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HomeMy Public PortalAbout5124 ARDEN DR_Building__ I DEPARTMENT COUNTY ENGINEER I)IVISYON`OF 'BUIUI LDING AND SAFETY COUNTY OF LOS ANGELES BUILDING WILLIAM J: FOX, COUNTY ENGINEER APPLICATION 1 CASSATT D. GRIFFIN, SUPT OFA' BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ..s► DISTRICT NO. PUN CK.OR RE No. PERMIT NO. BUILDING + j 1 '!'•`• ADDRESS LOCALITY' RECEIVED BY ��f4T OOF" PL. DATE ISSUED NEAREST a ) E CROSS ST. �� BUILDINGaa_�.�� e^ry ,,�{cy� OWNER v ':�'',{..;;,.... 4Ni't /VLJ ADDRESS t„✓ i a I FAP MAIL � �e - LOCALITY I ADDRESS J/ CITY ' 1 ^. TEL'. �•�0• S' "� CROSS ST.NEAREST 1 ��1 ARCHITECT,�,Q�i TEL. FIRE NO. I TYPfi�"�'� I 9=U "ENGINEER N ^* ZONE PLANSS L G. O ADDRESSETBAC LINE �� v � R ly/C�1'�°Yi,.P,J'°(� TEL. SE APPROVED CONTRACT Ne% 0 ` � ZON BY DATE 1� ADDRESS 14 S " HOUSE NUMBERING t '� �oyy DESC GAL(''IPTIN� I I BLOCK _iAP NUMBER /a NO. ASSIGNED BY Lor��No. CORRECTIONS TRACT —"'�C°• ./^' � No OF BLDGS. SIZE OF LOT ' � fifil' NOW ON LOT USE OF I NO. OF EXISTING BLDG._ FAMILIES DESCRIPTION-"OF-WORM{ - v NEW 1 ALTERATION ADDITION''�•."- r REPAIR I I EMOLITION n . > D SQ. FT. NO. OF fie-- to ''. SIZE j I I -5 - ROOMS• W STORIES EXT.,WALL ROOF 1 COVERING VERING USEOF ST UCTURE y UP t P ' APPROVALS _ INSPECTOR'S SIGNATURE DATE FO UN DATI ONi"LOCATI ON I FORMS, MATERIALS PLI HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, ICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE: LOCATION, ` IND AGREE TO COMPLY WITH ALL COUNTY ORDI ANCES GAS VENT, DUCTS V+'AND•STATE LAWS REGULATING BUILDING CONST TION. )'SIGNATURE 0�� LATH, INT. PERMITTER LATH. EXT. ADDRESS / I PLASTER, INT. AUTHORIZED AGT. –Z7-F fOA�i1 O® PLASTER, EXT. APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) { ) B.0LD1 NG"; �n � � COUNTY OF LOS ANGELES ADDRESS q( DEPARTMENT OF COUNTY ENGINEER CITY zip 1017600 BUILDING AND SAFETY DIVISION NO.OF BLOGS.Qk,90 BUILDING SIZE OF LOT NOW ON LOT ADDRESS , 1✓f f'7 �^ r. TRACT/-,C- LOQ!f/,4 a' LOCALITY TEL. 91 NEAREST OWNER C" J NO. CROSS ST. �� ASSESSOR ADDRESS .� /,� /!.(/ �i1f� MAP BOOK PAGE PARCEL 7 v DISTRICT GROUP TYPE FIRE PROCESSED BY CITY ZIP J / CONST. ZONE 4 ARCHITECT OR TEL. �, G. i ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. P,0 -DWELL.UNITS BK PG CONTRACTOR • TEL. USE ZONE MAP NO NO. 6/0 ADDRESS J / NO SPECIAL LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) >- ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING CD HIGHWAY } YARD CJ SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE [C _ O DESCRIPTION OF WORK NEW U BLDG.SETBACK OM d C ; ' ADD ❑ SIDE PROP. LINED (STREET) Z f ALTER ❑ HIGHWAY } YARD _ TAL SETBACK FROM TYPE OF EXISTING f W4.4= REPAIR❑ E PROP. LINE HIGHWAY WIDTH USE DEMOL ❑ + EXISTING BLDG. APPLICAN. TEL ��[.'�J ( CORNER CUTOFF YES NO ❑ (PRINT) _I► V/i �vG ' •(J /' !S BY (SIGNATURE) IN OPEN SPACE YES ❑ ❑ IN COASTAL ZONE YES ❑ NO Q t � VALUATION•V '�,��� CATEGORICAL EXEMPTION YES❑ NO ❑ 1 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- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT OC ESSEO (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE �- LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. / b SIGNATURE OF Xi 1-.7 'lam C.. PERMITTEE ADDRESS FINAL BY TEL. DATE CITY NO. P.C. PMT. MAKE CHECKS PAYAW-L- 'I 0: FEE � FEE HARVEY T. BRANDT. COUNTY ENGINEER / PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH � 1AY 22 1 D 1 2.0 ON 76A638A CE#803 12/72 7BA6313ACE#803_6-57 APPLICATION FOR BUILDING PERMIT �. COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDREss Z BUILDING.AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE•,COUNTY ENGINEER - NEAREST CASSATT D.GRIFFIN,SUPT of BUILDING - CROSS ST. DISTRIC NO. .GROUP TYPE WER MAP ' FOR 'APPLICANT TO. FILL':IN I BKIV PG CONST. - DDRE SS BUILDING, ADDRESSTATISTICAL`CLASSIFICATION A /,iP ' CLASS.NO WELL.`UNITS LOT NO. BLOCK MAP / 0 STATE � YE5 NO NUMBER C;:- '` (� " HWY. TRACT` O. .USE Z NE `-SPECIAL OF.BLDGS. �Ay_- ^,CONDITIONS - SIZE OF LOT );f I NOW ON LOT - USE OF lJ� EXISTING BLDG. ;B DING YARD HWY STREET NAME EXIST. SETBACK. WIDTH- OWNER - /7��'LP^� .. FRONT MAIL . P..L - ADDRESS 1_;yi7x;At SIDE - TEL. .. •P.L.. CITY 'Aa .4, NO. , J82:7 INSPECTION RECORD, ,ARCHIT,ECTORjj,, TEL. r ENGINEER `/Y�Qt�E� ��p",A/ NO: - - - .7 . TEL.//''�� - CONTRACTOR• &,"w.— ADDRESS .61y N ,"w.—.. _r e-,,dd - . DESCRIPTION OF WORN NE - ADD ALTER REPAIR DEMOLISH SQ. FT. _ _ "NO.OF- NO.OF - SIZE O.' STORIES FAMILIES,Q USE OF STRUCTURE a SIGNATURE OF APPROVALS - APPL I CANT " ��� - DATE =INSPECTOR'S SIGNATURE a ADDRESS K-FOUNDATION: LOCATION ) /� FORMS,MATERIALS . ✓�J' . /,ems•,,.; Y�� P.C. $ 'FRAME FIRE STOPS. FEE BRACING. BOLTS VALUATION - $ FURNACE LOCATION., FEE GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. j - PLICATION AND STATE THAT T�ABOVEISCT AND AGREE TO COMPLYW LES AND STATE LAWS CTION. LATH.EXT. SIGNATURE OF ,. HOUSE NUMBER COR-,, PERMITTE RECT AND POSTED ADDRESS O � FINAL JOHN A. LAMBIE.COUNTY ENGINEER. CLYDE;N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK.:. M.O. ci+sH.: T 4 9 1 610 FEB 3 '1.:A 8.5.0 OF i DEPARTMENT oir COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY SUILDING COUNTY OF LOS ANGELES 17 -WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUP'T OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.OR REC. No. PERMIT NO. ADDRESS _ _LOCALITY RECEIVED BY DATE OF ADPL. DATE ISSUED NEAREST CROSS ST, — BUILDING OWNER ADDRESS _ - - ----- -- MAIL LOCALITY ADDRESS TEL. - NEAREST CITY NO CROSS ST. ARCHITECT OR TEL. FIRE NO. OF TYPE ..._ GROUP ENGINEER NO. ZONE PLANS BLDG. ORD.` ADDRESS IaiO; SETBACK LINE TEL. USE APPROVED CONTRACTOR NO. ZONE BY DATE HOUSE NUMBERING ADDRESS LEGAL MAP NUMBER NO. ASSIGNED BY DESCRIPTION I LOT NO. - BLOCK _ CCO—RRECTIQNS TRACT NO. OF BLDGS. SIZE OF LOT NOW ON LOT y USE OF I NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK o — NEW ALTERATION ADDITION I Q REPAIR DEMOLITION D r SQ. FT. NO. OF SIZE ROOMS STORIES EXT. WALL ROOF _COVERING COVERING _ USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE: LOCATION. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF LATH, INT. PERMITTEE LATH. EXT. ADDRESS --- PLASTER, INT. AUTHORIZED AGT. "— PLASTER, EXT. $ P. C. $ HOUSE NUMBER COR- �s ��- FEE — _ RECT AND POSTED VALUATION FEE $ FINAL 76A638A 089 3 9-82 I 76A838A CE 803 v8-57 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING ' / DEPARTMENT OF COUNTY ENGINEER ADDRESS- , BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. I DIST I GR UP TYPE SEWER MAP mmmw FOR APPLICANT TO FILL IN CONST. BUILDING y- f STATISTICAL CLASSIFICATION Y ADDRESS J ia�� / VE�/ ,Q'1✓� CLASS. NO. / DWELL. UNITS--j-1 LOT T i ' f 'BL♦OCK NUMBER f HWYMAP . YES cv TRACT - �sG/ M SPECIAL �� x ' p`y. NO.OF BLDGS. CONDITIONS SIZE OF LOT C'� NOW ON LOT D USE OF elylo EXISTING BLDG. BU INC EXIST. YARD HWY STREET NAME SETBACK WIDTH OWNER FRONT , e MAIL P.L. _ ), ADDRESS 6 O 7 '7- 4 SIDE TEL. P. L. CITY NO. ` INSPECTION RECORD i ARCHITECT O �j �r��TEL. .1� � -��` —ENGINEER ,p�l:y,�/ jywC�NO/��J-xi10 r ' ADDRESS C. I k? $✓/f�iTT/C�Z TEL. CONTRACTOR STIP..T'T NO G ,/� ,.r 0 ',." /fir ADDRESS 46-97 GS/�iil'/Y Wyly „w`T c 'l a' DESCRIPTION OF WORK ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE �4� STORIES FAMILIES USE OF STRUCTURE r. /SIGNAT EO APPROVALS APPLI AN t DATE INSPECTOR'S SIGNATURE ' ADDRESS ` FOUNDATION: LOCATION PC $ FORMS.MATERIALS r ! RAME: FIRE STOPS, CS!/ C. FEE � /` BRACING. BOLTS VALUATI NL FURNACE: LOCATION, FEE GAS VENT,DUCTS ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH, INT. AGREE TO COMPLY WITH ALL CO NT Y OR INANC AND jj r STATE LAWS NG B DING LATH, EXT. C7 SIGNATURE HOUSE NUMBER COR- PERMITT RECT AND POSTED _ ADDRESS 4 FINAL " JOHN A. LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CA5H PERMIT VALIDATION CK, M.O. CASH S 1nO 8 2 2 .SAH 3 0 1 6 A 2 1 .7 5- - ®r Otoo915 �, FEB 3 1 A 43.50 APPLICATION FOR BUILDING PERMIT COUNTY OF LOb"1�ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING A R S n _�,, I hereby affirm that I have a certificate of consent to self insure, BUILDIN ADDRESS 1 �'�" - to or a certificate of Workers' Compensation Insurance,or a certified • dk& r� �- C�� copy thereof'(S/ec.�3388/00,Lab.C.) CITY ZIP C y 07/77�I p Y' � LOCALITY Policy No. Com an SIZE OF LO NO.OF BLDGS.NOW ON LOT d. i ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. �P}at�►!J ~ USE ZONE MAP NO. Date 2--3 I Applicant f ASSESSOR MAP BOOK PAGE PARCEL (� � yam/ SPECIAL CONDITIONS CERTIFICATE OF EXE% ION ROM W RK RS' owNER�►� // TEL NO. COMPENSATION INSURANCE 25"L � � WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADORES 14 DISTRICT GROUP TYAE CONST. FIRE ZONE PROCE D BY dollars ($100)or less.) CITY 1(4 ZIP I certify that in the performance of the work for which this permit �� cR �� – is issued, I shall not employ any person in any manner so as to 111 become subject to the Workers'Compensation Laws. ARCHITECT R ENGINEER TEL NO. 1 P STATISTICALCLA$SIFI TION APT CO DO Date Applicant ADDRESS CLASS NO. �( DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you, should become Subject t0 the Workers' CO A R T L NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith / FRONT comply with such provisions or this permit shall be deemed revoked. ADDS N Q P L LICENSED CONTRACTORS DECLARATION CI "� J SIDE CIT LI L P L I hereby affirm that I am licensed underprovisions of Chapter 9 `– SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and y license is in full force and effect. NEW ❑ BK PG ® d License Number ic.Class DES IPTION OF WOR -// pp ❑ VALUATION Q Contractor iBQrte �1 _ %Yf�" —� ALTER ❑ $ U ^II 1� C. `�f1'C . 0 J REPAIR ❑ 0 ❑ I am exempt under Sec. /f $ V BAP.C.for this reason (�{s� 2 >✓� � DEMOL ❑ LDMA P/C# i W Date: USE OF EXISTING LDG. URM ❑ 1 C/) Signature APPLICANT(PRINT) TEL NO. LDMA Perm# S Z AC i eg. ❑ I,.as owner of the property, or my employees with wages as Z ; � ;� their sole compensation, will do the work and the structure is ADDRESS O ,j,_,Ilr 196', 3- } not intended or offered for sale (Section 7044, Business and FINAL DATE Q 1 ITEMS Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIALz OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q TAT d—�gh ❑ 41 1, as Owner Of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 5 TOTAL S I L 1 " 1 licensed contractors to construct the project (Section 7044, Business and Professions Code.) WILL 1:1 No 11CHECK 196.35 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHANGE OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ©SC .__ u II_I CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR S�Ny�� • GUIDELINES. ? I hereby affirm that there is a construction lending agency for YES❑ No❑ �l� 7 ( _ N the performance of the work for which this permit is issued(Sec. g I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING �UOJ-I�IIU l ie1,•a E •_ 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Jr G� t?i e�^' (L Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. 8961, f AM a,31 o Lender's Address O OWNER OR AGENT o I certify that I have read this application and state under penalty O of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE �d with all county or ' ces a State laws relating to building O• constructio an ereby au o e representatives of this County ISSUANCE FEE co to e n th above- e ed property for inspection purpos �p a I INVESTIGATION FEE TOTAL FEE � ure of Applicant or ABe 17 � cJ SEE REVERSE FOR EXPLANATORY LANGUAGE