HomeMy Public PortalAbout9610 GIDLEY ST_Building__ 13" "M•"' Il.."
APPLICATION,FOR PERMT
DEPARTMENT OF BUILDING AND SAFETY
_ . COUNTY OF LOS ANGELES BUILDING -
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NO. OFLD0. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO,
PLANS SETSACK LINE
FIRE APPROVED l
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Z CITY 1 HEREBY ACKNOWLEDGE THAT I NAVE READ THIS
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STATE 'SEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSM NO, NO, AND STATE LAWS REGULATING BUILDING COKSTRUCTION.
GLOT NO. Sam OFC T"o R` SIGNATURENOF
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DEPART1VfENT=—Or BUILDING AND SAFETY ����
f COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NO.OF BLDG. ORD:NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE
FIRE APPROVED
ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED
USE '_` APPROVED -
ZONEBY DATE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY �' 1
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LICENSE NO. _ NO. NAME -
MAIL
a0 NAME _ ADDRE68
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@ ADDRESS CITY NO.
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~ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
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V CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
Z JJ SIGNATURE OF
® LQT NO. t.,t`j= SIZE OF LOT ..
OWNER
a NO. OF BLDGS. AUTHORIZED AGT.
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NOW ON LOT "
DESCRIPTION OF WORK
USE OF
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NO.OF NO.OF
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ADDITION SIZE I .-
REPAIR STORIES
MOVING WALL COVERING
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P.C. FINAL APPROVAL
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INSPECTOR'S
'VALUATION FEE
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APPLICATION FOR AG'�"MIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
DDRESS
BUILDING AND SAFETY DIVISION AS
ADDRS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY �(
R APPLICANT T0 FILL IN NEAREST
(Print or tyoe only) CROSS ST.
BUILDING DISTRICT GFR.OLJPYPE EAED BY
ADDRESS94 zo CO
LOT NO. 6 BLOCK STATISTICAL CLASSIFICATION SEWER P
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CLASS NO. On OWEL4.UNITS'�� BK P41
TRACT USE ZONE MAP
NO.OF BLDGS. NO.
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG,
TEL
OWNER NO. BLDG,SETBACK FROM
ADDRESS F`RPNT PROP.LINE OF (STREET)
TYPF,OF I!:XI8jINGj SETBACK HIGHWAY + YARD = TOTAL
CITY - HIO AY
WI OM C.L.
ARCHITECT OR TEL. +D _
ENGINEER NO. BLDG,SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET) yy
TEL. TYPE OF ]STING SETBACK HIGHWAY + YA — TOTAL
R0...
CONTACTOR NO. L HIGHWAY WIDTH FROM C.L. 8
LIC. // + _
ADDRESS No�` NO. -Ir
CITY CLASS CORNER CUTOFF YErS El LV
CONSTRUCTION LENDER a
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPR VALS z
ADDRESS
SO. FT. NO. OF NO. NEW
OF ❑
SIZE STORIES FAMILIES
USE OF _ ADD ❑ '
STRUCTURE
ALTIER ❑
REPAIR❑
SIGNATURE OF ❑
APPLICANT DEJ,
VALUATION S APPROVALS DATE INSP[CTOR'S *IGNATUA[
FOUNDATION: LOCATION
FEES FEES +� FORMS MAtERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDSE THAT I HAV[ READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THr ASOVE IS CORRECT AND ASREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS RESULATINS BUILDINS COR- OAS VENT, DUCTS '
STRUCTIQM, I CERTIFY THAT IN DOINS THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PEAea}I IM VIOLATION OF THE LAR, INT.
LABOR CODE OF THE STAT[ OF -CALIFORNIA IN RELATINS TO
WORKMEN'S COMPS ATIOM INS URA NC[ LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND OS ED
ADDRESS a' all
FINAL b
JOHN . LEWIS. PRINCIPAL STRU-QjUIRAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMT VALIDATION cK. CASH
7 0 4 7,�3- SEP'1 6.00~ cv
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DEPARTMENT OF BUELDING AND SAFETY
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CCOMMOF LL OS ANGELES
WM. J. FOX, cHIEF Qtai ma
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
IIUILDINa DISTRI PLAN CK. NO. MIT NO.
ADDRiq Q � V /
LOCALITY pm=IVED BY DATE OF APPL DATE ISD tD
H EAR SST
CROGS fT. BUILDING
ADDREBS m
OWNER
MAIL LOCALITY 4 .
ADDRESS Q NE.AREET 77, C
/ CROSS ST.
CITY NO. b FIRE NO. OR v TYPE GROUP
ARCHITECT OR Tp_ ZONE PLANS 1
ENGINEER NO. BLDG. U F
SETIIACIC LINE
ADORE= APPROVED
TV-
CONTRACTOR
DATE
CONTRACTOR NO. UIIE APPROVED
ZONE BY DATE
ADDREM HOUSE NUMBERING
DESCRIPTION T-OT`NO'• DLOCIS �o MAP NUMBER y0/ RIELD CHECK fY
TRACT I r HO. ASSIGNED BY DA
NO. OF IILDGS. / CiORR=ONS
SIZE OF LOT O O �1 NOW ON LOT
USS OFNO. OF
�(IBTING BLDG, (.r FArIuts
DFSCHIMON OF WORK
NEW ON ADDITION
O
REPAIR DEMOLITION X
0
Q. FT. 1 NO. OF Z
SIZE C ROOMS STORIES
Err. WALL ROOF
COVERING ^ COVERING x'1'34•/1'1
USS OF STRUCTURE
APPHOVALS
INSPECTOR'S QIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THT8 AP- FOUNDATIONi LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALB
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAMEi FIRE STOPS,
H<ftWON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATI G BUILDING CONSTRUCTION. , FURNACEi LOCATION,
BIGNATURI OF �' y y GAS VENT, DUCTS
PERM t
ADD
6 - LATH, INT.
LATH, XXT.
AUTHORIZXD AGT.
PLASTER, INT.
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VALUATION
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