HomeMy Public PortalAbout9837 1/2 GARIBALDI AVE_Building__ 7CA"BA CEWOOS G-SB
APPLICATION FOR BUIL 1 NG PEWIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUII.DING AND SAFETY DIVISION (LOCALITY `
JOHN A. LAMBIM, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUP-T OF BUILDING (CROSS ST.
OR AP TO F L IN DIS RIOT fl GR 'Y PE ey BY
(Print or • only) o CONST.
BUILDING STATISTICAL CL IFICATION StWER MAP
ADDRESS 98321 0exibaldi CLASS NO DWELL,UNITS BK PG
LOT NO. BLOCK USE ZONE MAP 1
NO. O3
TRACT SPE IAL
NO.OF BLDG3. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
OWNER TE C2 FRONT PROP.LINE OF (STREET)
(;iarf]_pni NO 0€ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 1616 S. Atlimtia HIGHWAY WIDTH FROM C.L.
CITY BLDG.S= K FROM
ARCHITE TEL. SIDE PROP.L (STREET)
ENGINEER NO, TYPE Of ISTING SETBAC AY + YARD = TOTAL
ADDRESS {� HIGHWAY WIDTH FROM CA-
CONTRACT •C 831 NOL 26 u1 + - S
ADDRESSWooNo CORNER CUTOFF YES ❑. NO pw
CITY 22' C ASS C— SEE REVERSE SIDE FOR SPECIAL APPROVALS W
CONSTRUCTION LENDER
NAME AND BRANCH =
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE Nroof ALTER ❑
• REPAIR®
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION S 230.00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE S FEE$9.00 FORMS MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE ID CORRECT AND AER EE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING. BUILDING CON- GAS VENT, DUCTS
STRUC TION. I CERTIFY THAT IM DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODS OF THE STATE OF •CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE. n j LATH, EXT.
c
SIGNATURE OF li_ d • HOE NUMBER COR-
, PERMITTEE_ t RECTA 0 POSTED Of A
j ADDRESS 337 S• Woods Ave. L, -. 221 FINAL
74— -� 7S7 JOHN F. LEWIS, PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION cK. m.o. cAIH _ PERMIT VALIDATION cK. M.O. CAIN
j A',., 3 5 7 9 8 FEB 3 1 D 9.00-
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