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HomeMy Public PortalAbout9518 GIDLEY ST_Building__ TEMPLE CIT"Itil" pp, , 79A888A Cr.#803- 1-81 APPLICATION FOR BUILDING PERMIT , COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DIR CT N I GROUP TYPE P SED BY FOR APPLICANT TO FILL IN Q CONST. BUILDING Q `( �^�- STATISTICAL CLASSIFICATION SE ER MAP ADDRESS �' 4 K G // GG CLASS.NO. DWELL.UNITS LOT NO. C[' O� BLOCK WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED TRACT '�� '/ / � v� 6 / � MAP-'7HIGHWAY a GSr eS , r I NO.OF BLDGS. STAT MAJOR SECON LOCAL SIZE OF LOTt D y/ NOW ON LOT L USE ZONE SPECIAL USE EX STOING BLDG. Cwr eY`iv�{j ///�/J� CONDITIONS , - p / TEL. ` � " / � OWNER �.cr-� .Fi(/J�G�, NO. D � BUILDINGEXIST. ��17 �,� ,T SETBACK YARD HWY ST ET dME WIDTH ADDRESS` GI S'/G '6-,e-.-,(""-'r �/• FRONT 7 ARCHITECT OR TEL. P.L. ELLJ ENGINEER NO. SIDE P.L. ADDRESS EL. _ INSPECTION RECORD 0 4 - T CONTRACTOR NO. _ ADDRESS JI �� � , \ 0 DESCRIPTION OF WORK W a EW2 ADD ALTER REPAIR DEMOLISH +-' - r ' Z SQ.FT. .hNO.OF / NO.OF $IZE . 'mac✓ _ STORIES_ FAMILIES USE OF STRUCTURE _ SIGNATUREOF. APPLICANT VALUATION$ APPROVALS -DATE INSPECTOR'S SIGNATURE P. C�C;;) FOUNDATION: LOCATION F E $ FEE $rx,`-" FORMS,MATERIALS FRAME: FIRE STOPS, IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF -/�" ' �f �; �C..G"-" HOUSE NUMBER COR- PERMITTEE j7 / - RECT AND POSTED ADDRESS �O 6- T •�f- ,£ FINAL CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. cwsH PERMIT VALIDATION CK., M.O. CASH 1 J '_, r 423 D 1 2.75A i_ri �3 9 3 811-01 APR ---"6 1 D 2 5.5 76A688A CE#8082160 APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGELES ADDRESS-j / �J ( >� C DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY G JOHN A. LAMBIE, COUNTY ENGINEER NEAREST �) WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. L DISTRICT NO. GROUP -HYPE ?;T C D BY FOR APPLICANT TO FILL IN S, c 8 I CONST. ADDREIN 95 t C ��� S,-+ STATISTICAL OSSIFICATION SEWER MAP BK PG CLASS.NO.�DWELL.UNITS _ LOT NO. BLOCK MAP �. STATE YES ��- NUMBER 0 HWY. TRACT ( USEZONE SPECIAL (_ NO.OF BLDGS. CONDITIONS ...�= SIZE OF LOT I NOW ON LOT USE TI `_'OOD _r ,} EXISTING BLDG. V{[ b�C�"`I BUILDING EXIST. YARD HWY STREET NAME A� TEL SETBACK � WIDTH OWNER -TWE t/1'1 R- S�1T©N a NO. FROINT _ L E_`/ P. ADDRESS �tSl G t DL�Y S-1, SIDE ARCHITECT OR TEL. P.L. ENGINEER No. INSPECTION RECORD ADDRESS `, TELa CONTRACTOR X YV NO.. O ADDRESS DESCRIPTION OF WORK O UNEW ADD ALTER / REPAIR DEMOLISH W SQ.FT. NO.OF NO.OF a SIZE STORI S FAMILIES y USE OF STRUCTURE 2- �t S SIGNATURE OF APPLICANT VALUATION$4 ' �} G � I s►V APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ r(/C/ FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, BRACING, BOLTS PLICATION AND STATE THAT THE ABOVE IS CORREES CT AND FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCAND GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT. WILL NOT EMPLOY ANY PERSOof IN VIOLATION OF THE WORKMEN'S COMP ATION WS OF CALIFORNIA. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL fe CLYDE N. DIRLAM, PRINCIPAL TUCK. RAL ENG NEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONM.O. CASH ..�', ®■