Loading...
HomeMy Public PortalAbout6152 AVON AVE_Building__ 76AS38A CE#803 687 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES ADD EISS (� DEPARTMENT OF COUNTY ENGINEER B=ING AND SAFETY DMSION LOCALITY i JOHN A LAMBIE COUNTY ENGINEER NEAREST ,, CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRICT NO GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN CONST B — / O G BUILDING ADDRESS ♦ STATISTI CA LASSIFICATION N CLASS NO DWELL UNITS LOT NO Sa O BLOCK MAP TRACT 5 90 3 NUMBER HWYE YES NO �] /,U[1SE ZONE SPECIAL a f P SIZE OF LOT 13/ NOW ON LOTS CONDITIONS (JY �(�(J USE OF EXISTING BLDG BUILDING EXIST SETBACK YARD HWY STREET NAME or WIDTH OWNER FRONT MAIL 5' �` // /J P L �70 ADDRESS E� J �(/ (i(t�b'it Axiopr SIDE TEL P L CITY ARCHITECT OR TEL INSPECTION RECORD E ENGINEER NO IL ADDRESS /p TEL /� • K A 7 C-a ^,✓ 1� 4rT49/0� WD�IPG/'�I O/�A.0� CONTRACTOR NO�/ ADDRESS DESCRIPTION ,617 WORE NEW!/ADD ALTER REPAIR DEMOLISH of SQ FT NO OF NO OF / j?' N FA �dP i O 14 T SIZE STORIES / FAMILIES USE OF STRUCTURE i`clic e� SIGNATURE OF / �APPR VAL9 C.� APPLICANT C.0 _ DATE INSPECTOR S SIGNATURE ADDRESS FOUNDATION LOCATION FORMS MATERIALS $ P C S FRAME FIRE STOPS h/�� FEE BRACING BOLTS c VALUATION g�V`) s / FURNACE LOCATIONGrEd FEE <:Q . GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT 7-/6 PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND / STATE LAWS R U TING WILDING CONS UCTIyOyN► LATH EXT SIGNATUREOF ��A�� ����/ HRECTANDPOSTEDNUMBER R PERMITTEE t Z , JJf� [ l r/ ADDRESS FINAL i2y C� if�itar� JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGINEER PIAN CHECK VALIDATION cK MO CASH PERMIT VALIDATION CK M o SH L, '0 0,a40 AM 18"1 6 A 13 001 9 315 AfR 28 1-A 2600 ��cu �--- WORKERS COMPENSATION DECLARATION 'Iinsureboraafcertif cane of Worke srtComtpensat onSent Insuranceto sef APPLICATION -FOR BUILDING PERMIT hereirm or a certified copy thereof (Sec 3800 Lab C ) " ���� � � COUNTY OF LOS ANGELES.. BUILDING AND SAFETY Policy Nosacn9szCompany 7+.1 L Certified copy is hereby furnished FOR APPLICANT TO FILL IN - ta��Ress Certified copy is filed with the county building inspec BUILDING + ^ tion department ADDRESS LOCALITY NEAREST Date\�\—� Applicant � E CITY ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS NO F BLDGS ASSESSOR COMPENSATION INSURANCE _14 S SIZE OF LOT NOW ON LOT a' MAP BOOK PAGE PARCEL (This section need not be completed if the permitrns for one ��.,r USE ZONE MAP hundred dollars ($100)or less ) TRACT BLOCK LOT NO-[ /naJ n NO ! � - TEL lr u J SPECIAL >_I certify that m the performance of the work for which this OWNER NO CONDITIONS w IL permit is issued I shall not employ any person in any manner DIS RICT GROUP TYPE FIRE PROCESSED BY O y ADDRESS CONST ZONE so as to become subject to the Workers Compensation Laws Date Applicant CITY \T -ZIP STATISTICAL CLASSIFICATION { - APT > CONDO V NOTICE TO APPLICANT If after makingthis Certificate of ARCHITECT OR TEL \ 'il N' DWELL UNIT W Exemption you should become subject to the Workers ENGINEER NO CLASS O � Compensation provisions of the Labor Code you must forth ADDRESS SEWER MAP N with comply with such provisions or this permit shall be- TEL �/ ^ t deemed revoked V CONTRACTOR NO /64BK G C/ - VALIDATION LICENSED CONTRACTORS DECLARATION4 LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS oak2gp MIZIkA VALUATION (commencing with Sectio 7000)of Division 3 of the Business and LIC e Professions Code and m license is in full force and effect CITY \ CLASS $ ©!% c' SQ F O OF NO OF CHECK ► ti License Number �"��`�� Lc Class SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK - NEW $ Contractor�� ; �� Date \'2 \� _ _y E] I am exempt under Sec ALTER FINAL F 3 B 8P C for this reason \ REPAIR DATE �(p7— USE OF DEMOL E] FINAL ,-- EXISTING BLDG Aye Byit — tee, Signatur APPLICANT TEL OWNER BUILDER DECLARATI PRINT I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and ADDRESS ��� Professions Code) FREbENTr BUILDING F I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and y > the structure is not intended or offered for sale(Section LOCALITY _ 7044 Business and Professions Code) MOVING TEL 1 v t r_1CONTRACTOR NO - 'f `. 7 3 2A I as owner of the property am exclusively contracting { y fit, with licensed contractors to construct the project (Sec - ' ADDRESS tion 7044 Business and Professions Code) v 0 0 0 ® o + REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCYYARD HWY . 1 9 9 $9 SET BACK PROP LIN WIDTH I hereby affirm that there is a construction lending agency for FRONT — E v - the performance of the work for which this permit is issued P L q,a 1 9 9 g 8:5 (Sec 3097 Civ C ) SIDE _ _ ' O �� m o Lender Is Name Lender s Address PC Fee$ PermitFee~ r � M 4 I certify that I have read this application and state that the " Issuance Fee above information is correct I agree t6-comply with all County r t Investigation Fee �� I s g ordinances and State laws relating to building construction Total Fee and hereby aut epresentatives of this County to enter upon t e above mentio ed propert or inspection purposes ,o SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®s