HomeMy Public PortalAbout9235 1/2 GARIBALDI AVE_Building__ . r
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7eAe3eAc[#e03 ,e2 APPLICATION FOR BUILDING PERMIT u
COUNTY OF LOS ANGELES BUILDING j !
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WIT S ¢N
AM A.JNS , •ur•T OF EUILDING CROSS ST.
DIST CT Ng. GROUP TYPE R BY
FOR APPLIC TO FILL IN _Z' CONST.
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS � G
/ CLASS. NO. DWELL UNITS
LOT NO. ! F BLOCK L WATER CERTIFICATE: NOT REQUIRED RECEIVED
TRACT NOP HIGHWAY OCAL'
NO.OF BLDGS. O O (CIRCLE) STATE MAJOR SECOND,
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF nn CONDITIONS
EXISTING BLDG. o� _
T
OWNER BUILDING YARD HY STREET NAME EXIST'
W
SETEACK WIDTH
ADDRESS FRONT _ I !
ARCHITECT OR TE P. L-
-ENGINEER NO. SIDE
P. I-
ADDRESS
TEL. 0
CONTRACTOR NO.
ADDRESS/ N
OC
DFSCREMON OF WbRK O
NEW ADD ALTER REPAIR EMOLIbH -
U)
SQ. FT. NO. OF Z
SIZE STORIES FAMILIES —
USE OF
GTRUCTURE.
SIGNATURE OF
APPLICANT
VALUATION S
APPROVALS IPATE 114ar[CTOR{ 210HATURE
FOUNDATION, LOCATION
FEE S ,TEE S FORMS, MATERIALS4
FRAME: FIRE STOPS,
1 HE?ESY ACKNDWLEDG[ THAT 1 HAVE ?IAD THIS APPLICATION BRACINQ, VOLTS
AND ,TAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STAT, LAWS REGULATING GAS VENT, DUCTS I
BUILDING CONSTIUCTION. I_CXRTIPY'THAT IN DOING THE WORK
AUTHOR- HERIBY 1 WILL NOT [MTLOY ANY P[RfON IN VIOLA-
TION OF THE
LABOR COD[ OF THE STAT[ OF CALIFORNIA RN-LAT
LATH. INT.
ING TO WORKMEN'S COMPENSATION INSURANCE- LATH, EXT. Cis
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE REC7 AND PO SEED
ADDRESS FINAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL EN ER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. uuH
VkCo9 9 5 1�2 JAN 21 1 D 4,0���