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HomeMy Public PortalAbout9156 GARIBALDI AVE_Building__r - 75A03bA DBa-3 H-tis APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUMDING AND SAFETY ADDRESS" Department of County Engineer County of Los Angeles LOCALITY WM.J. FOX.COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP ,SPE SEWBER MAP Pg FOR APPLICANT TO FILL IN -! coNsr.._' -r BUILDING �� MAPSTATE ca ADDRESS r� NUMBER ��C� N� ` -- LOT NO. i S 1) BLOC USE Z/N SPECIAL .] CONDITION TRACT ..S D 4 llll tml NO.OF BLDGS. BUILDING EXIST. SIZE OF LOT NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OF FRONT ¢. ` EXISTING BLDG. ^' P. L. .- I r'O OWNER �� t�n SIDEd,11C?e e- a MAIL ADDRESS /Y;' 5 INDUSTRIAL /'& 4r O TRACT DWELL. 1 UNIT TEL. _ 1- 'DWELL. 1 UNIT CITY NO. � - 6 PUBLIC BLDG. Tq1 UNIT _ Z. DUPLEX ARCHITECT O TEL 7 ADDN., ALT., ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTORI{� �" " /�tf1 r (� INSPECTION RECORD ADDRESS —</-3 / DESCRIPTION OF WORK L �- NEW e"ADD AL ER REPAIR DEMOLISH 3Q. FT. O.OF NO. OF SIZE STORIES FAMILIES USE OF STR CTURE B SIGNATUREAW, APPROVALS APPLICAN ADDRESS �7 / �•%[(3Y P/Q DATE INSPECTORS SIGNATURE ' �` FOUNDATION: LOCATION $ ,L � Ito�= P. C. $ r� FORMS, MATERIALS ` 0( FEE FRAME: FIRE STOPS. VALUATION `- cA BRACING.BOLTS --� FEE ^ FURNACE- LOCATION, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING B]UII/LDI4)4� CONS UC- TIY Pl. ' ...��jl.. LATH. EXT. vI R�j' JtE b��G/ HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL / - -� WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR ?G1 3 1 9t , DEC29 1 6 15.0 0 i_&l 3 4 3 Sn DEC 30 1 32.00 � U' f ' 76A'838A CE #ROS 3-69 APPLICATION FOR BUIL NG PERMI op COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTg�T N0. RO rYPt=CDxsT. P E (PRINT OR TYPE ONLY) BUILDING / STATISTICAL CLA331FICATION SEWER MAP f ADDRESS ` CLASS NO. DWELL.UNITS BK PG (/Q LOT NO. BLOCK USE ZONE MAP0 /j if N0. CC�� CCII TRACT SPECIAL 0. OF BLD GS. ��- CORD TIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG.—. BLDG. SETBACK FROM TEL FRONT PROP. LINE OF (STREET) OW NER 4 N0 VHIGHWAY EX19TI SETBACK HIGHWAY + YARD = TOTAL ADDRESS _5_41t'225- WIDTH FROM C.L. +� -7 CITY �— L� T D + ARCHITECT OR TEL TRACK FROM (STREET) ENGINEER , 7_ NO. '330 SIDE PROP. LINE OF TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRES1/VT1//, G-/ HIGHWAY WIDTH FROM C.L. TEL + _ CONTRACTOR C��". NO. ��j - LIC. CORNER CUTOFF YES ❑ NO ❑ H ADDRES 3� C7(� NO. 02_ 2 CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS OL CONSTRUCTION LENDER NAME AND BRANCH �v 111�0.pBj ADDRESS SO. PT. NO. OF NO. OF SIZE STORIES FAMILIES NEW SRUADD CTURE CIF ~ / T ALTER ❑ p REPAIR ❑ SIGNATURE OF 6EMOL ❑ APPLICANT VALUATION APPR OYAL3 DATE IXOP[CTOII'• 810HATURE P.C. PMT. ,q � FOUNDATION: LOCATION FEES FEES (/ v T LS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING, 80L.T3 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- TION. ICERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURMCE. LATH, EXT. SIGNATURE HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRESS— FINAL JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION cR M.o. cAIH - PERMIT VALIDATION CK. M.O. CASH I pr,., 3 8 6 6, FF 2 6 2 1 0 2.7 0 Q - I ��^ 3 8 6 7R FEB 2 6 1 D 9.00