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HomeMy Public PortalAbout6242 AVON AVE_Building__ 76A638A CE#803 2-63APPLICATION FOR BU-ILDLNG 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 NO. GRO P PE P SSED BY F.ADDRESS R APPLICANT TO FILL IN ONST. - - STATISTICAL CLASSIFICATION SE ER MAP Al KCLASS. NO.�� DWELL. UNITS ��7 BLOCK WATER NOT REQUIRED RECEIVED . CERTIFICATE: MAP q/� HIGHWAY STATE MAJOR SECOND, OCAL'NO. OF BLDGS. NO:. L' U` (CIRCLE)NOW.ON LOT USE ZONESPECIAL (� CONDITIONS DG. oy' q TEL. OWNER V(� OWNER NO. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT ARCH ITECT OR" TEL. P. L. )" ENGINEER NO: SIDE ` ADDRESSTEL. �I,`/ifs C' L ,� �,�,%'`.�!� fly/ �/",o.' O -CONTRACTOR- NO. �� " - ^ � ^,� �,,tV � ' ADDRESSLl i y �:•�'� DESCRIPTION OF W K � ! w i, /R_4 ;, CL 'NEW ADD 'ALTER REPAIR DEMOLISH yA h SQ. FT. - NO. OF No OF � //•� �:'� -_4--v ? SIZE" STORIES FAMILIES J - U S E OF I*- ,v STRUCTURE �S - SIGNATUREOF., ��>�.• r � �'�l�`� / APPLICANT / O VALUATION $ p//� // -�•�� APPROVALS D.�T Ft INSPPECTbR'.5_SIGNATURE pC - PMT (J FOUNDATION: LOCATION FEE $ I - 'FEE $ Z .—� 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 !7 y i _l._Al(,e,.rs>X BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZEDHEREBY I WILL NOT EMPLOY ANY'PER50N IN VIOLA .LATH: INT. !�l .M.M/Y?aarw•'�/ TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. INGTO WORKMEN'S COMPENSATION IN URANCE. • LATH, EXT. SIGNATURE-OF - HOUSE NUMBER COR- �r^ C•/� PERMITTEE RECT AND POSTED "ADDRESS FINAL 9• /� JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER PLAN.CHECK VALIDATION C.K. M.O. CASH _ PERMIT VALIDATION CK. M.D. CASH L-illuo 1' = ) it ii 2 J- A 2 2,n �1` 76A638A CE*803 9-67 APPLICATION FOR BUILD NG PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ! �J�/ BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER } COLEMAN W. JENKINS, SUPNEARESTT OF BUILDING CROSS ST. rNER OR APPLICANT TO FILL IN DISTRICT NO. GRGl� TYP PR CESs BY `� V .�1 CON / �j(PLI or type only) BUILDING " /� �Q� STATISTICAL CLASSIFICATION SEWE MAP ADDRESCLASS NO.-laDWELL,UNITS BK PG (! Z . $L -J �) t7 LOCK USE ZONE NOPd��� SPECIAL NO.OF BLDGS. CONDITIONS F LOT NOW ON LOT G BLDG. BLDG.SETBACK FROM TEL �j FR NT PROP.LINEOF (STREET) NO.O,L I / _TYPE O ISTING SETBACK HIGHWAY + YARD - TOTAL SS HIGHWAY FROM C.L. BLDG.SETBACK FROM ECT OR TEL. SIDE PROP.LINE OF (STREET) ER �NO. TYPE OF 1EXISTING SETBACK HIGHWAY YARD = TOTAL rAPPLICANT S HIGHWAY WIDTH 7�t TEL. + d CTOR NO. LIC. CORNER CUTOFF YES ❑ NO ❑ U S. NO. � CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a z ADD, ALTER REPAIR _ DEMOLI NO. OF OF - STORIES FAMILIES URE C RE OF NT VALUATION fff APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. h FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION 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 BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT. ING TO WORKMEN'S COMPENSATION INSURANCE, LATH, EXT. SIGNATURE OFig" tea OUSE HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS JOF FINAL �XJflU�l JOHN F. LEWIS, PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION CK. .M 0;_ CASH _ PERMIT VALIDATION CK. M.O. CASH LAW2 7..9 9 JAN 2 5 ... 3. D :6. , _._ ._ r , 76A638ACE98031-67 APPLICATION FOR EUILDIN PERMI COUNTY OF LOS ANGELES BUILDING � lI/,, VC j DEPARTMENT OF COUNTY ENGINEER ADDRESS L BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE.'COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T of BUILDING CROSS ST. %✓ DISTRICT NO. GROUP [TYPE PROCESSED BY FOR APPLICANT TO FILL IN1 0 CONST BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP ADDRESS e, A/IAJ vC CLASS NO. L3 DWELL UNITS BK PG LOT NO. Of ZV�L39BLOCK USE ZONE NOP �J TRACT G? 3 SPECIAL N0. OF SLOGS. CONDITIONS SIZE OF LOT, (^y NOW ON LOT USE OF _ WELL//v Co ^10A Co BLDG. SETBACK FROM © / OWNER �S Lam- NO. 'g�C�-3�>/ FRONT PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS may' �/�• HIONWAY I ,Ho, FROM C.L. j� 9 CITY GIs` + U ARCHITECT OR TEL. - BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. pp . �1 - CONTRACTOR 19601960',rAKNO TEL + ADDRESSL � NO //Jro� CORNER CUTOFF YES_ NO [ CITY 'z CLASS / - SEE REVERSE SIDE FOR SPECIAL APPROVALS c C DESCRIPTION OF .WORK L NEW ADD ALTER REPAIR DEMOLISH SQ.Ft. NO. OF NO, 01- SIZE !S STORIES FAMILIES USE OF �J STRUCTURE SIGNATURE OF APPLICANT VALUATION$ 6.6.00 APPROVALS DATE INSPECTOR'S SIGNATURE FEE$ / Z� FEE$ FOUNDATION, LOCATION FORMS, MATERIALS 7 FRAME, FIRE STOPS, / 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS / -7-1, �i�t 4- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS RUILDI 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 COMPENSA•ION INSURANCE. LATH. EXT. /'7 LG A SIGNATURE OF 9 HOUSE NUMBER COR- PERMITTEE Li ° RECT AND POSTED A ADDRESS��G NN ./.1/ i�Al �� FINAL �) �:y".�•�I,..1 !r"/'.��/,��G/ JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.0 CASH �yZ�� 76A886A CE M6086"E9 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY 1147 — JOHN A.LAMBIE.COUNTY ENGINEER NEAREST L a CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.� /1 A.) FOR APPLICANT TO FILL IN DISTRICT No. � I coNs� P O SED BY BUILDING SEWER MAP ADDRESS !!/ y A v STATISTICAL SSIFICATION �I BK PG CLASS.NO. DWELL. U ITS LOT NO. BLOCK MAP '''J� yy���� STATE YES O NUMBER HWY. TRACT �� ''//a U ZONE SPECIAL SIZE OF LOT ge, / �1 I NOW ON BLDGLOTS„7 NO CONDITIONS USE OF EXISTING B4G. BL/LDI*rqG EXIST. S TBACK YARD HWY STREET NAME WIDTH OWNER 9 • FRONT ADDRE �j�J-asvt/ S L SIDE. CITY4 •' TEL. P. L- ARCHARCHITECT OR 'TEL. INSPECTION RECORD ARCH /�vr' ENGINEER tw19/V�� NO. ADDRESS TEL. I1rL� G)�O;I 1�0l� ✓�/Gly/� D C "S den/ CONTRACTOR �lx1iJ� NO. ADDRESS 4 Cav DESCRIPTION OF WORK A 1,!�s NEW' ADD ALTER K�REPAIRZ DEMOLISH SO.FT. NO. NO.OF i5'AM/ ,4//-- 0. SIZE STORIES FAMILIES USE OF T E' A) Jf -l- a L/}- /-2" SIGNATURE O , APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS,MATERIALS $ FFE S FRAME: FIRE STOPS. I BRACING, BOLTS VALUATION S /� @�_ FURNACE: LOCATION, \J GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STAT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY H ALL COUNTY QIRPINANCES AND ;STATE LAWS REAtAATING BUILDIN ONST CTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITT$ RECT AND POSTED ADDRESS 62 FINAL �7U' CLYDE N. DIRLAM, PRINCIPAL STCTU AL-/EfNGINEER' PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ®F II DIVISION OF BUMDING AND SAFETY EBUILNEF&P Department of County Engineer LOP N Coua�p of Los Angeles WM. J. FOX, COUNTY ENGINEER /- /A/PPLIC/Ap�TION I LD FOR APPLICANT TO FILL IN,v� noDRE33 (!J/x/ Y �� `^'«/1�_ t t_• - BUILDING / O� f_ ' LOCALITY ADDRESS NEAREST LOCALITY CR OSS ST. DISTRICT NO. PUN CR. oRREC. No. PERMIT NO. NEAREST I CROSS 9T. � ..�-- RECEIVED%BY DATE OF APPL. DATE ISSUED MAIL OWNER � �,' �/J] ��,I ` /y .� ADDRESS _ V Ul'1 \ f(_ A� !' `I '9e 1 U /� '^ t TEL. � � USE ZONE I NO. OFPLANS I TYPE I GROUP I FIRE ZONE CITY 4 l NO. ARCHITECT OR TEL. 91 - 1 ZONING DATED ENGINEER NO. APPROVED BY- l'J;� >? �-"t 1 �y c'-� BUILDING ORD.NO. ADDRESS SETBACK LINE: TEL. APPROVED /� T DATE CONTRACTOR NO. BY: �•-�?/` -< HOUSE NUMBERING ADDRESS LEGAL ® MAP NUMBER� NO. ASSIGNED BYO 3154 DESCRIPTION LO0 T NO. !A BLOCK DATE CORRECTIONS I INSPECTOR TRACT Sp B 23 b A A ^ NO. OF B S SIZE OF LOT �i t 1 NOW ON LOT USE OF NO. OF EXISTING BLDG. H01-tI19 ��/�1�1S-�R.I FAMILIES DESCRIPTION OF WORK z NEal4/ ALTERATION ADDITIHON I> REPAIR DEMOLITION SQ. FT. q, NO. OF SIZE & ROOMS 1 STORIES EXT. WALL �1� " I COVERINGROOF �QQSO+IfI'v: COVERING USE OF STRUCTURE q30_9 ramn-in APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION O' r FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, ry fInw y ry PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS - n SIGNATURE OnF " w LATH, INT. /_ q A n PERMITTE LATH. EXT. ADDRESS PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. FEE 7 HOUSE NUMBER COR- 6 O RECT AND POSTED VALUATION FEE ffi `- FINAL 76ASSBA DBS 9 2-58 `� • APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDN ADD Ess BUILDING A114, I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance,or a certified copy thereof (Sec.3800,L b C.) CITY ZIP J delLOCALITY Policy No. Q Company S�TAOrE A-411) y/ �G ZE OF LCT NO.OF BLDGS.NOW ON LOT ❑ Certified Copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building in pection TRACT BLOCK LOT NO. dep rtment. USE ZONE MAP NO. Date/-q3 Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ow ERS TEL NO. COMPENSATION INSURANCE ) 1 a 301- WITHIN 1000 FT.OF SCHOOL? YES N This section need not be completed if the permit is for one hundred ADD s ( P - EDISTRICT GROUP TY CONST. FIRE ZONE PROCESSED 8Y dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit i is issued, I shall not employ any person in any manner so as to !C4AI 417 become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER/ TEL NO. P STATISTICAL CLA,..SSIFICATION APT ' CONDO Date Applicant ADDRESS CLASS NO. _.V_/_ DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become Subject to the Workers' CONTRACTORTEL NO. / SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith i oq�! FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION .77 SIDE CIT LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 N e C� Al SEWER MAP >_ (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES d Professions Code,and my license is in full force and effect. NEW ®' BK PG , U License Number LiC.CIBSS .r DESCRIPTION OF WORK ADD EJ Contractor Date I'l-7 3 d ALTER ❑ $ 5 C 2, 0 F- ❑ I am exempt under Sec. _ REPAIR 0. $ . V B.&P.C.for this reason 12- i e DEMOL ❑ LDMA P/C# L0. U Date: USE OF EXISTING BLDG. URM ❑ N } Z Signature APPLICANT(PRINT) TEL NO. LDMA Perm# ❑ 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 _--- 14 not intended or offered for sale (Section 7044, Business and FINAL DATE .. . Q i T EM; Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �•— �Y V/� OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE i iii JJJ_ J '5 El I, as owner of the property, am exclusively contracting 4AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY T OT.4— — licensed contractors to construct the project (Section 70444,, rr :- Business and Professions Code.) ves❑ No❑ i_ L( it WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OAST OCCUPANT AIR QUAAUTY MANAGEMENT DISTRICTCTION CATION 0 CHECKLISTM THE UTHFORCC9M f'Pt'[��,5E �E i CONSTRUCTION LENDING AGENCY d'+1� `^- GUIDELINES. hereby affirm that there is a construction lending agency for YES❑ NO❑ N the performance of the work for which this permit is issued(Sec. -- "I•� :�:� i t� ; I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING ( I€( IQ-001_ , 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 ] A. Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. `d +� j '{j 3 o Lender's Address 0 OWNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct. I agree to comply P.C.FEE PERMIT FEE With all county ordinances and State laws relating to building construction, and hereby authorize representatives of this County ISSUANCE FEEco (0 to !o u n t above- ti, ned prop ty for inspection purposeda (0 47 3s. (� INVESTIGATION FEE TOTAL FEE I I Appl—t a m 44-1 SEE REVERSE FOR EXPLANATORY LANGUAGE