The URL can be used to link to this page

Home My Public Portal About9408 GIDLEY ST_Building__ µµ T 76A888A CE#8098-68 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS q BUILDING AND SAFETY DMSION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS S DIST T NO. GROUP �.PE PR ESS Y FOR APPLICANT TO FILL IN — conlsr.' e BUILDINGz STATISTICAL CLASSIFICATION SEWER MAP ADDRESS P CLASS.NO.�DWELL. UNITS BK BK G ! LOT NO. MAP STATE NUMBER �a,L,�1 HWY. YES NO TRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT I OW ON LOT ^ USE OF I? EXISTING B41ZG ZX BUILDINGEXIST. SETBACK YARD HWY STREET NAME WIDTH OWN•. "7 FRONT 1 I A MAIL _. P. L. oeOdr o3- Y ADDRES SIDE CITY NE a ' P. L. ARCHITECT OR TEL. , INSPECTION RECORD ENGINEER NO. ADDRESS .rte JwTEL CONTRACTOR� aZ NO.. - - ADDRESS - DESCRIPTION OF WORK ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE APPROVALS APPLICANT _ _ DATE INSPECTOR'S SIGNATURE ADDRES§QCU3 FOUNDATION: LOCATION ) FORMS.MATERIALS f P.C. $ Q FRAME: FIRE STOPS. f V'�Cl FEE BRACING, BOLTS VALUATION $ �"j C�'C1 FURNACE: LOCATION. r -- FEE / GAS VENT.DUCTS 1 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 LATH,EXT. STATE LAWS RE ING BUILDING CONSTRUCTION. SIGNATURE .>,Z� HOUSE NUMBER COR- PERMITT RECT AND POSTED ADDRES 9S FINAL CLYDE N.DIRLAM, PRINCIPAL STR RAL.EM6#iCEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ,_ 19.5 LAP-244s" -m21 1 A 39.008 ACX.#.. APPL,ICATION FOR BUILDING PERMJT 1 COUNTY OF LOS ANGELES S u I LD 1 N G DEPARTMENT OF COUNTY ENit;p= ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ' JOHN A.LAMBIE,COUNTY ENommm NEAREST CAIMATT 0 FFIN Su or SUILoimm CROSS ST. DISTRICT NO. GROUP BY FOR APPLICANT TO FILL IN CONST. 'BU1LDfN0 ADDRESS D STATISTICAL CLASSIFICATION 8 EKR MAP _ Pq LOT CLASS.NO NI _$T L —{� NUS R FiWY~� �a USE ZONE SPECIAL SIVE OF-LOT NO.OF BL1 CONDIT10N8 NOW ON LOT �RVlf BUILDINS }'ARD, HWY 9. R ET g L•XI88''��'' 88TBACK WID711 FRONT �7 MAIL P. L- ADD >IDI- CITY NF-40-4"z'W ARCHITECT OR TgL, INSPECTION RECORD FlNGINEER NO. ADDREMS .TSL CONTRACTOR NO. - DESCRIPTION OF WORK ADD ALTERREPAIR DEMOLISH H4.FT. NO.OF NO.OF SIZE ede v STORIES FAMILIES USE dFr 9fRUCTURE IIGNATURE APPROVALS APPLICA DATE INSPECTOR'S SIGNATURE D FOUNDATION: LOCATION s FORMS,MATERIALS P.C. s FRAME, FIR HTOM FEE BRACING. BOLTS VALUATIbN s FURNACEi LOCATION. - FEEV OAS VENT DUCTS IH BY ACKNOWLTR EDGE THAT'I HAVE READ HIS A - " FyLICAT JN"ANH D STATE THAT THE ABE LATHOVIS CORRECT AND INT. i AGREE TO COMPLY ITH ALL COUNTY ORDINANCES AND LATH ®CT ' STAtTE.. LAWS INq UI INC CONSTRUCTION. Iy AIGPERMIRE HOUSE RECT AND POSTED . wDDR FINAL, � CLYDE N.DIR M P INC'TPAI STMI EER =I OK Y.O. CAJa1 ON Y.O. CATH 26 8 9$; FFB ,,,. - . 2,4 - 2 A 12".00 �3 T APPLICATION FOR. BUILDING PERMIT�� COUNTY OF LOS ANGELES BUILDING AND SAFETY WORK EWS COMPENSATION DECLARATION POA APPLFCAW11'TO RLL.L N BULDING AJJOFlI'98 I hereby Minn that I hese■ cwttflado of coraent to wif Inerts, _ or a certificate of lhbrkan'Compmwation Inaurarnce,or a cmtfrd copy ttnenof(Sea 3800.Lab.JJC.) LqL��l ��r CITY zw Poby hen�9 ��.L Com party//1�� '!T z LOT N0. OWN LOCALITY ❑ CerMW copy Is hereby hxnivil . NEAREST CROSS ST Certtfled copy r fW with the oounty buliding kopeotiort TRACT BLOCJ( LOT Na USE zoo MAP NO. Defe Applk ant C!'ATIFICATE OF E7113APTION FROM WORKEW OWNER TEL Ha YES NO COMPENSATION DISURANCE wrrHN 1"Fr.of SCMCX-?. ADDRESS I (Thr sadden need not be,compieted If to permit r for one hLndmd T GFKXW F>�ZONE PR)CE88ED BY datara(> OM or leas) Crry �P 1 oertt}y that In the pwlormen,ce a the work for which mr permit In Issued, I shall not employ any person In any manner so ss to ARCH TELT OR ENG*43M TEL NO. baoorm subject'to the V*xiwW Comperwatton Lawn, SVMSTTCAL CLAftFrXlGiN AFT 001. J Dalm Appl{Oant CLAM Na ' UNITS NOT 0E TO APPLICANT. lf, atter making this Cerffcate of RFOuwED TOTAL SETBACK FROM EXIST F,cemptlon, you should become subject to the Workers' CONTRACTOR TEL'NO. SET BACK li m H NY PROP LINE WIDTH Comperwati n provisions of the Labor Code, you mud forthwith corn ply with such provisions or this permit"I be deemed Twoked. LIC.Na PL '�3 Uc DECLARATION Lla CLAMP ACCT.T I hereby of ftm that I am Ikxrwed under provi iorw of Chapter 8 SIZE NO.of IV0 oP FAJi1J 1�E8 SEINER MAP 9� �7 67.8 (oornawidW with Section 7000)of DMWon a 6 the Buahneai andSQ 7 Profeselorw Code,and my Ikxne r In fuJI force and OW NEIN ❑ VA '�' PO , 1 ITERS LkxnweNumber-Zp1,`1r Llo cies. C— � ° �T�"ofwoRx ADD ❑ $T10r �d� & TOTAL 67 _ 8 Contacwr �� ALTER CHECK 67.v RFPJ4IR ❑ CM4 . ❑ I.m.xernpt u ndsr arra # EL P.C.for mrremon DEMOL ❑ LDMAP/Ca Date: LSE OF EXISTING BLDG URM ❑ n n Signature APPLJC T(PRINT) TEL.NO, LmAA Parise/ ODOD—Lw 1 111 91 7 FI 1RJ, ss owner of the property, or my employees with wages ss 75734 1 AN 9:12 their wie oomperwatlon,wUl do the work and the etruoture Is FINALnot intended or offered for sale (Section'7044, Bulneea and Profeedona Code.) wain-eAra-rAwrcaarraOLUD oOCOURwTrwouenw ZAPK)C relwdrAL OR A LKXTUFM CON-DJNM A HAZARDOUS MUMAL EQUAL TO OR Qf46i THAN . ❑ I, as owner of the prop", am exclusilv%ty cmbactig with THE AMDUrrre ePecFEM ON THE FAZAADOUS WaEVALB NG-OrwrvFan OLaDEt F AL BY � '> kmmd cortlracim to construe to project.(Section 7044, Yee❑ Ho❑ Business and Professions Code.) WLL TFC W"CED USE Of THE H COM ZY TFe AIPL10AW OR FUn*W RF■urn 000I.i1WT FOMWE A PSifr FOR COKVrrRL YnC#d OR YODMOU1014 PROM THE ODUTH CiONST L CTION UMMNa AGENCY CDAET Ail QUALMY WMAMMI T DISTFacr pcAaW asm PmvKrrNo c"K>a_w POR ei Ee Pah ,I I hereby affirm that then Is a conatrwdon Widfng egsrxy for Ym❑ HO❑ FOR oeLl the perfaRFenoe a ft work for which this permit r rsLsd(Sec. FLAW HEAD TFC FunzARDOLIs Wv1faALs eCor+wmOlu aloe AND 90AQ ID ' ---t t'� F-+ aa 3087,Ctx C.. PEFAC7f uCi-eaaraL u�61ewO w RmLlfm�rnS Ua6i TFc Loa ANGOJ95 S d. COL WN CODE.T 1 &a-varEi l90 em'ArFo►e�a1 oD TFHOUa-I1 .110 00H06i+q CQ d I-Miara Nam FNZARDMA WaMALS F49 ORTM Affil Hle A P�aT PROM THE 9004MI. L� Lender's Add fess yF o I certify ttst I hom reed this application end state that the above P.C.FEE / PERAKT FEE 7 F"` •i kmidrrrwtion r oorraaL I agree to comply with all county b ordrwncea and Steta Isom mktJrQ t4 W1 di ng ow atrucOM and so hereby authortm taiMetat>r.e a mi.the above-montioned pi �to p� mJp«, /5 — WhESTnATION FEE TOTAL FEE '0 , r o.. WE REVMW FOR EXPLAlUT'O"LANQUAOE. � � � C4 �� u APPLICATION FOR BUILDING PERMIT t COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS •''' r` ,/f I hereby affirm that I have a certificate of consent to self insure, < or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP copy thereof(Sec.3800,Lab.C.) LOCALITY , Policy NoCompany SIZE OF LOT NO.OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished. NEAREST CROSS ST. (J F3 Certified c0 is filed with the count building inspection TRACT BLOCK LOT NO. . copy y g p USE ZONE MAP NO. department. r �' - ASSESSOR MAP BOOK PAGE PARCEj_ Date` d ./-.• Applicant OWNER TEL.NO. CERTIFICATE OF EXEMPTION FROM WORKERS' YES NO COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) CITY f ZIP ' certify that in the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL.NO. f become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. N' `DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate OfCONTRACTOR TEL.NO. REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject t0 the Workers' SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL a SIDE V LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L UJI I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP ^jq p —J SO.FT.SIZE NO.OF STORES NO.OF FAMILIES lam" I%' (commencing with Section 7000)of Division 3 of the Business and NEW ❑ BK PG �� ' Professions Code,and my license is in full force and effect. .: DESCRIPTION OF WORK ADD ❑ VALUATION ,,{..' �..�"'f ,••�• e Q License Number Lic.Class � Contractor Date ALTER ❑ 0- , . REPAIR ❑ El am exempt under Sec. "k B.&P.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# Z { I, as owner of the property, or my employees with wages as O their sole compensation, will do the work and the structure is ADDRESS •„ FINAL DATE Q not intended or offered for sale (Section 7044, Business and Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J ❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY a licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES m COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING - Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. aLender's Address Ow ER OR AGEJr o I certify that I have read this application and state that the above $ information IS Correct. I agree t0 Comply With all county P.C.FEE PERMIT FEE - a ordinances and State laws relating to building construction,and ' a hereby authorize representatives of this County to enter upon ISSUANCE FEE k the above-mentioned property fp spection purposes. ' . nINVESTIGATION FEE TOTAL FEE ,x' *^' ;•¢ 9191-1 1 App)mnt o ABen� a' a� rAf 4'• i O p SEE REVERSE FOR EXPLANATORY LANGUAGE I,