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