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Home My Public Portal About10649 DAINES DR_Building__ IJS 7£`838AF CE R0031RIg 6(9B) lt�� APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ,• BUILDING AND SAFETY ' BUILDING- 'Il .� FOR APPLICANT TO FILL IN ADDRESS O 7 BUILDING �// ADDRESS {/.G> � / LOCALITY •R - ,,{ 7 NEAREST CITY � ` �i ZI I / CROSSST. //' NO.OF BLDGS. ASSESSOR SIZE OF LOT (✓Fa �• NOWONLOi MAPBOOK PAGE PARCEL ' .DISTRICT I GROUP TYPE FIRE PROCESSED BY TRACT BLOCK LOT NO. p y CONST (j TEL S'0.8 /C.^) v � OWNER e',//'r �IQ- NO. ///fir STATISTICAL CLASSIFICATION SEWER MAP _ ADDRESS O(O`/ F1 — CLASS NO.z/ DW ELL.UNITS L BK IL S; s � � CITY CT R .1 — ZIP L. O � . •.. ARCHITECT OR STEL . VALUATION �j ENGINEER NO. ti. $ 0511 ADDRESS p s BLDG.SETBACK FROM ' CONTRACTOR /a NS� ` N�.2 ',yC/% ' FRONT.PROP.LINE OF"T' •' EXIST(STRING HIGH WAV + WARD TOTAL SETBACK FROM TYPEOF E%(STING g IC \ , FRONT PROP,LINE HIGH WAV WIDTH ADDRESS 3U J-� ��NO •�'�\� _ . . LIC / + CITU/ �' CLAS R�w - - CONSTRU N LENDER BLDG,SETBACK FROM NAME AND BRANCH SIDE PROP,LINE OF ISTREEG HIGHWAY +'•YARD = TOTAL SETBACK FROM TYPEOF EXISTING 1 ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH 0 SO F,,jj. NO.OF NO.OF CHECK + _ V SIZE.IDD'�' STORIES / qFFAMILIES / ONE - d'- DESCRIPTION OF WORK A'O NEW ❑ P.C.Fee$ - Permit Fee O lTj ADD ❑ Issuance Fee 7•.oQ g: ALTER �] _ REPAIR ❑ Total Fee /O• USE OF �.r•-�• DEMOL EXISTING'BLDG. `J ❑ Z APPLICANT TEL - C (PRINT) NO, a BY(SIGNATURE) IHEREBY'ACKNOWIEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES Yi 9 0 d•9.6 A AND LAWS REGULATING BUILDING C NSiRUCiION.I CERTIFY THAT IN DOING THE _ WORK AUTHORIZED HEREBY wl EMPLOY ANY PERSON IN VIOLATION OF V - - ' THE LABOR CODEOF THESTAi CAVO IAINRE TIN TOWORKMEN'SCOM - ' Z PENSATION INSURANCE. , Q 2e-• 70.00 SIGNATURE OF 0, PERMITTEE '- 6070,0060 ADDRESS G ''S - _- TEL.% 9. o 09. 1'2=78 CITY- - NO. V - - G USE ZONE MAP - NO, do SPECIAL coNUH(onls _ $ `, ` FINAL Z / ,Z O"' BYM DATE - 76A638A CE 0803 12/69 APPLICATION FOR BUILDING PERM6 COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING C JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, Sup T OF Bu1LD,NG LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or t e on CROSS ST. DISTRICT NO w GROU PE / P BUILDING CONST ADDRESS qL� A T � �- 5 BY _ STATISTICAL CL SIFICATION: - _ SEWER MAP I LOT NO. — BLOCK l -yF- CLASS NO. DW ELL.UNI.TS_ BK� PG TRAC Cwsl( / aYva...' USE ZONE MAP O O NO.OF LOGS. ) NO. SIZE OF LOT S=c K G 6 NOW ON LOT I SPECIAL USE OF /r CONDITIONS EXISTING BLDG. L. Lo OWNER NO. BLDG.SETBACK FROM ADDRESS FRONT PROP.LI NE OF - (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY I� _' / HIGHWAY WIDTH FROMC.L. ARCHITECT OR __- TEL. �� ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) J� n[ 1/p/ "'ATE L.. p py TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CONTRACTOR Y7-� YCAZL NO. �p JS�'Z HIGHWAY WIDTH FROM C.L. ADDRESS 14A14 + = a CITY ..T[O CLASS CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER � NAME AND BRANCH — SEE REVERS SIDE FOR SPECIAL.APPROVALS w ADDRESS 7 ,E L �r Z SIZE T I�o 5 ORIES FAAMIILIES NEW El 16 . USE OF C ADD I y STRUCTURE bG gLTER ❑ REPAIR❑ SIGN URE OF AP (CANT "y.,�1J ,( DEMOL ❑ at-� :w ' VALUATIONS ID`(6✓ APPROVALS DATE INSPECTOR'S SIGNATURE PMTFEES FEES ,T V rOFORMS!MA TERCALS ON //. FRAME:.FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS LA� /U CiUX AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH AL - ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS S TRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED I / HEREBY I WILL.NOT EMPLOY ANY PERSON IN VIOLATIONOF THE LATH, INT. LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPEN_44TION INSURANCE \ /^, { LATH, EXT. �.' G ,p( ,1✓l� SIGNATURE OF - (�� HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL �O Z � JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION H. M.D. cnsH _ PERMIT VALIDATION(.!K, M.D. CASH ip� 6 32 2R AUG 4 1, 0 1 2.00//;�/yl 76A638A.CE$(803 1-62APPLICATION FOR BUILDING PER IT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS/ BUILDING AND SAFETY DIVISION LOC Aurr JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP I TYPEJ P SSED BY FOR APPLICANT TO FILL IN CONST. - BUILDING STATISTICAL CLASSIFICATION WER MAP ADDRESS , BK CLASS. NO. WELL. UNITS LOT NO. 3 BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED ❑ TRACT .V MA /� HIGHWAY STATE MAJOR SECON . OCAL.- NO. OF BLDGS. N (J(J (CIRCLE) SIZE OF LOT Q 3 NOW ON LOT USE ZONE ECTAL USE OF CONDITIONS EXISTING BLDG. 'LLI Ai G - _ OWNER C Q 1 TE BUILDING YARD HWY STREET NAME EXIST. ,F SETBACK WIDTH. ADDRESS y FRONT ARCHITECT OR TEL. P. L. ENGINEERNO. SIDE } . ., P. L. 1 ADDRESS .'w - - ,•.,.. .. ^ 0 CONTRAW" Q ` �� .S NO / I• V ADDRESS - kb, - . //J",j DESCRIPTION OF WORK ��.✓v� ,,, NEW ADD ALTER REPAIR DEMOLISH SFT. ('/_ O NO, IES NO. OF SIZE E YC STORIES FAMILIES USEOF STRUCC TURE S 'n/G f—:f L Itt, ,OKLQ a SIGNATURE OF ' APPLICANT VALUATION S _ v APPROVALS (DATE. INSPECTOR-6 SIGNATURE/ PC FOUNDATION: LOCATION FEE S - �'� FEE S - v FORM S, MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION, 1 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 REI-11- ING TO WORKMEN'S COQ PENSAT I ON INSURANCE. -- / LATH, EXT. SIGNATURE OF( .c:� P HOUSE NUMBER COR- PERMITTEE I p s �/r� /lf ORECTUSE AND POSTED .ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION cK. M.D. CASH _ PERMIT VALIDATION GK, M.O. GASH Lhio6_1 0 6v '00T30 2 3 D 2 3.25A a LAC0 6 7 9 7 NOV 9 . 1 D 4 61.5 0 w WORKERS'COMVPENSATION DECLARATION t.' r .. 'F1��II1� 11rp pr��(. [{F�pg Lp�l��[(/��, I��y1��j I,hereby o cer that haver certCome ns consent ranee P�LIC �L TOOU V' t.1 ®LLQ "LyU L®OUCI�:Y F EIIOI1 L70 7 . lf insure or a certificate of Workers' Compensation Insurance, /ill (/� T or certified copy thereof c 3800, Lab. C-y_ •• - - L` r L COUNTY OF LOS ANGELES BUILDING AND SAFETY . Policy No(�L( 7 L Ll -"Company s"T Ltil2. f'G'/I(/� - 0 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN - BUWING .. T AI� - _ ADDRESS G aCertified copy is filed with the county building'inspec' - BUILDING. / e ',t/ - - lion department , . - ' / ADDRESS 1� 61�, G / f/v II - - DateAppli CITY f G /'r ZIP + LOCALITY CERTIFICATEOF, EXE TION FROM WORKERS' - - .NO,OF BLDGS. NEAREST COMPENSATION INSURANCE• - - SIZE OF LOT NOW ON LOT CROSS ST. ` (This section need.not becompletedif the permit is for one - � ' - ASSESSOR ., A, hundred dollars ($100) or less.) TRACT BLOCK LOi NQ MAP BOOK PAGE PARCEL'• TEL' USE' ONE MAP -r . LAenn .. w i eernify that in.the perfo�a pe of the work for which this -OWNER _(TC - NO. / I NO - F permit is issued, Ishall-not employ any person in any manner _ - _ SPECIAL " sons to become subjecttothe Workers'Compensation Laws. - ADDRESS - CONDITIONS Q Date f Applicant` CITY ZIP NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR • TEL. DISTRICT G UP- TYPE - FIR PR CESSED BY O -Exemption: you should become subject to the Workers: - ENGINEER NO. . L� /`)/�/. - CONSTI. / Z E h Compensation provisions of the Labor Code,•you.must forth- ADDRESS J L L/r/ v W with comply with such provisions or,this permit shall be ft. - A - - - O.' .deemed revoked. _ �LJ9 tUS �.-STEL Sy 7S4 STATISTICAL CLASSIfJ.ATI ' ,APT. CONDO. Lq u =t ONTRACTOR MO' 7 // Z LICENSED CONTRACTORS DECLARATION . / LIC. . / CLASS N0 DWELL UNI75_ I hereby affirm that I am licensed under provisions.of Chapter 9 ADDRESS ��,y - /"t L{ y y NO. 7(1'.f- -(commencing with Section 7000)of Division 3 of the Business and - _ LIC SEWER MAP + Professions Cade, and my license is.in full force and effect. CITY GL�G( 1(/ <CLASS ' -.BK VALIDATION- ' ' ,L -716 ` - 50. FT. NO.OF NO OF' CHECK - License Number .ft-I G Lic.Class SIZE STORIES FAMILIES ONE . F}„�<� � _'VALUATION X89�'9A �c�S( JT �-Yf ro^� Date a�1 �- .1�,Y DESCRIP7 NOF WORK NEW ❑ f '�SQ Ga #.e . e e•.•1 .. Contractor - .r - En _ p �jp��v ADD ❑ Md'am exempt under Sec: - - (mss-/L / - -- ALTER ❑ D ( e - 59,25 . �J(,�L.✓' ' f ' 8.8P.C. for this reason - - REPAIR ❑ - Date: 7 ' R$ USE OF • • : 5 9„2 5 , - - EXISTING BLDG. DEMOL ❑ ` p/ - APPLICANT' -" - TEL. Sign ts�ra PRINT NO. FINAL ., 0 2 0 9--88 - OWNER-BUILDER DECLARA tON -. DATE - - _I hereby affirm that)am exempt from the Contractor's License, - - - .Low for the following reason (Section 7031.5, Business and ADDRESS p r Professions.Code): ❑ + - - I, as owner of the property, or my employees with BUILDING ADDRESS wages as their'sole'compensation,will do the work and ' - LOCALITY - > } ' the structure is not intended or offered for sale(Section j - 7044, Business ond-Professions Code). _ - MOVING- - - TEL. - - - -. - 1, as owner of the property, am exclusively controcti ng CONTRACTOR__ NO.with licensed controctors to construct the project (Sec-- lion 7044, Business and Professions Code). - - REQUIRED TOTAL SETBA K ' CONSTRUCTION.LENDING AGENCY SET BACK YARD HWY` PROP. LINE WIDTH :I hereby affirm that there is a construction lending agency.for FRONT - - he performance of the work for which this permit is issued .P:L.-. ` .(Sec. 3097, Civ. C.). SIDE - ., . . _ P.L. _ Lender's Name 0 • - LDMA Ref. N P.C..Fee$ - - Permir Fee. -:' . - Lender's Address - ' • - �. - a I,certify that I have,read this application and state that the - - Issuance Fee. LDMA P2'M 0 a above information is correct..)agree to comply with all County - Investigation Fee '• •' 0 ordinances and State laws relating to building construction, - -, .Total Fee - .S LDMAPerm. W -. 6d hereby authorize representatives of this County to enter ' - upon above-mentioned property for inspection purposes. a q/ i SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent - Dota