HomeMy Public PortalAbout9423 GARIBALDI AVE_Building__ A ROAD DEPT. PE^I.Wr IS Rr-r,-UIRED
FOR AN r MATERIA!5 ....__ C.Z WORK
DONE IN THE ROAD RIGHT OF WAY.
IGASMA 1zJ�w. APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
U I LD I sG
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND:SAFETY DIVISION LOCALrTY r r
JOHN A. LAMBIE, COUNTY ENG1NXXR NEtAREBT
CA82ATT D. GRIP71 Gur-r OF BUILDING CROSS ST.
D 187-RI CT NO. OROIIP TYPE OCH.BHIED Y
FDR
OR APPLICANT TO FILL IN 1-5— 1/- CONST;
G t / STATISTICAL C IFICATION BOWER KAP
S T Z r 'BK PO
CLA88.NO—=.UN
9LOCK MAP NUMBER "O OyH YHH NO
USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONS
LOTW ON LOT ��G BLDG. BUILDING YARD HWY STREET NAME DIST"SETBACK WIDTH
FRONT/'� P. L.
S 1 SIDE - -
L. P
crry NO. INSPECTION RECORD
ARCHITECT OR L
ENGINEM NO.
ADDREBH
CONTRACTO
i
ADD R HBS
D ON OF WORK
E'WD ALTER REPAIR DEMOLISH -
8 NO. OF NO. OF
STORIES FAMILIES
USE OF
STRUCTURE _
SIGNATURE OF
APPLICANT
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS MATERIALS
VALUATIONS FRAME: FIRE STOPS,
BRACING BOLTS
FURNACE: LOCATION,
P.C. PMT. GAS VENT DUCTS
FEE FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATS LAWS RE LA jl B 1 ING CONSTRUCTION. LATH EXT.
SIGNATURE O HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADD FINAL z3-Ga
CLYDE N. DIRLAM, PRINCIPAL ENGINEER
PLAN CHECK Y ATION oK. m-o• aA" PERMIT VALIDATIO cx cA,H
,9309"3 e14 1 .A 3.00 m,
feAeaeA��Leoa p'e4' APPLICATION FOR BU ILDI C .P_ERCV Y
COUNTY OF.-LOS.ANG BUILDING
DEPARTMM OF COUNTY�EN RffjER ADDR'ESS'-
BUHDING'ANLL SAFETY DIV19ION LpCALITY
JOHN A, L_ CQUNII' ENGINEER NEAREST'
COLEMAN W. JHNKINS.WUF'T.OF BUILDING PROSE ST.
Df{1.TR1 7�{O YYFi� - 1p DY
FOR APPLICAP)T T0:FILL IN [� —..cQN•�t.:
BUILDING „f F. _ 3TATIDTICALGDDIFICAYION _ SE E M P"
ADDRESS' `)' CLASS NO. 1U,.OWE; I UNITS. Bx PO
11
LOT NO.E Q y.{� BLOCK
� Z E MAPNcz
TRACT Pip EC7-A L l/
�
SIZ{FOF LOT kb•-OFSLOGS.-
�� NOW ON Loy.-,. y
'ISE
OF -- - -
BLDG. SETBACK FRO '
T L. RRQNT?110*. LIK/ 0 STRKKTI .
QWNISM
TYF.[-OF [RJ/TNI 'E, A¢K- -H11HW*Y YARD'- -TOTAL•
C
^I- _
CITY /LDt-*RT/ACR FROM
TELL. BIDS FR01►. L OF ' / [E
ENOIN[M NO.
TYPA OF EXISTING /RT/ACK HIGHWAY YARD = TOTAL'
ADDRESS - HI/HW WIDTH FROM C.L.
CONTRACTOR0
/�j LIE:. Q
ADDR[/ CORNIER CUTOF YR/ NO a
t�.L O.� d / CORNIERfO
CITY LIC 2 SEE REVERSE SIDS FOR SPECIAL APPROVALS
DESGRIPTIb OF WQRK Z
F —
NEW. ADD ALTER RlStw. ISMOLI/
/Q.FT. - , NO. OF' - NO. OF
81 Z4 /TOFill F MLLIR■
UJ[ T
O
STRUCTURE
NIONATURQ OF
APPLICANT
VALUATION a or (2- AFRROVALE PATI$ IKIF[CTOR'!*I/NATUR[
F.C. 7 , PMT. FOUNDATION, �OCATION
F[E�, FQIK (/'V FO M T IAL
FRA E, FIRE STOPS, _
I HE1�4NO [
Y ACKWLIiDOTRAT I HAVE REB
AD THIP AM-LICATION RACING BQLTS
AND STATE THAT THE ASOVK 1• CORRECT AND AGR" TQ COMPLY FURNACE: LOCATION :
WITH ALL COUNTY ORPIN4MC" AND STATE LAWS REGULATING OAS VVNT. DUCTI
•U ILDIHQ CONSTRUCTION: I CERTIFY THAT. IN DOING THE WORK
AUT'HQR IZED HERISY I WILL NOT KMPLAY ANY PERSON IN VIOLA- LATH. INT. -
TION OF Y}{[ LAA0R CODADF [ OF CALIFORNIA RELAT-
!NO TO WORKMKN'd COMP[ N RATICL _ LATH. EXT.
SIGNATURE OP//'I H S NUMBER EOR-K-1 RF-rT AND ,
PEItMiTTEE
ADDRE88 F I N A L
-79
JOHN F. LEWIS, PRI IPAL STRUCTURAL ENO R
PLAN CH= VAI DATION CK. M.O. CASH _ P$HNi T VAiJDATION
0 .4 8 2�' MR
,�y�, l 3 . ._ 4.00-