HomeMy Public PortalAbout8927 GARIBALDI AVE_Building__ 7eAesaw Du•s u•u '
APPLICATION' FOR 6UI.LDINC PERMIT ]. ,
DIVISION-OF,BUILDING AND SAFETY BUILDING
'^ -
Y` of Ccim7 En�ew ADDRESS
.CQmty of Los Anusimir f I
LOCAL 1 TY �
WM.J. FOX, COUNTY F-NGINKJM NEAREST
CASSArT D. GRIFFIN. Sur•T OR BUIL MNG CROSS ST.
FO APPLICANT TO Fnl 111
DISTRICT NO. GRA T"fPE BE ISK MAP
-BUILDINGCONST.
AbDREHli MAP. STATE
_ NUMBER 'HWY- O
LOT NO. BLOCK USE ZONA CPCIAL -
_ CONTITIONS.
TRACT O - -
- NO. OF BLDG H. _
SIZE OF LOT NOW ON LOT BUILDING YARD "WY STREET NAME EXIST-
USE OF - SETBACK WIDTH
EXISTING BLDG. FRONT
bWNER L L BIDE
ADDRCSS
C TEL
ARCHITECT OR .TEL ] DWELL I-UNIT 5 _INDUSTRIAL -
CIT'Y 'F NO. -
2 DUPLEX "KUNIT 8 PUBLIC BLDG
� _.�
Lz
ENGINEER NO. 3. A-PT NIT ADpN.,ALT., QT
ADDRESS 4 COMMERCIAL - B MI110EL
LkETEL:. INSPECTION RECOB.D
CONTRACTORS NO . i
ADDRESS -
DESSCREMON OF. WOBS-
NEW ADD✓ ALTER REPAIR DEMOLIbH
SO. FTi.rye NO. OF NO. OF
SIZE. / STORIES FAMILIES -
UBE OF STRUCTURE
'SIGNATURE OF
APPLICANT .APPROVALS -
ADDRESS DATE I"RECTOR'S SIGNATURE
FOUNDATION: LOCATION
P. C. s FO Rl18 MATERIALS
FEE FRAME: FIRM STOPS. "
VALUATION 0 (^yam- BRACING BOLTS
FEE f•^�— FURNACE: LO
OCATIS
ON,
'1HEREBY ACKNOWLEDGE THAT 1 HAVE, READ,THIS GAD VENT DUCT
ARPLICATION AND SPATE THAT THE ABOVE IH.CbRRECT _
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT• "
AND .STATE LAWN REGULATING BUILDING CONETRUCk
TION- LATH EXT.
SIGNATURE OF - HOUSE NUMBER•COR- -
PERMITTE RECT AND""POSTED -
woDR FINAL
wm. J. FOX. -CpuxrY "amore VALIDATION
BY 6. 9 T4� AfJG 1g , 1 2.00 n
'DIEPUTY a DEPUTY
BY GY
DEPUTY r r EP •
r ti.
1
DEPARTmm OF BUILDING AND SAFETY ,�95' APPLICATION FOR PEE,NiTT
COUNTY OF LOS AN=M 7 I ®�
VVM. J. FOX, CINIEr ENGIN�R
NG
FOR 14PFLI TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. CK. NO. FL}2MIT NO.
BUILDING a I=--:. 2.5:? b
ADDRESS
RECEIVID BY DATE OF APFL DATE IS Um
LOCALmr
N[AREBT
CROSS ST, BUILDING
ADDRESS 8 Z,
OWNER p
LOCALITY L
MAIL
ADDRESS NEAREST �n
.�� CROSS ST.
CITY NO. J FIRI NO. OR TYPR QROUF f
ARCHITE...ECT OR TZON[ PLANS •�—
[INGINKKR NO. BLDG, �/ O
O[TRACK LINE
ADDRESS APPROVED J 5 . Z—, L
Ely DATE
TEL.
CONTRACTOR NO. US[ APPROVED'
ZONE BY DAT[
ADDRI" HOUSE B[RING
LEGAL —
D[CCRIPTION L;R. ; CLOCK MAP NIJM13KA IELD CH[CK BY
,�� �— NO. ASBIGNKD BY oAT
""�� NO. OF BLDGS. - CORUCTIONS
CQ¢OR LOT Q'`c/ NOW ON LOT
US[OR NO. OR
Ea
CISTING SLD . FAMiuts
DESCR LIMON OF WORK r
NSW ALTZRATION ADDMON .
0
REPAIR DEMOLITION -
Q
tiq, FT. — NO. OF ,
SIZE ROOmA y STORIES
TDRI[S
®Cr. WALLROOF - r �L S �7Ey
COVERING COVERING Z_•-� ti F I' I
UO[OF UCTURE
D . t ` leaDF
�R IV l�'�ni T
INSPXCTOR a SIGNATURE DATE
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATIONz LOCATION
HEIN
PLICATION AND STATE THAT T [ INFORMATION GIVIS. FO RMB, MATMUALo
IR
CORECT.[[ YO COMPLY WITH T}iE M
CORRECTIONS LL�7'[LI FRAEi FIRX e'TOPS,
/
-IC2EON AND WITH ALL,COUNTY ORDINANCES AND HTAT[ BRACING, COLTS /
LAWS REGULATING BUILDING CONHTRUCTION. FURNAC[i LOCATION, /
81GNATURE OR "Y a"VENT, DUCM
E !/
FR M Cif
LATH, INT.
ADD
LATH, ECT.
AUTHORIZED AGT.
PLABTER, INT'
7&l. .' sdss so-so S r P. C. • �,
® e/ C �,� F[i FLA.STKR, KXT.
VALUATIO v Fax
4
i
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES $ BUILDING' AND SAFETY
WORKER'S COMPENSATiON DECLARATION FOR APPLICANT TO FiLL IN.
I hereby oftFni.that i haw a cer-t7ie of coreerd to.a& rears, ADOREss
or a certificate of VVbrkersi Corrpermtlon Irexwce,or a oe ttW
copy thered/,(Sec.3800,tzb.C.)
PoBcy No' 46 7 '-q t�crury
� SIZEof LOT No.of Lor
P` ,Wd ooPy Is hereby furnished. NEAREST CA038 8T.
❑ CertffVgfi copy M feed wlth Ehe TAT BLdCK LOT NO.
rL ZONE MAP N%a
D" ASSESSOR MAP BOOK PAGE. PAFIC,EL .
- BFECiAL CONDITYONdB
CEMWICATE OF EXEM WORKERS' OrvrrER / Ta
COMPENSATION URANCE 3 w1TFIN 1000 Fr.OF SC"DX? TEs
NO
(This section need not be cor pleted If the pwn*is for one hundred DISTRICT GROUP TYPE FRE DONE PROLE
dcdere ($-100),or less.)
ZIP
I ow* that in the par-fmnanoe of the work for whish this permit ,L
veF �_.
is leed, " nm
riot epioy arty person In arty manner so as to
become subject to the wcxhers':Compeneatfon Laws. ORARCHrTECT Ta NO.
suTlancAL CI A891FlCAlION AFT CONDO
Dose Ar ar,t ADDRESS a-ASS No. DWELL UWT15
NOTKL- 7D APP[X_AM.• k, atter making this Cefmkzte of [FRONT
QUIRED To'O1L SETBACK FROM EXIST
Ewerrptbn, you should become. aLnb►ect to the Mbrkcere' CONTRACTOR TEL 06T BACK yµD 1 M1yy PROP L1PE yvrDrH
C tripensarion provialort of the Labor Code, you must fortNvtth
corTcpfY.wtheuoh provieione or this permk eheN bedeerrred revoked LICENSEDCONTRACTORS DECLARATION LIG' p
F hereby efflrm,that I em-Ilcereed uTderpnbvbbrt• of Chapter 8
U
(commenolng wfth Section 7000)of Dtytdon 3 of the&Alnese and OF SToRE8 NO.OF FAMLES NEW ❑ HESYER VAP PG 0
Rukeeions Code,end my.ilcenae Is In full farce and eftBK
Lh.t*r LIc.Clean v50F>tc ADD - ❑ pop- U
Corrtracfo���/CI?j l�,�C�f/ i�'� Data 1 ALTER ❑ 3 IL
❑ 1 am euenpt under Sec. gullREPAIR $ Z
BSP.C,for this reason DEMOL ❑ LD►AA Pic•
BLm J( URM ❑
SovituTd ( TEL UDMA Perm# 1
b L as_gwrer of or my employees with wages as m T y T
th* aoia ,vfil do the work and the atn�cture b 3 (C 17S,f>`�
riot r,zerided or offered for Aa ie (Section 7044, Business and /� C! LFWAL
DA"
Professions(,Ocie.) i,� %qL TFf APPUGWr OR FUTURE NA-cm OCC FNT A FNZAROCM"QU%%L 1 ITEMS
❑ 1, as o*Tw d the property, y6m exdiml�efy contracftng with OR A►arc�iE coNvrrro A RAZA�ocb W46GL EouAL OR OFFAFIi THAN TF! .
AA"WM arm ON THE KAZAFOOUS MA'E� PFOF§AgKN WA)E7 By
11ceneed caTtraaors to construct the pro}ecl (Section 7044, YES❑ No❑ TOTAL 17 5
RAirmaaa and.Pro(eaaione Code.) �/+�LL��/���((//
veli TI-IE WENREOUI IE UDE OF THE RI ry.Ya BY THE AP 001Fr- AA FUTURE eU OUTTi CHECK 175.65
.
OCQRMPrr FFOIXE A PEfi<fT FOR COIIBTI#1CT1)M OR yCOFI('ACJrI FRUr TFE aOUTFI
CONSTRUCTION LENDING AGENCY CWT AFI ouxrTv NANAOEMENT DISTRICT MAQW SEE PETit✓TtM a ECKUMT FOR yye�
GUDEU Ea CHANGE ' .00
I herebyr.atftrm that there Is a construction lending agency for yE8❑ : No❑
the pertormanoe of the work for which th)a permit le feeued FME READ THE FV2�law000rs h4UTRALS WCf*Ag4nN allCE AND T E acwao PERLGTTM
3087,Civ.C) a Eaaisra ur��ti zzo eecrnwaIN en rrouaH aso i+o CCWER No HAZARTHE LOB MKIELES GOUITY DOUS 1 3/14/96
Landgre Nance. LWEI ALa REPORrM AN4 FOR CGVJNW A PER MT FROM TFE
L erdere Address 2' •`�} 1 PM 6:36
I certify that I haoe read this eppticatfon and stake-order penalty
of per*-I y that the above Yt}aTnatlen Is oormcL I agree to comply P.C.FEE . PFUfr FEE /
wfth all county ordhences and State taws relating io b kkV [�
andi5�,�3ry
qq 77
b the Irrpecfion County FEE
Alt NVEBTKIAUION FEE FEE
r
d
SEE REVERSE FOR EXPLANATORY LANGUAGE