HomeMy Public PortalAbout9522 GIDLEY ST_Building__ T
HIIII,DIIIGAND SAFETY
� o �� Novo BUILDING WM. J. FOXr�1TY ENOIN[[R 95� App1.I
CATION
FOR "PIJ TO FML,uj FQR OFFICE UM ONLY
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BUILDING AND SAFETY APPLICATION FOR PERMIT
UOF LOS ANGELES U I L D I N G 1
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
BUILDING
ADDRESS S. O
RECEIVED BY DATE OF APPL. DATE ISSU D
LOCALITY
19
NEAREST `�
CROSS ST. BUILDING
ADDRESS
OWNER /' � -
MAIL LOCALITY
ADDRESS - NEAREST f
CROSS ST.
CITY ?f NO. ZFIRE NO. OFONE I PLANS,.�TYPF� I GROUP l/�`
ARCHITECT OR TEL.
ENGINEER NO. BLDG. -- r1 / �1 / y� ORD. NO.
SETBACK LINE
ADDRESS APPROVED
TEL. BY DATE
CONTRACTOR NO.{"j`� NO. USE APPROVED
ZONE BY DATE
ADDRESS HOUSE NUMBERING
LEGALDESCRIPTION I LOT NO. '' 'Z- I BLOCK MAP NUMBER ^ �w -FIELD CHECK BY
°+ NO. ASSIGNED BY DATE
TRACT �" �. ' _"' f� 7
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT NOW ON LOT
USE OF I NO. OF _
EXISTING BLDG. FAMILIES /
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION
O
REPAIR I I DEMOLITION I I I A
D
SQ. FT. NO. OF
SIZE ROOMS STORIES Z
a
EXT. WALL ROOF r
COVERING COVERING
USE OF STRUCTURE
APPROVALS
INSPECTOR'S SIGNATURE P,%TE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
I AGREE TO 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
PERMITTEE
LATH, INT.
ADDRESS
LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
76A638A- DBS3 10-50 P. C. $
® /�.�. FEE '""��- PLASTER, EXT.
VALUATION FINAL
I
,DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMJT ,
COUNTY OF LOS ANGELES': ® �
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN ' FOR OFFICE USE ONLY
BUILDING J) }cwt/ DISTRICT NO. PLAN CK.NO. PERMIT NO.
_ADDRESS � r/gyp�Sf.•.��J�yd r1 `� 07 j
LOCALITY C) ,S AN ` !"'I �7 RECEIVED BY DATE OF_APPLL. DATEISSUED
NEAREST �N /r S
CROSS ST.
BUILDING
OWNER
_
OWNER (� �W' �� �.�v i C� ADDRESS
MAIL ^� I ,{ / G i d E L ,� LOCALITY
ADDRESS / f (p
T I� �+ NEAREST
CITY ht �M` NO .)71 /o 9 J4 O CROSS ST. ll
FIRE NO.OF TYPE GROUP
ARCHITECT OR T L, ZONE PLANS 2
F-1 rl-
ENGINEER O.
BLDG. ORD.NO.
ADDRESS SETBACK LINE
} APPROVED
CONTRACTOR �� //-
TEL.
BY DATE
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL -, CORRECTIONS
DESCRIPTION LOT NO.. BLOCK
�//
TRACT �-f // '�'� "
NO.OF BLDGS.
SIZE OFLOT x 1 v NOW ON LOT
USE OF 'c NO,OF NO.OF
EXISTING BLDG. FAMILIES I ROOMS
DESCRIPTION OF WORK
i
^NEW ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH C7
S4•FT. NO.OF / D
-SIZE ROOMS STORIES
r
WALLROOF �pp
COVERING S�fucw I COPV
VERING
USE OF W
BUILDING --er
c� kc E 1f - QO74, �1. 2S� s Woo
LL In
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
O
FQT LOCATION
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMSORMS,,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
It
FRAME: ,BOLTS
SI
SIGNATURE OF
BRACING
PERMITTEE "'VVV��- LATH. INT.
AUTHORIZED AO LATH, EXT.
I mi
76A63BA-3 7-49 $ P.C.6 PLASTER,I NT.
FEE _ PLASTER,EXT.
VALUATION
FEE FI NAL
7UOSSA «0803 1-87 APPLICATION FOR 'BUILDIN PERM
COUNTY OF LOS ANGELES �U�e IN
DEPARTMENT OF COUNTY ENG24ME
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMMIE. COUNTY ENOIN[[R NEAREST
CO-LKMIkN W. JiNKLNf.SUP•T OF BUILDING CROSS ST.
DISTRICT NO. O P TYPE PR E aD BY
FOR APPLICANT TO FILL IN �' CONST.
■UfLDINO .—^ S DG� STATISTICAL SEWER *Alb
.ADDRESS -A- L CLASS NO. DWELL UNITS BK r0
LOT NO. )c,'-fr BLOCK USB ZONE MAF
Q.
TRACTM SPECIAL
t� NO. OF /LW/.
CONDITIONS
SIZE OF LOT J ROW o LOT
USE OF ►
�-1 BLDG. /[T/AC:K FROM
TEL. FRONT PROP. LIRE OF (STRK[T)
W '� J, TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
A D D R 19 SS y /+ SI /]'�LL+J C.L. -
CITY �/ CoVI _ +
ARCHIYBLDG. SET/ACK FROM
ENOIN�[R NO.
[ TEL. SIDE PROF. LINE OF SrRay
TYPE OF EIISTI NS SETBACK HIGHWAY + YARD = TOTAL
ADDRI SS HIGHWAY WIDTH OM C.L.
TEL. / •� + _
CbNTR CTOR
, NO lO T
ADDRESS tS�Z cM,/ D L eY NO CORNER CUTOFF _ YES NO
LIC
rl An SEE REVERSE SIDE-FOR SPECIAL APPROVALS $
DESCRIPTION OF WORD{
N[W ADD ER
L CiGa DEMOLISH _
f4 FT. O. NO. OF o
SIZE - STOR FAMILIES
USE OF
STRUCTURE
514NATURE OF
APPLICANT }�
VALUATION a �d0 •Y•+MM
APPROVALS bATC I"PICTON'S SIGNATURE
P.C. _ PMTFOUNDATION, LOCATION
F[[f FEE FORMS MATRRIAL/
RA Q, FIRE ST S,
1 HERE7Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING 15OLTS
AND STATE THAT THE ASOVILAO CORRECT AND AG?= TO COMPLY FURNACE: LOCATION
WITH ALL'COUNTY ORDiNA". AND STATK LAWS REGULATING O B
NT LQ•UILDI NO CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
mrTHORIZSD HvtESY 1 Wl4L NOT EMPLOY, ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LADOR CODS OF THE STATE OF CALIFORFNIA RKLAT-
iil6 TO WORKNKN'S C»M ON IN LATH. EXT.
SIGNATURE OFHO UI[ NUMBER COR- ra
PERM= FRIQU AND POSTED
ACflREBb .y FINAL I --Z
JOHN F. LEWIS. PRIINCIIPAL ST L ENGINEER
CK. MPLA CgyMCK VALIDATION C NO. CASH PERMIT VALIDA IO .O
G1SH
Iso aCt31 I D `12.00- a
��a w t s a 7 ��w f - s f - f s
A P P L I C A T I O N F O R B U I L D I N G P E R M I T 1
D N M O N O F B U I L D I N G A N D S A F E T Y , �%D ��p R E M
D ' N '
D e p o a i m a n t o f C o u r E n a b i w
C o m i t y o f L O S A n g e l e s L O C A L I T Y
W M . J . F O X , C O U N T Y E N G I N E E R N E A R Q T _ . .
C A S S A T T D : G R I F F I N , S U P T O F �%U U M U G
D I S T R I N O . U P , S P E S E W E R Y ��.
F O R A P P L I C A N T . T O - F I L L I N w K
�%U D D N a
9 5 2 Z I H r E n ( ! K o M A P
L O T N O . �% U S E Z O N E " P < C I A L
��1 y M / L O C X C O N D I T I O N S
T R A C T
f _ _ _ N O . O F �% f . -
S R E O F L O T H O W s f i x t u r e s
�%U ���� Y A p m H W Y �� S T R E E T N A M E E D H
U S E O F - Y �� - - T t t f s o r e s F R O N T
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O W N R F T . L n d s t r o i m " I D E
F
M A I L _ . O T R A C T D 1 i 4 / M . L . 1 U N I T -
A ` D D R E i f / y 5 I N D U S T R I / U . r
T E L . 1 D W E L L - r I U N I T
C I T Y N O . s r u �%u c E L D C L
A R C H T T R C T O R T p , , , Y D U P L D C 1 - U N I T . 7 A D D N . . A - L T . . E T C .
K N G I N K I E R N O . . 8 A F T . U N I T S
8 -
D 4 C O Y Y I r i C I A . L
c O N T R w a T o 1 B I L I Y N O - I I Q S P E C T I O N E S C O E D
A I D R . 9 2 0 3 I I e M a l t n a S R w a d
D E S C R I P T I O N O F W O G S
N E W A D D z A L T E R R E P A I R D E M O L I S H -
n . F T . r N O . O F N O . O F `
S I Z E - S T O R F " - F A M I L I E S L
U S E O F S T R I , I C T U R
_ . . k o r a g 0 k , A r e a m s ��t . ��1
S I G N A T U R E O F
A P P L I C A N T A P P R O V A L S
A D D R E S S D A T E 1 p i " [ c T o f ' f f l t a W A T U t t [
f ��. � P . C . f �� F O R M S , M A T E R I A L S T I O N C
F R A M [ : F I R E S T O P S . J
V A L U A T I O N " ' �%R A G I N G D O L T S
F U R N A C E : L O C A T I O N ,
I t I E R Q Y A C K N O W L T G E T H A T 1 H A V E R E A D T H I S V E N T D U C T S
A P P L I C A T I O N A N D S T A T E S T H A T T H E A �%O V E I f C O R R E C T /
A N D % ; R Q T O T Y F L Y W I T H A L L C O U N O R D I N A N C E S L A T H I N T .
A N D R A T E L A R E G U L A T I N G �%U U _ D I N G C O N S T R U C -
T I O N .
L A T H O R T .
S I G N A T U R E O F H O U S E N U M B E R C O I F
r o " . - - R E C T A N D P O S T E D
A D D R E S S P q N j k L /
W M . J . F o x , C o u N T Y R p t V A L I D A T I O N C . N . R L I k M . C H I Q r t h . D G . I N S P E C T O R
L C o 7 4 9 6 A P R 2 4 1 6 5 ����g 0 4 - A P R 2 6 1 1 U . ( J C ? � '
A ROAD DEPT. PERM[T I5 RMUIRED
FOR ANY•MATERIAL S 4C= 0-C V�,:,RK
DONE 1N THE ROAD RIGHT OF WAY.
4.Aa...Q f,.-, APPLICAMN • FOR BUILDINGPERMty1,
COUWN OF LOS ANGEI, BUILDING
DEPARTMM .OF COUNTY ENGINES:$ ADDRESS
BUIMING AND SAFETY DYVISION LOCALLrf Y
JOHN A. LAMBII=, Courrrr ENGIN=En NEAREST
CAfl TT D. GRIFFIN. SUI-T or uI IN• CROSS ST. -
DI NO. ROUP TYpE ED BY
FOR APPLICANT TO- FILL IN 1 T,
CONS
BUILDING �j 2 C+` , f STATISTICAL CLASDIFICATION SEWE-$K HAP
PG
L J Q CLANS NO EL UNIT a_- 47 kh
LOT NO- BLOCK MAP HTATH ''Y.' O
NUMBER 'HV
TRACT - UHH ZONH SPECIAL
y NO.OF BL,.DGS. CONDITIONS
IZE OF LOT /� r NOW ON LOT
USE OF - .
EXISTING ELDG. Q V AG SUIT EXIST.
SETBACK ETBACK YARD HWY E NAME WIDTH
OWNER U E� I FRONT
MAILJ d P.'L.
ADDRESS L Q F HIDE
�
H L p
�
CITY INSPECTION EECORD
ARCHITECT OR I
ENGINEER - _ Nb.
ADDRESS _
� /� TH
CONTRACTOR V.v, NO.- •2 T3
.ADDRESS
DFSCREMON OF-WORK
NEW JLD ALTER REPAIR DEMOLISH "
HQ. FT. NO. OF NO. OF -
-SIZE O.O - STORIES FAMILIES -
USE OF -
STRUCTURETT
a E
SIGNATURE OF
APPLICANT
//y� y APPROVALS DATE IN5PE OR'S SIGNATURE
ADDRESS a �R 1.'dVI No FOUNDATION: LOCATION _ -
FORMS MATERIALS
VALUATJON ; FRAMCE:ING FIRE OLTS �1
BRABOLTSpYyR-
I.C. SMT. FURNACE: LOCATION,
FEE FEE _ GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT 1 VH READ THIS AP- LATH INT
PLICA'CION AND ST TE THAT THE ABOVEIS CORRECT AND
AGREE TO CO PL1- 7 COUNTY ORDINANCES AND v
STATE I.AWB EG IN BU ING CONSTRUCTION. -LATH �T•
HIGNATURq.O HOUSE NUMBER COR-
1GNXTU R CT AND POSTED
PE"%
DR FINAL
CLYDE N. DIRLAM, PRINCIPAL ST R _ ENGINFaR
k AN CCS VALIDATION PEBmrr VALIDATION ++
9 3 -0 7-�&' APR 1- 4 23 A 1 2.0 0
mR
_9 5 2 APR 19 1 A .24.00 ' x:
ENT OF BUILDING AND SAF APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 0 19 A
hU
' LD
I N G 1
-' WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING I _
ADDRESS - ` - ,-
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST f
CROSS ST.
BUILDING
OWNER ADDRESS
MAIL LOCALITY
ADDRESS
NEAREST
TEL. CROSS ST.
CITY NO.
FIRE NO.OF TYPE � GROUP
L
ARCHITECT OR TEL. ZONE PANS
ENGINEER NO.
BLDG. ORD.NO.
ADDRESS SETBACK LINE
APPROVED
TEL. BY DATE
CONTRACTOR NO.
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL CORRECTIONS
_ DESCRIPTION LOT NO. BLOCK
TRACT
f/ NO.OF BLDGS.
SIZE OF LL*'- I NOW ON LOT
o o
USE OF I NO.OF I NO.OF t,
FAMILIES ROOMS
EXISTING BLDG. r�p �1 ..
DESCRIPTION OF WORK �[ g
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISH p
9q.FT. NO.OF Z
SIZE ROOMS STORIES _ D
WALL ROOF r
COVERING I COVERING
USE OF NEW
BUILDING
i
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND BTATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF
BRACING,BOLTS
-
PERMITTEE - LATH,INT.:
AUTHORIZED AOT LATH,EXT.:
DBS-3 SOM BETS :-48 $ P C.S PLASTER,INT.
..x FEE PLASTER,EXT.
$ - I
VALUATION FEE FINAL
J
�W RKERS'COMPENSATION b CLAPATIQN
tnsereby affirm that.I.have acertificate-of,cgri ent to self - �P P Ll CAT�O N FOB BUILDING-P E RMI T
Ins4re, pr a certlficate of Worker'Compensation Insurance,
or a certlfled c6py,thereof(Sec 3800, Lab. � ) '
;. - COUNTY OF LOS ANGELFS BUILDING AND SAFETY.
fol Icy No. company- ERALDING
Certlfled copy Is hereby,fumished. FOR APPLICANT TO FILL 1N ADDRESSs?i2 s
Cetim6cl copy Is fled with the county bulydln'g Inspec- BUILDING
tlon department. ADDRESS
Date Applicant - C1TY Zip LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS'• - - NO.' - _
OF BLL?GS. NEAREST
COMPENSATION INSURANCE d'•.. SIZE OF LOT NOW ON LAT CROSS ST.
ASSESSOR
(This sealon'need not be com leted If that pbrmlt is fot one s BLOCK LOT NO. /NSP B001C FtAGf PARCH
hundred dollars (;100)or,less
LT '�3'T ug ZONE
1 cert'tfy'that.In the perfgrraance of,the wprk for which this ' OWt� O 4 � . _ . �. . _. . .._ ,. _ F d
perm,lt Is Issued,J shall not employ any n In dny manner .. ._ _._._. _ � Q
so'as'to become'subleet to the Workers'Cd pensatlonn�?!'LL�-aws.ff,,�� ADDRESS ONS V
+— _ j1� yCITY -- ZIP
Datil Appllcant� ^�~ TEL
NOTICE'70 4PFIJCANT'If, ditdr'makltlg'this Certificate of NO. DI Ci TdTYPE.- RPE ...PROCFssr�BY
Exemptlgri,•ydu should become 'sublets to the Worker'
CONST
Compenstitlon provltlons of the-Labor,Code; you,mutt forth- ADDRESS - V -
with comoly.with.such provisions or.thIt,,permlt shall be TEL
deemed,rovoked.. .7 STATISTICAL CLASSIFiCATK�tJ -
a ,' - - .. 1- .. CONTRACTOR -
uaNSEIS CONTRACTORS DECLARATION' _ Lam" f 2 CLA,5 NO. -DWELL UNfTS
I hereby affirm that I am licensed urlder prgvtslorts of Chapter 9 ADDRESS . NO. fP
3
(com
mencing'wlth,Sectbn 7000)of Division q of the"nese and _. _ _._ _ _ -- _ ... ... SEWER MAP ;
Professions Code, ppd my license Is In full force and pied. CITY a BIC PG. ~VAIJDAT.
SQ. FT.'. NO, NO. OF 1
LlcerueNu.m�er�T_, � � Llc�, l S[2t B FAMILIES ONE
v,u non
Contr
ADD
actor d`. tate DESCRIPTION OF WORK a� •� Ew i
oo
D -.3 _
I am exempt under Sec. - ALTER , L
B.3P.0 for this reason -_ qr AIR USE OF DEMOL
E)U"NG BLDG.
Signature - y APPLICANT TEL I
PRINT NO.
6wNRng1
ER-BUILDER DECARATION - - - DAl -
-1 hereby affirm that I am exempt from the Contractor'"Icense
Law for-the followlnl; reaioA (Section 7031.5, Buglneu and ADDRESS '. ►�
Profe>lslo CoBe): _ .. . _. gr
❑ :. BUILDING
J, as owner of the property, or « With ADDRESS my employe
wages as theirsole compensation,�vlll do the Work and LOCALITY
# 0 0 0. o.0..1
the structure Is not Intended or offered for sale(Sectron _
"7044, Buslneu.and Professions Code}: MOVING- ..-- -- - f 71 0 1 Q(� 3-
1„as owner of the prgperry, am exclusively contracrlrig ” '
- - -
.`'=wJth.Ilcdtised contrtictora To construct the projbct (Sec- ADDRESS
- - . - -• - - � �� J , -- ' °a o.� � E1 �.7J�'.
tion 7044, Business and Profewlons Code `-�REWIRtu I b
CONSTRUCTION LENDING AGENCY STT BACK YARD Fr�vY PROP. UNE WID TOTAL SETBACK FROM - -0-7. r
I Hereby affirm that there.ls a construction lending agency for FRONT
- the performance of the work for which tht} permit h Issued P.L
(Sec. 309T.CIv. C_). SIDE
8
P.L.
Lenders Name Ref. f
- P.0 Fee= Permit F" LPMA
- Lender's Address I r
_a certify that.I.hasu
ve read this application and state that the - -_, '- Isance Feezo LDM4 PSC F -
above Information Is correct. I ogres to comply with all County. Investlparion Fee
ordingnces and State laws rolatl g-to building constructlon, Total Fee 3 IDMA Penn:
and authorize re Ives of this County to enter
rl th a for I Ion purposes.
\` S SM WNISE POR VILA ATQ[Y LANGUAGA
S Ipna of Appi t or-Age- - - - - Date