HomeMy Public PortalAbout9450 GIDLEY ST_Building__ F
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES (� 1 ' ' ®' % 1
WM. J. FOX, CHIEF ENGINEER �d� �! ?O
FOR APPLICANT TO FILL IN V FOR OFFICE USE ONLY
BUILDING /J DISTRICT NO. PLANCK. NO. PERMIT NO.
ADDRESS
LOCALITY RECEIVED/BY DATE OFA PL. DATE ISSUED
NEAREST -* if V
-57
CROSS ST, F (' \.. BUILDING / ^
ADDRESS 4/
OWNER lJ
MAIL LOCALITY �. Q�_.6:�►�-t���
ADDRESS NEAREST /
r TEL. I CROSS ST.
CITY - .-�'a4j� t l "r NO. j-�.'t" Q� -'j FIRE NO. OF I PE_nr I GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER li
U.i N jla n SETBACK LINE {, —7r/ ✓f �5/q �/
ADDRESS ��'� SU Ga._. I�. '�.V1[;, APPROVED
TEL. _ DATE
CONTRACTOR NO. USE ,�l APPR ED
ZONE/!�L BY DATE y�
ADDRESS ,' HOUSE/NUMBERING
LEGAL
DESCRIPTION LOTNO. I BLOCK MAP NUMBER ,e�.�/, _FIELD CHECK BY
TRACT - , NO. ASSIGNED BY_r!� G DATE
NO. OF SLOGS. ^ CORRECTIONS
0
SIZE OF LOT / 2 .� NOW ON LOT
USE OF I NO. OF
EXISTING BLDG, - FARlrerca- Q
DESCRIPTION OF WORK
NEW `�A I I ALTERATION I I ADDITION
REPAIR I I DEMOLITION I I I - A
SQ. FT. NO. OF G)
SIZE � 'S'U O ROOMS STORIES ZZ
EXT. WALL ROOF r
COVERING /YL I COVERING
USE OF STRUCTURE o
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
I AGREETO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION,
SIGNATURE OF - GAS VENT, DUCTS
r6RMITTE6 t? z� l,`�. I` '
LATH, INT.
ADDRESS � ��` i.'
LATH, EXT.
AUTHORIZED AGT.
_ PLASTER, INT.
76^62&A, DB38 to-so FEE
PLASTER, EXT.
VALUATION FEE a ..�� FINAL -
I 7weaeA weoa awe
APPLICATION FOR BUILD G PER
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER "AREST
COLEMAN W. JENKINSAUP•T OF BUILDINO CROSS ST.
DISTRICT NO. ORTYPE P O D
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL 5LISSIFICATION 8I E MAP
ADDiR EDS CLASS NO. DWELL UNITS BK PO
LOT NO. BLOCK U H ZONE MAP O
TRACT SPECIAL
NO. OF SLOGS. CONDITIONS
SIZE OF LOT NOM ON LOT -
EXI OF
Je BLOB. SETBACK FROMTEENOL FRONT FROF. LIN[OF (STREET)
OWN TYPE OF EXISTING SETBACKHI BHWAY YARD = TOTAL
ADDRESS /� F C
GE �T` + _
CITY BLDG. SETBACK FROM
ENGINEER NO. _ ..
R ITEC R TOL. SIDE PROF. LIM OF STREET
TYh[ OF. [XIBTIXB SETBACK HIGHWAY + YARD = TOTAL
ADDREff HISHWAY WIDTH FROM C.L.
TEL. +
CONTRACTOR
TO
Ij� CORNER CUTOFF YES NO
ADDRESS NO /T
Q�L>
ic
CLABS �'�r SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
LLj
NEW ADD ALTER REPAIR MOLISH -
Q.FT. NO. OF
lIZE STORIES FAMILIES
USE OF
STRUCTURE O O
SIGNATURE OF
APPLICANT
VALUATIbN$ I •oo APPROVALS BATE INIPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
B
FEE$ FE ! FORMS MATERIALS
AME, FIRE STOPS,
1 HCREIY ACKNOW LIDO[ THAT 1 HAVE READ THIS APPLICATION BRACING DOL
AND STATE THAT THE ABOVE 19 CORRECT AND AOREE TO COMPLY FUR_NAC[I LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REOULATINO OA N
JUILDI NO CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TOM OF THE LABOR CODE OP THE STATE OF CALIFORNIA RELAT-
ING TO WORKM[M•B COMP[31SAn INS LATH. EXT.
COR-j
SIGNATURE O HOUSE NUMBER
PERM ITTEE zzf4 CT'ANQ
ADOREae I N AL
JOHN F.�LEWIS.. PRINCIPAL STRy�TURAL ENOINKER
PLAN CIS VALIDATION m M.O. CASH _ CLL11��}I VALIDATION {GK,,I MA CASH
l Co h 7.4 41�3 JAN 17 1 D4.Q Q Fe
_ _
I�
{ 7@AI39A DYS-i IA•54_
I '
-A�'PLIOATION FOR.: EV1LDING' PERMIT 1
-.- OOFB�II.DING AND SAFETY BUu D�Na
ADDRESS
t
Of County Enyia/Mr
county Of Los A.IIQ/1// LOCALITY
WM.J. FOX, COUNTY ENGINKKh n
JCAfSATT D. GRIMNI SUPT OF BUIL-61HO 115 TH•T.
FOR APPLICANT TO FIU IN DIHTRI NO. GR UP 8-- MAP
MG'UtLDIN - CONST �
ADDRESS f. ' MAP d �,/� - sTATH YES- NO
NUMBER ry HWY
LOT NO. BLOCK U21K ZOCIAL
EDIT ON1 K "
TRACT
-c(.r -
� ��" Q
SIZE OF LOT D NO. OF DLDO/. '
NOW ON LOT 89TIBACK YARD FIWY -STlStEt NAME IDHTr i
1186 OF - - �
EXISTINGD
BLG. t'1 f FRONT
OWNER +1AIDE _
MDDRAIL
AI
Elf '
TEL 1 DWELL I UNI S D INPUSTRI L
CITY -
2 DUPLEX UNIT- 8 PUBLIC BLDG
ARCF-�ITECT OR TEL -
ENGINEER NO. 3 APT IINIT 7 ADDN.;ALT., E71' -
qCOMMERCIAL8 MIISCEADDREbH
CONTRACTOR NO. *N$PETON RECORD
�l� y.
ADDRESS �I • J -'�
,DESCHIMON OF WORK �w e a ►r►''. �o
NEW ADD 'ALTER REPAIR DHMOLIHH S`
NO. OF / NO. OF �•a�-
OIZE
STORIM FAMILIES t- �
USE OF STRUCTURE )
tvQ..fGr(7L oi.
5�x ' ${e le l I R fm
SIGNATURE OF
APPLICANT APPR1bVAL8 _
ADDRESS � DATE IX! ECTOR-3 319HATURE
1 - FOUNDATION: LOCATION-
7 O P. C. S e O FORMS MATERIALS
n FEE l
v FRAME: FIRE OLTS-
VALUATION - - t/ e-d BRACING DLT/'
FUfiNACH: LOCATION,
" GAS VENT DUCTS -
I HEREBY ACKNOWLEDb E. THAT. 1 HAyH H READ TtH
APPLICATION AND STATE THAT THE ABOVE 18 CORF�ECT - -
AND AGREH YO COMPLY WITH ALL COUNTY ORDINANCES LATH INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC- -
TION. LATH DCT. .
/IGNATURQ OF HOUSE NUMBER COR-
PERMIT Z RECT AND-POHT[D
ADDRESS FINAL �-
WM. J. Frbx,. Coi wff ENa1Nme VALIDATION
eY 4-a2`4 012 jA �. 1. 66. 1 �Y2 4 ] .'cn^. JO 1 1 1 'i�.,� �
q - DEPUTY- r UTY
hY _ BY
DEPUTY DUTY