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Home My Public Portal About9656 CRAIGLEE ST_Building__ APPLICATION per, } PERMIT p cI T #8038.63 X19 PLICATION FOR BUILDING LL EY\MIT 6A 638A CE COUNTY OF LOS ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER ADDRESS , BUILDING AND SAFETY DIVISION LOCALITY s JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO- G P TYPE ' !�- PR ESSED,3Y FOR APPLICANT TO FILL IN �� CONST. BUILDING 'STATISTICAL CLASSIFICATION SEWER MAP BK PG ADDRESS CLASS. NO. DWELL. UNITS LOT NO. BLOCK WATER NOT REQUIRED RECELV ED CERTIFICATE: LLEl . TRA .MAP a :: HIGHWAY STATE MAJOR SECON LOCAL) NO. OF BLDGS. NO. CJ(/ (CIRCLE) SIZE OF LOT NOW ON LOT - USE ZONE SPECIAL USE OF CONDITIONS EXISTING B G. TEL. / OWNER NO � '134JILDING EXIST. p� SETBACK YARD HWY STREET NAME WIDTH ADDRESS e t FRONT ARCHITE OR TEL.-;" - P. L. iC 17� x ENGINEER NO. SIDE P. L. ADDRESS p, T .,. O CONTRA ADDRESS :✓cl/ 0 DESCRIPTION OF WORK _ri Lu G S�rtil/G�p_o G//��✓G,/✓l� a NEW ADD ALTER REPAIR DEMOLISHSQ. OF / C� ,(, �I,� !.�•.t� � [9 SIZE T STORIES FAMIOLIES / USE OF �J �I/o�ryl�Y. IAY1,,/// STRUCTURE `7G �/:BY6�� - `..� �� -7,P.:��J",t•.�^ .A SIGNATURE APPLICAN VALUATION $ - APPROVALS ,,,.,DATE I NSPECTOR:g SIGNATURE � PC PMT FOUNDATION: LOCATION- FEE $ � FORMS. MATERIALS !per• f $. � FEE _ FRAME: FIRE STOPS, PO• 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 BUILDING 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 kNSA ONI1!.N,U A E. LATH. EXT.SIGNATURE / HOUSE NUMBER COR- , PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEERV PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION cK M.O. CASH LiUG d 'r UL� :'.'.r�Y 7 s o 1 1.5 c I - Y` oA638A CE#803 6-63 APPLICATION FOR BUILDING 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., GROUP TYPE ,r PROCESSED BY r FOR APPLICANT TO FILL IN // CONST. BUILDING �/' �" - STATISTICAL CLASSIFICATION s SEWER MAP ADDRESS ` a� / /' BK .-�P.G- CLASS. NO. / DWELL. UNITS LOT NO. BLOCK - WATER i CERTIFICATE: NOT REQUIRED ��' RECEIVED ❑ TRACT In - MAP •�� ov, "';� HIGHWAY - _ NO.OF BLOGS. t NO. r_'� �l _-'1 (CIRCLE) STATE MAJOR SECONDiILOCAL 's SIZE OF LOT_f5' NOW ON LOT ; USE ZONE ` SPECIAL � USE OF _ .� CONDITIONS ) EXISTING G. ` TE L�j �+ ::,2 . -'I OWNER Ni' BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS G FRONT ARCHITECT OR. - TEL. P. L i ENGINEER NO. SIDE •j "'.' fir-- �. P.,L. ADDRESS l =��'f`'11 if Z 'r• �:5��.,;.-;...I TEL i ')/1- I'> 8" F,, ti:.tJ{ I. 1 0 i CONTRACTO ,.- ? LAz •' ADDRESS DESCRIPTION OF WORKy CL p NEW ADD ALTER REPAIR DEMOLISH ,pJB ..c.�, istA SQ. FT. -.�` NO. OF NO. OFdf '' "`� t. s',!.'' s i• `S '? i x SIZE ,.� STORIES FAMILIES ! ;"� �J' If` lr' 'ti• q sp USE OF `-j !""'' ¢,^`�'�i� .+C' ✓. STRUCTURE '!}! s,fir I S SIGNATURE ? APPLICAN VALUATION $ h --f`1�.; L) APPROVALS ;DATE, 'S INSPECTORSIGN TUBE. P.C. 3,ay } ..PMTS FO LOCATION(-- J{ FORMS, MATERIALS FEE $`-- '-��/..• C'r�' FEE AME: FIRE STOPS, ?'+9 a t�-S•,',> I HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS 1r ry >' +""r` "" '` •is��"'`'f' AND-STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. '1 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- LATH. INT. TION OF THE CODE OF THE STATE OF CALIFORNIA RELAT. "- ING TO WORKMEN'S COMPENSAT N IN?�NLATH. EXT.SIGNATURE OFHOUSE NUMBER COR-PERMITTERECT AND POSTED ' ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL STRRILIETJURAL ENGINEER PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDATION n/ M.O. CASH i IIJIi l WORKERS' COMPENSATION DECLARATION' I hereby affirm that I have'a'certificate of consent to self D DCAU O D O D insure, or a.certificate of Worke.'rs'.Compensation Insurance; D D or a certified'cap y,thereof (Sec. 3800 Lab C ) COUNTY.OF LOS 'ANGELES BUILDING AND SAFETY. Policy No Company BUILDING ❑ Certified copy is hereby furnished.- FOR-APPLICANT'TO FILL IN ADDRESSEl S Certified copy.is filed with the.county-building inspec BUILDING tion.department ADDRESS 6 C AIF PPlscant r LOCALITY ' ZI CITYP Date` CERTIFICATE OF EXEMPTION FROM .WORKERS' :' SIZE'OF.LOT NOW_ ON LOT COMPENSATION 1NSUR;4NCE ` NEAREST CROSS ST. ASSESSOR,, (This section need n`ot b'e>compleTed`if the.permit is for-one TRACT BLOCK LOT NO:" MAP BOOK _ PAGE PARCEL hundred dollars($100)or less)' . TEL. OWNER NO. USE'ZONE,: MAP I certify that in the performance:of•:the work for'which this. permitls issued,;[,shall not employ,ariyperson,in any manner NO. so as To becomes, ject To the Workers' Compensation Laws. = CITY..: _ ZIP SPECIAL . CONDITIONS U. Dare � Applicant ✓ ARCHITECT OR'� '. TEL:. ;, � . NOTICE;TO APPLICANT:, If; after>%maksn Thss Certificate of x ENGINEER = -NC. •. TYPE FIRE S DISTRICT, GROUP- PROCE SED BY: 91 CONST. ZONE O. Exem'ption,, you,. should .become ;subject to:The. Workers'. h�/ w Compensation provisions of the Labor,:Code;,you'must:forth- ADDRESS �/O '33 P y i P i 'permitSTATISTICAL.CLASSIFICATION' APT. CODO. with comply with such 'pr or .This shall be TEL. deemed revoked CONTRACTOR o. L _ n / LIC. CLASS NO. sa�• DWELL. UNITS N' r. LICENSED CONTRACTORS DECLARATION. ADDRESS ( I' NO. ?J 1 hereby affirm that•]am'lice nsed under provisions of Chapter,9 -,... //�� q U (commencing with Section 7000)of Division 3-of the Business CITY W. /s� CLASS SEW MAP and-Professidns Cod ;,and mylicens ss;in full force,and effect. BK ER PG VALIDATION Q. FT NO. OF.: NO. OF . ��CK �; SIZE STORIES' FAMILIES ONE F. License Number Contractor /•'/( 7"�!6� �) e, Z Q VALUATION' DESCRIPTION OF WORK. NEW 'ADD ❑ VALU 1 am exempt-under.Sec: 1. a ... ALTER., aD ... _, c a ,.. .. '❑ B.&,P.C. for'this reason ` .' •S $ , REPAIR ❑a Date U E OF :. ,.. EXISTING BLDG. DEMOL ❑ Signature APPLICANT; TEL., -.. FINAL ` OWNER-0 R-DECLARATION r (PRINTj. N0. I hereby affirm_that.l am exempt from the Contractor's License -- - DATE Law'forthe"following-'reason (Section 7031.5,' Business and ADDRESS FINAL'j LZ ,Professions Code) 4 PRESENT BY_..: -1] " `' i BUIL ING El 1, as owner of The property or my employees with ADDDRESS 1"} H °g wages as`theirsole'-compensation,will do the work'and - the structure is not intended or offered for sale(Section LOCALITY 7044, Business•and-Professions Code ) MOVING. TEL. CONTRNO. - ❑ t;.as owner of'the' property, am exclusively contracting ACTOR .5 f with licensed contractors'to construct Th'e�project (Sec s+_ ADDRESS s s . _ tion 7044, Business and Professions Code) - REQUIRED' TOTAL SETBACK FROM' EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HN/Y PROP. LINE' WIDTH•_ �' T' �^ I hereby affirm that there.-is a construction lending agency for FRONT The performance of the work for which'.this permit is'issued P.I.`: rt = a. •' (Sec. 3097, Civ. C.). SIDE.' Lender's'Name ;;sal; s. 7 r i if 7 - y�-- \ r LDMA Ref. #- JC P.C•..Fee$ Permit f� 3 Lender's Address Fee ��O - 1,t;• NI a l E: i3 00,• D : I certify that 1,have'read.this,application'and state That_ihe Issuance Fee LDMA P/C# above information is correct. I agree to complywwith all County Inve'stigation.Fee 8 ordinances and State laws.relating to;'building construction, = Total Fee ��o LDMA Perm. # a and hereby authorize representatives'of this County io.enter upon the abo -mentioned pr' r' for.inspection purpos� SEE REVERSE-FOR EXPLANATORY LANGUAGE _ Signature otfZpolicant'or Agent' - Date' - :