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Home My Public Portal About9644 GIDLEY ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER B U ® ' NIG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS LOCALITY �' RECEIVED BY DATE OF APPL. DAVE)ISBUED NEAREST CROSS ST. ' t 13UILDING OWNER ADDRESS I �V MAIL ) o LOCALITY -` ADDRESS a� � / � � ' NEAREST CITY NO. �^ TEL. ;,#I LA-1 CROSS ST. � t U A,.! G 7 FIRE NO.OF 7— '// GROUP ARCHITECT CR TEL. ZONE PLANS-� ENGINEER NO. - BLDG. ADDRESS _SETBACK LINE APPROVED CONTRACTOR TEL. BY DATE NO. USE APPROVED ADDRESS ZONE BY DATE LEGAL - CORRECTIONS DESCRIPTION LOT NO. QBLOCK TRACT / Z qL ` 8 J ! 3NO.OF BLTS. SIZE OF LOT 5� T'y`l-3;:v NOW NOW ON LOOT �. USE OF _ I NO.OF. I NO.OF EXISTING BLDG. FAM ILtROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A_ REPAIR MOVING DEMOLISH O SQ.FT. NO.OF SIZE ROOMS STORIES > WALL ( ROOF COVERING COVERING USE OF NEW Q /`f �-� BUILDING Zo oJ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION,: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAM E: FIRE SIGNATURE OF � BRACING.BOFJ.LTSLTS PERMITTEE ` LATH, INT. AUTHORIZED AGT LATH, EXT. 76A639A-3 2-513 P.C,0 PLASTER, INT. `� FEE PLASTER.EXT. s Q t . VALUATION NON - — FIAL 093-3 2SM BETA 2-46 pEP ;RTMETNT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES L ® e WM, J. FOX, CHIEF ENGINEER - FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS LOCALITY_ RREEC IVED BY DATE OF APPL. //DATE ISSUED NEAREST t ' •�(�/� CROBB ST. O�.Q V .} n BUILDING.,( / OWNER tAl/ ` ADDRESS MAILayXe ADDRESS (/ LOCALITY �✓(,�+�.G-•�►�wma,.-�'-76� s%+' TEL. NEAREST CITY �/'_ . J/t �` !'"!fl_�f NO. CROSS ST. FIRE _ I NO.OF I IIO TYPE �/ �I GROUP ARCHITECT OR TEL. ZONE_ PLAN _ _ ENGINEER NO. BLDG. ORD. NO. ADDRESS SETBACK LINE N4rEL. APPROVED CONTRACTOR NO, BY DATE USE APPROVED ADDRESS ZONE K BY DATE LEGAL DESCRIPTION I LOT NO. I BLOCK CORRECTIONS TRACT i 7q? SIZE OF LOT 6 yJx 13 a I NOWOONBLOTB�'/ 3t USE or I NO.OF - I NO. OF EXISTING BLDG. FAMILIEl1 ROOMS DESCRIPTION OF WORK NEW _ ALTERATION ADDITION - O A REPAIR MOVING DEMOLISH _ p Sq. FT. NO.OF Z SIZE i ROOMS STORIES > WALL ROOF r COVERING I COVERING USE OF NEW BUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, CTFIR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF ��+�,j(i- ` '�/� • """ 1 BRACING, BOLTS �. OWNER r\ ! (� jjP LATH, INT.: AUTHORIZED AGT i LATH, EXT.: P. C. >0 PLASTER, INT. FEE PLASTER, EXT. VALUATIONFINAL - - FEE j(i G/tS /(- a j c I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER FOR APPLIC NT TQ FILL INFOR OFFICE USE ONLY BUILDING DISTRICT NO. PLANCK. NO. ARM'g NO./ ADDRESS LOCALITY REC IVED BY DATE OF APPL. DATE ISSUED NEAREST '�+ // L'`e hMd � t ,� v CROSS ST. /� .fes BUILDING / / /a L Lr Y ADDRESS (7 LL OWNER Y MAIL v'� LOCALITY d It/y/009a ADDRESS .--ej 1, NEAREST -7-7, TEL. CROSS ST. T, CITY -_ r' ,; 'r NO. FIRE NO. OF I TYPE GROUP T ARCHITECT OR TEL ZONE PLANS •�L. ENGINEER NO. BLDG. ` ' SETBACK LINEy U ADDRESS APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ZONE / BY DATE ADDRESS HOUSE NUMBERING LEGAL f DESCRIPTION I LOT NO. T� I BLOCK "" MAP NUMBER. -FIELD CHECK BY TRACT I' 9 NO. ASSIGNED BY ❑ATF (�0I NO. OF BLDGS. CORRECTIONS _ SIZE OF LOT -` NOW ON LOTS/ �(-/J�N / l' n 1 L' /� •r G USE OF //s NO. OF _,— EXISTING BLDG. G I FAMILIES/ �E Q' tJnll�c"? G-�9 ,3 1-'to DESCRIPTION OF WORE NEW I I ALTERATION I I ADDITION O REPAIR DEMOLITION SO. FT. NO. OF O SIZE S ROOMS STORIES / Y EXT. �.WALL ROOF r COVERING L. COVERING L USE OF STRUCTURE L / U T L I T Y N1 . '?-o dck. 14 er . APPROVALS INSPECTQR'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. I 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 PERMITTEE LATH, INT. ADDRESS ? ,w /. LATH, EXT. AUTHORIZED AGT. PLASTER, INT. / 7 11 O8A63A- DB59 10-50 $ Q a! FEE !4 '"` r Q PLASTER, EXT. VALUATION FEE S O O FINAL - APPLICATION FOR BUILDING� PERMIT FOR APPLICANT TO FILL IN (Print or type only) /�M�i.� G. BUILDING E COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFETY DIVISION NO.OF BLOGS. BUILDING p I SIZE OF LOT NOW ON LOT ADDRESS / 6 'y Vle , TRACT / I BLOCK LOT NO LOCALITY L� TEL. NEAREST OWNER NO. CROSS ST. G ASSESSOR ADDRESS /tjy0 MAP BOOK PAGE PARCEL C' DISTRICT 1GROUPITYPE FIRE PR ESSED BY CITY ZIP b� CONS T,� Z E ` ARCHITECT R TEL — ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.,13_DWELL,UNITS BK 9/PG TEUSE ZONE MAP CONTRACTOR p'(j;9y) LK- NOL?* 1 � -77 LIC. NO. ADDRESS }�V•IL J NO. ECIAL LIC, f^� CONDITIONS CITp�.t CLASSG ROAD DEPARTMENT APPROVAL REQUIRED YES Cj NO ❑ CONS RUCTION LENDER NAME AND BRANCH BLDG,SETBACK FROM r FRONT PROP.LINE OF (STREET) CL. ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING C1) SQ. FT p NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH C=SIZE -/ STORIES FAMILIES ONE O + = U DES-CRIPTION OF WORK NEW ❑ a ❑ BLDG,SETBACK FROM ti + j ADD SIDE PROP,LINE OF (STREET) Z �h ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF OEMOL + EXISTING BLDG. APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO.�r)5�S BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ Q IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ S� CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- IMPACT REPORT PROCESSED (DATE) STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENS N INSURANCE. SIGNATURE OF PERMITTEE ADDRESS TEL. FINAL BY D CITY CJ NO. 7 S ATE %I.1hE CHLCKS P:1}':1131.1i '10: P•�• $ PMT�C FEE FEE P HARVEY T. BRANDT, COUNTY ENGINEER l rD� PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK M p. CASH 4 4 AL*ow m i n 1 2.0 0 L111A118A CE++803 1272 ^