HomeMy Public PortalAbout9407 GIDLEY ST_Building__ i DBS-3.9
11.55 %. APPLICATION FOR BUILDING PERMIT ],
11.55
DIVISION OF BUILDING AND SAFETY BUILDING �(
ADDRESS (1
Department of County Engineer
County of Los Angeles LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRIN6 GROUP TYPE SEWER MAP
BK PG
CON SZ_l_/
BUILDIN ` o 7 NUMAPMBER �� /� r STATE
ADDRESS TT((�j / HWS, YES O
LOT NO. BLOCK USE ZONE SPECIAL
CONDITIONS
TRACT1ov v
SIZE OF LOT 7 / I NOW ON LOTS / BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
USE OF
EXISTING BLDG. FP. LT
OWNER SIDEsZ—
P. L.
MAIL
ADDRESS O TRACT DWELL. I UNIT 5 INDUSTRIAL
I DWELLI UNIT
CITY NO.,/�L.C� . / 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 2 UNITS
ENGINEER NO. 3 APT. UNITS 7 ADDN..ALT.. ETC.
8 MISCEL.
ADDRESS 4 COMMERCIAL
TEL. e
ACT R '` �-�'�f No! 033 INSPECTION RECORD
� ADDRESS
DESCRIPTION OF WORK
i
i
NEW X ADD ALTER REPAIR DEMOLISH
SO. FT,C�' NO. OF / NO. OF -
SIZE 3/ STORIES I FAMILIES
USE OF=E
SIGNAT11RE OF
APPLICANT APPROVALS
ADDRESS # DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
C P. C. S l FORMS.MATERIALS
(JJ��i(J_`/ FEE FRAME: FIRE STOPS. `
VALUATION $ `.•� �' BRACING. BOLTS •=+-�`'..
FEE o{ FURNACE: LOCATION,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT �__�
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. C '
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH. EXT. i
SIGNATURE OF HOUSE NUMBER COR-
PERMIT EE 5��. RECT AND POSTED - y .
(µ//f,
ADDRESS FINAL
JOHN A. LAMBIE.COUNTY ENGINEER VALIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR
CK MO CASH
ii5573� FF826 i 6 11JJ0 � �
05 6 7 FEB 2 1 2.� in
WORKEP&C PfNSATION DECLA12AT10N
affirmpyt,
-certlf1" of consent to self
t4 m�pben )Ion Insurance, APPLICATION' FOR BUILDING PERMIT
.«a certffJ.d ap3900,
QaIlcyNa. COUNTY OF LOS ANGELES BUILDING AND SAFETY
Company
Certhfled copy,is hereby furnished. FO APPLICANT TO f.ILL 1N ISUILDINa
��� �t
rrn�nf filed with the county building Inapec- - gUlLpll ADDRW
tlGi
.Orem . . ADDRESS �D c QT
DpTe A011cont afY ziP LocrLrn
CPRT(MCATE Of EXEMPTION fROM WClRXERS' NO.OF6LD06 11T _
COMPMWION'IWRANCE 611!of LAT f >R. db
�h s�ctlon n:ed not be com Idtid if the permit Is for one
hundred dolkxs ($'1.00)oraess �. TRACE AfNO. e P PERM
I certlfy.that In the performance of.the work for which this 05 LME NY Z6i
•pernflt Is Issued, 1 shall not employ any Person In arty manner
so a ho become subject to the Worker Cl!ompensation Jhws. COtEtff101�b
bate llcant Oi7/� �J'NN I� C1TY LP
NOTK> O. ff after snaking-this Certlficah o � '��? 7;7 , O
Exemption 'you -should becdme subject to the, Workers' ?" /rl r 1
Comper"an provlolone of-tha Lab«Code, you must rih• ADDRESS
with comply with such• provisions « this permit ahalF bo O.'
deemed revoked. OONTRACTOR lfT/\TI CLASSIF AAT.
LICENSED CONTRACTORS DECLARATION' - 1 LLC . CLASS NO. UWIgL UNrrs-
J hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.
(4ommend with Section 7000)of bivlslon 3 of the Business and ..U- SEWER MAPora ode,
and my lrQense Is In full forte and effect. CrrY �. VALIDATION
SQ FFNO.OF CEIOC
` t. - 317J?
License Numbor Llc.Class ' r.. OPE
OF WORK
:
Ggohoctor /AJ - , NEW
V `
D41e. �� (1 V
0 1 am exempt under Sec,
B,�P.0 f«thlo reason '�N�� TER $
lt�Al R
- •.. Date'c USE OF
EXISTING BLDG. I� DE�hOI
SlyraNire
I DECLARAT}OfJ PRI /Y NO. q Q,,0 9
I hereby affRrri that I am ex pt from the Controctog'�4larrse - DATA r�. #
Love for-the following reason031
(Section 7 .5, Business and d • r 1�
irlorisCom): WNNG � . 7-8,G
as "rw of the property�or my employees with _ �ADDRFSs 7 a o,Ql�Rt&z
,
woges cm their sole compensation,will do the work and` 4744d "` o 0 0
the structure Is not Intended or offered for sale(Section_
7044, Businesi oi�Professions Code). MQVIPIG
P Tli '• O 9 8`t�$
I, as owner of the property, am excluslyely controcting .
with Jlgnsed-eontroctors to construct the project (�
Non 7044, Buslne»and Prof Ions Code} ADDRESS
,
CONSTRUCTION T ,A
ENDING GENCY YARD Ft1M1. UPE FROM
WI
I hereby affirm that there Is a cor}rtruction Ia6dIng�ncy for
the performance of the-Work for wh Ich thIt permit Is loaned
{sec. 3097,t C).
P.L
.Lenders 1Vame -
�f} LDMA Ref. f
$ C.Fee n
Peult Fee
Lenders Address
-f arNfy that I hove-•read this application and state that.the Inuanae Fel., P/C f '.
a' above information lo cpnoici.1 agree to comply with all County Im«npation
ordlnartces acid 55�ff�� lows relating to ,byl{ding constrvSilon, Taal Fee . . t/ LDIMA
R and hereby authgrin'representathves of this county to enter
upon t)e Non�yedd props rty f« I on purposes .
ti�.RfV!!✓1 I'M fSU""TM LAWRIAW - ; .