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Home My Public Portal About6212 BURTON AVE_Building__ 6A55 APPLICATION FOR BUILDING PERMIT 111-SS DIVISION OF BUILDING AND SAFETY BUILDING Department of County Engineer ADDRESS County of Los Angelos LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CA99ATT D.GRIFFIN, 6uPi of BUILDING NEAREST ST. DISTRICT NO. GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN BK PG BUILDING CONST STATE ADDRESS ��C//.•.�� /,///A/./1•Le.. �A!/ NUMBER HWY YES O LOT NO. '/ BLOCK USEZONE SPECIAL / CONDITIONS TRACT I / AOO� �7D I NO. OF BLDGS. SIZE OF LOT / NOW ON LOT B ILDING YARD HWY STREET NAME EWXIST. USE OF SETBACK 'DT H EXISTING BLDG. FRONT OWNER /y$Hlf/Jti 7 SIDE MAIL n/ / P.L. ADDRESS .[ O TRACT DWELL. 7 UNIT TEL. ' 5 INDUSTRIAL CITY NE 7 t DWELL.y 1 UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 ADDN.,ALT.. ETC, ENGINEER NO. 3 APT. 40 UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTOR NO' INSPECTION RECORD ADDRESS _�/_ a F DESCRIPTION OF WORK -a- I ev NEW D• ALTER REPAIR DEMOLISH _ _O NST SLOW ✓��..$�� SO. FT. J NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE 1 f SIGNATURE OF APPLICANT APPROVALS BV'Cn� ADDRESS DATE INSPECTORS GIGNATIIRE FOUNDATION: LOCATION P. C. FORMS, MATERIALS L FEE FRAME: FIRE STOPS. VALUATION $ O BRACING. BOLTS FEE -�• FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. U WA AND STATE LAWS EGULATING BUILDING CONSTRUC- TION. LATH, EXT. SIGNATURE O \ COR- PERM fjy1�� HOUSE NUMBER COR• RECT AND POSTED ADDRESS FINAL JOHN A.LAMBIE. COUNTY ENGINEER VALIDATION CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR CK MO CASH ,97TVA AUG 30 1 6.0 0111 A ROAD DEPT. PEfd IT IS REQU!RED FOR AN ;i;AT�;i.'.L S:CC= ._ v; WORK CCP:E IN -A OF WAY. eA•••A ce J(•cs• APPLICATION FOR BUILDING PERMIT �• COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS c BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST DO CROSS ST A - '- CASSATT D. GRIFFIN, SOP'T of BUILDING DISTRICT O: G�lR UP TypE PR CESSED BY FOR APPLICANT TO FILL IN :� / CONST. BUILDING - STATISTICAL CLASSIFICATION I SEWER MAP ADDRESS ' 1 BK PG' CLASS.NO)` DWELL.UNITS Q 1 �2,x__ LOT NO. BLOCK MAP - 6 G. '! STATE YES NO' NU MBER`iC r HWY TRACT Q USE ZONE SPECIAL SIZE OF LOT Q^ NO.OF NOW ON LOTS CONDITIONS USE OF _/ fJ EXISTING BLDG. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER .+ - FRONT MAIL _ _ /11� � P.L. o(Ll ADDRESS GiJ zzdl/- SIDE P.L. CIT NE �C�o INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. , ADDRESS TEL. CONTRACTOR NO. - J ADDRESS ' DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. �n/ NO. OF SIZE V STORIES Z FAMILIES - USE OF STRUCTURE SIGNATURE O APPLICANT APPROVALS DATE INSPECTOR'5 SIGNATURE ADDRES FOUNDATION: LOCATION FORMS, MATERIALS VALUATI� �� I FRAME: FIRE STOPS, - - BRACING,BOLTS P.C. PMT. �o FURNACE:LOCATION. FEE S I FEE S I 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 R BUI G CONSTRUCTION. LATH, EXT. SIGNATURE U, HOUSE NUMBER COR- PERMITTE / G2g ifi9/`� RECT AND POSTED ADORESS CLYDE N. DIRLAM, PRINCIPAL ST TU RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASK PERMIT VALIDATION' °K: M.O. CAsK LG5750w JAN28 .1 A 2.00 ®: • . - A ROAD DEPT. PER�WT IS RECU'RED FOR AFfi hh:,TC;•:i.'.L WORK - �, y DONE IN iNE ni.:-,D R;C-,T C-1 WAY. . „A„eA=E .... APPLICATION FOR BUILDING PERMIT g° COUNTY OF LOS ANGELES BUILDING t l� DEPARTMENT OF COUNTY ENGINEER ADDRESS - BUILDING AND SAFETY DIVISION LOCALITY 'JOHN A. LAMBIE. COUNTY ENGINEER NEAREST / CASSATT D. GRIFFIN, SuvT of BUILDING CROSS ST. _. DISTR GRjOUP TYPE PROCESSED BY _ FOR APPLICANT TO FILL IN It CONST. BUILDING STATISTICAL CL[�SS IFICATION _ - SEWER MAP _ ADDRESS (JJJ //�� BK PG CLASS.NMAP }}O. OW ELL.UNITS V . LOT NO. AA BLOCK NUMBER aO(7� 'WYE YES NO TRACT USE ZONE SPECIAL ' NO. OF BLDGS. CONDITIONS ' SIZE OF LOT O NOW ON LOT USE OF EXISTING BLDG. BUILDING EXIST. _ SETBACK YARD HWV STREET NAME WIDTH OWNER FRONT MAIL �/ P.L CJ V ADDRESS J{/it SIDE TE P.L. CITY,195< N INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. 97r-/_ /PAfyF_ //✓GD. 7 o -c 6✓n,'E/9 ADDRESS TEL. / 97. 57)- r? r� CONTRACTOR '- NO. L �YOG GSS� yOP' �6 '<` ADDRESS DESCRIPTION O DESCRIPTION OF WORE �'? "Z '” t NEW ADD ALTER REPAIR DEMOLISH SO. FT. `/ry NO. F / NO. OF SIZE ��JJ 66 STORIOES ( FAMILIES USE OF STRUCTUR SIGNATURE O APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADORES FOUNDATION: LOCATION qq�� FORMS, MATERIALS -If-/G Y1. �>l VALUATION ..h-f� �,� I FRAME: FIRE STOPS, LLQ V V \J BRACING, BOLTS -o-' i/� � i�r FURNACE: LOCATION, FEE K�S I FEE 5 I GAS VENT,DUCTS I 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 LATH, EXT. STATE LAWS R G B ING CONSTRUCTION. SIGNATURE 0 HOUSE NUMBER COR- PERMITTEEG'Z2� RECTANDPOSTED ADDRESS ; - FINAL - ;2 CLYDE N. DIRLAM, PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION .CK. M.O. CASH LA,0 5 7 5 1 3 JAN �>S1 A 6.Q,a ®, GRKER?' COMPENSATION DECLARATION ,JI V !a cer'If, I haver certificate of consent to self ,..,. APPLICATION FOR BUILDING PERMIT �tlu'I re,-qr a cer'IficOre of Workers' Compensation Insurance, or a certified copy thereof (Sep.,3�W L b. C.) _ n ��{{ f�/ X" / r�L,�' /�� 1y.MxJ ytL� - COUNTY OF LOS ANGELES' BUILDING AND SAFETY Policy No.11 - Certified copy Is hereby furnished. FOR APPLICANT TO FILL IN - BUILDING2 ADDRESS Certified copy is filed with the count r building inspec- BUILDING //' ^] Q�//� 4py,`E/ tion department. ADDRESS C� Z G_ a.�•/ (�"'ft O ' '+" - Date Applicant ' °� CITY_rPMPJOf ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' y NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT /L r' NOW ON LOT CROSSNEARS ST. (This section need nor be completed if the permit is for one -( p BLOCK LOT NO. AS5E5SOR hundred dollars($100)or less.) TRACT �y p MAP BOOK PAGE PARCEL OWNER L Gr T-0'1 NO. Z(/ USE NE MAP �/ I certify that in the performance of the work for which this //�� ( (�,1(J 'r NO. (O permit is issued, I shall not employ any person in any manner ADDRESS (71 Z ,J^F� D� T/. � , SPECIAL so as to become subject to the Workers'Compensation Laws. _ t CONDITIONS b a7Y• U Date Applicant G1 ZIP � NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT ORy` /� 4 TEL. DISTRICT GROUP TYPE CONS . FIRE ZONE PRO ED BY O Exemption, you should become subject to the Workers' ENGINEER ll�� /'TTS OL •/TNO. �� l"l`' 3 G/ Compensation provisions of the Labor Code, you must forth- (/ /7 U with comply with such provisions or this permit shall be ADDRESS a0 r Q I/ 3 � / TEL. "� STATISTICAL CIA�IFFATION APT. CO (n deemed revoked. CONTRACTOR / %i/,d/fl NO.11131 !y' // Z LICENSED CONTRACTORS DECLARATION / ,,..// !u/ LIC CLASS No. DWELL. UNITS__ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /( W, CGy G S7- NO. (commencing with Section 7000)of Division 3 of the Business and �•,/ Z�/n� LIC �{ SEWER MAP Professions Code, and my license is in full force and effect. CITY < (�(} Z Y CLASS `!' BK PG2S VALIDATION ,�r5i SO. FT 'INC. OF NO, OF CHECK License Number f�/l ./ Lia Classy 1 SIZE STORIES FAMILIES ONE �4`r•� 0C/-/V (- S'/ DESCRIPTION aO�F WORK O b /� 1J ON NEW ❑ VALUATION ❑Contractor Date NeWZVe% LHC ADD $ , 7 8 4.8 A I am exempt under Sec '7r ALTER ' f / (//� 'pe 8.8P.C. for this reason 4—L 'AY REPAIR ❑ $ ee 023 ate: EXISTING BLDG. DEMOI ❑ •I( ° 5 5 2 7 2 s Signature f/i^e"'�� APPLICANT TEL. 5 OWNS -BUILDER DE2 ARATION PRINT NO. pgTEL 'e e 5 5 2 7 2 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FI e23 F/ . ... ' Professions Code): PRESENT ;) ° ° 9 1.8 0 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and , a e e 9 1,8 0 v the structure is not intended or offered for sale(Section LOCALITY ( Q 2 6 it 8 7 7044, Business and Professions Code), MOVING TEL, 8 1 9 $ A 1, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS # ° • e •to 1 tion 7044, Business and Professions Cada). CONSTRUCTION LENDING AGENCY SE�BACK YARD HWY TOTAL LSSETBACKNE WIDTH - - '` , - is 7 6 A 7 5 1 hereby affirm that there is a construction lending agency for FRONT •.• 768'755_ the performance of the work for which this permit is issued P.1. #�. _ --- ` (Sec. 3097, Civ. C.). SIDE P.I. G 26-87 Lender's Nome ` LDMAI R.I. q• ` m Lender's Address P.C. Fee$ s Permit Fee I certify that I have read this application and state that the / Issuance Fee (/ LDMA'P/Glk above information is correct. I agree to comply with all County Investigation Fee r ordinances and State laws relating to building construction, ' and hereby a�thor' a representatives of this County to enter Total Fee LDMA Penn. R upon the abontio r perty for inspection purposes. .r.�+•� Ll7�7��/ SEE REVERSE FOR EXPLANATORY LANGUAGE Sidn'aVfe of Applican or Agent Date