HomeMy Public PortalAbout9514 GARIBALDI AVE_Building__ 76AG38A CE#6092/00 APPLICATION FOR BUILDING PERMIT I
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALI ._
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. I GROUP PE P CESSED BY
FOR APPLICANT TO FILL IN ONST.
BUILDING �/ , STATISTICAL CLASSIFICATION SEWER:MAP
ADDRESS BK PG,
CLASS.NO. DWELL.UNITS �-
LOT NO. S MAP STATE BLOCK YESLl O
NUMBER � C � 7 HWY.
TRACT 1 USEZONE SPECIAL
SIZE OF LOT���� X I NO.OF
BLDGS. /LOQ j CONDITION
NOW ON LOT
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
^/ TEL SETBACK WIDTH
OWNERX ,
, Q, /V NO. 6stFRONT
ADDRESS%SJD .C! P L
SIDE
ARCHITECT OR TEL. P.L.
ENGINEER NO. INSPECTION RECORD
ADDRESS
y / a
CONTRACTOR
�/ Lt NO.
°v
ADDRESS t Gti r
DESCRIPTION Ctkp WORK A/// Oa
H
NEW ADD ALTER REPAIR DEMOLISH W
SQ.FT. 3D STORIES F
No.OF
NO.OF Q,
SIZE AMILIES
USE OF
STRUCTURE
i
SIGNATURE OF �. � � -
APPLICANT
VALUATION$ 3 ® -��• iS C--$
APPROVALS DATE INSPECTOR'S SIGNATURE
P
,C, .J{`j�� L� PMT. FOUNDATION: LOCATION
FEE .;- ..� FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS, ,:_� 9
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- BRACING,BOLTS �� "'�
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT.
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT. -
SIGNATURE OF 4 ^ � _ . HOUSE NUMBER COR-
PERMITTEEvW a ✓ RECT AND POSTED
ADDRESS u FINAL
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
( f,CC 1 1 p jUL 2 3 D 2 2.5 'J ®�
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76A638A CE#803 5-61APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING l
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OR BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DI�RICT Gr TYPE / PER BY
UCON V
BUILDING STATISTICAL CLASSIFICATION WER MAP �Y
ADDRESS tJ CLASS. NO. DWELL.UNITS-
LOT
NITS LOT NO. �.r^ 3 O / BLOCK WATER NOT REQUIRED RECEIVED
` CERTIFICATE:
TRACT (/ J MAPi( �/ HIGHWAr TATE MAJOR SECON LOCAL
y NO.OF BLDGS. NO. �/ V (CIRCLE)
SIZE OF LOT S/\ NOW ON LOT USE ZONE PECIAL
USE OF CONDITIONS
EXISTING BLDG. TE /P(
OWNER k / -eNO T7;9_ BUILDING YARD HWY STREET NAME EXIST.
�/y ,qa�r , SETBACK WIDTH
ADDRESS C7 , FRONT J
ARCHITECT OR TEL. P. L. _
ENGINEER NO. SIDE
ADDRESSINSPECTION RECORD
CONTRACTOyR�P Y/ /e ,/ //C��U NO �Tf 7d�/�� _ O
ADDRESS
DESCRIPTION OF WORK o
N
NEW ADD AL747 REPAIR DEMOLISH
SQ. FT. NO.OF NO.OF
IZE STORIES FAMILIES
USE OF /,I/I G
STRUCTURE /` iI?g
n
SIGNATURE OF
APPLICANT
VALUATION
r
APPROVALS - DATE INSPECTOR'S SIGNATURE
(d Ci FOUNDATION: LOCATION
FEE $ FEE $ t. FORMS,MATERIALS
FRAME:FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED.HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE
LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR.
PERMITTEE RECT AND POSTED
ADDRESS FINAL L,,...,F ,,tP
CLYDE N. DIRLAM, PRINCIPAL STRU RAL ENGINiER
PLAN CHECK VALIDATION cm m.o. CASH PERMIT VALIDATION cK w,o. CASH
. 9 5 7 1Q; MR 1 4 U 2.00