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HomeMy Public PortalAbout9550 GIDLEY ST_Building__ BUILDING AD D R EDDRENO � M APPLICATION LOCALITY O i DIVISION OF BUILDING AND SAFETY "��WT. Department of County Enchteer DIOTRIOT N0. MOEIPT NO. @WMIT No. ComRty of Lm Angelm .147— .316r ly WM. J. FOX, COUNTY ENOINE[R OUP DAT[RECEIVED DA 10 CA811LATT D. GRIFFIN, iurT or Nuiwino —� 7/ FOR APPLICANT TO FILL IN TYPE CONST. RIO[Ivm nr I U OWNER MAP STATE NO MAILADDRESS! s�S`fl L' UNU�M�OpQ �(/ HWY T[ fj4 OMOITIOH■ CITY �.!/ O ARCHITECT OR TEL [NOIN[ER N0. BUILDING YMD HMfY 111ITR[[T NAM[ EXIST. O[TJLADK WIDTH ADDItEM TEL FRONT P.L OO NTAOTO R MEL R. ■ID[ P.L. ADDREW DAT[ OORR[OTION■ INSPECTOR BUILDING AD D R Eft LOT NIL ■LOOK—� TRACT N0.DF OLDOIL SI 'OF LCT L NOW ON LOT Us[OF DESCRIPtIOig OF WORK o NEW '-� ADD ALTICR REPAIR D[MOLIOH W.FT. M0.OF N4 OF ■IZZ /TORIC FAMILIm Uii OF■TRUOTURI NO.OF 1 H[RE111Y AOKNDWLILDOE THAT 1 HAV C READ T1416 AP- PLICATION AND KTATE THAT THE INFORMATION GIVEN 10 APPROVALS INOPEOTOR'E■IONATURE DATE OORKKOT. 7'O 11 AND BTATt LAM7ION LOCATION RIOU ocmPLy ~TIjO UILDIN OD OHRRNOTION.ANOEQ FFORMATMAT[R L0 FRAME' FIR[fTOP6, ■IONATUR[OF j(J` �� / ORACIN BOL, PERM!TTZ FURNA13[1 LOCATION. 11 OAR VENT DUOT1 ADDRIM1111 LATH INT. AUTHORIZED ACT- ' LATHr MT. �OD �� P. CLFIX + Q!<HDUB[NUMBER COR- !! R[OT AND PT[D VALUATION FINAL rS� Li 76AM30A DY 8 4-/4 i If AMPLE CiTy _ 76ApM CE 11103 2-43APPLICATION FOR BUILDING T COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BTJII.DING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENBEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. P ,TYPE 83ED BY FOR APPLICANT TO FILL; IN O coNB r. r BUILDING STATISTICAL CLA IF CATION 8 R MAP ADDRESS G 'G CLASS. NO. DWELL UNITS LOT NO. BLOCK WATER NOT REQUIREDRECEIVED CERTIFICATE: TRACT MAP HIGHWAY NO.OF BLDGSNO. CIRCL.ESTATE MAJOR BECON ALL C ,l . II SIZE OF LOT U NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. �/© O vc OWNER �IAPiY lT NO. BUILDING EXIST. ADDRESS .S'a F G SETBACK YARD HWY E WIDTH FRONT ARCHITECT OR T L P. L ENGINEER SIDE P. L ADDRESS O TEL V CONTRACTORNOvo 4/ . h ADDRESS A Cie DESCRIPTION OF WORK LLrV! � a ADD ALTER REPAIR DEMOLISH `Z 811. FT. NO.OF NO. OF - - SIZE STORIES FAMILIES USE OF / STRUCTURE SIGNATURE OF APPLICANT VALUATIONS �Jr' APPROVALS DATE I 'S■IONATUIQ FOUNDATION: LOCATION FEE S _ FEE S FORMS, MATERIALS FRAME: FIRE STOPS, I-HEA"Y,ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIN BO T AHD STATE THAT THE ABOVE IR CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCYJ AND STATZ LAWS REGULATING GAS VENT. DUCTS Sl11 Lb I No CONSTRUCTION. I CIE?MFY THAT IN DOING THE WORK AUTHORIZED H[R[SY 1 WILL NOT EMPLOY ANY PURSON IN VIOLA- �I� TON OF THE LASOR COD[ OF THE STATE OF CALIFORNIA RILAT- INO TO WORKMEN'S COM F[ TI NSU .aS["r}IF, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMI'T7EE RECT AND POSTED ADDRESS k�JFINAL �vt Ln JOHN F. LEWIS, PANCIOAL STRUCTURWE EN NEER PLAN M ECK VALIDATION CK. M.O. Qn _ PERMIT VALIDATION CK. M.G. CASH a .. Liu3 *33 MAY 271 D 1 '1-50- 4 I ;'r9MPLE CITY 7SAG 3LA DE 1803"3APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ` DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER N-EA REST WILLIAM A.`JENSEN, SUPT OF BUILDING CROSS ST. DISTRI 41 N . GROUP E E3SED BY FOR APPLICANT TO FILL IN CON . BUILDING Q ��p(, y S STATISTICAL CLASSIFICATION - S KRMAPG CLASS. NO. DWELL. UNITS LPN 0. "- IVe, WATER CERTIFICATE: NOT REQU4RED RECEIVED TRACT 7 O NO.OF BI11AP HIGHWA LOGS. O. Y SATE MAJOR BECON OCA �y cclRCL[I SIZE Or LOT 7 NOW ON LOT USE ZONE SPECIAL USE OF [' CONDITIONS EXISTING BLDG. l.. ,J ,/�,/•� TE OWNS N V Z BUILDING YARD HWY EFT AME EXIST. SETBACK WIDTH ADDRESS J_bFRONT .r ARCHITECT O C TE, P. L. ENGINEER NO SIDE P. L ADDRESS(;//O p TE 0 T CONRACTOR ,,�� N V .I, - ADDRESS � Cwt _ DESCRIPTION OF WORK N NEW DD ALTER REPAIR DEMOLISH Z SO. FT. NO. OF NO. OF - SIZE C•� STORIES FAMILIES USE OF STRUCTURE SIGNATURE bF APPLICANT VALUATION S �f--d APPROVALS A IMW dCTO '0 SIG P.C: PMT_ FOUNDATION: LOCATION p FEE $ FEE S FORMS, MATERIALS CJ FRAME: FIRE STOPS. 1 HIEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STAT[ THAT THE ABOVE Is CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNT' ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCT$ BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EINPLOY.ANY PERSON IN VIOLA- LATH. INT. TON OF THE LABOR COBE OF THE STAT[ OF CALIFORNIA LAT- ING TO WORKMEN'S COMPEHSATIO URANcE, LATH. EXT. E 81GNATURE{O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ti ADDRESS FINAL JOHN F. LEWIS. PR Ncl AL STRU L ENGINER PLAN CHECK VALIDATION CK. M.O. �_ PERMIT VALIDATION K-MM.D. CASH 6 2 4 71 MR X 2 3 D 5-.75A LrLo 6 6 2 5 f ir'IR 16 I D 1 150- � t/ , " � BUILDING °°>$f, of I" Angeles kPPLICATION WM. J. FOX. CouNTY ENu1N[ER FOR APPLICANT TO FILL IN FOS C8 IIBE ONLY DLMTRIOT M4 PLUM OK. an Rm.No. PCXMIT NO, ADIINO DS LOCALITY OSe P 0RmE1Vm RY DATZ OF APPPL. DATA: IMUED MUREsr ✓A �V 1 - iC Z `S 3 NUILMINO 01"Im I.mwuTY dMAIL ADDRZM am T>O.Sem c TEL PIKE ION[ monoPLAMO AROHIT[CT OR l'[L ENOINEM �. 1 MO. 9r 3 MLD,. ORD. Nd RKTOMM LINK ` p TZL F [/("i►�RQ1/m ✓ DAT. x0 OONTRAOTOR H NUMR�21N■ r� I AQV MAP NUMREw �J MO. ARMIMNm BY / LEMALL DI MOPrri OM LOT M= ■LOO KCoB.Br ioN Cr O ■IZ[ OF LOT O MOW DM LOT � �• L � USE OF NO.or /h Q, �� DCIwT1MM RLDM FAMI 1 DSBCBnMON OF WORK ',°. NEW ALTMATION ADDMON X RIORAIR // DEMOLITION fir' •G��f� &= f� ROOM■MCI.Or WMRIM I�7v DOV[R7M !�rb�G C 0 OOVXMNM C'O UR[OF MTRUOTUR[ INI�[4TIOM FOR APPSOV OOOUPAIiO_YAS INW KaT 'M MIOMATUR[ DAT[ FOUNDATIONS I ON FQRMa. 1 HERENtY ADO � [ DKNWLht THAT I HAV -READ TH1■ AP- MATS / PLIOATIN AND•RTAT["THAT.THE IMFORMAer1OM'OIVOI 1■ FRAM[I FIREMTOPS." OORREOT. ■RADIM M, ■OLTP I ,�p RII OOMPLY WITH ALL COUNTY {7RDINAMOQI AND'aT= LAW\ RiD LAT ■UILDINO OONMTRLIOTIOK F�.IRNADtI.LODATION, - I _ �• MAA VENT DUOTR - _ 1 MIMNATURi OF LATH. IMT. PPE RM rrrm - LATH. KXr. AME)PUCM ~ PLArrm I Nr. . A rrHORIZM•AMT //�� PLAJIT[R. Nrr. * 0 P.0.M �p � OUall RER DOR- J Fes' }' RI=T AND PCUTM L 3[ VAUATIDA FQ�,_, . FILL �4 7t497wA DMi■'1-5i MAY 76A"& 7De. APPLICATION FOR BUILDING PERMIT 1 ATG AND SAFETY DIYImON BUILDING ADDRKB$ 47 r Deparbmant of County EnQiziMr Co=tT of Lbs Amos* LOCALITY JOHN A. LAMBIE, COUNTY ENGIIgM" NEAREST CASGATT D.GRIFFIN, SUT'T of■UILDtHa DIHTRI NO. I G UP .y,PH H MAP MR APPLICANT TO = rN S Pa CONST. ADD KEB Cf d STATISTICAL LAD9IFICATION LOT NO. BLOCK CLASS. NO DWELL. UNC M..����PP ITiA $ NUYABER D HWY YES O' O TRACT U,H$20NE SPECIAL X y1 NO. OF BLDOS. CONDITIONS Z SIZE OF /'LOT V /S NOW ON LOT USE P Qa EXI ON BLDG �G ' +t BUILDING KXIST. YARD HWY $iRKET NAME H ETfaAC W 1 OT H OWNER FRONT / x MAIL - P. L. ADD. A—. r HIDE P. L. CITY 7 •�� a-- O, INSPF.C'!'ION RECORD ARCHITECT OR TEL. . ENGINEER /J'NO C \ U J497,43 CONTRAC70R // 41Z v m,621 tS T O. �-7-CI f _ � DDR .1 /L -- «Ii " FSCHiPTION OF WOES �. NEW ADD ALTER REPAIR "DEMO LIDH- 8CIpri'. O NO. OR NO. OF SIZE s �� STORIES FAMILIES UHK OF STRUCTURE Ala B rr-t h A-�a e APPROVALS HI TURF OF r APPLICANT DATE INS ECIOR'S SIGNATURE ADDRESS jar FOUNE)AT10N: LOCATION FORMS, MATERIALS ._. a..e/ P. C- S. FRAME: FIRE STOPS. ,p_,� •�•-- FREE �� BRACING. BOLTH- (./ FURNACE: LOCATION, VALUATIO t GAS VENT. DUCTS 1 HKR®Y ACKNQWL,ZDGK THAT I HAVE RKAD THIS AP- LATH.INT. PLICATIION AND 49TATE THAT THE ABOVE ID CORRECT AND AGRaK 70 COMPLY WITH ALL COUNTY ORDI CKS AND LATH,'EXT. " HTA,TE; LAWS R ULATING ILD;VG CO RUCTION. HOUYH NUMBER COF;- DIGNATUR$OF RECT AAD PORTED P I'RM ITT ADDR FINAL JOHN A.LAMBI)= COUNTY ENGINwim CLYDE N. DIRLAM N IPAL BTR RAL HNGIN�t PLAX CM= VAL.al=Li MOI CIL Y.o, cwsH PEBJUT VALIDATION CK. Y.O. CATH 1 �Co.8 4 5 4 ul fi�Y 23 16 1 1 .0 0 d m X8 .824 m 4 1 22 ,00 WORKERS'CCWiPENSATION DECLARATION :7 . hereby'affirm'that I have a certificate of consent to self. A p p L I CAT I N R Insure, or a certJflcate of Workers'Compenstlon Insurance,or O ✓ O BUILDING PERMIT a certified cgey thereof (Sec. 3604, Lab. C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No: Company Certlfled.copy Is hereby furnished., FOR APPLICANT TO FILL IN BUILDING ADDRESS 1—I Certified copy Is filed with the county building Inspec BUILD NG {J Ilan department. L N l Date Applicant C ZIP. ST_ CERTIFICATE.OF EXEMPTION FROM WORKERS' BU> - COMPENSATION INSURANCE SIZE OF LOT lq ? ON LOT Wt%K PARS_ j - (This•section need not be completed If the permit Is for on'a USE ZONE hundred dollars'($100)cr leu.) TRACTB-LOCKLOT td0 W. 11� 4 SPECIN CLO I certify that I the performance of the work for which this. OWNER / COND11 1 permll Is Issued, I shall not employ any person In any manner DISTRICT GROUP TYPE FIRECONST. ZONE !}Y V so as to become subject to the Workers'Compensation Laws. ADDRESS $ Date Applicant ARC3iITECT P TFC J STATISTICAL CLASSIFICATION APT. COtJDO. W NOTICE TO APPLICANT: If, after making this Certificate of ENGINEERt�O• 3 7a '��No.�L�- UNITS Exemption, you should become subject tp, the Workers' Compensctlon provisions of the Labor Code, you must forth- ADDRESS SEINER MAP Z with comply with such provisions or this permlt shall be deemed revoked. TEL CONTRACTOR NO. BK PG,J S VALIDATFON LICENSED CONTRACTORS DECLARATION UC I hereby affirm that I am licensed under rovlalons of Chapter 9 ADDRESS td0. VAWATION (cgmmercing with Seolon 7000)of Dlvlslonn f the Business and 7� Profeislons Code, and my license Is Jn full rce and effect. CTTY LCLASS i G' SQ. Ff. NO. OF NO. OF CHECY Llcgnse.Number LIc.Clan SIZE STORIES FAMILIES ONE 4Contractor Date DE WORK NEWADD ` I am exempt from the licensing requirements as I am a - F_] licensed architect or a reglitered professional engineer _ ALTER FINALv1 acting In my professlonal capacity (Section 7051, (,J REPAIR DATE Q Business and Professlons Code). U-SE OF IA FINAL EXISTING BLDG. er f �� LIc. or Reg. Na Date APPLICA TEL. CJ OWNER-BUILDERDLARATION NO. — I hereby affirm that I am exempt om the Contractor's License Law for the following.reason (Section 7031.5, Business and ADDRESS Pr fesslons Code): BUILDING I, as owner of the property, or my employees with ADDRESS wages ,s thelr sole compensatlon,will do the work and PRE the ruature Is not Intended or offered for sale(Section Jr 3 Q 9'A 70", Business and �rofesslons Code). I, as owner,bf the ro a #'o o:0 0 o p p rty, bm exclusively contracting With licensed contractors to construct the project (Sec- tlon 7W4,Business and Professions Code) 1,Q b. " CONSTRUCTION LENDING AGENCY BACY YARD TOT PROP. U�FROM WIDTH iI hereby affirm that there Is a construction lending agency for o 0 0,6 1,005 the performance of the work for which this permlt Is Issued(Sec. 3097: div. C.-). 0 ,a.0 2,-S'2Lender's Name Permit Fee a 0 - Lenders Address I certify that I have read this application and state that the ]nuance Fee above Infcrmatlon Is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee I and hereby authorize representaflves of this County to enter upon thebbove-menti operty for Inspection purpose$. Q HE RGVIMSE FOR DMIL NATORY L1 4GUAGE Halon of App cant or Agan �a i