HomeMy Public PortalAbout9410 GIDLEY ST_Building__ 76Aes A=l`-:' APPLICATION FOR BUILDING PERMIT115 1
DIVISION OF BUILDING AND SAFETY BUILDING
Department of County Engineer ADDRESS _
County of Los Angeles LOCALITY l , C i
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. G
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAP
BK �P
�'L• CONS L T
BUILDING p J 4�p�1
ADDRESS (�'/PLC Y .I- R��i FM 'NbTv1A ER Z�V I STATE
YES �Q
LOT NO. BLOCK USE ZONE SPECIAL
CONDITIONS
TRACT
NO. OF BLDGS 2
SIZE OF LOT I NOW ON LOT ►'YLK BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
USE OF
EXISTING BLDG. / ^/ FP. LT 1 O Com_ I Q `C' 3O�
OWNER�I/ 1Ljp L.. FrLfi1 GE_7 ,G6 � SIDE J
MAILOL
�^ ST-
ADDRESS
+
ADDRESS�.,(-o�� / !/OL F+ TEL
'1 T" O TRACT DWELL. I UNIT
c /� r� TEL. 5 INDUSTRIAL
CITY I_•�L� F/T V NO. ,P'(> �/. I DWELL. I UNIT 6 PUBLIC BLDG.
ARCHITECT OR TEL. .1 2 DUPLEX 2 UNITS 7 ADDN..ALT., ETC.
ENGINEER :�L/=
L� TNO. 3 APT. UNITS
_/-
3 MISCEL.
ADDRESS
CONTRACTOR
/VC.j'1 j e"'W O* C INSPECTION RECORD
ADDRESS
L� p
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE 1�tI e 0 STORIES FAMILIES
USE OF STRUCTURE Jw- c„ c 0 p Q/Y C fJ
SIGNATURE OF
APPLICANT /I I �I APPROVALS
ADDRESS��jZ�.S11/L-1=- J -4, 4 DATE NSPECTOR'S SIGNATURE
F
FFORMS,MATERIIALSION FRAME: FIRE STOPS,VALUATION / C/ $� BRACING, BOLTS
E -__.fes FURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT P
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. -
AND STATE LAWS REGU TING BUILDING CONSTRUC-
TION. LATH. EXT. `-
SIGNATURE OF OUSE NUMBER COR-
PERMITTEE y RECT AND POSTED
ADDRESS FINAL
JOHN A.LAMBIE. CQUNTY ENGINEER VALIDATION CLYDE N. DI LAM, CHIEF BLDG. INSPECTOR
CK MO CASH
..tom 4 7 2 2 FFR l 1 5 1 4.0 p
p 4 9 2 7 r FB 1 2 F,
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A_ PPLICATION FOR. BUILDING PERMIT
COUNTY OF LOS ANGlElE8 BUILDING AND SAFETY
WDAKEWS CONPOMT10i1 DWI RATION roA APPUCA t r To fZL M ADDFtFBE
1 hreby aBYm that I ham a derdfioabe of coneent to sett Irteun, ADO
or a certfflcab of Wlximrl Pompmwbon Inauranok or a certffled
Copy thereof(Seo.3800,Lab.C.) Crry ZIP
Poloy Bio J �L'.f Z-1 ry LOCALITY
SIZE OF L,OT NO.of DOB NOW ON LOT
❑ Cer MW copy M betsby rumhhed.
NEAREST CROW BT
❑ Ce did oopy Is fled.%kft U» bounty bu"M Vepeci ion TRACT BLOCK LOT Na _
Uw DOE MAP Na /
briel ABBEBBOR MAP PAWS-
Duke
ARCEL 6
Duke�AppflOafTt jYf._ /j BPECIALCOPDITIONB
CARTLF7f TE OF MTRQ"Nof"U f3s' . owr�l TEL No YES —
wITFl1 10M Fr OF BCNQQLT
M*sec8on rived not be oorrrpieted H the permit ls for ora txndnd L-�' �` .. '
DISTRICT GROUP. . FIRE ZONE PROCEBB®9y
dohs(;100}at less.) My _
I ovft that in the perbaTonce of the work for wiJd Wr pwmtt
,is Welled, I shg not emptey any person In arty roamer so r to AR04MECTORENGNEER TB...Na BUTrencaLi
bttconM Kbod 0 the%"kM CorrlperAsbM L".L CLAVfRCAnoh APT 0
1
HI?p1
Do ,Ap~ ADDFEB CLARE NO. DIVELL LR{TB �
NOME TO APPUCIANT., tf, after making this CertlfioaL of FdB u TOTAL EGST
Exbmptlon, you should bedome subject "to the Workers' CONTRACTOR TEL NO. SETBACK VkM wlwy
Corrrpmusbw prwhiorn of.the Labor.Cods, you must lorthvft ig F FFK*rr
complyvft each prwWonb or this perm!!*W be.dm i Terdaed. ADOREee UC.NO.- -PL I
uCENSM 001NTRACTORS DECLARATMON CRY J LYC..CUIBB PL TOTAL 93 _ $
I hereby WTM that I am Ilow s under prOvhione of Chapbr 0SEWER MAP
(oonmrer'DkV.wtth Section 7000)of DFVipion 3 of the awb ise and Fr.erg N0.DFtrop!® Na DF Fvi�l» N� ❑ BK � • 93.78
Profeaeiorr Coda,and rrry Iloerw ler,tLA force and
.ffeot .l)O
Lkwrre Number LID.Gass DEBCRPTION OF WCR K ADD vmlwrm M
# 0S
ALTER iT-
❑ODa
rtiTaotor Sea Data - REPAIR ❑ � 1 2/ 11�1�
rrempt latdr 5417 1 AM 11 0
B iP•C for thleiMaOn DEMOL ❑ LOW P/C e
Dain ME DF EXMTM EN W URAA , ❑
23
SIfJ�� AppuqWTfRTN1T,. TM-Na _ LDYA Pram e
,g 4 w owner of&A property, or my erwith wages as A�T.i
their sole conVenes ion,will do'ttr� rrptoyes work rid the strvohin Is .
not frrbnded or offered for sair(Section 7044, 13-Iii-in ad 2 frtAi owTa _ 3347 [ -67.89
Profeeeiar Code) waLTFC APPUCAWrCA MJTLJM MLXLDM 000UPWT HANDL*A FMZAIDOW WITarW_ 1 }TCJ h3
CR A 1D(I GRE C0NMk*4N0 A wnffmL MOLAL TO OR QFKATll THAN
❑ M owner of the propeRy, am eimhFetlFety oon4'�cttrt0 with TFC ANIaMe ePROFM OF TFe�AFDOIS MATIR Ald NlOri U M QUIZ? FIVAL
contactors to cortetrTiot Ute pro}ect.(Section 7Q44, re❑. No
❑ ' /T++4��T/AyyL// 67'- 35'
[ }
BliMltiee-and Proleeeiate Code.) wLL TFa MrWOM L�OF THE eliDra�r T}el ArRL.FGtWT oR All!eULOl10 CHECK.
47.07
LQldlNG AGM*JiCY ODD-A*rlr FOOLWaAFgafr"COra7TFUOTpMon HDDe7GvpMF#IralTH eouTH
ocAar Aii oL ALrry YAMAwmErY Dn FwoT PoAOOI am PC7aTrlq cHnoKLrrr .NJPOI G ME DS
I herby affirm that there In a oxWxucdm km K& agercYfor Ye❑ Mo❑
the pertOrRlarrCe Of tits work 10f IIVFri0t1 this pertnk Is isel»d(Seo. I HVE MAI)iT�FAZAFgOUS W r1Vt4Lb si'OFI&MON 6LWG Atam
)THE somaPffliffrrM
n
vp 3007.Cha.C.)_ - 0"M00�tCFWMMIsstow a iooz:Z xMin�ANGELAS 1 11I 9/91D
�D Le 6Ws Navas HAZAFDMA Y44Fi46ff Le FEFORT1 J%W tu09DUM o A rw1.
ar RKM TFQ BDAQb 37,51 � 1 Al J�/I 9:10
Lwg*%Address,
COMM OI Allf .
I certny ttrat 1 haw reed this apPti Abon and etabe tftai the above
Iniorrrratlon is oorreoL I Agree, to aw0y wfth am oolilty PC FEE PERI CT FFA
w
ordkw1on acrd80M-Wm retatkt0 io bundtr0 oatstruoft%and
hereby &"tzn repreaentghFee of this Canty io wW upon tBEllAT10E FEE
the above-rtienUorred plr-
ep wveertcaFvtoN FEE . . PEE
NM PlVV6=FOR ELANATO"L.ANQUAOIt -
� ` OF �°� BUILDING
DMIKON OF BUILDING AND SAFETY
COUN" OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENa1NEzR pR TION
CASSATT D. GRIMM Sur'T of ■ummime L
FOR AIyPI.iCAM TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLJUi CK.opt Rxc.No. PERMIT NO.
BUILDADD ENG '
LOCALITY REED B
CKIVY DATE L OF AFTDAT[ISSUED
1 i C..�/
" NOTT
■UILDING
SS
OWNERADDRE
HAIL LOCALTlY
ADDREM
TEL. c� T
ST.
ARCHTT[CT OR -�_ FIRE NO. OF TYP'[ - GROU
Wa1N NO ZONE PLANA
BLDG. f ` ORD O.
SETBACK IIN[ OH
//JJ Ta- Us yAPFROVED
CONTRACTOR .C- N EON[ ' [Y ATI
/ HOUSE NUMBERING
DRESS
L3GAL NUM■ Q O. ASSIGN[ SY—
DxscRIrTION I LQTNO. BLOCK CORREGTIO
TRACT d T l}a.�a.�r .
NO. OF OLD"
III= OF LAT NOW ON LOT
USE OFG x NO. OF -
DESCRl1?'MN OF WORE o —
AE)DrnONQ
Z
REPAIR LIT10N
Sq. FT. / � NO. OF
SIZE Q ROOMS ['TORIES
An
COVOUNG✓ I ROOF
NG �
US[OF STRUCTURE
It
APPROVALS
INHPECTOR'■SIGNATURE DATE
FOUNDATIONS LOCATION
FORMS, MATERIAL
1 H[RIMY.ACX2#OWL.XZ>Gi THAT I HAVE READ THIS AP- FRAMEt FIRE STOPS,
PLICATION AND STATE THAT'THE INFORMATION GIVEN 18 ERACIN ]BOLTS
CORRECT.
1 AGREE TO CDMTLY W ALL COUNTY ORDINANCES FURNACEi LOCATION.
AND STATE.LAWS RL.
EGUATI BUILDING CO UCTION. G"VENT DUCTS
SIGNATURE LATH, INT.
Plata
avLt LATH. [XT.
ADD
PLASTER, INT.
AUTHOK ZZD AGT.
PLASTER, KXT.
f F. C. f HODS[NUMDQR COR-
FEE R[CT AND F'OfTm
VALUATION FQ .f FINAL
T —Tit
WORKERS'COMPENSATION DECLARATION
L hereby crfflrm
rtlfthat'r have a certificate of'consent to ,elf - FOR BUILDING P E RM I T
Insure, or a ce cvta of Worker Comperuatlo Insurance, APPLICATION
I�O
dr a certified copy thereof (Sec 3800, L86.C) COUNTY OF,LOS ANGELES BUILDING AND SAFETY
Policy No. 103954 Company ion:
Certtfled copy-Is hereby Turn FOR APPLICANT TO FUN' Ik
AbDR SS _ C f`6`L
ALSorLEss
r'1 Certified copy Is filed with the county bul n9 I gDl�pp�
L# tion deportment: 41 —12—I — 2 Gidley
Date R-29—RR Applicant ZIP LOCJLLr1Y
CERTIFICATE OFfxEhlyPT WO.OF K�-
tOAAPENSATION INSU SIZE OF LAT NOW LOT ST.
(This section Hied not be cam leted If the permit Is for one ASSESSOTRACT BLOOC LAT tJO. MAP BOR WAC,f PARCH
hundred dollars (=100)or less .,
_ _
USE ZONE AW
I certify that In the pasformonce of fl�e'w4c" for which this, I OWMt R Fair N NO.
permit Is Issued, I shall not employ.any n In gray manner _?j SPECIAL {
so as to becorne subject fo the Worker�petsatlon Laws. ADOR135 �
Date ' 'Applicant aTY zip
ARCHITECT OR TEL.
NOTICE TO APPLICANT: If, after makldg this Certificate of tJ0 DISTRICT TYPE / FRE BY
Ekemptlgn, you should become wbj�ct to,The Worlceri ,1 �T, /
zs
Compen*Wlon provisions of the Labor C)de,.you must forth- ADDRESS o(/ 111///
with comply with such provisions or this It shall be
Permit ST
OAW'Fr—,TK: IN SFT. Cn
deemed revoked. CONTRACTOR United Roofi>}g Co. .13-223-40 z
LICENSED CONTRACTORS DECLARATION uc . CLASS tJO. DVVl3J_ uNrrs .--
I hereby affirm tf of I am Licensed:under piovLsions of Chaptec9. AboREss 18-21 Daly ST. No. 137650
=(commendng with Section 7 Q00)of Dfvhlon 3 of the Buslness and � SEWER
ors Code, and my license is In full force'and effed. CTFY CLASS — IPG. VALUATION
License Numbir -"7,4650 LIQ-Glace C-39 Fr. � FA ES �
VALUATION
Contractor $-29-88 DBCrtIP1lON of woRUc dear. o£f eaietin ; 13939..00
ADD,
Elam ro0f. InAtall 3—n-lybuilt—up
B.dP.C. for'this reason REPAIR $
Vie: USE Cf
- ExrsnNc eLDc. comfhercial . DEMOL _
SJ9nOhJre PRI united Roof ing Co. 10-223-408 F AL
OWNER-BUILDER DECLARATION DA-M d` 10-.8;1.7,A
I hereby affirm that I am exempt from the Contrbctors Licehse Atxx 1$21 Dal St. Loe An eles 90Q31 r p�°
Law for the following reason-(Sectlbn 7031.5, Business and .1 •° I 8
i
F4ofesslor�}Code).:
I, as owner of the property, or my employees'.wlTh ENOADfNtF55 o e16 2 3.86
wages as their sole compensation,will do the work and _ �� lop..the structure Ls not Intended or offered for sale(Section8
7044, Businees'and Rrofekslons Code). MOVINGTB_i, as owner of the property, am-Axclusivefy toniading ACTOR NO' Y a'�
T with licensed contractor•to.construct the project (Sec-
tion 7044, Business and Prbfessions Code):
TOTAL SETBACK FROM
coNSTRucTION LENDING AGENCY . YAC- FWY PROP. UW TFI
I hereby affirm that Then Is a construction lending agency forT
the performance of thb work for which this pfrmit h Issued P _
(Sec. 3097, Civ. C.)• SIDE.
PL
Lenders Name
Ref. I
Lenders Address P.0 Fee$ Permit fee
I ceriffy that I " read this application arpo state that the Iisuance Fee 10.5U LDMA P/C
above Inforrrwtfbn fs corned. I oar"to comply with all County Inv.sttgrxl on Fee :.
ordirwnces and State Iows relating to building construction, Total Fee 162.38 L�,�::+
and hereby authcwl I n ve+of this County td enter
upon the ve-men for Irspectl06 purposes.
S—2 9—8 8 >sa my Dolt qPurrA'TM LANGUAa+
of or Daft .