HomeMy Public PortalAbout5023 ARDEN DR_Building__ 15 DBB•9
11.5.55 A P P L I C A�T I O N FOR ��U I L®I ISI G PERMIT
1
DIVISION OF BUILDING AND SAFETY BUILDING U I eI N L'5-0
Department of County Engineer
County of Los Angeles LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST '
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS S L.
DISTRICT NO.
FOR APPLICANT TO FILL IN C'R / TYPE Sr
�f SEWBK MAPP
-i- I CONST..��• L
BUILDINGMAP STATE
ADDRESSNUMBER HWY YES NO
LOT NO. {p BLOCK USE ZONE SPECIAL'
�r+`� / CONDITIONS
TRACT 3J d I. /i-1. ^BUILDING EXIST. -
NO.OF BLDGS. (/
SIZE OF LOT I NOW ON LOT YARD HWY STREET NAME
USE OF - SETBACK - WIDTH
EXISTING BLDG. FRONT- /I
OWNER lO SIDE
MAIP. L. -
ADD C�19 ��j /�� /� J P1 O TRACT DWELL. 1 UNIT
ADDRESS Q� S J'� G/ N /G
.�
TEL // 5 INDUSTRIAL
CITY JG �� NO. ] ® ®u+FO 1 DWELL. 1 UNIT 6 PUBLIC BLDG.
ARCHITECT VR TEL. 2 DUPLEX 2 UNITS 7 ADDN..ALT., ETC.
.ENGINEER NO. 3 APT. UNITS - p .
-
ADDRESS 4 COMMERCIAL 8 ISCEL..Ate/1� C��C//iP� i �YYY
CONTRACTOR NO' INSPECTION RECORD
ADDRESS —z-
DESCRIPTION OF WORK '
NEW DD ALTER. REPAIR DEMOLISH .� r
SO. FT. // NO. OF NO. OF 4-�-G
SIZE �O D STORIES FAMILIES
` N
USE OFST UCTURE si.Gf /71s //{ P/-91$, j n
t
SIGNATURE OF
APPLICANT h v"'- / APPROVALS
ADDRESS Q ` L�/j/ y DATE INSPECTOR'S SIGNATURE
%
00' FOUNDATION: LOCATION p,
P. C. $ FORMS. MATERIALS 6n (O
FEE FRAME: FIRE STOPS.
VALUATION $ BRACING. BOLTS
FEE 9_~ FURNACE: LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS -
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATI BUILDING CONSTRUC-
TION.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE / RECT AND POSTED
ADDRESS FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDA140K CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR-
. CK MO CASH
76A638A CE#80310-58 APPLICATION FOR BUILDING PERMIT
COUNTY"OF LOS ANGELES. Apo°Iss
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY "
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRIC :NO. /GRO�U 'TYPE P f SSEDBY
FOR APPLICANT TO FILL IN h I CONST: ,1� ��
BUILDING �j STATISTICAL CLAS 1FICATION SEWER MAP
ADDRESS - - CLASS.NO: DWELL.UNITS
LOT NO. j02-4+ 3 BLOCK * MAP NUMBER 9- H ATE YES O
TRACT / USE ZONE SPECIAL
NOCONDITIONS
/
SIZE OF LOT'� � NOWWO OBLDGS N LOT -
USE OF
EXISTING BLDG. 'BUILDING '
SETBACK YARD HWY � � STREET AME; WIDTH
OWNER Q FRONTJj ,•
MAILmy 1 OQ) .• P.L. i `!
ADDRESS r -a"-'7 r � SIDE
P.L.
CITY . NE INSPECTION RECORD
• ARCHITECTOR TEL. ..
ENGINEER NO.
ADDRESS
.TEL.
CONTRACTOR NO.
IL
ADDRESS
DESCRIPTION OF WORK
NEW ACf 32 ALTER REPAIR DEMOLISH _
SQ.FT, NO.OF NO:OF - -
SIZE STORIES FAMILIES .
USE OF
STRUC� E '
SIGNATURE OF
APPLICANT APPROVALS `. DATE INSPECTOR'S SIGNATURE
ADDRESS-_ FOUNDATION:LOCATION
FORMS,MATERIALS
VALUATION$ r FRAME: FIRE STOPS, /6 -,y
BRACING,BOLTS
P17
.C. PMT. �' FURNACE:LOCATION. -
FEE $ I FEE . $ % I GAS VENT,DUCTS
I HEREBY-ACKNOWLEDGE THAT 1 HAVE READ THIS AP- I
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH.INT.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND -
STATE LAWS ULAT�,NG BUIL G CONS UCTION. LATH,EXT.
SIGNATURE r HOUSE NUMBER COR
PERMITTE '� RECTANDPOSTED
ADDRESS �r FINAL I y-L d i t e
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E fflIRK411
PLAN CHECg VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.'' M.O. CASH
-tn GOT � 1 2 A 9s)0
r L'®�
76A636ACE#803-6-57 APPLICATION FOR BUILDING PERMIT ].
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY %-�f14 �f_! - •/
JOHN A. LAMBIE,COUNTY ENGINEER NEAREST r �p It e
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. l/'v
DISTRICT O. GROUP TYPE SEWER MAP G
FOR APPLICANT TO FILL IN I BK
-.- CONST.
BUILDING I^/A 4 �-/ 6� STATISTICASSIFICATION I
LOT NO.
ADDRESS � /T
,L 41-1 BLOCK
NO. DWELL.UNITS
BLOCK MAP GJ ,., STATE
TRACT �^ I NUMBER c�Yf HWY. YES NO
USE ZONE SPECIAL
NO.OF BLDGS. I ONDITIONS
SIZE OF LOT NOW ON LOT O
USE OF
EXISTING BL G. BUILDING YARD HWY STREET NAME EXIST.
y� SETBACK WIDTH
OWNER /']' o FRONTP.
ADDRESS `Y��//!!// - SIDETE
CITY .�ga -�a NO. •'• TORI P.L.
ARCHITECT TEL. INSPECTION RECORD
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW D ALTER REPAIR DEMOLISH
SQ.FT
`�" qNO.OF NO.OF
STORIES FAMILIES
USE OF STRUCTURE -
SIGNATURE OF jq,�i� APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS lr Z_ LY- . FOUNDATION: LOCATION
FORMS.MATERIALS
P.C. s FRAME: FIRE STOPS,
FEE BRACING, BOLTS
VALUATION S FURNACE: LOCATION,
.. .. . FEE GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
14
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS RE TING BU NG CONSTRUCTION. LATH, EXT. '
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE+� RECT AND POSTED
ADDRESS �./ FINAL
JOHN A. LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL GINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. CASH
F AC0 2 8 5 9 m APR 14 1 A 850 to
-
OF
I
O PP ICATION FOR BUILDING PERMIT I
76A 638A CE 8 3 8 63 A L L
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT GR TYPE ' PR BY
FOR APPLICANT TO FILL IN e corlsr.
BUILDING �g1fI .,r STATISTICAL CLAS IFICATION SEWER MAP��-,
ADDRESS jITD1--3 IYV V CLASS. NO. DWELL. UNITS BK P ��//yyy
LOT NO. BLOCK WATER
CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑
TRACT -3,<� MAP HIGHWAY STATE MAJOR SECOND LOCAL
NO.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF J�� CONDITIONS
EXISTING BLDG. ✓GGe?iL�I��,/LX�
TEL.
OWNER �Z3 NO. •{I ' / ' BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS O?3 . V D I A en Ykf �7,C, . FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L.
ADDRESS d
{ L� O
v
CONTRACTORAl, H%5i, 1 /.�4!o" 5 7 li) U
BURS, GUTTER, DRIVEWAY APPROACH sY. --
ADDRESS r � �.A 'wvi•/1 PI WAY TREE REQUIRED Q
DESCRIPTION OF WORK
ote: Permits for curb, gutter, Sidewalk, and driveway apprcach d
,.+�^ V1
NEW-F' ADD ALTER REPAIR DEMOLISH T011ations should a taken 00 a+ '}._;_ L. A. Lc. ii0r,d Dept., Al+adartl
SQ. FT. NO. OF NO. OF rfiee - .' ^"': ; _;y order av0
SIZE STORIES FAMILIES
USE OF 1. lengthy delay, Survey Design work takes ti,T..e and is not start
ai
/ �
STRUCTURE t �f v e,4 r--Ir ntil Permit h8i Seen Issued. Appy for arkwa tee
i Hall. P Y. F Permit at T. ,
SIGNATURE O _ "' � v
APPLICANT
VALUATION $ 4900 Z��-o
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ FEE $ FORMS. MATERIALS
FRAME: FIRE STOPS, /
I 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
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK f q
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA" LATH. INT. _ \
TION OF THE LABOR CODL'XT1E/'9TATE OF CALIF NIA RELAT-
ING TO WORKMEN'S COMPENSURA NCLATH. EXT.SIGNATURE OF - HOUSE NUMBER COR-
PERMITTEE �R RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS., ,F2INCIPAL ST F RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LPL�8 9 8 u G JUN 1. D 1 7.2 5— c
76A638A CEtt8038-64 APPLICATION FOR R BUILDIj6G PERMIT
COUNTY OF LOS ANGELES B U I L D I N G
ff
DEPARTMENT OF COUNTY ENGINEER ADDRESS D N.
BUILDING AND SAFETY DIVISION LOCALITY J
JOHN A. LAMBIE"."COUNTY ENGINEER NEAREST l
COLEMAN W. JENKINS,SiIP'T.OF BUILDING CROSS ST ✓ moo' - -�
DISTRICT N GR�(11P", T Y P - P ES BY
FOR APPLICANT TO FILL IN „45 �� CONST. 7�7f
BUILDING - STATISTICAL C ASSIFICATION SEWER.MAP
ADDRESS s N. E K ��
CLASS NO. 1-r DWELL UNITS. PG
LOT NO. BLOCK USE ZONE MAP 7
TRACT _3tS SP .. _
SPECIAL
NO. OF BLDOS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
E "STING BLDG. .e BLDG. SETBACK FROM
TEL FRONT PROP. LINE OF - . - (STREET)
OWNER NO. TYPE OF EXISTING SETBACK 'HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH ) 'FROM C.L.
CITY
ARCHITEC __ - TEL._ - BLDG. SETBACK FROM -
ENGINEER NO S` SIDE PROP. LINE OF (STREET)
-^^ ^' -• TYPE OF EXISTI NO SETBACK HIGHWAY + YARD' = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. CL
TEL. f^ + - .0
NT��RACTOR NO (J
AD I�"ES Q/+'�- r .{,"O Q g CORNER CUTOFF YES E NO O
t-
LIC
CI T Y SEE REVERSE SIDE FOR SPECIAL APPROVALS w
DESCRIPTION OF WORK _ — Z
NEW ADD ALTER REPAIR DEMOLISH _
SQ,FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ � O C'E3 D APPROVALS DATE INSPECTOR'SSIONATURE
FOUNDATION, LOCATION
FEE$ •�- FEE$ FORMS,,,MAT"ERIAL_S__"
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT,
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S_CnMPENSATI ON INSURANCE I LATH. EXT.
SIGNATURE OF -OUSE NUMBER COR-
PERM ITTEE
OR-PERMITTEE I< AND POSTED / l
ADDRESS
JOHN F. LEWIS, FRANCIPAL
�ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK.r M.O. CASH
i o y i 4 11 JUN 16 1 D 6.00~ c
WORKERS'COMPENSATION-DECLARATION f�
1St• #6 affirm that. I have a certificate of consent to self `11LJ11
insure, Dr a certificate of Workers' Compensation Insurance, APPLICATION- FOR BUILDING PERMIT
or a certified copy thereof (Sec. 3800, Lab. C.) l
f COUNTY OF LOS ANGELES,. BUILDING AND SAFETY
Policy No. Company
Certs ied copy is hereby furnis ed. - FOR APPLICANT TO FILL IN BUILDING
ADDRESS Q t
Certified copy is filed with the county building inspec- BUILDING n � h{�yf
tion department. ADDRESS V IRY�IV
Date Applicant CITY �-✓� ZIP / r � LOCALITY r
_7ERTIIPICATE OF EXEMPTION f7ROM WORKERS' NO. OF BLDGS. ., �� NEAREST
F.COMPENSATION INSURANCE SIZE OF LOT y�fJ - NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one2 //� ASSESSOR
hundred dollars ($100)or less.) TRACT 7 BLOCK LOT NO. SGP MAP BOOK PIGE PARCEL
' ` TEL. �- -3 USE ZONE MAP-
I certify that in the performance of the work for which this OWNER Y NO. 3 NO.
permit is issued, I shall not employ any person in any manner ADDRESS ^CJ Z % SPECIAL
so as to become subject to the Workers'Compensation Laws. CONDITIONS 0
Date Applicant CITY IP 1
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PRO" ED -Y O
Exemption, you should become subject to the Workers' ENGINEER NO. CONST.i / ZONE U
Compensation provisions of the Labor Code, you must forth- ADDRESS
with comply-with such provisions or this permit shall be D-'
deemed revoked. TEL• 13 STATISTICAL CLASSIFI ATION APT. NDO. fn
CONTRACTOR ..e G O. 2 Z
LICENSED CONTRACTORS DECLARATION LIC. ' CLASS NO. DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS a `gyp o NO.
(commencing with Section 7000)of Division 3 of the Business and �Q LIC SEWER MAP
Professions Code, and my license is in full force and effect. CITY OW CLASS BK: VALIDATION
y SQ. FT. Q NO. O NO., CHECK c 9 O
License.Number v11P Lic.Class SIZE �lJ STORIES FAMILIES ONE # 0 0 0 ° !�
NEW VALUATION I ° 2 3 7, U
ate Q DESCRIPTION OF WORK ADD ; �''" ° ° 2 3 7,8
Contracto `� — � 8 "
I am exempt under Sec. ALTER ® 0 2.2 b—88
B.BP.C. for this reason REPAIR $
Date: USE OF DEMOL
EXISTING BLDG. ❑
Signature APPLICANT TEL.O•
�f FINAL �
OWNER-BUILDER DECLARATION PRINT O N A NZDATE
I hereby affirm that I am exempt from the Contractor's License / 5 CZ f7Gf�11�� S�'.
Law for the following'reaeon (Section 7031.5, Business and ADDRESS FIN
Professions Code): PRESENTBy
BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
I,.as owner of the property, am exclusively contracting CONTRACTOR NO. �0,1 a 8tA
#,e,c o e oll
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). i�• �` "` ° 2 4 Q,2 5
REQUIRED TOTAL SETBACK F ?
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
1 hereby affirm that there is a construction lending agency for FRONT ° ° 2 9 0,.2 5 c�
.the performance of the work for which this permit is issued P.L ~-
(Sec. 3097, Civ. C.). SIDE 0 0,78-88
P.L. `
Lender's Name--
PC
ame
m P.C. Fee$ 3I I,�O Permit Fee ! LDMA Ref. If * '*
Lender's Address
3 I certify that I have read this application and state that the
o Y PP Issuance Fee = kLD P/C#
g above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction, Total Fee �� LDMA perm. q
R and hereby authorize representatives of this County to enter
�
up o the above-m ntioned property fo inspection uJJrposes. '
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature=or A ent /