HomeMy Public PortalAbout9665 GARIBALDI AVE_Building__ CITY CF SIE CITY
Tewesew CIE.e03°°'APPLICATION FOR BUILDING PERMIT
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 9- 665-Garihql di
BUILDING AND SAFETY DIVISION LOCALITY
T le Ci
JOHN A. LAMBIE, COUNTY ENGINEER
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COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROs ST. T le City Blvd.
FOR APP C T TO FILL IN DISTRICT NO. GROUP TYPE PROCESSED BY
PLL or • onl Q CONST
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BUILDING STATISTICAL CL�.$,41FICATION SEWER MAP
ADDRESS t.! CLASS NO DWELL,UNIT•S BK PG
LOT NO. k * 0� BLOCK LISE ZONEMPECIAL
? vO
TRACT S �/ _
NO.OF BLD NDITIONS
SIZE OF LOT �O NOW ON LOT
X5 OF
ISTING BLDG- Reside=d TEL FRONT PROPCLLINE OF a 4 R I A 4 (STREET)
OWNER NO. TYPE OF EXISTING1 SETBACK HIGHWAY + YARD = TOTAL.
HIOHWA WIDTH FROM C.L.
ADDRESS 9M5 ftaril'Alrfi
CITY Te=le City, Calif. BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE Of IST! SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
_ yy
CONTRACTOR TEL.NO. + D..
LIC
ADDRESS NO. CORNER CUTOFF YES ❑ NO
LIC.
CITY CLASS C20 SEE REVERSE SIDE FOR SPECIAL A PROVALS
DESCRIPTION OF WORK
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NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE
SSTRUOCTURE IUS Central A/Gj and.
a 1 d3 TC c
SIGNATURE OF
APPLICANT
VALUATION S.1 0W,00
APPROVALS DATE IMSPCCTOR'S SIGKATUR[
P.C. 7 PMT. ,,nn [yam FOUNDATION: LOCATION
FEES FEES K.� FORMS MATERIA L3
FRAME, FIRE STOPS,
I HIRE1r ACKIJOWL[DOE THAT I HAV[ READ THIS AFFLICATI ON BRACING BOLTS
AND STATIC THAT THE
ABOVE IS COARCT AND Aon[[ TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY OROINANCICS AND STATIC LAWS REGULATING GAS VENT, DUCTS
■UILDING CONlTRI.ICT ION. I CERTIFY IN ING THE WORK
AUTH ORRED H[RISY I WILL NOT [MT r r N IN VIOLA•
T1oN OF THE LABOR COD[ OF THE A F CAL 04RNIA R[LAT• LATH, INT.
ING TO WORKM[H'S COMFICNSATION S NCL
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL TRURAL ENGINEER
PLAN CHECK VALIDATION cK M.O. v,sH PERMIT VALIDATION M.D. CASH
L&O4 8 1 3�S x'24 1 D. 12.00—
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7fIAGf8A CeieOa D-07 •
APPLICATION FOR BUILD G PER
COUNTY ,OF LOS ANGELES BUILDING / L /+ • n
DEPARTMENT OF COUNTY ENGINEER IDDREss G6� G+1421 BNI
BUILDING AND SAFETY DIVISION LOCALITY e#A t-i
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
NE
COLEMAN JENKINS, LurT or BuII.DINa NECKS ST. L
TYPE -R APPLIC T T F DIST CT N GR CONST. R D B
PrInt of S ons r 0
[ADIDRESS
LDING STATISTICAL C IFICATION SEWER MAP
CLASS NO DWELL•UNITS BK ,-PGNO. BLOCK USE ZONE MAP � OCT SPECIAL
NO.OF BLDGS. CONDITIONS
E OF LOT 52 NOWONLOT 3
USE Or
STING BLDG. 1 DNC BLDG.SETBACK FROM
EL FRONT PROP.LINE OF (STREET).
OWNS NO. -O I?— TYPE OF ISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWA WIDTH FROM C.L.
A D DR ESS 6
6 +
CITY C QQ
ARCHI CT OR TEL. SIDE PROP.LTNEO OM (STREET)
ENGINE NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL + _
CONTRACTO NO.ZfL-.U!Ro
ADDRESS CM E O. CORNER CUTOFF YES ❑ NO ❑ c7
CITY CLI.5�ss - SEE REVERSE SIDE FOR PEC L APPROVALS r,
DESCRIPTION OF WORK
NEW dD LTER REPAIR DEMOLISH
SQ. FT. 14 OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE C C
a
SIGNATURE OF
APPLICANT
VALUATION S
5 ��
0 p APPROVALS DATF INSP TOR'• •NATURE
P.C. PMT. ,��/) FOUNDAT10Nt LOCATION /
FEES FEES ! (T�/ FORMS MATERIALS
FRAME: FIRE STOPS,
I HERESY ACKNQWLEDGE THAT I HAV[ MLA.D THIS APPLICATION BRACING L
BOTS
AND STATE THAT THE ASOVE 19 C04RPMCT AND wan[[ TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND /TAT[ LAWS R=OULATINO GAS VENT, DUCTS
SU ILDINO R
CONSTUCTION• 1 CERTIFY THAT IN DOINR
G THE WOK
AUTHORIZED HERESY I WILL NOT EMPLOY ANY FERSON IN VIOLA-
TION OF THE LA1041 GOD[ OF THE STATE OF CALIF04RNIA RESAT- LATH, INT.
ING TO WORKMEN'S COMPENSATION INSURANCE
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL 0i
1 JOHN F. LEWIS, PRINCIPAL STR�URAL ENGINEER
PLAN CHECK VALIDATION CK. M.o. cASH _ PERMIT VALIDATION /CIL M.o. GA.H
LACa 4 5 1 ,6% MAY 3 I D
A ROAD DEPT. PERMIT IS REGUIR77)
FOR ANY MATERIAL STCRAGE Cx
DONE IN THE ROAD RIGHT OF WAY. P'b
76AG38A CE Aw8-sq APPLICATION FOR BUILDING PERN4jT Z
COUNTY OF LOS ANGELES BUILDING y
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
7
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRIC GROUP FYPE PR D Y,
FOR APPLICANT TO FILL IN CONST.
BUILDING /a/ j STATISTICAL C SIFICATION SEWER MAP
� 6 - B �R�G/
ADDRESS (��
CLASS. NO. �' DWELL. UNITS I _
LOT NO. BLOCK MAPa. STATE
- YES I d
_ NUMBER �� a HWY.
TRACT n aH USE ZONE SPECIAL
-� /�, NO.OF SLDGS. CONDITION _%
SIZE OF LOT` c7aV -1-1 NOW ON LOTS
USE OF
EXISTING BLDG. BUILDING YARD S BEET NAME EXIST.
SETBACK WIDTH
OWNER I C_. FRONT 2-0l
ADDy
MAIL � SIDE
RESS
TEL
/ % P.L.
CITY he NO �'- 2`') INSPECTION RECORD
ARCH TECT OR TEL. —
ENGINEER NO.
ADDRESS
!r
CONTRACTO NO.TEL.
ADDRESS 1. t)jjMZAj IVd
DESCRIPTION OF WORK —
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. 2• NO. OF NO. OFy
SIZEttsy STORIES FAMILIES —
USE OF '.� '� L.
STRUCTURE l' 'I' teM , Odle
E' o, avp ria �R 1 /2u/L L,
7 1' C
SIGNATUR OF
APPLICANT
[`�� APPROVALS DATE INSPECTOR'S SIGNATURE •.E
ADDRESS)JCC ! FOUNDATION: LOCATION -'� 'c1.
FORMS, MATERIALS �' rr _
VALUATION FRAME: FIRE STOPS,
BRACING,BOLTS -
FURNACE: LOCATION,
P.C. PMT. j GAS VENT,DUCTS
FEE $'� FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. .�..,.,,
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND —
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING I DING CONSTRUCTION. LATH, EXT.
SIGNATUREHOUSE NUMBER COR- {
PERMITTE O 1,J _RECT AND POSTED
ADDRESS Wa4pfeWFINAL -
CLYDE N. DIRLAM, PRINCIPAL STCT RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
3;I('�9 5 9 9 C fTll 2 C) 1 A 2 1 .0 U
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