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HomeMy Public PortalAbout9829 GARIBALDI AVE_Building__ t DEPARTMENT OF COUNTY ENGINEER DIVISION OBUILDING OFLLAND SAFET GELES aA U ' L D I N G WILLIAM J. FOX, COUNTY ENGINEER �•J APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING I- ' OR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUIEDIN/ DISTRICT O. PLAN CK.OR REc.No. PERMIT NO. ADDRESS Z- / LOCALITY/,/ - ,,,� RECEIYAD BY AT OF APt3L. DA 1�'SVUErD NEAREST +Y��y, �/ J 3 CROSS ST ff / AD13RE N OWNER BUtDE ADDRMAIL ESS �Q ./�/t/ LOCALITY i V r ( iapL ' s /�+/ NEAREST - ...f TEL ^6 CROSS ST. CITY ARCHITECT ORJTEL. FIRE NO. OF 1I TYPGRPW9e ENGINEER ? NO. ZONE I � PLANS //�I BLDG ADDRESS SETBACK LINE 07-Gv/ •I /'i h. ♦ 4�"j �.f TEL. USE APPROVED CONTRACTOR NO, ZONE BY DATE HOUSE NUMBERING ADDRESS LEGAL O MAP NUMBE "` ®� NO. ASSIGNED BY DESCRIPTION LOT ! / BLOCK TRACT I'lfa6--7 // CORRECTIONS NO. OF BLDGS. SIZE OF LOT 6 - I NOW ON LOT USE OF NO. OF ISI EXISTING BLDG. rc.-cam I FAMILIES ' DESCRIPTI N OF WORK . o - NEW ` ALTERATIONADDITION D H Z REPAIR DEMOLITION D r a . N . O SQ FT. NO. OF SIZE QDROOMS STORIES EXT. WALL AlROOF COVERIN T✓� !Ld Aloe COVERING USE OF STRUCTU E z ( b '/-`r APPROVALS Mr y r INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS '`" I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE: LOCATION, I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS AND STATE LAWS REGULATI G BUILDING CO/NSTRUCTIO 1 LATH, INT. SIGNATURE OF �te� PERMITTE LATH. EXT, ` ADDRESS PLASTER, INT, AUTHORIZED AGT. _ Q-.�-Lt"- s^ PLASTER, EXT. P C. FEE $ �O - HEEOUSE NUMBER CORECT AND POSTEDR L IO/N / FEE >��op�.,.. FINAL ?-;S` , 76A688A 0883 8-52 APPLICATION FOR BUILDING PERMIT COUNTY OF. LOS ANGELES BUILDING AND SAFETY WORKER% COMPENSATION DECLARATION FOR APPuCANT TO FILL IN Bt�DNc3 I hereby affirm that I have a certl5ce6e of ponaetit to salt Insure, �1 k or a a" ata of Vkti(eW Compensatlon Itieurannc(e, orac&HHQd H copy Polluy iJo� TiLab.C) rN' 1 m (� �_ LOCAIJTI' OF LOT 40.OF R Da&NOW ON LOT ❑ Cef tfied copy b hereby fumWisc. NEJWEST CR088 ST. ;Ce+iifled.copy b flied.with the qty pullding ITAT LOT Na USE ZONE MAP Na t ASSE MAP BOOK PAL3E PARCEL - 3?EOLr,L COHaTION3 I CERTIFICATE OF EXEMPTION FROM WORKERS' TEL No. NQ `COMPENSATION INSURANCEOw�/jR I ` WTHN 1000 Fr.OF 8GHO°L7 YES (This section need not be completed H the permft.le for one IturYired. rDOREs:pS, DOTFICT oaoUP TYPE sT. 4DNE PFODEasED BY dollars c$l or oe ) ZIP ; I cerfffy that In perfor-ague of thi he work for which thte pecmHcrry baried.IsI shall eploy marty pereon'in arty Man nor,so as to ORENc3r�Eri TEL tp l/ become subject to Workers'Comlpensatbm Law&. APQ SVTtSTHaL APT CONDO Data "Icartt - ADDRESS - - CLA3S Na DWELL LMTS NOTCE TO .APPUCAW.• H, after makhV this CertfFCate of FE(XARED TO-P,L SETBACK FROM EXIST Examptlon,' you eho0d becotne ,sub}ect to iiia Vkrkers' N0 SET BACK )ARD 1 WY PROP UNE WfDTH Compermatl n provWo(m'bf the Labor Code, you must for&wfth FROG compy with each provWons or tisk permlt ahell be deemed revoked. ADDRESS uCy NO.HO o� P L 1mvCENSED,CONTFtACTORS DECLARATION �� • sanE U LIC.Cd tss- PL 1 herea by afflrm,th4 1 am IhPneQd inderprovIs of Chaptaf 9 l� 9�MAP 'F (commartotrQ w1th Seatloa 7000)of Mal n 3 of the Builneas and sa�i.mm !ia OF STORES NO.OF FAMUES Proteeafons Code,and,my.Iicenee Is In fill force and effect NEW 11 BK PO Q Chanes Nymber ?QT Lk-Claes DE8CFdP910N OF ADD Elw-�� CJ c' tractC omDate P 49 ALTER ❑ 0 I'flrn exempt under Sec. WO REPAIR BAPE.for this reason A- DEMOL © U ria sic r Date: USE OF E)3ST1.No URM `❑ signature • , tea, Perm f 3307 117.9'[7 . q I, as owner of the property, or my Qn�byeea with wanes as Co4tTITW . T`E $S- L r= I'm0 — O. ,_ . their sole compensation, will do the work and the atnicture Is g 4 tt r not Intended or offered for sale (Section 704-4, Buahass and l '* FHAL DATE TSA 1 1 . � Prgfeealorre Code.) w,i TFE APPL CM7 OR PUPYE aA-DM cCCL&xr Rq4DLE A FVZ&F CUS WA S:" .: �—1� � CAN — 117.90 ❑ 4 as owner of the property, em e)xAWvefy contracting with CR A MIX COArMAW A FY.ZIFDOU9 LLUT= L EQCLN—70 OR cite THAN,THE .. - .- -; AMourrrs HAZAFCCU8 UAEFL"IFOF#XF N GLIDEP f41AL BY .00 roared oontracbors to coratnrct the projeot (Section 7044, YEs El � w No Bt>slneas and PfofeealorrA{ode.) V&L T-e NTEr USE OF THE MCLM BY THE APPUGWT OR RMJRE BIA-C o- ` OCCU WfF FE XW4E.A PEFMT FOR CONBIAJCTrON OR M00IRG4DN FROM THE CONSTRUCTION LENDING AGENCY COAST AF WAUTY uA►ua-64ENT rsTACT(eCACW eM P1�T W ftml tWCELFEa OIJtJV r�Vy I hereby affirm that thane Ie a cometruotion lending agency for YES E] .4r _ -0001 10I the performance of the work for which this permit is faaued(Sec, 8133 1' AM 10:R' . m - nwE RpAa n-�i-rAz.Araara a r�oR�T,uN«�oE AND so,ao�r�o 3097,CN.C.) a-EGa_ST.i u►oe�s 4-,o w REbOW-M x14-u►oER»e LOB AMOELES COLWY coos. TTLE 2 d-ua 220 pE�170►le 2- 100 THRCUGH 2-M 140 CONCERHM HAZARDOUS Lenders Namte IL9-EiiALB F�Y7TN0,4bfQfi Oa'P{!10 A PER64T FRPM T1-E 8CIl?O. Ladders Addresa o 4M*M OR ASR I certify that I hake read thle applbatton and state under penaf)y of perjury that the above Irdormation F8 oorrect I agree to oorly P.P.C.FEF PEAMfT FEE Tp wtth all cowft ordlnarDeA and State La" relating to bu king oonah„otbn,"and hereby authortre represeutatives of thb County S8l1ANCE FEE P the Ql�lye-memrioried mP�y for Pure - o � P'1VEST)GATI)IN FEE TOV,L FE�E D . A d Q A*- SEE REVERSE FOR EXN ANATORY LANGUAGE