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Home My Public Portal About9604 GIDLEY ST_Building__ 76A698A CE 1609 5-69 APPLICATION FOR BU I LDI N PERM I I ' 1. COUNTY OF LOS ANGELES BUILDING /T DEPARTMENT OF COUNTY ENGINEER ADDRESS 7 (1 BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN Lis ICT NO CUP TYPE CON61, PROC E �7 // (PRINT OR TYPE ONLY) BUILDING / �p Q �J / — S' STATISTICAL CLASSIFICATION SEWER MAP ADDRESCLASS NO. DWELL.UNITS BK PG LOT NO. BLOCK USE ZONE MAP N0. TRACT SPECIAL N0. OF BLDGS. { CONDITIONS SIZE OF LOT G b 7� �D d NOW ON LOT / EX USESTI G BLDG. L L' &7 BLDG. SETBACK FROM OWNER H) �j fjl NTEOL 6�(�-/�� FRONT PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESSHIGHWAY WIDTH FROM C.L. �j'LQ �/D L - CITY ePt Pc, - C fir— + c ARCHITECT OR TEL. BLDG.SETSAC OM (STREET) ENGINEER NO. SIDE PROP. LINE TYPE OF EXISTM SETBA IGHWAY + YARD TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + CONTRACTOR N0. ADDRESS LIC. CORNER CUTOFF YES ❑ NO 0 LIC. ad CITY CLASS S E REVS E SDE I-OR SP CIrL APPR VALS 00 CONSTRUCTION LENDER y 5 NAME AND BRANCH ADDRESS Z SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES NEW US E OF STRUCTURE L 6 C /IC C-0 .4L L ADD ❑ ALTER REPAIR ❑ SIGNATURE OF DEMOL ❑ APPLICANT s� VALUATION APPROVALS T 11sp- - I• TUnc P.C. PMT. &t FOUNDATION: LOCATION FEE S FEES ! �/ T RI LS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION FRAME: FIRE STOPS, L AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- TION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH INT. OF THE STATE OF CALIFORNIA I LATING TO WORKMEN'S COM- PENSATION INSURA� CE LATH, EXT. SIGNATURE HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRES d FINAL JOHN F. LEWIS, L STRUCTURAL PLAN CHECK VALIDATION =1K• L4.0. CA■H - PERMIT VALIDATION ' NG O AeHER 1 9^_ 4 2 5 5R FU,R30 ID 12.00— V ,j,7eAe3ecE4e03*1/7I � yyJ r APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCE BUILDING AND SAFETY DIVISION BUILDING ADDRESS ��03 COLEMAN W. JENKINS, WP'T OF BUILDING LOCALITY FOR APPLICANT T FILL NEAREST CROSS ST(Print or tvoe only) . DISTRICT NO. GR P TYPE P ED BY BUILDING �J�'/ /� S 6�bL� �f T ONS T. ADDRESS- ! fJ (1 STATISTICAL CLASSIFICATION SEWER MA LOT NO. BLOCK CLASS NO--725DWELL,UNITS BK PG TRACT USE ZONE MAP �[ NO.OF BLDGS. NO. SIZE OF LOT (/ D NOW ON LOT SPECIAL USE OF GEi CONDITIONS EXISTING BLDG. OWNER A/ V NO BLDG. BACK FROM ADDRESS 96o9�I L r FRONTPR LINEOF (STREET) rte' ,I� _ TYPE OF EXISTING ' TdACK HIGHWAY + YARD = TOTAL CITY / �ii1 pLr, ] 'f' HIGHWA WIDTH FR L. ARCHITECT OR TEL. } _ ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF - (STREET) TEL. TYPE OF ISTING SETBACK HIGHWAY + ARD = TOTAL CONTRACTOR J NO. HIGHWAY WIDTH FROM C.L S ADDRESS NO + O LIC. CITY CLASS CORNER CUTOFF YES NO W NAME AND BRANCHN�R SEE REVERSE SIDE FOR SPECIAL APPROVALS _ ADDRESS SQ. FT. NO. OF NO. OF NEW SIZE STORIES FAMILIES USE ` — �L / ADD ❑ STRUCTURE 1. C F– 4 ALTER ❑ REPAIR❑ SIGNATURE OF APPLICANT DEMOL ❑ VALUATIONS 'C APPROVALS .-DATE. IN* Ton'• •la AruFc FEE S FEE S /Z� FOFORMS I MATERIIALSON J S FRAME: FISTOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG BOLTS ANO STATE THAT THE ABOVE ID CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STAT[ OF -CALIFORNIA IN RELATING TO WORKMEN'■ COMPCNSAT IIuuR c[. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS �' FINAL JOHN P. LEWIS. PRINCIPAL STRUCTURAL E INEER PLAN CHECK VALIDATION CK. N.O. CAGH _ PERMIT VALIDATION CN. M.O. CASH M2 1 9 5-a SFP 1 1 D 12.0 0 OF ❑Is-rRIcT NO ;,R?<,3 - CF S 13 - call, I 1-r,7 DEPARTME'I`'" ,.OL' COiJrd T``I ENGINEER I JAI, '1 BLJTLUIC AND4FE Y DIVISION PERwuT No.^ _ f — JOHN 1 Am BIE, COUNTY ENGINEER DATE _ An RESS V_f —1I f ~ 1 1 fl-fl { 1. I om L < { r r t I I I t 1 i , ` -41 •-, 1 - y-.�. ;u� rri [� r IT dm ZT t }. .. < o } f r {. tltJ rlI 1JI_} j1 l f dol 1 , It a �= z [°�xlcr�� ; I f I F 1-'' t 1+ - 4- — t0 O.n r a L Z_� y 1 . �j '71 : - 7 1 g(r4 `/ g I I HEREBY STATE THAT THIS PLOT PLAN AND THE C IENEIONS SHOWN ARE CORRECT. I CIGI-IF,ru RE OF NAIL 1 DIVISION OF BUILDING AND SAFETY Department of County Engineer BUILDING County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN ADDREBB BUILDING LOCALITY ADDRESS _ NEAREST •'�� ;r LOCALITY CROSS ST. - DISTRICT NO. PLAN CK. OR REc. No. PERMIT NO. NEAREST --- CROSS ST. RECEIVED BY DATE OF APPL. DATE ISSUED OWNER MAIL /rte r ". f „• .- ADDRESS 4f" - "°� - USE ZONE NO. OF TYPE GROUP FIRE ZONE PLANS ""`-• ` ! CITY t.� ; , .y�. � � TEL. '*� _ NO. �f_ ARCHITECT OR TEL. ZONING DATED ENGINEER NO. APPROVED BY- BUILDINGORp.No ADDRESS SETBACK LINE: '-� "!/ l TEL. APPROVED DAT CONTRACTOR NO. _ BY: HOUSE NUMBERING ADDRESS ---- LEGAL MAP NUMBER NO. ASSIGNED BY DESCRIPTION LOT NO. I BLOCK _ }} DATE I. CORRECTIONS I INSPECTOR TRACT '1 ! NO. OF BLDGS. SIZE OF LOT i NOW ON LOT _ I Vol'USE NO. EX STOING BLDG. I F MIOLIES l eau lav O DESCRIPTION OF WORKALTERATION z REPAIR I-) DEMOLITION -I NEWADDITION - � � r SIZE ,. _. ROOMS STORIES _ EXT. WALL ROOF I COVERING COVERING _ USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION t - FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN 1S CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF; LATH, INT. PERMITTEE LATH, EXT. ADDRESS PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. $ - P. C.ffi HOUSE NUMBER COR- FEE RECT AND POSTED ' ffi VALUATION FEE FINAL ` 76A696A DBS 8 S-SS .WORKERS'CO�M/PENSAsION DECIARAYION y - - -- 1 I affirm t t 14t vve a certificate of consent-to self i _>rnsur8, or a certificate of Wc4ors Compensation Insurpnce, A P P L I CAT I O� FOR R BUILDING PERMIT " or a cai_tlfled copy thereof(Sec. 3800, Lab. C_) COUNTY OF LOS ANGELtS BUILDING,-AND sAFETY Policy Pio. ' Company ❑ CertkHed copy Ii hereby furnished. FO APPLICANT TO FILL IN ADDR SG 6 ADDRESS Certlfiid cobr is flled'wlth-the county build rig Inspec- BUILDING- tlon'department. b � Date Appllcbnt . f CITY • ZIP U LOCALITY CiERTIFICATIE OF'EX1MPTION FROM WORKERS' 1`40:OF tX COMPENSATION INSURANCE SIZE OF LOT r NOW ON LOT ST. .; ASSESSbIZ (This settlon need not be tompletid If the permlt'ts for one — TRACT BLOCK `1^ LbT NO, MAP BOOK PAGV PARCH hundred Oollars ($IOQ)or.leas.) I certify,that In`the performance cqf the work for whlch this u It Is Issued, I stall not em to "an n Ih an manner SPE(3 TK)F1S } Win' P Y Y y . �`3ADDRESS :r _� .. ., COW — io as to become subject td the Woa•liers 7orrijoe� Ion Laws. CITY - - ZIP_._ t!/.0 Date" ` Apllcant AkC7IITECT Oft TEL 0 NOTICE TO-APPLICANT: If, bftdY'#hoking,th Certificate of Ef�GI DtSTR1Ci .- _GROUP'. TYPE: FIRE BY _ Exemption, -you shourd become, subject'to'the` Wo;* s T COtIST. ZONE' Compensation provisions of the Labor`Code, you must forth- ADS wlth.compty wlth''�su4h provlslons'.or this,Recruit shall be �eemo&revoked.. .. v.^ CONTRACTOR ��d. STATISTICAL FKATK�tJ APT LICENSED CONTRACTORS DECLARATION / �- tIC-' - CLASS DWELL UNITS fyhereby affirm that)am licensed under provisloru of Chapter 9 ADDRESS / NO. (4orr!mend.n9 vvtih S�dbn 7QOp)of Dfvlalo(l 3.qf The BuWna"and .._ . _. .-_-:- — . - -U(_- is, MAP Professloru Code, dad Trry ITcense ls,In fu.Ill fbrce'apd effect. CITY CLASS . �: ' VALIDATION Llcgnr Slumber Lid.Class` v S� STORIES FAMILFS - . y VALUATION NEW �oniracfor Pcr►e` - DESCRIPTK)N OF WORK - — -- ; UQd ADD I am exempt under Sec - - ALTER Q.BP.C. for this reason REPAIR- :- - - 4.5 8,6 A , r USE OF Date. EXISTING BLDG. DEMOI. r. . .— o: • Signature1 OWNER-BUILDER DECLARATION (PR�. I. H `-. _r.. DATEL 6 e 2 1 Ei 7 5$ I hereby afflrrn tfwt I am exempt from the Contractors-License Law for the following reason (Section 7031.5, Business and FINAL f _ -_ _ Profbsslons Code): 6y' _. b5 . _8 b . BU H DI NG IL rn owner of thd_property, or my employees with ADpR _ _ wages as their sole compensation,will do the•work and - - - - - f,, 1 the structure Is not Intended or offered for salq(Section 70 4, Business and-Professlohs-Cocie� - MOVING - TH I, as owner of the property, am excruslvely contracting NO. " NTRACTOR with Itcgnsed contractors to construct the-project (Sec- AD __ — - tloh 70", Business and Professions Code) , ti ` `•� ti � CONSTRUCTION LENDING AGENCY SEI BACK YARDTOTAL SETBACK Uxudb L PROP. UNE WIDTH - I hereby affirm that there Is b construction lending agency for FRONT2 5.5 2 8 A the performance of the work for which this permit Is issued P.-L-— - ` ` \� �� - x,, * # 0 o 'o\o_�o.,l - (Sec. 3097, CIv. C.} SIDE_ I.._26 IO 8 _ .. P.L - - - _�4� ti 1 _ _ 1 : $ Lenders Name Z Permit Foe FpC - j �.; 0.�'.. Lender's AddressP.C_ Fee I certify that I have read xhla appllcatlon ar 'state that the Issuarxs Fee IDM.A P/C f above InformationiT is coect. I a�gree to comply with all County Investigation Fe. -prdlnan;ps and State IaY+) roldtlrig-to buIIding corwrucHon, Total Fee- and hereby authorize representativea of this County to enter u alio ed property for Inspection purposes. u 1 to FZVMU POE DPLAIIATO[Y LANGUAGE - f Applkanror Agent .. .- Dates i