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HomeMy Public PortalAbout9745 CRAIGLEE ST_Building__ 76A638A CE#8035-61 APPLICATION FOR BUILDING PF l COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEERAooREs - r BUILDING AND SAFETY DIVISION LOCALITY C II JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS DIST ICT NO. GROUP PE J ESSED BY FOR APPLICANT TO FILL IN , p Sl CONST. �{ BUILDING ---- -- STATISTICAL CLASSIFICATION WERMAP ADDRESS -- - "- '50K q. E _ CLASS. NO.—/-DWELL.UNITS__Z_l LOT NO. BLOCK WATER NOT REQUIRED R71 RECEIVED CERTIFICATE: LAW TRACT MAPHIGHWAY STATE MAJOR SECOND, LO AL r NO.OF BLDGS. NO.e-!C+0 ' (CIRCLE) � SIZE OF LOT !s0 X J l yl- I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS ` EXISTING BLDG. TEL r OWNER // 7 `7L NO�. AME 4 BUILDING EXIST. ADDRESS 6 J ,r� /-�-T✓- /i-- E _/,Y/ FRONT YARD HWY E SETBACK WIDTH ARCHITECT OR TEL. P. L. > ENGINEER NO. SIDE ILO P. L. ADDRESS V / TEL. INSPECTION RECORD oe CONTRACTOR 's�%. L(-y.NO. Q H ADDRESS W DESCRIPTION OF WORK N z NEW AlIf ADD ALTER REPAIR DEMOLISH SQ. FT. ` 0, NO.OF NO.OF �IZE L u' �� STORIES FAMILIES USE OF STRUCTURE Od t SIGNATURE OF J APPLICANT VALUATION$ 47-11 APPROVALS DATE INSPECTOR'S SIGNATURE , \ FEE $ M�a FOUNDATION: LOCATION FEE $l 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, 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 COMPENSATION INSURANCE. LATH,EXT. SIGNATURE O HOUSE NUMBER COR- ' PERMITTERECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL ST CTyRAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH / PERMIT VALIDATION cK p M.O. CASH - 7 .ti TEMPLE CITY 76A636A CE.} 6031.62 APPLICATION FOR BUILDING P COUNTY OF LOS ANGELES BUILDING_ - _. DEPARTMENT OF COUNTY ENGINEER ADDRESS" BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DIST CT NO. GR0TYP CESSED BY FOR APPLICANT TO FILL IN CO r. BUILDING --- STATISTICAL CLAS KATION EWER MAP ADDRESS -- -- _ s BK/-, G CLASS. NO. DWELL. UNITS LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT MAP HIGHWAY STATE MAJOR SECON ,LOC L NO.OF BLDGS. NO. ccIRCLE) SIZE OF LOT_44F NOW ON LOT USE ZONE SPECIAL USE OFING BLDG. r. .7 9 9 ,� CONDITIONS XIS ET ` TEL. OWNER .4 a Y 41V- I.ig NO. eltly LDING EXIST. ETBACK YARD HWY NAM WIDTH ADDRESS S ' FRONT ARCHITECT ORTEL. P. L. ENGINEER / V,rJ NO. SIDE �'� P. L. ADDRESS - t' �JQ L, d TEL O� CONTRACTOR /� / Q7N 0. / ADDRESS DESCRIPTION OF WORK w tn NEW ADD ALTER REPAIR DEMOLISH Z SQ. FT. NO. OF NO. OF SIZE _ STORIES FAMILIES USE OF STRUCTU p' t SIGNATURi OF APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE _ PMTFOUNDATION: LOCATION FEE $ FEE $ � FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- - PERMITTEE RECT AND POSTED ADDRESS "'v FINAL JOHN F. LEWIS. PRINCIPAL STR�UC-TURAL ENGINEER �.") PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION M.O. CASH 0 () 0 3C%.50, TEMPLE CITY 79AS38A CE#909. 1-8, APPLICATION FOR BUILDING PER COUNTY OF LOS ANGELES BUILDING - DEPARTMENT OF COUNTY ENGINEER ADDRESS _ a BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. " FOR APPLICANT TO FILL IN DIST® G OU TY `P C SS ED BY CONST BUILDING _ _ - STATISTICAL CLAS 1FICATION SE ER MAP ADDRESS IK �G" CLASS.NO. DWELL.UNITS_— _j_ NO. B70 -"'� r BLOCK WATER NOT REQUIRED RECEIVED �Q� CERTIFICATE: TRACT •�Y `C `'"N�`rG�fJl++m°` - i�fC MAP _ - HIGHWAY NO.OF BLDGS. NO; (CIRCLE) STATE MAJOR SECOND, LOCAL SIZE OF LOT. I NOW ON LOT USF ZONE SPECIAL USE OF ,,,��� ` CONDITIONS EXISTING BLDG. /; p / '- ` TEL. i� v l OWNER NO. - BUILDING EXIST. ♦ SETBACK YARD HWY NAME WIDTH' ADDRESS /`nn //Ic�'�'�+-e-/l�G�w�'t�G-. FRONT ARCHITECT OR TEL. P.L. ENGINEER NO. SIDE P.L. ADDRESS TEL. INSPECTION RECORD O CONTRACTOR. NO. - V ADDRESS - DESCRIPTION OF WORK _ W CL NEW ADD ALTER REPAIR DE OLISH ' 1 W SQ.FT. NO.OF .//' L Z IZE STO IES FAMILIES USE OF STRUCTURE �f�z 7 SIGNATURE OF f S /1' - , !1 I ("Al APPLICANT I ' I I- VALUATION VALUATION$ ���I w nr APPROVALS DATEil�r INSPECTOR'S SIGNATURE _ PMT. FOUNDATION: LOCATION FEE $ �`-' FEE $ FORMS,MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 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 COMPENSATION INSURANCE. n LATH,EXT. / / SIGNATURE OF / _v £ / HOUSE NUMBER COR- PERMITTEE 'RECT AND POSTED ADDRESSFINAL (lIq CLYDE N. DIRLAM, PR14C'IPAL`STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAII.IDATION cK M.O. CASH UEc 0 0 8 0 JJ>_ 7 1 U 2.0 0 t .V DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS UILDING 1 WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY UILDING DISTRICT NO. PLAN CK.NO. t PERMIT NO`_ B � ADDRESS - _ Z31 'S LOCALITY // �q h� ¢� y /y RECEIVED BY DATE OFAPPL. AATE{IBBUED CNEAREST ROSS ST, _//�r�O BUILDING OWNER 4 1 W ADDRESS MAIL r��a A/ �� LOCALITY L ADDRESS .31 ��/ SST CROSQ Al / �.o TEL. � CROSS 9T. (�' CITY �IQ At >� /C. � �A d L. NO. FIRE PLANS � Type-::17-41 YPE GROUP-•r ARCHITECT OR / TEL. ZONE -�— PLANS `7� ENGINEER y ND. BLDG. ORD.NO. ' ADDRESS 9ETBACKLINE D /C r� APPROVED TEL P,�p� BY DATE CONTRACTOR �9 NO• FF USE /' APPROVED ADDRESS Q ��� !Se& ZONE /7- BY DATE LEGAL `gym d CORRECTIONS DESCRIIP��TION,,yy,,, LOTNO.��Cl TRACT 4�/C!n7rA. A !•C�1 4,0'A SIZE OF LOT NOW ON LOTTs. J EX STOING BLDG. ll��r�.L�.I��PJ I FM OIE I ROM13-OOF MS :3 ! L7 [1'�7/- .--u� d"'- DESCRIPTIO OF WORK NEW ALTERATION AD7/PAolf / �y REPAIR MOVING DEMOLISH �� �7/ � 6../1AI ® �4 ,PI`. p. Sq.FT. NO.OF // _ SIZE ROOMS STORIESWALL g n r COVERING 1 �641i'd� I ROOF COVERING �Q�99 �� % '�/��Cl mA1 B U i LD I NNGEW Aul e GS. & A 9,% r9 �:�j ve� ��.•-*�t,�' .d�Ys'�fr" I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIOM: LOCATIONSPECTOR DAT[ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALSi AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS. SIGNATURE OF l/�' ,/� BRACING.BOLTS PERMITTEE tCy A - - LATH, INT. AUT RIZED AOT LATH, EXT. 7'GA63BA-3 2-50 $ � �� P.C.10 PLASTER.INT. FEE _ PLASTER.EXT. 28 VALUATION FEE �r� FINAL 1.) DIVISION OF BUILDING AND SAFETY Department of County Engineer B County of Los Angeles WM. J. FOX, COUNTY ENGINEER PLICATION FOR APPLICANT TO FILL IN F OFFICE USE ONLY DISTRICT NO. PLAN CK.OR RES.No. PERMIT NO. BUILDING 4 4 O� ADDRESS �fUqEIVED BY DATE OF APPL. D E ISSUED LOCALITY NEAREST Gs� CRDSB ST. BUILDING`/}�t/�f�J ,✓�L�YL-`�n.l ADOREB OWNERMAIL LOCALITY 1 �`YV�-L�l� 1 T V ADDRESS n; 7 L! $ , NEAREBT 1 Q 4 1 �� TEL ! CROWS BT. CITY f�-��✓1+i.�L.sCA. NO. (� ��� FIRE NO.OF TYPE GROUP ARCHITECT DRV TEL ZONE '�I PLANS ENGINEER V NO. BLDG. Q ORD. NO. SETBACK LINEUSE Z ADDRESS TEL ZONE 1�'�, By DATE DATE CONTRACTOR NO. HOUBE NUMBERING ADDRESS MAP NUMBER `00 NO. ASSIGNEDLEGAL "CP BY DESCRIPTION LOT NO. 1.e� S�, .� CORRECTIONS TRACT N T 4 A, (I T A _Ah A;'0 C, 1—X sl ,�,�- m. OF BLDG& SIZE OF LOT J U(�v►JOWONLOT USE OF NO. DF EXISTING BLDG. FAMIL16e DESCRIPTION OF YWORK 0 NEW ALTERATION ADDITION Z D r REPAIR f p DEMOLITION FT. H SIZE -J G .3�.{✓,[,�,�-R OMB STORIES EXT.WALL SOI ROOF COVERING OOVERING USE OF STRUCTURE t a v T INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR"'8 SIGNATURE DATE F I LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, n CORRECT. BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LQCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTI1 GA8 VENT, DUC ON. TS , SIGNATURE OFLATH, INT. J� PERMITTE �] LATH, EXT. Z— ADDRESS (4 A t4 PLASTER, 1 NT. AUTHORIZED AOT. PLASTER, EXT. FEE HOUSE NUMBER COR- '600 QR- S® O RECT AND POSTED VALUATION FEE # � J; • FINAL 76A636A DBS 3 1-52 DB•3 25M SETS 9-44 APPLICATION FOR PERMIT ✓ DEPARTMENT OF BUILDING AND SAFETY 4'.' COUNTY OF LOS ANGELES �JILDING �J 1 11 �I wgk.J. FOX, CHIEF ENGINEER N Sk OFA) BLDG. ORD.NO. DISTRINO. PLAN CK. NO. PERMIT NO. PLANS f9iz^ SETBACK LINE FIRE APPROVED .J ZONE BY �. DATE RECEIVED BY DATE OF APPL. DATE ISSUED ZUSEONE APPROVED �^ BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY � O a, NAME ADDRESS �, `y W Z ADDRESS LOCALITY f 1--1 rFP" I O NEAREST f � U W CITY . CROSS ST../� 6s+sem F� � �r� 5'R Vis. E 3 f P f Q LlrCE E Ni NEL. NAME c%.m✓�`:1 t 11 1 � � z MAIL 11E NAME 3 ADDRESS G+". 0 �. p /�j Q ADDRESS CITY Z/ P s NOy�' - Ir E (� IZ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS \`` 0 CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. ®e AND STATE LAWS.REGULATING BUILDING CONSTRUCTION. O LOT n0 e�sSIZE OF LOT �� SI OWNERS OF f -' �? NO. OF BLDGS. ,�v��w, �.{i� AUTHORIZED AGT.� L:lt 'r til l QC BLOCK NOW ON LOT � 4'�Gs�.: O� � d r "10 TRACT 1 V/ CORRECTIONS 0 USE OF BLDGS. !f .....-- '�- v NOW ON LOT \"`•"'w. .'7�.a., r_�¢i`-t%? DESCRIPTION OF WORK 1 ._. �•- }� J �; USE OF BUILDING a/sl�-✓�' �T".e'',6/..r_e^ J 0 X Z D r NEW TYPE GROUP NO. OF n0. OF ALTERATION ROOMS FAMILIES ADDITION SIZE REPAIR STORIES MOVING WALL COVERING DEMOLISH I ROOF COVERING P.C.$' FEE FINAL APPROVAL /�- I INSPECTOR'S - VALUATION FEE DATE 7 NAME (�V WORKERS'COMPENSATION DECLARATION `` hereby affirm that I havecertificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insura or a certified copy thereof (Sec. 3800, Lab. ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company L 1. . ' ' r` Cer' ' d-copy.is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified 'copy is filed with•th my buil ' ins ec- BUILDING fC tion departmen . ADDRESS [' 0 ( LOCALITY- 4 NEAREST Date G� o pplicanf CITY t " ZIP CROSS ST. RTIFI ATE OF EXEMPTION FROM WORKERS' 1i., NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one US NE MAP r c� 'hundred.dollars ($100)or less.) TRACT BLOCK LOT NO. NO. L TEL.`�,� '7� � SPECIAL ;► I certify that'in the performance of the work for which this OWNER Q.�/. NO.,?; /c CONDITIONS permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPNSTE FIRE PROCESSED BY O CO so as to become subject to the Workers'Compensation Laws. ADDRESS vZ__ Say :. ZONE Date Applicant CITYARCHITECT OR t ZIP TEL. STATISTICAL C SSIFICA710N APT. CONDO. ENGINEER NO. NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become .subject. to the Workers' CLASS NO.T/ UNITS Compensation provisions of the labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be c Z deemed revoked. div �TEL. S Z BK PG VALIDATION CONTRACTOR � NO. LICENSED CONTRACTORS DECLARATION / a LIC. 7 J I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS, ! �< �C�/ ee � 4y C,-� S4L VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and eff CITY �Ll U r"�y CLASS (,o SQ. FT. NO.OF NO. OF CHECK Lic.Class` SIZE STORIES FAMILIES ONE Cont U Z 1 Q DESCRIPTION OF WORK C )��� l NEW o $ l( ADD ❑ I am exempt under Sec. ALTER E] NAL B.BP.C. for this reason ' N c �_.__ REPAIR DATE Date: USE OF DEMOL FIN EXISTING BLDG. • By Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINTNO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason,(Section 7031.5, Business and ADDRESS Professions Code): PRESENT 4, ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. ;25723A with licensed contractors to construct the project (Sec- ADDRESS #.0 o o •.0 11 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH o o 7 a Q 0 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. o 0 0 7 a 0,01 (Sec. 3097, Civ. C.). SIDE m P.L. 1 0.21 :86 o Lender's Name P.C. Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with.all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 6 u and by authorize representatives of this County to enter m u on tabov me tinned property r inspection purposes. I a - l U -` �(� SEE REVERSE FOR EXPLANATORY LANGUAGE . Signature of Applicant or Agent Date - •®S