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Home My Public Portal About6028 BURTON AVE_Building__ 16A6=8A CE `80312�°APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING �02 8 7 �J JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING ' LOCALITY J, J FOR APPLICANT TO FILL IN NEAREST Print or t e onl CROSS ST. BUILDING /O o y /, ' AVEDISTR�.T NO, G UP TYPE P CB�BY ADDRESS 06y r.1 N- N(IRTD/I/ V ` `/ CONST. CV LOT NO. �J HBC L / STATISTICAL CLASSIFICATION SEWER MAPF 0 CLASS NO._f�WE LL.UNITS_ BK P` G TRACT �/ USE ZONE MAP SIZE OF LOTS 0 /T / OJO NOW OONBLOT S I ' SPECIAL USE CONDITIONS EOF �-siD�nic ,E USISTING BLDG. u OWNER/ W/sFfUL/i�J� /I' O. AY71-4S _ BLDG.SETBACK FROM ADDRESS -33 41, P�1b/Lc/d .s, FRONT PROP.LINE OF ISTREET) f1��L TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY J/4 A, IC/q HIGHWAY WIDTH FROM L.L. ARCHITECT OR TEL. + _ ENGINEER NO. BLDG.S :T87NQ4FROM ADDRESS SIDE PROP. LINE (STREET) TEL. TYPE OF E%ISTING SETBACK Y + YARD = TOTAL CONTRACTOR ,/�/ NO. HIGHWAY WIDTH FROM O.L. LIC. y + ADDRESS NO, - a LIC. CD CIT`/ CLASS CORNER CUTOFF YES ❑ NO U CONSTRUCTION LENDER CD NAME AND BRANCH �7'L SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS 1 �A h SO. FT.� /) NO. OF NO. OF NEW F.JI �`'�6 / .•' 1Y /fes e ?.�K�; SIZE {/ STORIES FAMILIES 9 ♦\/'l ` 'Q s.A USE OF /- ADD ❑ Y/P I �F Sfvl abp S �.�✓ STRUCTURE �2 ALTER ❑ / O REPAIR❑ SIGNATURE OF APPLICANT DEMOL ❑ VALUATION S /®f7 O a V APPROVALS DATE Ixs PEC TOR•s SIGNATURE P.C. T, FOUNDATION: LOCATION FEE $ FPMEES � 0-0 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 ORDINANCES AND LAWS REGULATING BUILDING CON. GAS VENT, DUCTS STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED �j HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE 'LATH, INT. LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S [ e TION INSURANCE. LATH, EXT. SIGNATURE OF /J HOUSE NUMBER COR- ' PERMITTE LT i...`�l�0 RECT AND POSTED ADDRESS VF1 5 �AJ�-/ S T FINAL 'S'4 / y JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK A ATION CK. M 0. CASH _ PERMIT VALIDATION CH. MA. CASH 1.QC,6 7 5 59 5914 1 A 8.00- Q ak 76A638A CE 4803 12/69 FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS j Ei COLEMAN W. JENKINS, SUPT OF BUILDINGd r LOCALITY � FOR APPLICANT TO FILL IN NEAREST Prins orf a onl DROSS ST. _ DISTRICT NO. G P TYPE / PR SS BY BUILDINGADDRESS 402'? ,J8 V ov A � `�' _r CONST. C� LOT NO. / G J / p--/YIGy / BLl7�K r L STATISTICAL CLASSIFICATION SEWER MAP TRACT CLASS NO.�DWELL,UNITS_ BK PG USE ZONE MAP NO.OF BLDGS. NO. l/ V SIZE OF LOTSU O NOW aO'N LOT SPECIAL OFUSE CONDITIONS BLDG. //�� / S ._ IV C F_ CONDITIONS EXISTING OWNER WARE C1_ B LJGTEL.1154 SLOG.'Jg FRONT E FROM ADDRESS W LL TYPE FRONT PROP. OP.LILINE OF (STREET( f /� .v EXISTING SETBACK HIGHWAY } YARD = TOTAL CI TY 5A Gt .l HIGH IGHWAWIDTH FROM C.L. ARCHITECT OR TEL. } _ ENGINEER NO. BLDG.SETBACKFRO ADDRESS SIDE PROP.LINE OF (STREET) 3 A TEL. TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL CONTRACTOR `4� NO. HIGHWAYI WIDTH I FROM C.L. ADDRESS NO + = 2 O LIC. U CITY CLASS CORNER CUTOFF YES ❑ NO EJ � CONSTRUCTION LENDER O NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS o_ h SO. FT. NO. OF NO. OFZ SIZE EOF ^STORIES FAMILIES ADW El ! n STRUCTURE (✓ — ❑ C / REPAIR SIGNATURE OF APPLICAN DEMOL VALUATION II APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S FEE S , B-�(J 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 ORDINANCES AND LAWS REGULATING BUILDING CON- -GAS VENT, DUCTS ST RUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OFIIE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM S5ATION INSURANCE. LATH, EXT. SIGNATURE O e IS Hl T HOUSE NUMBER RECT AND POSTED ADDRESS FINAL I/Ohl $liv JOHN F. LEWIS. PRIPICCIPAL STRUCTURAL ENGINEER PLAN CHEVA ATI cK. M.D. CASH _ PERMIT VALIDATION CK. M.O. u5H Ips�6754r SEP 14 1 A 4.00- Q i 76A698A CE#808-6.57 APPLICATION FOR BUILDING PERMIT .COUNTY OF LOS ANGELES BUILDING ADDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. ✓ DISTRICT NO. 'GROUP TYPE SEWER MAP ' FOR APPLICANT TO FILL IN BK R CONST. BUILDING STATISTICAL CLASSIFICATION I , ADDRESS 4 11 U( CLASS. NO. DWELL.U ITS LOT NO. BLOCK MAP STATE YE5l_ t TRACT NUMBER HWY, USEZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF - < 060 EXISTING BLDG. BUILDINGEXIST. / SETBACK YARD HWY STREET NAME WIDTH OWN MAILER/ FRONT ADDRESS SIOE TEL. P.L. CITY No. INSPECTION RECORD ARCH ITECT OR __ TEL. ""NEER �A fT /Ai N0... ADDRESS - y CONTRACTOR (.;qAn}/�- TEL.. - - ADDRESS DESCRIPTION OF WORK NEW ADD ALT REPAIR DEMOLISH ' SO.FT. / .�/ J / NO.OF NO.OF SIZE 7 STORIES FAMILIES USEOFSTRUCTURE j T a c i SIGNATURE F GZ a APPROVALS APPLDATE INSPECTOR'S SIGNATURE ADDRESS,' FOUNDATION: LOCATION FORMS. MATERIALS $ F G `$ FRAME: FIRE STOPS. FEE _BRACING BOLTS VALUATION $/ FURNACE: LOCATION. FEE GAS VENT. DUCTS 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 REGULATI G BUILDING CONSTRUCTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMIT / RECLAND POSTED ,�/ ADDRESS ( ' FINAL /2-G J p JOHN A. LAMBIE,COUNTY ENGINEER. CLYDE N. CSIRLAM:PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ISN h 4 8 1 9!fi;. DEC WORKERS' COMPENSATION DECLARA ION- s..� r t - • ." __. . .." .Y - - -� � - � ,. _ I hereby affirm that have c,c@rtificate of consenMlo s�Pl°- D O insure or a certificate'of Workers'' Con:pe nsanonlnsurance, LOCATOON FOR [DUKDONG pE.G'�G�n T or ci certified copy thereof (Sec. 3800,Lab. - - - - - 4 a. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No • Company - - F -- Certified copy is hereby furnished, .. _ ,. • FOR APPLICANT TO FILL IN BUILDING f.�, .l Certified copy is filed,with'ihe'county_building inspec. BUILDING - n ADDRESS C6? V j6;�rto:-. - yi - tion'department ` +•"• ADDRESS 6/62p a,,r-}-e ,� ler^ C, f�4 -1 If Date i. �— Applicants CITYZIP 9l?Bb Locnury F CERTIFICATE OF EXEMPTION-FROM WORKERS' -' - -• '- • - NO. OF BLDGS: - NEAREST Oo�e ..__ - COMPENSATION'INSURANCE - SIZE OF LOT NOW ON LOT CROSS ST. Ua1 (This section need not be completed if the permit is for one - - - - - - - ASSESSOR - • - - -' c. -- hundred dollars ($100)or less.). , TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL . OWNER 3CdT q�J o,•;-. O�a��! NO.yyz'-�7L. USE ZONE-. MAP .. - enmity that m the performance of the work for which this �� NO. permit is'issued, I shall not employ any person In chy manner ¢ r- SPECIAL - -- - ' IIL so as to become subject to the Workers Compensanob Laws. r ADDRESS- '/ - [✓e+�� - -• .�. - / CONDITIONS O' V S —31^8� r ❑TY:- e C, zip,. 712?b + m ate Applicant _ - ENGINEER O TEL. DISTRICT GROUP TYPE FIRE PROCESSED-BY. NOTICE-TO APPLICANT: If,'after making )is Certificate of � - - � (- ENGINEER NO. CONST. ZO -V Exemption, you should become'subject to.the Workers' _ - Compensation provisions of.the Labor Code, you must forth- . W with comply witht.such provisions or, this permit,sholl be ADDRESS - deemed revoked. - TEL STATISTICAL tLASSITICATION APT. I CONDO. 1. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION _ - - LIC_ CUSS NO. 77L DWELT'UNITS_ 1 i 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP ' (commencing with Section 7000)of Division 3 of the Business and - - .LIC. -- - •.- �. Professions Code, .and my license i4 in full force and effect. CITY CUSS BK '- - ,- - VALIDATION ' •' SO. FT_. NO. OF NO.OF CHECK -. ' SIZE- - STORIES - FAMILIES ONE License Number '1 Lic.Class - ` DESCRIPTION OF WORK - ,NEW. . .� -:. V _ - AIUATIO/N'7�.�,rJs Contractor Date -_ ADD $ 1 v- D- . 1 om exempt under Sec. New W;,�c.v3_ cLr w�.11 Al ❑ ._ _. . _ _ .._ - LTER .. B.BP.C. for this reason. ^-T• REPAIR ❑ " _.$ --Date: ' - USE OF ❑ Signature " EXISTING BLDG. DEMOL _ - APPLICANT - - - - --TEL. F - '. -_ _. .. - OWNER-BUILDER DECLARATION PRINT DATIE NO. .DATE.. _- 1-hereby affirm that I am exempt from the Contractor's License - - Law for the fol lowing:reason'(Section 7031 5, Business and ADDRESS - FINAL /'� -Professions Code). �, ._. .._. ._ . . PRESENT _ _ __ ..:gY.-.�-'L .. ._ BUILDING �X I, as owner of the property, or my employees with ADDRESS ' wages os their sole compensation,will da the work and � _ - - • - * 1 the structure is not intended or offered for sc le,(Section LOCALITY D •'t '- 7044, Business and Professions Code). - MOVING - - - - - 'TEL: -- - - - - - ' ❑ CONTRACTOR • - NO. r - I, as owner of property, am exclusively contracting 3 with•licensed'contractors to construct the-pio jeer (Sec- -' -- - � - - -. - ' -- '- , '- � � .6 71 8'A ' tion 7044, Business and Professions Code).. - ADDRESS - " REQUIREDTOTAL SETBACK FR 1 e o s s a CONSTRUCTION LENDING AGENCY SET BACK YARD- HWY- PROP, LINE WIDTH 1 hereby affirm that there is a construction lending agency far FRONT - l t ` " ` ss 2 0 0 (i,'Q,'S Q -the performanceoftherwork for which this permit is issued P:I. - - - - - -_ - - - - -- - (Sec. 3097, Civ. C.). SIDE _ - - - o o e (�G so'c' ' m P.L. Lender's Name ... . .. O Lt O , ,-•��I- LDMA'Ref. # v t Lenders Address - - - - - - -' P.Cr Fee S - - - Permit Fee -- Off- - -- - - - -- w D Lcertify.that-I.have.read this state that.the ._.. _ Issuance Fee -LDMAP/C# - - - - a above information is correct. I agree to comply with all County Investigation Fee ' g _ordinances and State,laws relating to building construction, '(5 t.' u and hereby authorize representatives of this County to enter TomlFee .� - LDMA Perm. # a upon the above-mentioned property for inspection purposes. a �C• �� S��_�</ SEE REVERSE FOR EXPLANATORY LANGUAGE SignatureVof Applicant or Agent - _Date r r— WORKERS' COMPENSATION DECLARATION 'FP��p� �r�} �r��q I��(p , hereby affirm that 1 have r certificate of consent to self App��'�Q��O.II V FOR: l�+/u* WNO II EII�IOGII�� insure, or o certificate of Workers' Compensation Insurance, - or a certified copy thereof (Sec. 9800; Lab. C,) - COUNTY OF LOS ANGELES - w. BUILDING AND SAFETY Policy No. Company ' BUILDING 640 ❑' Certified copy is hereby furnished. FOR APPLICANT TO FILL IN'" ADDRESS Certified copy is filed with the:county building inspec- BUILDING.t p 1/ {. q Tian-department .. ADDRESS b IV t G /Y7 1 O zY V e �. CITY br/' / ` ZIP 7-71 LOCALITY Date - Applicant - '- NO. OF BLDGS. _ NEAREST _ CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT' NOW ON LOT- '" CRA ESL - ' COMPENSATION INSURANCE ^7 ASSESSOR (This section need not be completed if the permit is for one TRACT-, BLOCK Jy I LOT NO*6 / MAP BOOK I PAGE " - PARCEL hundred dollars ($100)ior less.) TEL. - .1 OWNER A, USE ZONE NO IV DY (/3 z4IP NO.' Z, certify that in the performance of theperson for which this 4) (7 _ /IVC _ SPECIAL permit is issued, I shall^not employ anyperson in any manner ADDRESS ✓J d� /l ' CONDITIONS so as to become subject to the Workers'CompensoliW Lows 0 , D CITY S6!n Ga,-bY1P COQ zip 9l "7 51 - Date a'�x - Applicant r"""-"- ARCHITECT OR - TEL. NOTICE TO APPLICANT: If, afte making.this Cer if' 1 of ENGINEER NO. DISTRICT GROUP CPE ZONE EBBED BY Q Exemption; you should become subject to the Workers' L - U Compensation.provisions of the Labor Code, you must forth- ADDRESS .%r O(/ (/� ? a _ with Comply with, such,provisions or this permit,shall be TEL $iAT15TICAL C1A551FICATION APT. CONDQ � Z ' deemed revoked. � - --' , CONTRACTOR - C"cP Q 1 NO. &`/9-7661 - LICENSED CONTRACTORS DECLARATION - / ( TIC CV+55 NO. DWEu. WNITS� - hereby affirm that am licensed under provisions of Chapter 9 ADDRESS Q CR I Vd. N0.30 31- LIC SEWER MAP 1 (commencing with Section 7000)of Division 3of the.Business 1 .j, /r CLASS ACCT tr CITY e IIb177�1ff ^ C. L, �.. - S.7 ACCT. .7i7.�1G -,and Professions Code,and my license is in full force and effect. BK. PG. n / SQ. FT. SNO.TORIES OF FA OF CHECK License Number 367 ` Lic. Class - SIZE STORIES FAMILIES ONE VALUATION I ITEMS {/+� DESCRIPTION OF WORK NEW g �F / �] Contractor 6a(...B ree,re 1 idate $ -r ! b / TOTAL 37-50 p ADD- ❑ CHECK❑I am-exempt under Sec: ' I / ALTER ❑ - D - CHECK 37.50 B.BP.C. for this reason cc) Crete REPAIR ❑ Af CHAHCS ADO Date: - USE OF _ - - EXISTING BLDG. DEMOL ❑ ._..._ _ Signature - APPLICANT - TEL "FINAL OWNER-BUILDER DECLARATION (PRINT) NO81 7wO . 0000-0001 9 I hereby affirm that I am exempt from the Contractor's License --_ DATE 4931 . 1 AM10:3i Low for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRESENT19 if Ir ❑ I, as owner of theproperty, or m "employees with BUILDING / - ---- YADDRESS AGGT ' .. .T wages as their sole compensation,will do the work and . . the structure is not intended or offered for sale(Section LOCALITY D ._ M07 49. 7044, Business and Professions bode: MOVING. TEL. - - 1 ITEMS._-- .._ I,as owner of the properiy,�am exclusively contracting CONTRACTOR NO. ♦� 49 e with licensed contractors to construct the project (Sec- -' "" ""-'-" '.,s TOTAL SIB,SIB,tion 7044, Business and Professions Code.) ADDRESS - REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY - SET BACK' PROP. LINE WIDTH CHECK 49.80 1 hereby affirm that there is a construction lending agency for FRONT - r��r� the performance of the work for which this permit is issued P.L - t•rB'B`IUC" .00 (Sec. 3097, Civ. C.). SIDE P.L. rte.. ...._. , Lenders Name _ *OOW-OGOi 81 ,713f SO $ 2 LDMA Ref. R , P.C. Fee.$ �� Permit Fee .._J 3 .Lender's Address _ D 493.� ], AM 10:34 I certify that I have read this application and state that the Issuance Fee - J� IDMA P%C'q 8above information is correct. I agree to comply with all County - Investigation Fee ,'ordinances and State laws relating to building construction, Total Fee LDMA Perm. N a and hereby authorize representatives of this County to enter _ upona above-mens' ne operty for inspection purposes. - " SEE REVERSE FOR EXPLANATORY LANGUAGE Signet.,,7 Applican or +@yg-- Date