HomeMy Public PortalAbout9444 GIDLEY ST_Building__ 7GAIM AC"•o33-15P APPLICATION FOR. BUILDI G PERM
COUNTY OF LOS ANGELES B U I L Di N O
DEPAIRTM NTOF COU�NTYy�ENGINM ADDRESS
BUILDING ILJ.L`I G AND SAFETY 1JIVLSIOI\ LOC A L I TY
JOHN A. LAMBIE, COUNTY ENGINEER REAR[DT
COLEMAN W. JENKINSAVP'T OF BUILDING -CROSS DT. L-'!J lrEL
DISTRICT O GR TYF[ IR
FOR APPLICANT TO FILL IN CONST.
ABUILDING
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STATISTICAL yh/��IAIFICAT101'# SE MAF,
�• CLASS NO. DWELL UNrTD BH PO
LOT NO. - BLOCK USE ZONE MAF
TRACT SPEC A� -
' No. or ■Lgfs.
BIZ[ OF LOT NOW�O LOT
USE OF
IIILDSa ItITSACK FROM
TEL.'. FROMT PROP.LIN[ OF (STRIET)
TYPE OF EIISTI-MS SETBACKC HISNWAY YARD' = TOTAL
ADDRESS FROM - .
CITY f
RCHI ECT TEL_ )BLDG. SETBACK EROAL
NGINEER NO. WIDE PROF. LIN[ OF STREET
TYPE OF EIISTINS. SETBACK HIGHWAY +.. YARD. _ -TOTAL
ADDRESS q/ HIS'IWAY WIDTH FROM C,L.
CONTRA CTO r NOL '/f/aJ P + — -
ADD ESC LI 17
O I Z CORN" CUTOFF YES• NO
p(&00LI` G'L SEE REVERSE SIDE OR SPECLAJ� APPROVALS-
DESCRIPTION OF WORK
NEW 'ADD ALTER PRKPAIK DEMOLIS
Q.FT. NO. OF NO. OF
DIVE STORIES FAMILIES -
UDE C per/
STRUCTURE -
a � a
SIGNATURE OF
APPLICANT
VALUATIbN$ '00 APPR'OVALl BATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, QCATION
�E S FEE S i FORMD MAT�RtAL6
RA E, FIRE fTOFI,�
1 Ht11[SY ACKNOWLEDGE THAT I HAV[ RKASD THI■ API-UCATION B[AC1NG D L
AND STATE THAT THE AAmE 1S-GoRRECT AND AGIX•To COMPLY FURNAC[1 LOCATION
A.
WITH ALL COUNTY ORDINANCES AND STATE LAWG moo TING GAB N U
GUILDI NO CO{HTRUCTION. I CERTIFY THAT. IN DOING THE WORK
T
AUPRZED HRMIrY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF TH[ LASON COOK OF THE OF CALIFO*NIA RtI.AT-
ING TO WORKMEN'S CC?M*KWSATI • LATH. EXT.
A)¢NATURE O HOUSE NUMBER COR-
P"MITTEE
A6DAEB FI NAL
��* /��./�� ■T�■ JQHN�F..�L�}E�WIS,, P�R�}LNCIPAL ST URAL ENGINEER
PLl'6l\ CHEWS VAT ATION qx. M.O. CASH _ rLaL�J.11 VrA.�MATION CK. , M.O CASH
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