HomeMy Public PortalAbout9504 GIDLEY ST_Building__ 70AWSA'C[4111033-5eAPP LIGATION POR- BUILDI G 'PERMII'
COUNTY OF LOS ANGELES i 19UIL41No �
DEPARTMENT .OF _COUNTYO ENGINIM AD.R E"
BRING AND SAFt'TY DIVISION LOCALITY
JOHN A. LAMBIE.COUNTY ENGIPI[[R . AFAR:ST
COLEMAN W. JENKANSOUP'T OF ■u1LOIN0 C�e0ff ST.
DIET T O. O TYr[
FOR APPLICANT TO FILL IN CQ.NST
a UILDINO STATISTICAL SIFICATION �../ S9 MAP
ADDREI! Q S CLASS NO, DWELL UNFT7 _K7 PO
LOT NO. DLOCK - UPE ZONE MAF - - -- -'
TRACT PECIAL- -
SIZE OF LOT NOW ON LOT
fE OF
■LD/.S[TSACI FROM- .• -
TCL. FRONT.PROP. LIN[ Ot .(STREET)
Ow N R 44 22// N • T`LPl OF [RUTIN/ SETBACK MGH-WAY ;YARD ._"� TOTAL
ADDRESS ..i d P - IAC - 1. .
-4 - _ —
CITYr. SLOG. SETBACK FROM
�RG E TEL. SIDE PROF. LIM OF 1 - - _- - '- STREET
NOINEER NO.
TY" OR. RISTINS /[TBA CK .HIGIWAY_+. YARD�. _�_. TOTAL
ADDRESS HI HWAY WIDTH FROM C.L.
R L
CONTRALTO O _
ADDRES L NI O Zi -abRNIR CUTOFF YES NO
LIC
CITY L C L - SEE REVERSE SIDE FOR SPECIAL APPROVALS $
DRSCRIP ION OF WORK
NEW ADD ALTER REF DEMOLLSH
l4 FT. NO. OF OF
IIZH STORIES F MI LIS'!
USE O-F
STRUCTURE L '
77
SIGNATURE OF ol
APPLICANT
.YALUATIbN$ t 1. 'd O ,00 APPROVAL$ BATE IN/P[CTOR'/SIGNATURE
PMT. �7 FOUNDATION, LOCATION -
Ff Fen E L/ t/ FORMS ATZRIALS
A [, FIRE STOPS,
I HVtKkY ACKNOWLSDOE THAT I HAVI.READ THIS APPUCATION SIRACING SOLTA
AND STAT9 THAT TH[ ABovt a CORMt= AND AGREL TO COMPLY FURNACfI LOCATION
WITH ALL COU Iffy ORDINANCIS AND STATE LAWS ]WOULATING d UCTS
MJILDINO CONSTRUCTION. 1 CJCPM Y THAT IN DOINO TH[ R
WOK
T
AUHORIZm HOQSY I WILL NOT EMPLOY ANY PoasdN IN VOLA- LAT-H. INT.
TON.OP THE.LABOR COO[ OF TH[ OP CALIFORNIA RIKLAT-
I I NO TO W pRK M[N'/.CO'PSIt/ATI ON -
I ' LATH, EXT.
SIGNATURE b HOUlr NUMERR COR-
FIA!M ITTI
ADDRESS vAv AL
JCMN F. LEWI8. PRINCIPAL>ST URAL ENOINIIR.
PLAN � VALIDA'T'ION m M.o. CASH _ 'PESNIIT VALIDATION. CK M O , CASH