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HomeMy Public PortalAbout9931 / 9227 GARIBALDI AVE_Building__ UNTY OF LOS ANGELES , ,APPLICATION FOR DEPARTMENT OFCOUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN ADIDRESS LDING Ile ADIDRESS �7 6421/134/00 0 f2130 off LOCALITY NEAREST CIN _'P /e l f � Y ZIP��✓�^' 4&f D CROSS ST. e NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL .� / j� DISTRICT GROUP TYPE FIRE Am—la-" ED BY TRACT .�.ii� BLOCK , // LO LOT NO. -- ell] CQJ I ZJE OWNER �4+ 4 NO. x _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS �./cJ/V'- �sJ� CLASSNO. � n DWELL.UNITS BIP�G CITY / 4 1ZCA 0l;+ ZIP '71,006 USE ZONE NOAP v 2 ARCHITECT OR TEL. �j SPECIAL <.l ENGINEER NO. 7,D ONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ TEL. CONTRACTOR NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS // NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH CITY ^CLASS ' / + _ } CONSTRUCTION LENDER T a NAME AND BRANCH ` BLDG.SETBACK FROM SIDE PROP.LINE OF (STREET) � ADDRESS CITY O SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING U SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH N DESCRIPTION OF WORK , (�J C/� NEW + = Z / ADD CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ElUSE OF BLDG. EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXI APPLICANT TEL (PRINT) NO. /�n BY(SIGNATURE) IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE Z L T ,;•`� /�„ � r� ,:�,'� ]•}.ter..._ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TOW KMEN'S COM PENSATION INSURANCE. SIGNATURE OF FINAL PERMITTEE _ DATE ADDRESS TEL. P.C. Fee$ Permit Fee CITY NO. Q Issuance Fee VALUATION$ Total Fee --) PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 3a qua L 28.50 ©S 76A638A CE N803A 6/76 l • APPLICATION FOR BUILDING PERMIT FOV APPLICANT TO� ILL IN IPn,+ortype only) BUIKANG COUNTY OF LOS ANGELES ADDRESS q � 6-14101113A1121 DEPARTMENT OF COUNTY ENGINEER CITY emple ZIP BUILDING AND SAFETY DIVISIONNO.OF BILDGS. BUILDING 5�1 SIZE /�OF LOT NOW ON LOT ADDRESS <� Zt ,F. V TRACT,*?,_�2� BLOCK LOT NO. / LOCALITY y / TEL. NEAREST OWNER c_ NO. / CROSS ST. ASSESSOR ADDRESS o2 /4 / MAP BOOK PAGE PARCEL CITY ZIP n DISTRICT GROUP ITYPE FIRE ESSED BY e CONST. ZONE ARCHITECT OR ,�(a1 �1 1 NO. � 06 � !1 ENGINEER /v!Y w� nn STATISTICAL CLASSIFICATION SEWER P ADDRESS � �r r��/p /V J/` CLASS NO. OC DWELL.UNITS / BK PG CONTRACTOR NO. //c� /v��C E ZONE NMA OP ADDRESS Ll&,q..t,.k .5 I 1 SPECIAL LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH /v LL /l/1 BLDG.SETBACK FROM FRONT PROP.LINE OF -(STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT.t5/6 NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE / STORIES FAMILIES ONE DESCRIPTION OF WORK A/(�`L' ��Q�'��� NEW + � O `V ADD ❑ BLDG.SETBACK FROM SIDE PROP.LINE OF ISTREETI O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w { HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH N USE OF REPAIR 1:1 /� ` V) EXISTING BLDG. DEMOL El + 4 1 APPLICANT J� TEL CORNER CUTOFF YES ❑ NO ❑ (PR NIT) {1 h�V 77 ,A IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) "l4LtIN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION �P I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE14 ! , THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN 'IMEN OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TOW KMEN'S COM- PENSATION INSURANCE. SIGNATURE OF � _ w� PERMITTEE 4v ADDRESS FINAL BY TEL. DATE i,? ,7 CITY NO. / MAKE CHECKS PAYABLE TO: FEE $ FEET HARVEY T.BRANDT,COUNTY ENGINEER ��^� 8-S PLAN CHECK VALIDATION cK M.O. CASH _ PERMIT VALI"TI ) CK. M.O. CASH I9 2 u 9 4.i1_)" 5 599iz. ta y 6 98.55 600��t� y �. � 321:JJA': : ®s 76A638A CE#803 3J5