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Home My Public Portal About4936 ARDEN DR_Building__ 76A638A CE tl6032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY / i JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING - CROSS ST. DISTRICT NO. GROUP TYPE ED BY FOR APPLICANT TO FILL IN S 1:::— CONST. BUILD'Nom STATISTICAL CLASSIFICATION BK MAP ADDRESSA;v t - BK ` PG CLASS. NO. DWELL. UNITS Lql LOT NO. 7 "BLOCK 13 WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT f MAP HIGHWAY ``I NO.OF SLOGS. / NO.� / (CIRCLE) STATE MAJOR SECOND, OCA SIZE SIZE OF LOT NOW ON LOT USE ONE SPECIAL USE OF `/ CONDITION_ L. (f ,a (� l!/U EXISTING BLDG. 6 _ / OWNER MNO "` L INC YARD HWY STR fT NAME EXIST. /+ SETBACK. i WIDTH ADDRESS 2_ 4. /, FRONT ARCHITECT OR TEL. P. L. ENGINEER NO., SIDE I d P. L. O ADDRESS v �. TEL. CONTRACTOR .G NO. qq�� aeg}t j ADDRESS • O DESCRIPTION OF WORK e /`S `9 � Id � B S 3`~'�"• 1 tiro 4`� `��c'' a I N Z ADD ALTER REPAIR DEMOLISH - 1 SQ. FT. /� .NO. OF NO. OF N �Q SIZE Sp, STORIES FAMIL6ES q �+^ /� USE OF C 'ef�^ E Aj rr. — `(t .P"4_1•.k_.A. STRUCTURE 'lax oov �o cel s P20„A,t SIGNATURE OF /A Q,Outj% "roe -A;_2 V -a:LSo UN•�r GIG.t APPLICANTlj4 VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE gyp/ PMT FOUNDATION: LOCATION � FEE J FEE $ FORMS, MATERIALS 1 FRAME: FIRE STOPS. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS +o BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. Z/ TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF � / LSI HOUSE NUMBERp PERMITTEE �y //�,�/ Ci Jt� RECT AND POSTED /t •,f ADDRESS o /Q L4-4- .12 L LQ FI N A L t low- JOHN F. LEWIS. PRINCIPALS URAL ENGINEER PLAN CHECK VALIDATION cK. M.o. CASH _ -PERMIT VALIDATION cK. M.O. cnsH 0 9 3 D 2. 6 75A — LAW -5 3 8 1 MAY 12 1 D 57-00 N ' -APPLICATION F'O R COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER B U I L.D I N C7 •PERMIT BUILDING AND SAFETY DIVISION BUILDING / s FOR APPLICANT TO.FILL IN ADDRESS . BUILDING fe ADDRESS . 4936 Ar en Dr. LOCALITY NEAREST. CITY TegMle dity ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT 2 MAP BOOK PAGE PARCEL DISTRICT GR P T PE FIRE ESSED BY TRACT 11148 1 BLOCK LOT NO. - T Q ONE l TEL. r1 - OWNERNO. 444-8439 STATISTICAL CLASSIFICATION SEWER M ADDRESS Sante CLASS NO. _DWELL..UNITS BK PG CITY ZIP ZONE MAP ARCHITECT OR TELNO. �/�!✓ ENGINEER L SU] Sgr NO. - .' SPECIAL ?i�f7 CONDITIONS ADDRESS 2402 Merced Ste San Leandro CA ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ TEL CONTRACTOR Alumax-KO01 NO. 748-8241 BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRE551526 R. -V�ashin ton B1r10. 260090" HIGHWAY +. YARD = TOTAL SETBACK FROM TYPEOF EXISTING LIC FRONT PROP.LINE HIGHWAY -WIDTH CITY L.A. 90021 CLASS C-61 _ CONSTRUCTION LENDER + a -NAME-AN.D BRANCH 0 - BLDG.SETBACK FROM - U ADDRESS CITY SIDE PROP.LINE OF (STREET) 0 O SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE'OF EXISTING U SIDE PROP.LINE HIGHWAY ..WIDTH . w SIZE 100 STORIES ' FAMILIES ONE N DESCRIPTION OF WORK Alum patio Cov NEW . - AggDD CORNER CUTOFF YES E] NO ❑ 25711-12. AL�ER El .IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ USE OF [:] IIN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. SFR & Detached, Gar a DEMOL APPLICANT TEL (PRINT) AIUI&youol NO 748-8241 BY(SIGNATURE) IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE -- THAT.THE ABOVE IS CORRECT AND AGREE TO COMPLY,WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.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 TOWORKMEN'S COM- PENSATION INSURANCE. SIGNATURE OF -FINAL //`L9J BY PERMITTEE DAT ADDRESS•1526 E. Washington Blvd CITY L.A. 90.021 ro.748_8241 P.C. Fee$ Z� Permit Fee Issuance Fee VALUATION$ 600• Total Fee 'PLAN CHECK VALIDATION. cK o. CASH PERMIT VALIDATION CK. M.O. CASH 9 8 6 JU14 1-5 1 0 2 2.0 0 &% WORKERS' COMPENSATION DECLARATION W L L I ( q, C` Z_ 1 //3/ 'I her& affirm that I have a certificate of consent to self �� insure, or a certificate of Workers' Compensation'Insurance, APPLICATION FOR BUILDING PERMIT "fl r a certified copy thereof (Sec. 3800, Lab. C.) �Aq� Er FV ` � COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. 7 n-$�Company _ A! L FV ^ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING L ADDRESS J Certified copy is filed with the county building inspec- BUILDING ' tion department. ADDRESS Date . - 8 Applicant el CITY PL4F ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' dw O. OF BLDGS. NEAREST S � COMPENSATION INSURANCE SIZE OF LOT �®U NOW ON LOT �7 GROSS ST. (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. l (/ ASSESSOR hundred dollars ($100)or less.) MAP BOOK PAGE PARCEL TEL.OWNER L USE NE MAP I certify that in the performance of the work for which this NO. `� / NO. permit is issued, I shall not employ any person in any manner �Z I SPECIAL ADDRESS so as to become subject to the Workers'Compensation Laws. CONDITIONS O. CITY i • ZIP V Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT G UP TYPE FIRE P CESSED BY O ENGINEER b NO. CONST. ZONE Exemption, you should become subject to the Workers' V Compensation provisions of the Labor Code, you must forth- ADDRESS `v W with comply with such .provisions or this permit shall be LL deemed revoked. TEL. STATISTICAL CLASSlf1CAJON APT. CONDO. U)CONTRACTOR t NO. tl` Z r�I Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS (o • I#) NO. g Q� (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code, and my license is in full force and effect. CITY I C • CLASSBK E3 G VALIDATION J� SQ. FT. INO.STO IE NO. OF CHECK License Number Z Lic.Class SIZE STOP,IES FAMILIES ONE 1/� f !r VALUATION Contractor (obi �Y Date Io[Vii. ZJ� DESCRIPTION OF WORK NEW ❑ $ i gm ADD I am exempt under Sec. 1Ut'-� ALTER B.BP.C. for this reason ❑ $ $ &4d REPAIR � - Date: EXISTING BLDG. DEMOL S yC C ❑ Signature APPLICANT TEL. FINAL J OWNER-BUILDER DECLARATION PRINT (rE NO. DATE • ~ .z'- 8 4 5 A I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS _f;S0G s , C-` ' FI # 0,0',0,0 0;1 i Professions Code): PRESENT / BUILDING I o T1 5S 5 0 I, as-owner of the property, or my employees with ADDRESS i wages as their sole compensation,will do the work and o 0'1 1 55050 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL... ,I 2 0 1 .-87 - , I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors To construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). FInvesfigationFee TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction,lending agency for the performance of the work for which this permit is issued" (Sec. 3097, Civ. C.). Lender's Name D LDMA Ref. N m Lender's Address Permit Fee �J 3 _ o -1 certify that I have read this application and state that theIssuance Fee / ®t LDMA P/C N .. above information is correct. I agree to comply with all County e0ordinances and State lows relating to building constructionTotal Fee LDMA Perm. H - R and hereby authorize representatives of this County to enter upon the abo -mentioned pro rty f inspection purposes. < ---,�7 SEE REVERSE FOR EXPLANATORY LANGUAGE ?,nature o Applicant or gent Date - .,