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Home My Public Portal About9701 CRAIGLEE ST_Building__ APARTMENT OF BUILDING AND SAFW" APPLICATION FOR PERMIT COUNTY OF LOS ANGELES *'' pk{'' WM. J. FOX. CHIEF ENGINEER W L DI D�J�`�?gpgl W G• - - FOR APPLICANT TO FILL IN ~ FOR OFFICE USE ONLY J DISTRICT NO. ' PLANCK. NO. PERMIT NO. BUILDING_, ' 7O/ 0 -/ /+ LOCALITY �"` �, RECEIVED BY DATE OF APPL. DAT ISS E NEAREST CROSS ST. - A B ILDING ADDRESS G ' OWNER��jI MAIL �� LOCALITY ADDRESS fl o � 9 NEAREST / CROSS ST. (, CITY NO. f9 FIRE 'NO. OF TYPE GROUPp'' ARCHITECT OR,, TEL. ZONE I PLANS,Z� I - E+4GjNEER NO. BLDG . _ SETBACK LIN ADDRESS APPROVED - I G d. TEL i BY DATE CONTRACTOR ..// `f /�/7/�C NO. lusk ZONE ABYPROVED /n I- '//JDATET/L� , ADDRESS !�•1�3 /p �� 'ZI� � ` r jtl HOUSE RUMBERING . LEGAL DESCRIPTION I LOT NO. BLOCK- MAP NUMBEtR\��J - y FIELD CHECK BV TRACT ` NO. ASSIGN ED�B.I�- �'G'•DATF' NO. OF BLDGS. ' CORRECTIONS SIZE OF LOT J I NOW ON LOT /� USE OF I NO. OF -'t'• � �%� � �J✓ �` EXISTING BLDG. FAMILIES - �� '� t► �� e,+ -,t �.B d) -✓ DESCRIPTION OF WORN Ys�' iCflC •, NEW I �I ALTERATION I I ADDITION I.7"� F� ' +'c � p REPAIR I _ I DEMOLITION I I. / -SQ. FT. NO. OF SIZE f'�,1 ROOMS '� STORIES ./� EXT. WALL ' .I ROOF COVERING COVERING ^ � �.�'C3 D, USE OF STRUCT RE APPROVA Sv _ INSPECTO 'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATIONG`y. F.�... ' PLICATION AND, STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. - - 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, - HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS `� u�:,-�•. LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, lE� ��v��Z. SIGNATURE OF /'Vr�^ � �+ GAS VENT, DUCTS f�•:�'" PERMITTEE !ll��JJJ"t ..•a��??{/l' /I?: i .�- ,r z'� LATH, INT. ADDRESS�}�y.ja / ii .!1' CL�,✓.�9'ft�,1(i�L� �.9., .� G ��) "LATH, EXT. AUTHORIZED AGT: - PLASTER, INT. 76A638A, DBS3 10=50P. P. C. $ /`� - ' FEE / . 3 A- PLASTER, EXT. VALUATION FEE $ A O FINAL P cl r ,^, KERS'COMPENSATION'DECLARATION t I he `c a-ce that I have a certificate of consent, to self (� / �.O nsur4;orr�ce;trFicate of Workers'Compensation Insurance, O r or a certified copy thereof (Sec. 38001Lab. C. COUNTY OF LOS ANGELES BUILDING:AND SAFETY Policy-No Company y �:` Certified copy is:hereby furnished': FOR APPLICANT TO FILL IN' BUILDING _ ADDRESS Certified''copy is filed'with the county building i'nspec- " ' BUILDING U tion`department. ADDRESS �`'� f ��i 6 t-C Date '• Applicant. CITY 7 ZIP LOCALITY CERTIFICATE OF EXEMPTION°'FROM WORKERS• _• " -NO. O D S NEAREST _ L G . COMPENSATION INSURANCE SIZE OF LOT NOW e ON LOT / CROSS ST. (This sectionr.need`not be'•completed if'the.permit;is.,.for one -- - -- -,�• ASSESSORK - - _ Yit�:,: : , hundred dollars.($100)or,less.).. - TRACT BLOCK LOT NO. MAP BOO PAGE Y PARCEL ` ��'` TEL USE ZONE MAP OWNER I�tJl.- C'-- iTF.G T- NO.: S—DO I certify, that in the performance'8f'the`work for-which this NO.` >. permit is issued, I shall`not employ any person to any manner /� s SPECIAL ®' 'a as to beZ&he'sublect to the Worker "Compensation aws.'. ADDRESS •�?O/ E. ---(�.�/qy ss.( ---- -• - CONDITIONS ' a y .. p2. Ip CITY 1 �:._... .. ZIP.- `.Date App1ican ARCHITECT OR TEL. NOTICE-NO APPLICANT:'If, offer making thtssCertificate of: ENGINEER DISTRICT GROUP TYPE EIRE PROCESSED BY Exempti'bh, you*.•should become subject to-ahe,Workers' /,Y r CONST ZONE tJ. Compensation provisions of the Labor.Code you,musT forth- ADDRESS S Aa'= with comply-with such,provisions or this permit.shall be TEL.-_ STATISTICAL CLASSIFICATION• g deemed revoked +:. CONTRACTOR NO. APT. C DO LICENSED CONTRACTORS DECLARATION ,,. _. _.. _ CLASS No: �[ DWELL ur3iTs . LIC.•- I hereby affirm that I am licensed under,provisions of Chapter 9 ADDRESS NO.' (commenting with Section•7000)of'Dtvision 3 of the Business and _ - _ _ LIC _ SEW P Professions Code, and my license is in full:force and effect. CITY CLASS `- ER AAA .; r� Y BK. PG. VALIDATION SQ. FT. NO. OF NO.OF CHECK VALID License Number " Cic.Class SIZE STORIES FAMILIES zti VALUATION . .c DESCRIPTION°OF WORK'_. NEW _ Contractor Date �. ADD., � $ •JCI 1 'I am exempt under Sec. v. ALTER B.&P.C. for this reason REPAIR .0- $ - r 'Date:- _7-7 USE F Date EXISTING BLDG. DEMOL Q L_. o o 0 o c Signature APPLICANT TEL.— FINAL OWNER-BUILDER;DECLARATION PRINr) �/f/Q Gly r �s)-NO.�2ySr-0 0 _ ,,,,DATE hereby affirm that I-am,exempt from the Contractors License ° ° 7J 3 TO Law-for the following'• easom(Section 7031.5, Business and ADDRESS S FINAL' t ` 'Professions Code). . _. .. . . PRESENT - By0 3 3'0 0-0. = BUILDING I, as owner of the property, or my employees with ADDRESS r wages as Their sole compensation,wi Il do the work and A �,—� r '0'3, 1 2 .8-6 LOCALITY the structure is not intended or offered for sale(Section ' 7044`Business and-Professions Code). - MOVING - TEL. CONTRACTOR NO. f' I, as owner of,the property, am exclusively contracting with licensed contractors to construct'the project (Sec- "' ' tion 7044, Business and'Professions Code). ADDRESS REQUIRED. TOTAL SETBACK.FROM- CONSTRUCTION LENDING AGENCY' - SET BACK YARD HWY PROP, LINE WIDTH L hereby affiim that there is a construction lending agency for FRONT .the performance of-the work•for which this permit is issued P.L. - - -- - (Sec. 3097, Civ. C.). SIDE m P.L. Lender's Name LDMA Ref.'# P.C.-Fee$ Permit Fee - - Lender's Address - _ > - r. r I certify.that I have read this application and state that the Issuance Feer .-�-0 -LDMA P/C#•, -=-. D -- - above information is correct. I agree to comply with all County Investigation Fee m ordinances and State laws relating.to building construction, _ _ 2 u and hereby authorize representatives of this County to enter Total Fee 3- 'Q -- LDMA Perm: # upon the ve mentioned proper t for inspection purposes. - r ^ 9�- 3 / 6 SEE REVERSE FOR EXPLANATORY LANGUAGE -Signature of Applicant or Ag nt - -- ••Date