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Home My Public Portal About9158 BIDWELL ST_Building__ 78AC38A e-a«ooa a-" APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDINQ AND SAFETY DIVISION LocwLITY ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JRJSEN, SUPT Of BUILDING CROSS ST. DISTR GROU P OCE85ED BY FADDRESS R APPLICANT TO FILL IN STATISTICAL CLASSIFICATION :7J SEWER MAP ` "'" / o� BK/ PG CLASS. N DWELL. UNITS BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACTMAP 1 F"GHWAY STATE MAJOR SECOND CAL NO. OF BLDGS. NO t/ (CIRCLK) SIZE OF LOT �/ NOW ON LOT U NE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL OWNER r NO. Wy BUILDING EXIST. /f r� SETBACK YARD HWY SIRE NAM WIDTH ADDRESS 24 - L r / +� FRONT ARCHITECT OR TEL P. �- ENGINEER NO. SIDE P. L ADDRESS TEL 0 CONTRACTOR N0. V ADDRESS I DESCRIPTION OF WORK CL NEW ADD ALT REPAIR DEMOLISH VI SQ. FT. NO.OF NO. OF 3 SIZE �O STORIES FAMILIES USE OF JIV I STRUCTURE Q at le< SIGNATURE OF APPLICANT VALUATION APPROVALS PATFE INSP[CTOR'••10 TU RI O FOUNDATION: LOCATION Z FEE $ FEES FORMS, MATERIALS 1' FRAME: FIRE STOPS, I HIER"Y ACKNOWLEDGE HE O THAT I AVRAD THIS APPLICATION RA I G BOLTS AND STATE THAT TH[ ADOVE 10 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUR NTY ORDINANCE/ AND STATE LAW R[OULATINO GAS VENT. DUCTS EUILDI NO CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZm H[RKBY I WILL NOT [MPLOY ANY PERSO IN VIOLA- LATH. INT. TION OF TH[ LADOR COD[ OF TH[ STATE Of LI IA RELAT- ING TO WORG KMEN'• O IN6 AN LATH. EXT. 3)711 SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS -B FINAL F►rr JOHN F. LEWIS. PRINCIPAL ST RAL ENGI EER PLAN CHECK VALIDATION CK. M.O. CADH PERMIT VALIDATION cIc M.O. CASH LACO 3 .1 3!,2 FEB 5 1 D 1 1.5 0 ' I: TEMPLE CIS .- �j .; ,.��►.o;,� APPLICATION FOR BUILDING PERMIT . f -COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY , J JOHN A.,LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JGNSEN. SUPT OF BUILDING CROSS ST. 3/1 DISTRI NO., GROUP TYPE PJICLCESSED BY FOR APPLICANT TO FILL IN CONST BUILDING STATISTICAL'CLASSI ICATION SItWER MAP ADDRESS BK O CUSS. NO. DWELL UNITS LOT NO. &2 BLOCK WATER CERTIFICATE: NOT REQUIREDLl RECEIVED TRACT NO NO. OF STATE MAJOR SECOND, CAL BLDGS. SIZE OF LOT NOW ON LOT USE NE SPECIAL USE OF CONDITIONS EXISTING BLDG. _ y EL -�Q OWNER G / O-. r L(1 L I G EXIST. // pp SETBACK YARD HWY STREET NAME WIDTH ADDRESS 2-C, `- C s FRONT ARCHITECT OR TEL ENGINEER NO. SIDE P. a L O ADDRESS U T L. CONTRACTOR 13, /4� c ADDRESS4- e-pn � Ql� lO' iill DESCRIPTION OF WO&K NEW ADD ALTER REPAIR DEMOLISH SQ. FT. /''y NO. OFNO. OF SIZE, r/ STORIES � FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT ,y� VALUATION �/d .. APPROVALS ATE INWMCrOR's-f10 toTyFM P C PMT .4 FOUNDATION: LOCATION FEE S - FEE $ (/ FORMS, MATERIALS !1 FRAME: FIRE STOPS, I HXRK5Y ACKNOWLZDOE THAT I HAV[ IILAD THIS APPLICATION BRACING BOLTS AND Z STATTHAT TH[ OO ASVS If CRRZCT AND AGREZ TO COMPLY FURNACE: LOCATION. WITH ALL COU HTY ORDINANCES AND STATZ LAWS'FMOULATING GAS VENT. DUCTS SUILDI NO CONSTRUCTION. I CERTIFY THAT IN DOING THK WORK ALr HORFZED HETQSY I WILL NOT RMPLOY ANY PERSON IN VIOLA- LATH. INT. T10H OF THE LASOR CODE OF THE STA OF LIFORNIA RILAT- ING TO WORK""_N'S CO H ]Oil INS LATH, EXT. .J SIGNATURE OF HOUSE NUMBER COR; PERMITTEE RECT AND POSTED - ADDRESS FINAL U 4 JOHN F. LEW1S. PRINCIPAL ST URAL ENGI ER PLAN CHWK VALIDATION cK. M.O. CASH _ PERNIIT VALIDATION CK M.O. CA.MH ` ,.7 8 8 2G JAN 26 2 3 D 3 -7.2 5 a . [ 83113 FEB 5 D 74.50N r J WORKERS'COMPENSATION DE=CLARATION dhareby affirm that I have a certificate of consent to self , .Insure, or a certlflcate of Workers'Compenstlon Insurance,or APPLICATION,. FO BUIL I N G PERMIT ' a ed Sec. 3800, COUNTY OF LOS ANGELES BUILDING AND SAFETY o, mpany nk�cBUILDING FOR PRLICANT TO FIL IN �e Certified dopy Is hereby furnished. ADDRESS Certified copy Is filed with the county building rh"c-- BUILDI tion de rt ent. ADDRESS LOCAll7Y /C , NEAREST C Date Appllcon CITYPit ZIP CROSS ST. ` CIRTIFITEOF EXEMPTIO RKERS' NO.OF �• ASSESSOR I COMPENSATION I SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCH .(This section need not be com le If permit Is for one USE ZONE p hundred dollars (;100)or less. BLOCK LOT�' / NO } perSPECLAL CL I cert.tfy that In the performance of the work for which this oo CONDITIONS 0 ISTRICT permit Is Issued, I shall not employ any person In any manner GROUP TYPE FIRE 'BY U to as to become subject to the Workers'Compensatlon'Laws. ADDRESS CONST" ZONE r^ L 'D� � CITY O Date Applicant ZIP STATISTICAL CLPSSIFLCATK)N APT. CCKJDO. G NOTICE TO APPLICANT: If, after making this Certiflcate of ARCHffECT CK2 TEL � sy Exemption, you should become subject to the Workers' INff� NO. CIASS.NO. 02 DWELL .EMTs � Compensation provisions of the Labor Code, you.must forth- ADD RE55 SEWER MAP a with comply with such provisions or this permit shall be cleeme_d revoked,.- CONTRACT NO BK. /—PG VALIDATION LICENSED CONTRAX<TORS DECLARATION LI I hereby affirm that I am licensed under=provisions of Chapter 9 ADDRE Lloffax VALUATION (commencing with Section 7000)of Division 3 of the Buslne}s and O 'Professlohs Code, and my license Is In full force and affect. CITY C1ASS = SQ. N6.01: NO.OF CHECK License Plum Llc,Cl. SIZE STORIES F UES ONE IPTION OF W04'2K NEW } Contrail I am exempt from the'licensing regylrements bs am a ADD licensed archltecr or a reglstered'professlonal engineer_ ALTER FINAL q trine In my profeulonal capacity .( 7051,• QvhREPAI DAT! Q lneu and Professions Code). USE OFIINAL r. EXISTING BLD('. DFlr10l. By Lic.or Rep.. Date APPLICANT ER-BUILDER DECLARA N PRINT . I hereby affirm th I cirri exempt from t Coniractor't License Law for the follow reason (Sett] 7031.5,-Busln,ess and Professions Code): OI, as owner of t pro or my.employees with ADDRBUIESS wages as their sole m nsatlon,will do the work and the structure Is ndt Int dad or offered for sale(Sectlan L TY 7044, Business and o Ions Code). MOVING TEL _ 0 I, as owner of th ope am exclusively contracting ONTRACTOR NO. �2 e.7,9 A with-licensed c tractors to crlWuct the project (Sec- ADDRESS # 0,0!0 0 0 �. tion 7044,Bu eas and Prof ons Code). REQUIRED YARD FIV✓1 TOTAL SETBACK EXIST. C kUCTION LENDIN GENCY -SET BACK PROP. UNE WIDTH 2 0 o 4300 , I hereby affirm at there Is a constructlo lending agency for �T the perform. e'of the work for which t permit Is Issued P.L .�o [) a e e (� 006 (Sec..3097, v. C.). SIDE Lender's Name 0 R it OTT 8 0 _$ Lender's Address' P.C. Fee f Perm It Fee I certify that I have read this application and state that the Leniance Fee above Infcrmatlon Is correct. I agree to comply with all County Inv"Igatlon Fee ordlnanc- and State laws relating to building construction, Tonal Fee and hereby authorize represewtatives of this County to anter : upoa abo mentioned property for Inspection pu SU RENBtf!FOR EXPLANATORY LANGUAGE g of App Icont or Agent Dat �s