF
STRUCT E
SIGNATURE OF '
APPLICANT
VALUATION S
APPROVALS DATE INS.. DR'S SIGNATURE
P.C. �{ .Z PMT. S FOUNDA ION: LOCATION
FEE ; 1J FEE s FORMS, MATERIALS
_ FRAME: FIRE STOPS.
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS ARLICATION BRACIN BOLTS
AND_STAT[ THAT THEAI<OV[ 15 CORRECT Alm AGREE TO,COMELY.
WITH ALL COUNTY ORDINANCES AND, WTATE LAWS REGULATING FURNACE: LOCATION.
GAB VENT. DUCTS
BUILDING CO NfTR UCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORRED HERESY I WILL NOT.XMFLOY ANY PERSON IN VIOLA.- LATH. INT.
TION OF THC LABOR COD[ OF THE 8TATE OF CALIFORNIA RELAT-
ING TO WORKMEN' MPKNSATION INSURANCE. 1/
LATH, EXT. Is
SIGNATURE O Lip HOUSE NUMBER COR-
PERM PERMITTEE RECT AND POSTED
ADDRESS FINAL -
_
JOHN F. LEWIS, PRINCIPAL ST RAL.ENGINEER
. .PLAN CHECK VALIDATION'
MA. SA/H PERMIT VALIDATION M.O
CA1H
._ A.i_ o 0 7 & 5� SEP 2.�7 2 3 A - 3 0 2 5 A v
��C� L& 1 7 0 4G OCT 21 1 A 6! 0,5