HomeMy Public PortalAbout9243 GARIBALDI AVE_Building__ APPLICATION FOR EPARTMCOUNTY OF LOS ANGnES
EER
BUILDING PERMIT D BUILDING TAND SAFETY DCOUNTY �ioNN
BUILDING
FOR APPLICANT TO FILL IN ADDRESS
BUILDING
ADDRESS 4, LOC-ALIT,--2"
NEAREST
CITY ZIP CROSS ST.
NO.OF BLDGS. ASSESSOR-
S I Z
SSESSORSIZ OF LOT x 1 OJOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT I GROUP TYPE FIRE E BY
T CONST ZONE 1
TEL. +�
OWNER N0. STATISTICAL CLASSIFICATION
��'7J SEWER p
ADDRESS. CLASS NDaCDWELL•UNITS B PG
CITY ZIP
USE ZONE MOP O
ARCHITECT OR NEOSPECIAL
ENGINEER _ "'' COEDIT ONS
ADDRESE3
-(-/ ROAD 13EPARTMENT APPROVAL REQUIRED YES❑ NO ❑
,CONTRACTOR 1 TEL f30 p BLD SETBACK FROM
LIC. FRO T PROP.LINE OF (STREET)'
ADDRESS f NO �/ HI AY + YARD _ TOTAL SETBACK FROM TYPE OF HIGHWAY EM
TI
LIC. /� FRONT PROP. LINE
CITYTH
CLASS U-/
CONSTRUCTION LENDER +
NAME AND BRANCH
BLIDG.ATBAcK FROM
ADDRESS CITY SIDE PRO LINE OF (STREET)
SQ. FT NO. OF �� NO. OF 7 CHECK HIGHWAY + _ OTAL SETBACK FROM TYPE OF EXISTING w
SIZE STORIES FAMILIES `J ONE 91 E PR LINE HIGHWAY WIDTH
DESCRIPTION OF WORK -/ NEW ❑ +
DD GORNE�R CUTOF S ❑ NO ❑ Z
f y -
LTER
sele IN OPEN SPACE YES ❑ NO ❑
EPAIR
USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. DEMOL ❑
APPLICANT TEL -
(PR HT) 0.
BY (SIGNATURE)
I HEREBY ArK LED THAT 1 HAVE READ THIS APPLICATION
AND STAT[ THAT THE ABOVE I[ CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS R[SULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED -
H[RESY I WILL NOT EMPLOY ANY PERSON 11 VIOLATION OF THE
LABOR CODE OF TH[ STAT[ OF CALIFORNIA IN RELATING TO
WORKMEN'S COMF[NSATION INSURANCE.
n 1 !' �� BY
SIGNATURE OF FINAL
PERMITTEE DATE
ADDRESS
TEL P.C.Fee$ Permlt Fee
CITY NO.
Ismuence Fee
VALUATION D 610
ToaFee
PLAN
CHECK VAT1ON M.O. AGH PERMIT VALIDATION
C!(. M.O. CASH
295CMAY 162 455.45
9. 75.75_--98
O 1 0-Jl� 34 1 _ r
7GAG3SA CK*0030 11/75
6�2 -
TEPAPLE"Cil
76AS38A CE#80111-1-151 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING �(,�j
ADDRESS ��j !
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY G Gam/
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DIST CT NQ. GROUP -HYPE _P c�ES ED BY
FOR APPLICANT TO FILL IN e4CONST. /
BUILDING / Y3 � � L��_�`/ STATISTI AL CLASSIFICATION I SE R MAP
ADDRESS ! l h 10
A �� 7 CLASS.NO. DWELL. UNITS
LOT NO.S�� � �1. T BLOCK L� WATER NOT REQUIRED ❑ RECEIVED
TRACT 'vA"�' ^'J �^� �/�'✓� MAP
CERTIFICATE: HIGHWAY
q NO.OF BLDGS. / NO., C' (CIRCLE) STATE MAJOR SECOND, O AL
SIZE OF LOVA A . .{, I NOW ON LOT /'--(? "D USE ZONE SPECIAL /
USE OF CONDITIONS
EXISTING BLDG.yy� `lJJ
OWNE /'r ,�, 11' /4'/i� NEL BUILDINGEXIST.
YARD HWY REET AM -
SETBACK WIDTH
ADDRESS 9,2 FRONT j
ARCHITECT OR TEL. P.L.
ENGINEER � � NO. SIDE
P.L. �-
ADDRESS D-
J A �� No ,� INSPECTION RECORD p
CONTRACTOR '' - V
69
ADDRES 4 I' O("Ia • s7 _ -- p
DESCRIPTION OF WORK
W
/ 1 a
NEWJ" ADD ALTER REPAIR DEMOLISH N
Z
SQ.FT. NO.OF NO.OF J —
IZE STORIES A ILIE r
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ O
APPROVALS ATE INSPECTOR'S SIGNATURE
P C. PMT. FOUNDATION: LOCATION _
F E FEE $ R FORMS,MATERIALS
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, I -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS r '
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT E PLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF TH TATE OF CALIFORNIA RELAT-
ING TO WORKMEN'- C NSAT O IN NCE.
LATH,EXT.
SIGNATURE O_ HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STA AL ENGINEER
PLAN CHECK VALIDATION cK M.O. CASH PERMIT VALIDATIO , CK. "M.o. CASH
0.