HomeMy Public PortalAbout9626 GIDLEY ST_Building__ TeA"eA CErGo, U7APPLICATION FOR BUILDIN PERMI
s
COUNTY OF LOS ANGELFS _ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVLSION BUILDING1401.
JOHN A. LAMNIE, CopNrY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FO
R N NEAREST Q
CROSS ST.
(Prinj or tyDe only) DISTRICT NQ. G TYPE P
BUILDING O� CONST.
ADDRESS Q
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. DLOCK .r.
CLASS NO-.23 DWELL,UNITS BK rPO
TRACT USE ZONE MAP
NO.OF BLDG3. NO.
SIZE OF LOT NOW ON LO SPECIAL
USE OFQ CONDITIONS
DG
EXISTING BL .
EL
OWNER NO BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
TYPE OF
EXISTING 8ETEACK til WWAY + YARD = TOTAL
CITY Q HIGHWAY IDTH PROM C.L_
ARCHITECT OR TEL. + _
ENGINEER NO BLDG.SETBAC OM
ADDRESS SIDE PROP.LINE (STREET)
TEL TYPE OF 1871X0 8ETLICK Y + YARD = TOTAL
CONTRACT IC. HIGHWAY WIDTH FROM C.
ADDRESS
O. + — S
LIC. Ck=
CITY -z-z CLASS CORNER CUTOFF YES ❑ NO
CONSTR- NAME AND BRANCH��R SEE REVERSE SIDE FOR SPECIAL APPROVALS
cn
ADDRESS Z
8Q. FT NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES ❑
USE OF ADD
STRUCTURE ALTER ❑
REPAIR❑
SIGNATURE OF'
APPLICANT DEMOL
VALUATION -
APPROVALS DATE ING F[CTOR'G SIGNA TL R[
ENGINEERING
FOUNDATION: LOCATION
FEE S FEE S FORMS MATERIALS
FRAMEt FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACEI LOCATION,
WITH ALL ORDINANC AND LAWS R[GUTING BUILDING COM- GAS VENT DUCTS
STRUCTION., I CERTI AT IN DOING [ W RK AUTHORIZED
HEREBY I WILL NO OY ANY PERS N IO LA TION OF TH[ LATH, INT.
LABOR CODE OF TATE OF IN R[LATI NG TO
WORKMEN/ COMP ON NIUR LATH, EXT.
SO
IGNATURE OF HOUSE NUMBER CR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRIM IP L STIR URAL ENGINEER
PLAN CIECH VALIDATION cK. M.o. CASH _ PERMIT VALIDATION M.O. CAfH
1 AD- 0 1 0 2 ilYt 5 1 D 1 7-2 5~ 7