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Home My Public Portal About10792 DAINESWOOD DR_Building__ 76A638A CE#8038-64 APPLICATION FO BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ' O BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE'. COUNTY ENGINEER NEAREST COLEMAN W. JENKIN55UP'T,OF BUILDING CROSS ST. 2•{�L/ ` '(�(��(,/ / DISTRICT NO. GROUR� TYPE. PRO ES E BY FOR APPLICANT TO FILL IN o 3' CONSr. ' / BUILDING // I STATISTICAL�SIFICATI ON SEWER MAP ADDRESS le, z L8 CLASS NO. DWELL UNITS BK PG LOT NO. /Qip BLOCK USE ZONE MAP �> NO. TRACT C3 SPECIAL u N0. GF BLDGS. CONDITIONS SIZE OF LOT N0W ON LOT USE OF E BLDG. SETBACK FROM - TE Lt - f S`i FRONT PROP. LINE OF (STREET) �_C OWNER /+�'A'�p/ l"H^"Aid NO. � TYPE OF EXISTING SETBACK HIGHWAY..+ YARD = TOTAL ADDRESS LO�/ O�.µ�J�9 J HIGHWAY WIDTH •F OM GL. CITY 8LD0: SETBACK PROM ARCHITECT OR TEL. 91DE PROP. LIN - E OF - (STREET) ENGINEER NO. / TYPE OF EXISTING SETBACK HIGHWAY -} YARD = TOTAL } ADDRESS O HIGHWAY WIDTH FROM C.L. Cl CONTRAC OR }'i L.NOL ;'-P , 60 + l0 - I5' ADDRESS t Y/-/ NO CORNER CUTOFF YES NO 0 O CITY CIC SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK 0- Z_ NEW ADD REPAIR DEMOLISH SQ.FT. // NO. OF NO. OF SIZE l6 b STORIES FAMILIES USE OF STRUCTURE Z) SIGNATURE OF J R�Cs//rr� df t APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'SSIONATURE P.C. PMT. FOUNDATION, LOCATION FEES FEES e/ FORMS,-MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT, ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY OROINANC ES AND STATE LAWS REGULATING GAS VENT. DUCTS _ 9UILDING CONSTRUCTION. I CERTIFY THAT, IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. TION OF THE LABOR CODfy F THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COM SATION INSU7Ci� LATH. EXT. SIGNATURE OF /Ini+-e.QJ Ih� -HOUSE NUMBER COR- PERMITTEE�� RE T AND POSTED I ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.O, CASH _ PERMIT VALIDATION CK. M.D. CASH LA O'7 5 9 3 MAR 15 1D 6.0 Q 76A038A CE08038-54 APPLICATION FOR BUILDING P RMIT 'COUNTY OF LOS ANGELES BUILDING ADD DEPARTMENT OF COUNTY ENGINEER ~ BUILDING AND SAFETY DIVISION LOCALITY I JOHN A. LAMBIE. COUNTY ENGINEER NEAREST e _ COLEMAN W. JENKINSSUPT.OF BUILDING CROSS ST DIST ICT O. GROUP TYPE. P SS/ECD BY FOR APPLICANT TO FILL IN n CONST BUILDING p n-�, STATISTICAL QQLASSIFICATION SEWER MAPn ADDRESS o/f 7- R ��(.X%00 CLASS NO.JLDWECL UNITS _r BK P/U O LOT NO. G BLOCK USE ZONE MAPJI U J -NO- C TRACT 3 ,y SPECIAL N0. OF BLD09. CONDITIONS SIZE OF LOT NOW ON LOT USE OF IS G BLDG. O e n BLDG. SETBACK FROM TEL ^n� FRONT PROP. LINE OF � (STREET) OWNER n4vK � NO. Y TYPE OF EXISTING SETBACK HIGHWAY 'I' YARD = TOTAL ADDRESS d � /fy WOO HI waY WI 'FRQM C.L. OL q CITY C/ / �L }•�� - ARCHITECT OR TEL. BL08. 9 TBAFROM ENGINEER NO. SIDE PROP. LINE OF -(STREET) TYPE OF I EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS H XWAY WIDTH FROM C.L. CONTRACTOR NOLJ y , + 16 _ Q LIC- CORNER CUTOFF YES NO O ADDRESS NO. CITY LCLASS IC SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK 1//^/�^GT S-�Ln —I/ My � Fp NEW AD 0. REPAIR DEMOLISH I � • 0`A � —_e AA 3FT. O. OF NO. OF A � a USE OF SIZE STORIES /1 FAMILIES AZi STRUCTURE O e exo7zF b A �,/ �)/ ��*'y (•C• ' C a e no wA✓ HLG�/ /Lrbci �(P! o�� 00 O Sc SIGNATURE OF y/"^ APPLICANTS io- • VALUATIONS o /� APPROVALS DATE INSP ECTOP'9010 NAT_DRE FEE ry l FEES ` FO FORMS!MATERALS LOCATION FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE I$ CORRECT AND AGREE TO COMPLY FURNACE: LOCATION I'�t 'I!�• 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS AUTHORIZED CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK 574"" ^. TION ED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INTI `[A.yEH(•{NnPI(MO TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA flELAT. N' _ ING TO WORKMES CO ENSwTION INSU flANCE. q�Y LATH. EXT. fiL1/' � y�f SIGNATURE OF HOUSE NUMBER COR- / PERMITTEE RECT AND POSTED ADDREs� FINIAL /L JOHN F. LEWIS. PRI CIPAL STRUCTURAL E NEER PLAN CHECK VALIDATION CN, M.D. CASH _ PERMIT VALIDATION CK. M.D. CASH . L.iLo 6 0 9 p CCT �. 1 D . 18.50-' �/._. ..9 dyr€•u //:'U11 Y U.CAMOY V FOR. ✓U L M VxLyi 11 •.E YNT COUNTY OF LOS ANGELES BUILDING AND SAFETY lUl WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN ADDREss I heretiy affirm that I have a Certificate of consent•to self Insure, BUILDING ADDRESS - O o2 - _G or a certificate'of WorkersCompensation Insurance,or a certified L 'DA3 copy thereof (Sec.3800,Lab.C.) CITY ZIP ' A OCALITY Policy NO: Company SIZE O CT NO.OF BLDGS.NOW'ON LOT ❑ Certified copy is hereby furnished. 1 NEAREST fYRO�ST ^ ❑ Certified,cppy is filed,with the county building inspection TRACT BLOCK - `LOT NO. department. USE ZONE MAP NO. I Date Applicant ASSESSOR MAP BOOK - PAGE PARCEL - SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' owNER TEL No. - COMPENSATION INSURANCE AV A[.T 8/ 01 a v WITHIN I000 Fr.of scl+ooL? ves No ADDRESS - - (This section need not be Completed if the permit is for one hundred q76 7`1 $7 9 Z DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars 1$100)Or less) ^" I certify that in the performance of the work for which this permit p C is issued, I shall not employ any person in any manner so as to' ARCHITECT OR ENGINEER '- TEL NO. OC /� become subject to the Workers'Compensation Laws. - - STATISTICALLAS Cl I APT CONDO Date Applicant - ADDRESS - -CLASS NO. �L DWELL UNITS N0710E TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK.FROM EXIST Exemption, you should become subject to the' Workers CONTRACTOR. 'TEL NO. SET SACK YARD HWY PROP LINE WIDTH Compensation'provisions of the Labor Code, you must forthwith - FRONT - - complywilh'such provisions,Or this permit shall be deemed revoked. ADDRESS - LIG.N0. P L 17 } LICENSED CONTRACTORS DECLARATION CITY LIG GLASS P L SIDE _ 0 IL - _ U 1 hereby affirm that I am licensed underprovisions of Chapter'9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO ET/.SIZ4(T NO.OF STCRIES NO.OF FAMILIES Cr Professions Code,and my license is in full.force and effect. 31p 'A' NEW, O BK PG O License Number - GC.Class DESCRIPTION OF WORK ADD- '❑ VALUATION D U Contractor Date �d0 ALTER El $ �� •`rL ❑ 1 am exempt under Sec. REPAIR ❑ $ Z ,.SAP.C.for this reason - � -?�9DEMOL ❑ A ' - LOMA P/C� Date: USE OF EXISTING BLD URM ❑ ' xi, APPLICANT(PRINT) L TEL NO. LDMA Perm A 1* . 141 I, as owner of the property, or my employees with'wages as 1 /9-tre - Q A1' (�l '3 UC�3 Z Fr�'rT°i 7�their sole compensation, will tlD the.work'and the structure Is AO''11DRES O net intended Or offered for sale'(Section 7044,.Business and' V Z DA{V--wQdQ 62 T� 42. FINAL OATS Q .�.jg.; i4? 7n Professions Code.) - ?,lam g(, -O ° _ _ WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT,HANDLE AIHAZARDC S MATERIAL J �P•• J y ITEMS on A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE G 1❑ I; as owner of the property, am .exclusively contracting with FINAL BY j AMOUNTS SPECIFIED ON THE HAZggOOUS MATERIALS INFORMATION GUIDE? licensed contractors to construct the project'(Section 7044, YEB❑ Nb�! .. � TilTfli Eo-`? - 20 Business and Professions Code.) p(� WILL THE INTENDED USE OF THE BONSNG BY THE APPLICANT ON FUTURE BUILDING GflJfi 14?°?0 ' OCCUPANT REQUIRE P PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH Oft 1 CONSTRUCTION LENDING AGENCY GUIDE AIR Ququry MANAGEMENT DISTRICT(seAQMo1 SEE PEReNrnNG eHEenusT FOR CHANGE YES es - °07 1 hereby affirm that there is o construction lending agency for. vss❑ N� - the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3D97, Civ.L).) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. Q('1(rjT�r'rT(T i �Yn?I-1t TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS ll{{JJIIl0 llll'0196 -Lender's Name, MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMO PP 443b 1 Pn E°�O L Lender's Address - r+dv 3 1 certify that 1 have read this application and state under penalty p - 'of.perjury that the aboveinformation is correct. I agree to comply PG.FEE - PERMIT FEE b with all county ordinances and-State laws relating to building m Construction, nd here)Y authorize representatives Of this County r - ISSUANCE FEE J O . �Lab ti netl property for instion Pur 6 g. U. $ peczo INVESTIGATION FEE TOTAL FEE / i/�• N� ewe a www w e.F�r rl�C I /' D A A) A^C� V ALTLP, SEE REVERSE FOR EXPLANATORY LANGUAGE