HomeMy Public PortalAbout9526 1/2 GIDLEY ST_Building__ ' F L TILT,
76A666A Cr#8032/60 APPLICATION FOR BUILDING PERMIT I
COUNTY OF LOS ANGELES ABUIL
DDRESS / � J/
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY 7— C
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST >
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. --7 C'
DIST ICT NO. ?T
UP TYPE P D BY
FOR APPLICANT TO FILL-IN CONST.
BUILDING ,, G c5 STATISTICAL CLASSIFICATION SEBKRMAPP
ADDRESS a.7 [v
CLASS.NO. DWELL.UNITS
LOT NO. -�! BLOCK NUMBER MAP
TATEHWY. YES NO
TRACT USEZONE SPECIAL
NO.OF ON LOTS �] J CONDITIONS
NOW
SIZE OF LOT ` [,
USE OF
EXISTING BLDG. BUILDING YARD EXIST.
_ HWY S 'BEET NAME
SETBACK - WIDTH
OWNER fS, P>fP1 �SNO. FRONT IF
P.L.
ADDRESS SIDE
ARCHITECT OR TEL. P.L.
ENGINEER NO. INSPECTION RECORD
ADDRESS _
TEL. W
CONTRACTOR NO. r O
ADDRESS !or A2,072 FASV
DESCRIPTION OF WORK sI ff4 14
O
G E•
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. /y�y :fl NO.OF NO.OF a
SIZE /fOF1 SGC STORIES FAMILIES
USE OF
STRUCTURE 61aa&,' LL[3i14/
SIGNATUR OF
APPLICAJNT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. D U FOUNDATION: LOCATION
FEE $ FEE $ '��� FORMS,MATERIALS
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- BRACING,BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT.
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S C0181INSATION LAWP O LIFO IA. LATH,EXT.
SIGNATURE OFA HOUSE NUMBER COR-
PERMITTE / RECT AND POSTED
ADDRES b FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E
PLAN CHECK VA ATION cK, M.o. crsH PERMIT VALIDATION CK. M.O. CASH