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HomeMy Public PortalAbout5218 ARDEN DR_Building__ 7& tie c f% 76A638A CE;803 5-65 APPLICATION FOR BUILDING PERMIT - Ll COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. DIST T N GR TYPE. PROCESSED BY FOR APPLICANT TO FILL IN (f� � CONST. BUILDING T STATISTICAL CLASSIFICATION SEWERR//MAP ADDRESS , TE e �// CLASS NO.—DWELL UNITS. BKK PG LOT NO. O - BLOCK USE ZONE MAP •�f/)�(� TRACT SPECIAL //t� CONDITIONS SIZE OF LOT" .f� X50 NOW ONBLOTS USE OF t C t EXISTING BLDG. L+ ✓ G� BLDG. SETBACK FROM ,q TEL. FRONT PROP. LINE OF (STREET) OWNER V �/ d NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FROM C.L. ADDRESS � Gr/�'(y� � '_, + CITY ARCHITECT ORTEL. BLDG. SETBACK FROM ENGINEER v,/ NO. i ,,,�L SIDE PROP. LINE OF — (STREET) TYPE OF EXISTING SETBACK HIGHWAY + -YARD — TOTAL ADDRESS _ HIGHWAY WIDTH FROM C.L. TEL. ! + = d CONTRACTOR O p� �J �O O ADDRESS SJI Ng6<L rLio. C� j } CORNER CUTOFF YES NO m_ U CITY �/�' ' LC'L �� Y SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIP ION OF WORK v IL O. N NEW ADD ALTER REPAIR DEMOLISH Z SQ.FT. NO. OF NO. OF SIZE STORIES FAMILIES USE /0G - j J �t �� ST RUCC TURE �C YY k /`F F SIGNATURE OF , APPLICANT VALUATION$ 7 APPROVALS DATE I NSP ECTOR'SSIG NATURE c_ 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 9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSU A CE. !' -LATH. EXT. SIGNATUREOF 1, - HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS ,� M Fl NAL r'"vp JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH r'4z= LAW 2 78 9:DD JUN 14 1 D 3.00- a .GQN DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING k ADDRESS ' yo LOCALITY 7 l-Ae T RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST CROSS ST. A A: e J"7-.• UILDING BD OWNER f./_'J TF COn/J Tie. CDS ADDREBB ✓MAIL LOCALITY LOCALITY 77,Ci ADDREB9 ��� 3 �C_A �CD�A-OB A-VQ, -'' NEAREST TEL. r+ CROBB 9T. C I Q TY P,4-,r Q- ,C�� y,4 N O. `�V FIRE _ NO.OF TYPE,•.r- ;ROUP ARCHITECTOR TEL ZONE PLANS -Z,e �• ENGINEER NO. BLDS. / -T ORD.f! SETBACK LINE ADDRESS (L� ��99 APPROVED CONTRACTOR �/Q/�� /yJ NO. BY DATE USE APPROVED ADDRESS B /C ZONE BY DATE LEGAL DESCRIPTION LOT NO. BLOCK S� .,t 1 y CORRECTIONS TRACT P '9s / NO.OF BLDD9.4 / 47. -/4 7-, O _ SIZE OF LOT I NOW ON LOT .. USE OF NO.OF NO.OF Q - EXI5TING BLD;. ( FAMILIES I ROOMS DESCRIPTION OF WORD : NEW ALTERATION ADDITION - O REPAIR MOVING DEMOLISH S4•FT. ,r NO.OF Z /� SIZE yROOMS Jf STORIES D r WALL ROOF COVERING ST/IA/tA I COVER IND CoMPo.r/�"�en/ USE OF NEW BUILDING �//✓C',(L' 1�Erie AAA-'D I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION JLKSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, 91DNATURE.OF «�_ � - BRACING,BOLTS PERMITTEE �"! � Gt�� � LATH,INT.: i AUTHORIZED AOT LATH,EXT.: DBS-3 SOM BETS 1-48 $ L-7O�--O P.C.ffi pPLASTER,INT.FEE O PLASTER.EXT. � -z.cl T- VALUATION FEE LJ , FINAL -' I ATI N FOR-BUILDING 76A838A CE�'803 1-6�,:P"`/fid 1FPL C O PERMIT 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 G P TYPE / (P ES B. FOR APPLICANT TO FILL IN CONST. / BUILDING ^ STATISTICAL CLASSI [CATION ER MAP ADDRESS y� BK P �� CLASS. NO. DWELL.UNITS '' LOT NO. ( BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT J Q 7 MAP HIGHWAY STATE MAJOR SECON LOCAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT F j J NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLD . �. TEL.n ` NO.C11 O ZS BUILDING EXIST. OWNER YARD HWY STREET NAME SETBACK WIDTH ADDRESS J, '� FRONT r ARCH ITEC OR TEL. P. L. ? ENGINEER NO. SIDE P. L. ADDRESS - / a TEL. f!' CL P - 1_.N - a .7 O CONTRACTOR NO. ADDRESS r DESCRIPTION OF WORK P � ""�'' � u i �. f Lu NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAM I'LI ES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE F E $ FEE $ �"'� FOUNDATION: LOCATION I .T 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, ` WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS ,A BUILDING 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 COM SATION INSURANCE. �� -LATH, EXT. RCOR- PERMITTEE }�"� / ✓ SIGNATUE OF[\ ) HOUSE NUMBER COR- PERMITTEE /mo-�I��// RECT AND POSTED ADDRESS l2f O FINAL p-�L JOHN F. LEWIS, PRINCIPAL STRU RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. DASH LAL0 4 4 3 21 SEP 18 1 D 1 5.00- V 76A638A CEtt803 6-66 APPLICATION FOR BUILDING PERMIT I..J COUNTY OF LOS ANGELES ABUILDING DDRESS ��/(� N• i�^s ��/ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY 'j7�66—_ JOHN A. LAMBIE'. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. /�•-E � DISTRICT NO GROUP TYPE, PROCESSED BY FOR APPLICANT TO FILL IN „� ci „� CONST. ✓ �. ���.— BUILDING ", /e STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ��(� M A i�de� ��' �� t-� CLASS NO. DWELL UNITS- - BK/CPG LOT NO. w BLOCK USE ZONE MAP O TRACT /J SPECIAL - N0. OF BLDGS. '7 Sj .NO. CONDITIONS SIZE OF LOT ( NOW ON LOT I „ USE OF J EXISTING BLDG. •+� Q' BLDG. SETBACK FROM ;�� TELFRONT PROP. LINE OF v� r �C STREET) OWNER �A/l L/CL-1 .Q-�II NO.& L S TYPE OF EXISTING I SETBACK HIGHWAY: YARD = TOTAL ADDRESS Z ( (VII /'}Y"Q 7� y. HIGHWAY WIDTH FROM C.L. CITY (C+ [.1 I / + _Z ARCHITECT OR TEL.T BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. - rr TEL. T >0. . CONTRACTOR NO ' LIC CORNER CUTOFF YES NO O` ADDRESS Q NO�; ce CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK u W CL NEW ADD ALTE REPAIR DEMOLISH H Z SO,FT 11 I/ NO. OF NO. OF SIZE �Pp STORIES r FAMILIES USE OF STRUCTURE Lc- SIGNATURE OF (' APPLICANT - VALUATION$ 7®O APPROVALS DATE INSPECTO R'SSIGNATURE P.C. PMT. (f4 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 6� I 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 OMPENSATION INSURANCE. ,{) LATH. EXT. wM - SIGNATURE OF HOUSE NUMBER COR- /f q'I PERMITTEE_ WN��W�� RECT AND POSTED // iJ ADDRESS v- 11• FINAL /l`��✓ ��i�' L JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.OCASH AID `� n AY 9 1 Q b.g 0 f 76Ae38AC13400ee APPLICATION FOIA' BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER AD ORE Y : BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT-OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PRO ESSED BY FOR APPLICANT TO FILL IN I CONST. BUILDING /meq (, T STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ,] J..� 9 ' A V d t A. ),f ��C-• I B P CLASS. NO. DWELL. UNITS LOT•NO... G BLOCK MAP STATE 's NUMBER HWY. Y S O 10 TRACT q USE ZONE SPECIAL �J NO.OF BLDGS. ' CONDITIONS SIZE OF LOT s 7 X S I NOW ON LOT USE OF EXISTING BLDG. BUILDING EXIST. SETBACK YARD •HWY _STREET NAME WIDTH OWNER Do,Y\6 �,`� p�1 yti Q1/ FRONT q q AMAILDDRESS J a a7 iv, A- Q� 'DV. P.L. �lLdr�✓7 SIDE CITY -Te,K p /e �'r f r1 No G� 41SS,3 / � INSPECTION RECORD ' ARCH ITECTOR TEL. - � ENGINEER' NO. /P ADDRESS TEL. CONTRACTOR NO. �I. �..,te) ADDRESS DESCRIPTION OF WORE NEW DD ALTER REPAIR DEMOLISH SQ. SIZE FT. 3 / p STORIES FAMILIES USE OF.STRU TUR SIGNATURE OF n _ // APPROVALS APPLICANT w� Pif DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION ,{��r�l G A '- FORMS,MATERIALS �(, $ 0' ® FEES $ _ FRAME: FIRE STOPS. / �K BRACING, BOLTSd�•7/,.S r VALUATIONS FURNACE: LOCATION, FEE GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS R LATING l NG COb STRUCTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEZ RECT AND POSTED ADDRESS- ° `' �P FINAL J/ A CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL E GFNEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ' 5721 `0 OCT 14 1 A 3 .0 0 Of 76AG38A CE#8013-10.58 APPLICATION FOR BUILDING PERMIT" - l BUILDING AND SAFETY DIVISION BUILDING rl J (Y Department of County Engineer ADDRESS ✓ oma/ /1 County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST DISTRICT NO., GROUP -SEWER MAPP FOR APPLICANT TO FILL IN �- ITYPE CONST. BUILDING r STATISTICAL CLASSIFICATION ADDRESS J V`"'�(�Q,t.�, CLASS. NO.-?-DWELL. UNITS LOT NO. BLOCK t`4-AP /� STATE NUMBER � ® � (J Hyyy YES NO TRACT c.� ``� U E ZONE SPECIAL - rr NO. OF BLDGS. ? ,,,*,/ CONDITIONS SIZE OF LOT J I -NOW O LOT USE OF 1�5_ _ EXISTING BLDG. I BUILDING EXIST. SETBACK YARD HWY " STREET NAME WIDTH OWNER FRONT �1 h .MAIL r /� ^ n .P, L. lel U � ADDRESS SIDE ��'�"`�Y1`n+� �"�`^'I TEL. P. L. CITY NO.Cr 8'Z fS 3 INSPECTION RECORD - ARCHITECT OR TEL, ENGINEER NO. ADDRESS - �, EL. CONTRACTOR _/o a ng!!� TN 0. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH - SQ. FT. _ NO. OF NO. OF SIZE STORIES. FAMILIES - USFr OF STR CTURE I APPROVALS SIGNATURE OF APPLIC � DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION. FORMS. MATERIALS P. C, S FRAME: FIRE STOPS. {9 jFEE BRACING. BOLTS S . FURNACE: LOCATION, VALUATION GAS VENT. DUCTS FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND ' STATE LAWS RE LATG BUILDING CONSTRUCTION. LATH, EXT. SIGNATURE OF •, HOUSE NUMBER COR- PERMITT RECT AND POSTED / v ADDRESS Z 2�;.NAL JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4 1 9 44 " due 3 1 1 . 0 WORKERS' COMPENSATION DECLARATION hereby irm that I have a certificate of consent f Insurance, B U IL D I N G PERMIT RM I Tinsureracertifcate of Workers' CompenatoAPPLICATION FOR or a'certified copy thereof (Sec. 3800, Lab b ,�/ the COUNTY OF LOS ANGELES BUILDING AND SAFETY 3 4�1_ Policy No.-/-/ Company " �j �j �3 BUILDING ��a // ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Date �� J ��Applic CI � ^ - ZIP Cl2GU LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION ROM.WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. . OWNER e £ ly NO � USE ZONE MAP I certify That in the,performance of the work for which this / NO. permit is issued, I shall not employ any person in any manner ADDRESS SY�J Jam , SPECIAL a so as to become subject to the Workers Compensation Laws: CONDITIONS,p � O CITY C! ZIP ��U U Date Applicant- ARCHITECT OR TEL. DISTRICT 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO GROUP TYPE FIRE P OCESSED BY CONST. NE O Exemption, you should become- subject to the Workers' � _/� � nw. Compensation provisions of the Labor Code, you must forth- ADDRESS J with comply with such provisions or this permit shall be ! /TEL.Q q STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR ( (�p7�y NOOK (( �y � - LICENSED CONTRACTORS DECLARATION # LIC. CLASS NO.�L—DWELL. UNITS 1 hereby affirm that I am3-V N '.licensed under provisions of Chapter 9 ADDRESS .-5 �$� (commencing with Section 7000)of Division 3 of the BusinessLIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY i4 ��✓�� CLASS G' j BK. PG. VALIDATION SQ. FT. NO. OF NO. OF CFiECK - License Numbe,=�zjidT Lic. Class SIZE ('� STORIES FAMILIES ONE (11 a VALUATION 1 Contractor�� �� Date �/ ��-�� DESCRIPTION OF WORK �- (xJ - NEW E] s 34 ACCT.AT El I am exempt under Sec. , ALTER 3307 11�. B.&P.C. for this reason - "v REPAIR.EJ $ Date:' USE OF e maw/ 0--l' � .,qtr 1 ITEMS EXISTING BLDG. • DEMOL ❑ - _ _ Signature APPLICANT `` TEL. TOTAL 113�63 (PRINT) �//� NO ��G ,3% FINAL OWNER-BUILDER DECLARATION PRINT DATE 7�-�-C/Z CHECK 113.0"ti 1 hereby affirm that I am exempt from the Contractor's License Law for the followingreason Section 7031.5, Business and ADDRESS-� Z FINAL 1 ( / c.H► JE .11l ,Professions Code): PRESENT By Alla BUILDING El 1, 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 t +, 7044, Business and Professions Code.) MOVING TEL. 6544 1 AM V=w 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.) REQUIRED CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROPALINESETBFROM IS WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE . P.L. Lender's Name. m 0 LDMA Ref. # P.C. Fee$ Permit Fee o 3 Lender's Address 0 1 certify that I have read this application and state that the Issuance Fee LDMA P/C# Poo above information is correct. I agree to comply with all County Investigation Fee j/ ' 8 ordinances and State laws relating to building construction, Total Fee LDMA Perm. # a and hereby authorize re sentatives of this County.To enter upon the above-mentio a property for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE Si n6tui*4 of pplicant or Agent Date