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Home My Public Portal About10936 DANBURY ST_Building__ y 76As3A APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES" BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 94 L7Oc� BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST 4 CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. - - DISTRICT NO. GROUP TYPE I- SSED BY FOR APPLICANT-TO FILL IN CONST. BUILDING STATISTICA CLASSIFICATION SEWER MAP /� BK PG ADDRESS CLASS.NO. /'/ DWELL.UNITS LOTNO. BL CK NUMABER STATE NUMBER YES NSI TRACT USEeee ZONE SPECIALCONDITIONS �/—/ NO.OF.BLDGS SIZE OF LOT f+ NOW ON LOT ��' - - USE OF EXISTING BLDG. ��' BUILDING EXIST. // SETBACK YARD HWY STREETNAME/ .I /WIDTH OWNER 'J r!' cL - /` FMAIL RONT ADDRESS D r4r ydf' SIDE TEL. P.L. CITY — � No. INSPECTION RECORD ARCHITECT OR EL. ENGINEER NO ADDRESS TEL. CONTRACTOR ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH - SQ.F . NO.OFNO.OE SIZE STORIES FAMILIES USE OF STRUCTURE ' SIGNATURE OF APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS t U L e9UNDATION: LOCATION FORMS,MATERIALS �' � 1' � 9 !� I"Y VALUATION$ 3 Q L° - - FRAME: FIRE STOPS. BRACING,BOLTS - ZI`L'L P.C. j/JV PMT. FURNACE:LOCATION. , FEE $ FEE $ 2 .�- I - GAS VENT:DUCTS.. I HEREBY ACKNOWLED E THAT I HAVE READ THIS AP- LATH.INT. a PLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU ING BUILDING CONSTRUCTION. LATH,EXT. SIGNATURE'OF HOUSE N UMBER COR- _ PERMITTE RECTAND POSTEDtab 7 ADDRESS FINAL CLYDE N. DIRLAM, PRIN IPAL ST RACENGINEER PLAN CHECK VALIDATION -0. CK' M.O. CASH PEMOT VALIDATION CK. m-O, cASH 72933 aAAit 4 2 3 A 21 .00i �R ® . (,/1(1 7 5 9 0 K�,R 1 1. A 4 2.0 0 s;fl APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT /JDBUIIILDN7G� ANDj7SA/FETYDIVISONEPARTMENT OF COUNTY R F FOR APPLICANT TO FILL IN ABODRL-DIE55 (� 4J( // /V,vO�U�/e/ BUILDING !N % LOCALITY /6�P C1 / ADDRESS 11 b /J �- CITY C; ZIP GROSSESTST.J,4,4Ve NO.OF BLOGS. ASSESSOR S1ZE OF LOT ('J NOW ON LOT MAP BOOK PAGE PARCEL pl I&1CT I GROUP TYPE FIRE P SED BY TRACT BLOCK LOT NO. 6 S CONS . ZONE / EL. OWNER LaMz NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESSJoY 31, 12A MR Ll-E� � CLASS NO. DW ELL.UNITS �- BK PG CITY �� L l..I {I USE ZONE MAP aO CO NO. J ARCHITECT OR �_ TEL. -/ SPECIAL ENGINEER NO. �-. - CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. CONTRACTOR N BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET( ADDRESS NO. _ TOTAL SETBACK FROM TYPE OF E%ISTING HIGHWAY + YARD _ LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER + NAME AND BRANCH -" y BDG.SETB FROM CD ADDRESS CITY SIDE PROP.LINE OF (STREET) U SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF E%ISTING CC SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH o DESCRIPTION OF WORK NEW ❑ + - d D A�� ♦O 11�C DD ❑ CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ APPLICANT TEL r�i �/ CTS {�r�c�/QCA3 w/ SNS �C /�S✓[ (PRINT) NO. / �( I/ �,y�� e-I1G BY (SIGNATURE) � 1/ LI ,1--/>• /I/ ;tl/ 's 78 �C-`Y � '"C/A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AHD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WIT HALL ORO(MANGES AND LAWS ISTHE REGULATING BUILDING CON- ��/�� STRUC TION. I CERTIFY THAT IN 001X4 THE WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TOWORKMESIGNATURE CO F ,,NSA TIO. IXSU /// SIGNATURE OF FINAL ��(7� BY PERMITTEE DATE ADDRESS V �/ CITY Q L'9 / P.C. Fee$ Permit Fee Q 00 �6 Y 6j-,'( 2 Issuance Fee VALUATIONS Total Fee �( T PLAN CHECK VALIDATION K. M.o. cASH _ PERMIT VALIDATION cK., N o: ASH 2 0 6�1KAY it 1- ® 2 1:7 5. °�� 76AS30A GE 08036 12/75 . APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT BUILDING AND SAFETY DIV DIVISION BUILDING lO 6 NBUR f�C FOR APPLICANT TO FILL IN ADDRESS Boo els 10936 nANBURY LOCALITY TEM E CITY CITY TEMPLE CITY ZIP 91780 NEAREST CROSS 57 NO,OF BLOGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL TRAC ,� 32— BLOCK LOT NO. DISTRICT GR CON TYPET Zoo FIRE SSTEO BY OWNERKEN GOLDBERY NO. 44 — 11 STATISTICAL CLASSIFICATION ��JJ�� E A DORE551O936 DANBURY CLASS NO.�L_DW ELL,UNITS BWIP PG CITY TEMPLE CITY ZIP 9 U E ZONE MAP oo A NO. ARCHITECT OBADpV BARON NO. 78J—01 SPECIAL ENGINEER lltll AVL T{� CONDITIONS ADDRESS 1 824 VENTURA BLVD SHERMA/ FMK PARTM ENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR AQUATIC POOLS NEOL.446-466 BLDG. ETBACK FROM FRON PROP.LINEOF (STREET) ADDRESS 101 E. HUNTINGTOVoc. 1 620 HIGHW Y + YARD - TOTAL SETBACK FROM TYPE OF EXISTING CITY ARCADIA CA CLASS FRONT PROP. LINE HIGHWAY WIpTH CONSTRUCTION LENDER + d NAME AND BRANCH BLOG.S ACK FROM O ADDRESS CITY SIDE PROP. OF (STREET) Cl SO. FT. NO. OF NO. OF CHECK HIGHWAY + YARD - TO FROM TYPE OF E%IST ING CL' SIZE STORIES FAMILIES ONE SIDE PROP. LIN HIGHWAY WIDTH DESCRIPTION OF WORK NEW ❑ + - d 6 O S .Ft. 24x ADD ❑ CORNER CUTOFF YES ❑ NO ❑ SWIMMING POOL & SPA ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ IEPA IR❑ DEMOL ❑ IN COASTAL PERMIT ZONE YES C] NO ❑ EXISTING BLDG. D N APPLICANT TEL �VQT"' h'Qy (PL T) N0. BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIE.€D HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION Of T LABOR CODE OF THE STATE ALIlORlN}_IN�AT M WORKEN'S COMPE ON INS ��LL// �Y SIGNATURE OF (NAL —Z Z� BY PERMITTEE DATE / ADDRESS 101 HUNTINGTON DRIVE TEL P.0 CITU NO . Fee$ Y (OO Permit Fee . CC Issuance Fee VALUATION Y Total Fee W Z' Z� PLAN CHECK VALIDATIO cN. M.D. GASH _ PERMIT VALIDATI cK. M.o. CASH 2 7 4 tZMA 13 2 1 0 8.6 8.t6 — 2 7 5�MAY 13 1 D. 6 22 5 ,E`96 76A633A CEM803B IS/73 x^J U WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self Qp pU CQM O N FOR Ro M R DD N G P E DnRN 7 insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, b.C.) T COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NoI U G I y67Company •L- ❑ Certified co is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ..te�ll PY Y �. ADDRESS /p93G rGl Certified copy is filed with the county building inspec- ADDRESS kr)tion department. i. 0.3 Gv 2 -C Date 6 L Applicant h" CITU Ln C ZIP ,g 6290 LOCALITY _ NO.OF LOT NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE - ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) u r TEL. MAP _ OWNER \ QN NO.E{YZ'3SIS USE ZONE. NO. 60 /-/ 77 . I certify that in the performance of the work for which this .(\ ,� SPECIAL - a permit is issued, I shall not employ any person in any manner ADDRESS I O Y.J�.N S /� CONDITIONS so as to become subject to the Workers' Compensation Laws. `� .L.._ O CITY . I .�.. �. Q Ql Zip r1��'802g03 Date -Applicant ARCHITECT OR TEL. NOTICE.TO APPLICANT: If, after makingthis Certificate of ENGINEER NO - DISTRICTV.5up OTYPE FIRE PROCESSED BY CONST. ZONE O Exemption, you should become subject to the Workers' Q w Compensation provisions of the Labor Code, you must forth- ADDRESS ,Q tr Gr-� d with comply with such provisions or this permit shall be (T TEL. _^0-1,, STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR � q-00`. ✓ NO. LICENSED CONTRACTORS DECLARATION ` G7 LIC. CLASS NO.�DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS \�� ` w , J a,A 5� NO.S I Z 3 Z 1 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. /+ — A_ and Professions Code,and my license is in full force and effect. ... CITY30.U ¢s s 0. \ ti CLASS G BK — cJ� VALIDATION q SQ. FT. NO. OF NO.OF CHECK .l O License Number. S/ 7 3 7 Lic. Class 3 \ SIZE Z 3�O STORIES ) FAMILIES I ONE 5 Z VALUATION t Contractor � �C- 200[\"mate DESCRIPTION OF WORK NEW ❑ _ -f ❑1 am exempt under Sec. Q �O \ PA2 O ADD ❑ D • ALTER ❑ B.BP.C. for this reason Q ^,ShC¢ eOM o �I - USE OF q REPAII(/f_.1 $ Date: EXISTING BLDG. QST Cv,, c Q DEMOL F-1 Signature APPLICANT y,- w,}.>r O v`\ `� J�' FINAL OWNER-BUILDER DECLARATION (PRINT) /�/` \\ I hereby affirm that I am exempt from the Contractor's License 1 C Q DATE, i Law for the following reason (Section 7031.5, Business and ADDRESS�O`� �/•�. LRJv S ( J V.J FINALg,� i Professions Code): - PRESENT - - 'B ❑ Y BUILDING r L3 �— I, as owner of the property, or my employees with ADDRESS r _ wa es as their sole compensation,will do the work and 1 ^� i 9 P •�/liTl 9ui 7 17.9.,_ ' the structure is not intended or offered for sale(Section LOCALITY CCll p 7044,Business and Professions Code.) - MOVING - TEL. ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- -ADDRESS 111•A_. 17_ o 9: tion 7044, Business and Professions Code.) t_NECY .�7~.`; REQUIRED TOTAL SETBACK FROM EXIST. - CONSTRUCTION LENDING AGENCY SET BACK YARD HWv PROP. LINE I WIDTH I hereby affirm that there iso construction lending agency for FROM _ CHANGE - IJIJ the performance of the work for which this permit is issued - P.I, ' (Sec. 3097, Civ. C.). SIDE P.L. s lflf;il^:II I i f `71 `/92 Lender's Name - L LOMA Ref. p ;.. P.C. Fee$ Permit Fee 11-15, D57 1 iy 1 `ll�1::'06 Lender's Address ,,,/ q _ - o I certify that I hove read this application and state that the Issuance Fee "/- / LDMA P/C R D above information is correct. I agree to comply with all County Investigation Fee / a., - ordinances and State laws relating to building construction, Tocol Fee J6d LDMA Perm. # a and hereby authorize representatives of this County to enter up ab -mentioned property for inspection purposes. ` 1`^•� 459 z - $EE REVERSE FOR EXPLANATORY LANGUAGE- - Signature of Applicant or Agent Data S WORKERS'COMPENSATION DECLARATION �` 1 hereby affirm that I have a certificate of consent to self D O O O PUNT DISI insure, or a certificate of Workers'Compensation Insurance, Gappd�C�Q�DO�Il�OOQ [D3NJOdD0�1C� p�Q�� or a certifi�d co R y thereof (Sec. 3800,.Lab. C.) r %.Z C64) 3, _)S� -)) n(� - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. COMAY- 0110 QP-SJA r,•) 19 Certified co is hereby furnished. asv BUILDING PY Y S• erJ, FOR APPLICANT TO FILL IN ADDRESS '-r Certified copy is filed with the county building inspec- BUILDING - /� Yt+ tion department. ADDRESS O L'k^Y U -T LOCALITY NEAREST Date Applicant rK/7 ` CITY �-iGI ZIP CROSS ST. 7,,LD '7,19- CIERTIFIdATE OF EXEMPTION FROM WORKERS' "` O.OF BLDGS. I ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for oneUSE ZONE MAP hundred dollars ($100)or less.) TRACT Z BLOCK LOT NO. NO. 'may C7 S � � TEL. // /,/},('//T SPECIAL I certify that in the performance of the work for which this OWNER 'iA St0iii NO. CONDITIONS 6 permit is issued, I sholl not employ any person in any manner (l DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS D � {� CONST]`Z ZONE V CITY G l lJ Date Applicant ZIP ` I�O STATISTICAL CLASSIFI 710N APT. CONDO. O ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of W ENGINEER NO. V _ Exemption, you should become subject to the Workers' ENGINEER NO. DWEIL UNITSy Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N with comply with such provisions or this permit shall be f Z CONTRACTOR deemed revoked. �F` .r NO �07—Q3'1 B'S PG,�`V VALIDATION LICENSED CONTRACTORS DECLARATION //LL LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSAI�(j, C-I_VIZV NO. 17q--.�Lia VALU ION (commencing with Section 7000)of Division 3 of the Business and /. LIC C Professions Code, and my license is in full force and effect. CITY O"4 I CLASS (3-I $ I O 0Q 'l �s FY�7�t JI 50. FT. NO.OF t NO. OF CHECK D License Number 1 I L�� Lic.Classes SIZE STORIES \ FAMILIES ONE F,.s, d Zy �3 DESCRIPTION OF WORK I l_ r NEW ❑ Contracto � T Date�� ^ , I am exempt under Sec. L� L "Q ADD ALTER ❑ FINAL B.BP.C. for this reason (� REPAIR ❑ DATE FINAL Date: EXISTIING BLDG. SID F,y(J G C— DEMOL ❑ By By �r Signature APPLICANT TEL. OWNER-BUILDER DECLARATION - PRINT IIS TVFv^ ,N NO.)67��II 3�SU 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 e e $ 3 QI, as owner of the property, or my employees with BUILDING ADDRESS wages as their sole compensation,will do the work and 0 701 -83 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. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD Hwv PROP. LINE WIDTH D I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.I, (Sec 3097, Civ. C.). SIDE P.I. Lender's Name 8 P.C. Fee$ Permit Fea Lender's Address I certify that I hove read this application and state that the Issuance Fee ^17 above i ormation is correct. I agree to comply with all County Investigotion Fee ordincm s and State laws relating to building construction, Total Fee C and he by outho 'z representatives of this County to enter up t above- a tioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignoture of Applicant or A nt Dote ®s