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Home My Public Portal About6148 AVON AVE_Building__ DFPAR731ENT OF BUILDING AND SAFETY APPLICATION FOR PER311T COUNTY OF LOS ANGELES BUILDING WM J FOX CH Er LNG: iLER NO OF BLDG ORD NO DISTRICT NO PLANS L PLAN CK NO PERMIT NO SETBACK LINE _ r FIRE APPROVED 2, 7 :ONE By DATE J USE APPROVED RE EIVED Y DATE OF APPL DATE ISSULD ZON, BY DATE l ✓ ( ��'LG �/(/ r�� U CSG APPLICANT TILL LY HEAVILY OU11.1N1;D PORTION ONLY O It NAME n� BUILDING U W; ,r ADORES3 �.1 L� C+ f/ jr/I /4 /��► H Z ADDRESS ^ LOCALITY L:, /T Y < W_CITY t NEAREST CROCS ST ! `' Q //J 4 STATE TEL �/+�.. LICENSE NO NO Y NAME p L.� s 4 v�� A✓ t ONAME 3 MAIL G �'j -r /✓✓ A L O ADDRESS G ! .( ADOR E531 CITY—— F- CITYT�•f�� 0 Jr G/ ..NO / r 1 HEREBY ACKNOWLEDGE THAT 1 U HAVE READ THif STATE /_ / 11 �y ��(( APPLICATION ANDATt THAT THE ABOVE IS COgRECT I(CENSE NO (!� (,� J Y TEL -� AND AGREE Tg2`OMPL WITH ALL COUNTY ORDINANCES / AND(TATE "VS REGULATING BUILDING CONfTRUCTION LOT NO �/5 �4 E7 r SIGNATURE OF 1 _O SIZE OF LOT O X 19� v < OWNER BLOCK NO OF BLDGS AUTHORIZED W — MOW ON LOT J m TRACT CORRECTIONS D USE OF BLOGS DLSCRIPTION OF NVORA USE OF J I NEW � _ TYPE v GROUP � ALTERATION NO OF NO OF / ROOMS FAMILIES ' ADDITION _SIZEY � REPAIR STORIES / moviNG � ! WALL COVERING C. I► �fGrr'ia'r� I fLDEMOLISH ROOF COVERING ' A -Al- f /r, FEE f b FINAL APPROVAL N 1 s t�4 tNar VALUATIO �/- /(j ECTOR S DATE/_?- I NAME •h'4�/L. ! 1 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADD_DRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified U IP copy thereof(Sec.3800,Lab.C.) CITY L•_ � z � 7S� LOCALITY Cq G7ell Policy No. Company SIZE OF LOT T'1 NO.OF BLDGS.NOW ON LOT C1Certified copy is hereby furnished. NEAREST CROSS ST. ElCertified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. - USE ZONE MAP NO. v�i'n Date Applicant ASSESSOR MAP BOOK PAG E PARCEL ` SPECIAL COND TIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER I ere TEL�. eTEL.NO. YES NO COMPENSATION INSURANCE SLDa WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY zIP I certify that in the performance of the work for which this permit Q is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'COmpen anion Laws. STATISTICAL CLASSIFICATION APT CONDO Date J-3o�gpplicant (� ,PS' ADDRESS CLASS NO. CA DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL.NO. P Y l �c SET BACK YARD HWY PROP LINE WIDTH , Compensation provisions of the Labor Code, you must forthwith c t 0 !`7 comply with such provisions or this permit shall be deemed revoked. ADDRESSLIC.NO. FRONTP L SIDE a LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL o I hereby affirm that I am licensed under provisions of Chapter 9 Fl '3 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES NO.OF FAMILIES Professions Code,and my license is in full force and a act. I O 0� NEW El BK PG 01 DESCRIPTION OF WOR ADD ❑ U License Number Lic.Class 40 VALUATION a Contractor� �� Date ALTER 11 _� ❑ I am exempt under Sec. REPAIR Els BAP.C.for this reason � �' DEMOL ❑ LDMA P/C# Date: Z USE OF EXISTING B � '3��—� . URM ❑ Signature APPL CANT(PRINT) TEL.NO. $/g LDMA Perm# E] I, as owner of the prop y, or my employees with wages as p their sole compensation,will do the work and the structure is ADDRESS ~ ' not intended or offered for sale (Section 7044, Business and izexs FINAL DATE a inE.c� G Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL F /h 9 J ❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q F..s.. Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > licensed contractors to construct the project.(Section 7044, YES❑ No❑ a,= Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING :`•:=OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH --- Itlt'I`• +--CONSTRUCTION LENDING LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. ••ir„ti`s?':,>.. I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,Civ.C.). PERMITTING 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 Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. " a Lender's Address owNEn�AOENr f a _ o` I certify that I have read this application and state that the above $ information is correct. I agree to Comply With all County P.C.FEE PERMIT FEE rQ f N ordinances and State laws relating to building construction,and �• o ¢. hereby authorize representatives of this County to enter upon ISSUANCE FEE the above-me ntio d p rty for ins action purposes. 7�. ¢ INVESTIGATION FEE TOTAL FEE / Signature of Applicant w Agan) Dale SEE REVERSE FOR EXPLANATORY fANGUAGE • WORKERS' COMPENSATION DECLARATION insure bor affcertif carte of Workers' Comipe�at on eInsuran ef consnt to lf A P P L I C A 2 O N FOR BUILDING PERMIT or a certi ied copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS C ❑ Certified copy is filed with the county building inspec- BUILDING Y ti n d par nt. ADDRESS 9 H. �W V d 4 --- -� A. A �• - d__i Tn -� CITY c j�Qj � ZIP / 75 LOCALITY Date Applicant l ~1 NO. OF BLDGS. (j AJ' NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT h U NOW ON LOT ( + CROSS ST. COMPENSATION INSURANCE ASSESSOR / �11� (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK k(v PAGE �C PARC096 hundred dollars ($100) or less.) I. TEL. OWNER p n. N(� FeN6 C 1Y0 NO. USE ZONE OP I certify that in the performance of the work for which this r ��(�"�� ,('' /�(c✓ SPECIAL >_ permit is issued, I shall not employ any person in any manner ADDRESS(( 61 / 14- X VO,+ Ovic� � / CONDITIONS CL soas to become subject to the Workers' Compensation Laws.Laws. CITY VIES Wl�3f=/E C ZIP q1�25 O Date Applicant r' V. /NJ ( �(/<<1-1O)u ARCHITECT OR r A- TEL.�7/<} NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER �ESf�n� CPNtE��SNO 5--C'L DISTRICT GROUP TYPE FIRE PROCESSED BY CONST. ZO E Exemption, you should become subject to the Workers' C#1AF / Compensation provisions of the Labor Code, you must forth- ADDRESS 400�� Z ION eO4 /LLS with comply with such provisions or this permit shall be TEL VIS$- STATISTICAL CLASSIFICATION APT, CONDO. N deemed revoked. CONTRACTOR Z LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO.�_DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 61 A V Y (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP C and Professions Code,and my license is in full force and effect. CITCLASS / VALIDATION 1 SQ. FT. SNO.TORIES FA OF OF CHECK BK,�j PG License Number �� 3Lic. Class SIZE � 6 STORIES FAMILIES ONE //�� // VALUATION Contractor A. V. CONS,. DateC�1�� — � ._ / 2 DESCRIPTION OF WORK /�1/L �ew-- NEW ❑ s -6� `7 4-c> STE,�- I3E Om. ADD ❑ 1� ❑ am exempt under Sec. ALTER ❑ , S• / B.BP.C. for this reason //`�GGE SrO�E 7/'�RVv/v REPAIR ❑ $ Date: USE OF /� EXISTING BLDG. SIN(LSE A7-IL /•/ QpMOL ❑ Signature APPLICANT TEL. '71 1 3 FINAL OWNER-BUILDER DECLARATION (PRINT) 4Hj 1% TAI,W/AfL- N0. OLt¢ y l J1I 2 • DATE I hereby affirm that am exempt from the Contractor's License ADDRESS G/f//VO /L� C� ��70 Law for the following reason (Section 7031.5, Business and FINAL Professions Code): PRESENT ❑ , r , By I, as owner of the property, or my employees with BUILDING AowA/F ADDRESS // wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions Code.) MOVING TEL. ❑ 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 TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE 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 �O LDMA Ref. # � P.C. Fee $ , / Permit Fee � U Lender's Address o I certify that I have read this application and state that the Issuance Fee 7J- LDMA P/C# 8 above information is correct. I agree to comply with all County Investigation Fee �f R ordinances and State laws relating to building construction, Total Fee • �7 LDMA Perm. # a and hereby authorize representatives of this County to enter upon the above-cp ntioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of pplicant or Agent Date