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HomeMy Public PortalAbout10629 DAINES DR_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES 9 ® � ((�8 ' "WM.J. FOX, CHIEF.ENGINEER L II .-FOR APPLICANT TO FILL IN =FOR OFFICE USE ONLY AA s , (� DISTR�TNO. _ 'PLAN�CK.—NO., PERM[ NoBUILDING / IDESCRIPTION DDRESS VJn _ Y LJ� RECEIVED BY - DATE OF APPL. DATE . OCALITY }A N /, \'•EAREST GIF _ •m -ROSS ST. 1BUILDINGADDRESS /Q ���1 fAl as WNER ��-AIL ,ILOCALITYODRE88 � � % G(� �f �! inI�n NEAREST L, l'w / NO. 'r FRROE58 8T. NO. OF TYPE // GROUP. Y�RCHITECTOR -r" - , Np' ZONE.G/a �y .BLDG. PUN/ ' //O OIZD. NO. NGINEER.' � ✓/�]SETBACK LINEDDRESS �) [/ / ` APPROVEDBY ONTRACTOR Uj/A), Al /A//lM/.N/O.' USE APPROVED• DATEDDRESS / D ( 2 / A;yzIL /1—cZONEBY HOUSE NUMBERINGDATE LEGAL 3ll LOTNO//. ; d / BLOCK MAP NUMBER FIELD CHECK BY TRACT •N� rJ �� �_ NO. ASSIGNED BY DATE '] 1� NO. OFBLDGs. -� \ CORRECTIONS- SIZE OFLOT / ,"� y '7r r, INOW ON LOT 1 . I, " . . US80F / NO. OF q K}`- Ii IISTING BLDG. ' rT/ d1GQ$ FAN LIES 6' .�. Cu-7o'Q a -.'DESCRIPTION OF WORK 4:p . NEW I I ALTERATION I. I ADDITION a _ ( 7 _[ i �. H / y Cr O REPAIR 'I I DEMOLITION I I I ;�✓-`�A/• r,J/'j/ n� O SO S IE !/ 1/ ROOMS STORIESj� /• J / D' SC / I i�rrJ✓U. EXT. WALL GG � (� / ROOF 'r' COVSRI NG ,KJ, d/(//hQ I COVERING J USE OF STRUCTVRE V ♦ -/ ' 2-0 APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP. FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FORMS. MATERIALS CORRECT. I AGREE TO .COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HERMON-AND WITH ALL COUNTY ORDINANCES AND $TATE BRACING, BOLTS_ LAWS REGULATING BUILDING CONSTRUCTION //// FURNACE: LOCATION, SIGNATURE OF �. �•'/f/�; •� 1/.0�r _Y�^/ GAS VENT, DUCTS PERMITTEE JI/N /p r // fX ADDR868 I'�X S Y J' NOS. a ri'vl l a 1 LATH, INT. r V LATH, EXT. AUTHORIZED AGT. PLASTER• INT. DeASSBA• DOSS ItrGO .4 �(T �, v P. C. 6 - - © FEE PLASTER, EXT. VALUATION' ♦ FEE 9 A/(jQ FINAL I � ,DEPARTMENT OF AND SAFETY �j r--='- - -- FOR PERMIT COUNTY OF LOS ANGELES IMUILDING WM. J. FOX, CHIEF ENGINEER B FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY l •� /(,(�/f DISTRICT NO. P�L�ANCK.,NO. (/ fERMJT�No. BUILDING ADDRESS t LOCALITY '♦ ( � RECEIVED BY DATE OFALPC D�AgT�E/�.199UED NEAREST /"?/�'.I-I �. / {_" ,•/ CROSS 9T. BUL OWNER / ,� I N DIp MAIL < �— LOCALITY ADDRESS ' `., O 1 e - 1 NEAREST . ') /NOL Y 1 -j ,�t. TCR SS ST. CITY �u, 1WV T •_ FIRE NO.OF TYPEmV` GROUP ARCHITECTOR TEL. �� ZONE PLANS ENGINEER NO. BLDG. /'�_© T I ORD.NO. ` ADDRESS SETBACK LINE ' I� I' /•�� '. ���/�+TJ�� APPROVEDTEL. ' CONTRACTOR G.JK�C/+ NO. BY 1 DATEUSE / _1( BYAPPROVED" ZONE LEGAL ,� I {ryfl- ' 8'` EORRECTISNS n f.HUNR.T10N TRACT > - t _ / 't 1� S Z-/ /I / ^ NO.OF BLDGB SIZE DF LOT +•asp��� - I NOW ON LOTmo. EXISTING B DA. " r OF •Fwrnu cs- I ROOMS DESCRIPTION.OF WORK I . NEW ` ALTERATION ADDITION i O A REPAIR n // MOVINGGt Hp.FT./� a O ROOMS V 1 Z. SIZE �^ STORIES v >� COVERING PIATWALL el? I COVERING 1 1 ' '�{j 119E OF NEW ((/qq/ � ♦ I BUILDING rl o 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS I APPROVALS i t APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE E AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION:LOCATION F;ORMHr MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 FRAME: FIRE BTOP9. SIGNATURE OF /M//`A 1/ / BR .BOLTS PERMITTEE C�6/6{/ 7•C_i1J/J� ' 1 -..�—��' / ' / 1 r LATH, INT.: NTINT.: AUTHORIZED AUT LATH,EXT:: 0 G oes-a son sets v-av $ � P.C.® O f) PLASTER.INT. - �' 5 FEE $ I I u =xzl—� VALUATION FINAL kk FEE d? WORKERS'COMPENSATION DECLARATION I hereby affiim that I have a certificate of conseHt.tb'ielf` 7yp� �p�7�/�{r�d �(ya � �FI��,1rII gyp} �I��L p �I��p�(,q� D app D �/ryL p/L7� LI IS •insure,'ora certificate of Workers' Compensation Insurance, : + A U LO LIMON FOR. 1 UO LDONG PLSRMOT ' or "S ertified copy thereof (Sec. 3800, Lab C.) . 41Pjlf y / r`- .COUNTY OF LOS ANGELES - - BUILDING AND SAFETY Pobcy tib.3�� J S Company 1 - BUILDING O .. Certified copy is hereby furnished. FOR APPLICANT TO FILL IN - ADDRESS ,. N& Certified copy is filed with the county building inspec BUILDING - I ion d� apartment. - • ADDRESS I E LOCALITY INW 611lL/ Q.- NEAREST ' .Date �!' /J Applicant�f/Vb� 6vykOBLl CITV - ZIP CROSS Si. G� CERTIFICATE OF EXEMPTION FROM WORKERS' I r / NO. OF BLDGS. rr�� - ASSESSOR COMPENSATION INSURANCE SIZE OF LOT Q NOW ON LOT rr MAP BOOK I PAGE PARCEL (This section need'not be completed if the permit is for one .. n USE ZO MAP hundred dollars ($100)or less.) TRACT h' BLOCK LOT NO. NO. DO OWNER TEL /, SPECIAL Y 'f certify that in.the performance of the work for.which this ) OWNER hl Q �/� NO. �� CONDITIONS d permit is issued, I shall not employ any person.in any manner i DIS RICT - .GROUP TYPE FIRE PR SSED`Y •O ADDRESS 0 Q cs CONST. ZONE V so as to become subject to the Workers'Compensation Laws. j rT �, Date ' - Applicant ( CITV ZIP STATISTICAL CLASSIFICATION A . CONDO. F- '� ARCHITECT OR TEL _ - V NOTICE TO APPLICANT:.If, after 'making this Certificate-of ENGwEER ' - NO �. - W Exemption, you should become 'subject'.to' the Workers ' _ - a CLASS NO, a DWELL. UNITS - Compensation provisions of the Labor Code, you must forth- ` ..: _ i _ Vs ADDRESS -- . SEWER MAP with comply with such provisions or this permit shall be - - Z deemed revoked. - TEL' /�.-� VALIDATION CONTRACTOR cgs- 'NO. BK. `PG, , LICENSED CONTRACTORS DECLARATION LIC hereby affirm that I am licensed under provisions of Chapter 9 - ADDRESS 1,3111(r, Jt NO. VALUATION - - .(commencing with Section 7000)of Division 3 of the Business and S /,.'I UC //_I .n � Professions Code, and my license is in full force and effect } CIT! Werr 6W CLASS P—I $ /� D /J > SO. FT. NO.OF NO.OF CHECK License Number �, q tic Class IJ _ SIZE .L (7 STORIES FAMILIES ONE - - /'1(-Fl/v`a IYI�� }, DESCRIPTION OF WORK- NEW ❑ S Contractor Y- Date � S 3 ' { r ADD ALTER FIN' L 77 . I am exempt under Sec �'�` �` 4 � 3 A B.BP.C.rfor this reason I REPAIR ❑ DATE Date: . . '.{ USE OF DEMOL FINAL EXISTING BLDG. )1100 e- ❑ By ; Signature APPLICANTTEL. p OWNER-BUILDER DECLARATION PRINT d"$,�i 1 hereby affirm that I am exempt from the Contractor's license ADDRESS S �� Wr cvu/ /v Low for the following reason (Section 7031.5, Business and A Professions Code): PR NT V�J l "y iy 1 6 a'8 A. ❑ BUILDING - I,�as owner of the property, or my employees with ADDRESS f � wages as their sole compensation,will do the work and . - - $R • • • • • 1 the structure isnot intended or offered for sole.(S_ection LOCALITY ' 7044, Business and Professions Code). : '� MOVING TEL. - 2�• 1,4 36 3 . 1,.as owner of the property;am exclusively contracting. jCONTRACTOR NO. with licensed contractors t(5 construct-the'projed.(Sec- t - r••• 1.14 3.,6 3 czi tion 7044, Business and Professions Code). ADDRESS - REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. - - 0 5,0 3—'8 3. CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH 'I hereby affirm that there is a construction lending,agency for. .FRONT - D the performance of the work for which this permit,is issued PL iSec. 3097, Civ. C:): SIDE - .'P:L ' - m Lender's Name - Lender's Address P.C. Fee$ Permit Fee J 13, - � - I certify that Ihave read this application and state that the - have information is correct. I o Issuance Fee �0 aagree to comply with,all County Investigation Fee 9 PY u 7 -ordinances and State laws relating to building construction, G and hereby ut oriza representatives of this Caunly to enfac Tocol Fae ' upon the a -ma o edproparty for.insp'ecLtion purposes - h SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of A licant or Agent {---( ate— - //- ..®s APPLICATI'ON' FOR" BUILDING .PERMIT o DIVISION OF BUILDING AND SAFETY BUILDING Deportment o1 County Engineer ADDREss ��yli a�9A.E" County of Los.Angeles LOCALITY / EM/'k' F G�ry / WM.J. FOX. COUNTY ENGINEER CASBATT NEAREST r r _ D. GRIFFI N. Su>•i of Buu.olrvc CROSS'ST. DISTRICT NO. GROUP SEWER -MAP FOR APPLICANT TO FILL IN TYPE BK PG BUILDING / �{ /� G CONST. ADDRESS �A'1 NOS �Q MAQp.r (� IYE ATE F �,I _ NUMBER /1��O 7 HWY _ S LOTNO. USE ZONE 'SPECIAL / CONDITIONS TRACT - - Ave NO. OFBLDGS. /� SIZE OF LOT .I NOW ON LOT BUILDING 'EXIST. - SETBACK YARD HWY STREELNAME WIDTH- ' USE OF � � SETBACK EXISTING FRONT L P. L. D /NL"r -J� .. OWNER ZZ-'C1 \ SIDE I - MAIL /Y� tt�� /J ��' n^I� -P. L. ADDRESS /D �� �i,h �. 4r V D/L T n I•/� TEL DWELL. I UNIT 5 INDUSTRIAL .CITY My/ -1-2 4446/ NO.& &2131&263 - _ 2DUPLEX_UNIT .6 PUBLIC BLDG; ARCHITECT ORv `� TEL. ENGINEER �/ NO. 3 .APT. UNITS 7 .ADDN:.ALT.; ETC. ADDRESS 1 q COMMERCIAL 'B MISCEL. ! TEL. CONTRACTOR No. �� INSPECTION RECORD ADDRESS DESCRIPTION OF. WORE, 3 0 - 0,F-\A'I- 7 D ' �� Ls , 3 tk 11F9 eAL V/ AlA/ GcGI� NEW r L`''� ALTER REPAIR. "DEMOLISH. - 11/. /- le OF E'j FT. / / 9 STORIES / FAF NoMILIES / 1N .'p�-y fCd ///��• ( 6.� �J SIZE (/ O USE OF STRUCTURE -1 SIGNATURE OF APPLICANT _O APPROVALS a ADDRESS /n 24 �gyritA ir/L 'DATE INSPECTOR'S SIGNATOR FFION FORMS, MATERIALS .FEE JRAME: FIRE STOPS. ( ' VALUATION• S O� BRACING, BOLTS 7-10v 3 J � � "-*./ 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. - AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. CI//I t„S . LATH, EXT. SIGNATURE OF WV-tom' HOUSE NUMBER COR-'/ D — PERMITTEE '� _ r RECT AND POSTED ..ADRESS A� - � • / e- / FINAL w WM. J. FOX. CoudTY ENGINEiER ' �..VALID�AAA TIION BY 7Y J S JUn .1. 5 G 8'.0 O DEPUTY DEPUTY BY 1 By ® _ - f DEPUTY �_1 DEPUTY III i