HomeMy Public PortalAbout9536 GIDLEY ST_Building__ APPLICATION FOR COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING PERMIT BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN AoeaeSS a
BUILDING �
ADDRESS f LOCALITY ! Z
NEAREST taJ
CITY ZIP CROSSST.
NO.OF BLDGS. ASSESSOR Kr
SIZE OF LOT NOW ON LOT MAF'BOOK PAGE PARCEL
DISTRICT GROUPTYPE FIRE PRQCESSED BY
TRACT BLOCK LOT NO. �� / �` CONST., -�
TEL. I v L/(J k f3E / +✓���
OWNER 1 + •s. NO. i J STATISTICAL CLASSIFICATION SEWER MAP u
v
ADDRESS ?1� #�i %t CLASS NO. DWELL.UNITS -• BK PG
CITY 3' — ZIP I USE ZONE MAP <:
T
ARCHITECT OR' _~ TEL. i NO. C
r
ENGINEER > il.l .\ - _ NO. ( SPECIAL f
CONDITIONS N'
ADDRESS '`� { N! ,-7 ��''S ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ Q:
TEL.
CONTRACTOR } NO. ! BLDG.SETBACK FROM
LIC. FRONT PROP.LINE OF (STREET)
ADDRESS L, NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP.LINE HIGHWAY1 WIDTH
CITYCLASS f
CONSTRUCTION LENDER + _
NAME AND BRANCH ` .i ^l
BLDG.SETBACK FROM
ADDRESS CITY --SIDE PROP.LINE OF (STREET)
SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
SIZE - STORIES I FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH
❑ + _
DESCRIPTION OF WORK NEW
��7
ADD L`J CORNER CUTOFF YES ❑ NO ❑
ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
USE REPAIR ElEX
EXISTING BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
APPLICANT TEL >-
(PRINT)
(PRINT( NO. - ' i a_
O
U
w
BY(SIGNATURE) -. J
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES <
AND LAWS REGULATING BUILDING CONSTRUCTION.,I CERTIFY THAT IN DOING THE O
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF d
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 COM.
PENSATION INSURANCE. t •• w
SIGNATURE OF FINAi BY
PERMITTEE ! DATE
ADDRESS I ''
TEL. f P.C. Fee$ ;, Permit Fee
CITY NO. -
Issuance Fee
VALUATION$
Fee
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
4 � A
�f 78AG38A CE M803A 8/77
I
TIaiENT OF BUILDING AND SAFET,-T— APPLICATION FOR PERMIT —-- -
COUNTY OF LOS ANGELES --h, 1 -7 ( B � i L � I � 1 1
WM. J. FOX. CHIEF' ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
/JJ DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING 2/40 �
ADDRESS T 7//��
LOCALITY TEoL _ /T-,✓ �� CQ, RECEIVED BY DAT Or APPL. DATE ISSUED
NEAREST JI/ /J ,I G� v G' / V `� I -- -
NROSS EAREST. �/ C� C_� G /
BUILDING f / `
_OWNER / , �OL(�jt1S' ADDRESS E
•-7G� L7 GL7
MAIL A/�A /+ �+ LOCALITY
ADDREE9
NEAREBT
/l/O��iiG��� TEL
CROSS 8T.
CITY N
_ FIRE NO.OF TYPO- GROUP
ENGINEEO-T OR�� ^^�� O �����/ - ZONE PLANS
ENGINEER L �/�[/
QO � / l �T ORD.NO.
_
ADDRESS V / SETBACK LINE
i^ APPROVED
LIL/f'lv2iC//G�'STEEL TEL,/� BY 1 CYATE
CONT_RACTOR.TA&ej pLy"�O�.�No.C�,&�/
` USE APPROVED✓ I '
AODRES9� O �g ZONE BY DATE:
LEGAL - CORRECTIONS
DE!KCRIPTION I LOT NO. BLOCK _--
TRACT
NO.OF SLOGS.
SIZE OF LOT�OX �GS I NOW ON LOTZ-
USE OF I NO.OF NO,OF
--
EXISTING BLDG, FAMILIES I RODMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
-- A
REPAIR MOVING DEMOLISH p
SIZ FT. /Q6rOO NO. M Z
SIZE C/ /WALL �+�+ ROOMS STORIES r
ROOF
COVERING�CG � I COVERING✓/GE(�
USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIOR: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORME,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
CLlL�F'�G�'IVLC� w{`r��� FRAME: FIRE STOPS.
SIGNATURE OF ✓ BRACING,BOLTS
PERMITTEE� '�` .�Y �� LATH, INT.
AUTHORIZED AOT 'I-ATH, EXT.
"6A638A-3 2-SO $ '� p.C.8 ? i-" PLABTE R,INT.
;?J 000 FEE PLASTER,EXT.
� $ t
VALUATION FEE FINAL �, ..-^„L- Icr
�-f
t
r
r COUNTY OF LOS ANGELES
APPLICATION FOR DEPARTMENT OF COUNTY ENGINEER
U I L D I N G PERMIT BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN ADIDRESS
BUILDING
ADDRESS LOCALITY '�/�
NEA REST
CITY ZIP I CROSSST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE I PARCEL
DISTRICT GROUP TYPE
— ' FIRE PROCESSED BY
TRA Jl_ BLBLOCK LOT NO. CONST. ZO(VE
TEL L
OWNER r_ I NO. 1. I '
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS It CLASS NO. y s:. DWELL.UNITS BK PG
CITY i ! 1 i ZIPUSE ZONE MAP
ARCHITECT OR TEL. r r ' NO.
ENGINEEP 1 I I - r, NO. - f SPECIAL
- CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
TEL.
CONTRACTOR NO. BLDG.SETBACK FROM
LIC. FRONT PROP.LINE OF (STREET)
ADDRESS - NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING �
LIC. FRONT PROP,LINE HIGHWAY WIDTH
CITY / I CLASS _
CONSTRUCTION LENDER + a
NAME AND BRANCH I r , I I ' l O
BLDG.SETBACK FROM U
ADDRESS CITY SIDE PROP.LINE OF (STREET) i
O
SQ.FT.; NO.OF ! NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING U
SIZE STORIES FAMILIES ONE SIDE PROP.LINE IHIGHWAY WIDTH a
N
❑ + = Z
DESCRIPTION OF WORK NEW
ADD CORNER CUTOFF YES ❑ NO ❑
ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
REPAIR ❑
USEOF BLDG ` DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NOEXISTIN ❑
LA
CANT TEL
RINT) f I I r._: �i NO.
GNATURE( -
EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE �--
HE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AWS REGULATING BUILDING CONSTRUCTION. CERTIFY THAT IN DOING THE a
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
BOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
TION INSURANCE. - -
I
TURE OF �� FINAL BY
ITTEE DATE
ESS j I ` TEL. I, P.C. Fee$ �$ ` c ! Perm e NO. Issuance Fee
ATION
PLAN CHECK VALIDATION CK. M-O. CASH PERMIT VALIDATION CK. M.O.JCASH
tiiti b 3 U 5 ?9 9�oUL 1 u b
S 9 5 J
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9 9 S r ;'6L ;:ib (J 7 Z.C)Qi-
US 76A638A CE F803A 8/77 -- - -
I
bEVARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES U I L D I lil G
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING; ,,. ,y DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESS _ •- �� '� [�/ �.
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST
CROSS ST. BUILDING
OWNER
�^ ADDRESS ��f � f L.� t!••�" �� -
MAIL � , LOCALITY
ADDRESS L (� - NEAREST
TLin V �--r L. S %'
E CROSS ST.
CITY !1 s-y`;� �, N FIRE NO. OF -TYPE GROUP
ARCHITECT OR TEL.
ZONE -+�"� PLANS
ENGINEER NO. BLDG. ORD. NO.
SETBACK LINE
ADDRESS
APPROVED
t TEL. 1 BY DATE
CONTRACTOR ♦ NO. USE APPROVED
ADDRESS !y t _ 0, ZONE BY DATE
HOUSE NUMBERING
LEGAL
DESCRIPTION LOT INO.T- I BLOCK MAP NUMBER FIELD CHECK BY
TRACT I�Q(�. �-11'IC 14 S40 P;"4 'c I i vI TC. NO. ASSIGNED BY DATE
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
REPAIR I I DEMOLITION
SQ. FT. NO. OF 'n
SIZE ROOMS STORIES 2
EXT. WALL I ROOF ID'
COVERING COVERING
USE OF STRUCTURE /}
APPROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 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
PERMITTE
LATH, INT.
ADDRESS
+ LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
76A658A• DBS9 10-50 $ P. C. $
J r I'r FEE PLASTER, EXT.
VALUATION FEE $ ! FINAL L�/✓/�/ i<r —X
I