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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 /