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HomeMy Public PortalAbout10937 DANBURY ST_Building__ „A,3e. En.a„o APPLICATION FOR BUILDING PE MIT _ COUNTY OF LOS ANGELES BUILDING /Y DEPARTMENT OF COUNTY ENGINEER ADDRESS N BUILDING AND SAFETY DIVISION ` LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER - NEAREST CASSATT D. GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE P ESSED BY FOR APPLICANT TO _� ”— coNsr. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ” ADDRESS SK PG CLASS.NO.�DWELL.UNITS MAP LOT NO. BLOC NUMBER STATE HWY. YES O USEZONE SPECIAL /•��f- r / //� TRACT OI ,I CONDITIONS SIZE OF LOT ,77- ✓✓ll NO.OF.SLOGS � .[JL BOJ NOW ON LOT / USE OF EXISTING BLDG. _7� BUILDING YARD HWY STREET NAME EXIST. SETBACK I WIDTH OWNER N Y• FRONT MAIL ADDRESS/Dd P.L. _ L V SIDE P.L. CITY a No 13��� INSPECTION RECORD ARCHITECT ENGINEER F/ ADDRESS C r T CONTRACTOR 46",0W .tNNEL.O. ADDRESS DESCRIPTION OF WORK NEW Y ADD ALTER REPAIR DEMOLISH SO.FT. / NO.OFNO.OF SIZE (O STORIES ' FAMILIES USE ` STRUCTURE SIGNATURE OF APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS v DATION L pLSTION,'; VALUATION$ e,Q FRAME: FIRAT E STOPS, '�[�)f1 .L� BRACING,BOLTS T Q r P.C. q' G� PMT. 4z ov ,_ FURNACE:LOCATION, FEE Sol � I FEE I GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU TING BUILDING COIqSTRUCTION. LATH.EXT. _ J- SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL h ' CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER PLAN CHEC%-VALIDATIONOK. M.O. CASH - PERMIT VALIDATION CK. M.O. CASH J1�o 7 2 9 2 2 IVA d 2 3 A 2 1 ,0 0 :2 LAC7589� hLAR11 1A !} 2.00�/' .n®• 76A638A CE 0803 1/7I C7 /r APPLICATION F6R BUILDING PERMIT TL(ly COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING /�n ADDRESS / COLEMAN W. JENKINS, SUPT OF BUILDINGA LOCALITY r(/�y,� �� L•t FOR APPLICANT TO FILL IN NEAREST 4'o— DISTRICT or type only) CROSS ST. Qi. CL BUILDING DISTRICT NO. P TYPE PR fESSED BY ADDRESS !I S'f' J. CI 2 CONST. LG472,? LOT NO. If STATISTICAL CLASSIFICATION SEWER MAP AJ5-/ 3 �T BLOCK CLASS NO. W � / OELL.UNITS BK�,J PG� TRACT Z l L� USE ZONE MAP NO.OF BLDGS. NO. (r SIZE OF LOT NOW ON LOT SPECIAL USE OF '/ CONDITIONS EXISTING BLDG. OWNER TEL.. - 'I F' ) No / BLDG.SETBACK FROM ADDRESS ' },. 61 FRONT PROP.LINEOF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YA = TOTAL CITYTynj2j , HIGHWAY WIDTH FROM 0.L. ,1 ARCHITECT OR TEL 5 ENGINEER NO. `Z� 4 + 7cj -e- ENGINEER (1 BLDG.SETBACK FROM ADDRESST 7A(/. SIDEPROP.LINEOF (STREET) TEL. TYPE OF EX I STING SETBACK HIGHWAY } YARD = TOTAL d CONTRACTOR •-- NO. HIGHWAY WIDTH FROM C.L. V ADDRESS No t = O LIC. U CITY CLASS CORNER CUTOFF YES ❑ NO yA CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SO. FT,� NO. OF NO. OF NEW SIZE ./�^f.� STORIES '� FAMILIES I ❑ USE OF App STRUCTURE ALTER ❑ SIGNATURE O REPAIR 1:1.F -p APPLICANT �`� d7�C�C DEMOL ❑ , VALUATION S U APPR VALS EZ* INER.C'T oe•S SIGNATURE P.C, / �� PMT. FOUNDATION: LOCATIO / FEE $ / FEE S 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, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STR UC TI ON. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL HOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. ' LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE - RECT AND POSTED ADDRESS FINAL qH JOHN F. LEWIS. PRIN )PAL STR RAL ENGINEER PLAN CHEC% VALIDA MD. PERMIT VA TION DN. N.D. GASH uto 4 1. 3 g N� 3 D71CIA Q 76963•8A CE•a803 3-69 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES gpDREISNG S 1-3 3i)'L(�'C 6 / DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY ` JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUP'T OF BUILDING NEARESTl I CROSS ST. FORAPPLICANTTO FILL IN DISTRICT NO G P TYPE C T. PRQCES ED Y (Pog AlRINT OR TYPE ON LVI J r'/ IA f1 BUILDING STATISTICAL C SS FICA ION SEWER MAP _ AD OR ESS CLASS NO. -/ DWELL.UNITS B PG t LOT NO. BLOCK USE ZONE MAP NO. Y w TRACT SPECIAL C NO. OF BLOCS. CONDITIONS SIZE OF LOT NOW ON LOT - USE OF EXISTING BLDG. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF - (STREET) OWNER — NO. TYPE OF EXISTING SETBACK HIGHWAY a YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CITY = 'r + ARCHITECT TEL, SLOG.SETBACK FROM ENGINEER NO. �'j SIDE PROP. LINE OF (STREET) TYPE OF I EXISTING I SETBA6K' HIG + YARD = TOTAL ADDRESS C N i HIGHWAY WIDTH FROM C.L. TEL -3163 - } CONTRACTOR NO. - d LIC. CORNER CUTOFF YES - NO NO. 0AODRESSD ' CITYSV` F p CLASS SEE REVERSE SDEFOR SPECIAL APPROVALS O CONSTRUCTION LENDER t NAME AND BRANCH .7� .�L( W .. t�lti.. W ADDRESS `( `� / Z SO. F N0. OF N0. OF — SIZE 3 STORIES FAMILIES IDEMOLD USE OF� / q t { - [}/ STRUCTURE '7 Yy r�fA N / -7 SY 1. A05.0 SIGNATURE APPLICANT VALUATION $ �O I APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. `Q AJ FOUNDATION: LOCATION FEE S I '� . FEE S a . 1/ FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THI5 APPLICATION FRAME: FIRE STOPS, BRACING BOLTS _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON STRUC- GAS VENT DUCTS TION. CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY t WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. LATH, EXT. SIGNATURE Ofi"1..1U `\C 1.�V _ HOUSE NUMBER CORRECT PERMITTEE �AMAM YV�^' AND POSTED ffqq � T ADDR ES 10 FINAL /J JOHN F. LEWIS, PRINCIPAL ST 7U AL ENGINEER LAN CHECK VALIDATION cn i .o. CASH - PERMIT VALIDATION � o. usH Lri'i/O A 2 4 0 N FEB 22 1 0 8.5 5� a :-. .- 2 1 0 2 8.5 0 v Lr1�0 4 2 4 1 FEB WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self O O O O D O insure, or o certificate of Workers' Compensation Insurance, OPPU QlrMN FOR BUIL N(C14 pEQM57 or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.RCS137886 Company Royal Ins, El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS IN Certified copy is filed with the county building inspec- BUILDING t tion department. ADDRESS" 10937- E. Danbury LOCALITY Date 11/23/82 Applicant n CITY1114 Temple 'City ZIP 91732 CROSSSST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE • SIZE OF LOT NOW ON LOT MAP BOOK GE PARCEL (This section need not be completed if the permit is for one _,. USE ZONE MAP '- BLOCK LOTNO. N hundred dollars($100)or less.) TRACT O. TEL. SPECIAL I certify that in the performance of the work for which this OWNERMr. C Mrs. Ole a' NO. / CONDITIONS 1 permit is issued, I shall not employ any person in any manner DISTRICT I GROUPTYPE FIRE P ESS ED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS 10937 E; Danbur CONST. ZONE- U CITY Temple Cit zIP 91732 3 0 Date Applicant STATISTICALC SSIfICATIQN APTCONDO. H NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. V. Exemption, you should become subject to the Workers' ENGINEER NO. CRSS NO. DWELL. UNITS_ 1 Compensation provisions of the Labor Code, you must forth- . . .• .. y ADDRESS SEWER MAP with comply with such provisions or this permit shall be ? deemed revoked. CONTRACTOR C8I-Pac'ROOfing, IR", 500-0288 BK. PG, - VALIDATION LICENSED CONTRACTORS DECLARATION - LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS --16'1'2' F l ower St N037950 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect. CITY Glendale' CA 91201 CLASS C 39 $6,000.00 D SQ. FT. NO.OF NO.OF CHECK License Number 379503 Lia.Class-C. 39 SIZE - STORIES" FAMILIES ONE - Contractor Date 11/23/82 DESCRIPTIONOF WORK 'Re-roof`W LCh NEW ❑ $ 1 am exempt under Sec. 26 qauqe qa1vani sed steel ADD ❑ ALTER ❑ FINAL B.BP.C. for this reason REPAIR ® DATE O USE OF DWe l l 1 n DEMOL Date: EXISTING BLDG: 9 C] 6 NAL APPLICANT TEL. Y I Signature PRINT -P -R f 1 n nolo. 000288 OWNER-BUILDER DECLARATION D hereby affirm that I exempt from the Contractor's License ADDRESS 1612 Flower SL Glendale CA Law for the followingg rreason (Section 7031.5, Business and Professions Code): PRESENT ❑ I, as owner of the property, or my employees with BUILDING wages as their sole compensation,will do the work and LOCALITY �$37-9A. the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. # •re • s a 1 1, as owner of the property, am exclusively contracting CONTRACTOR NO. t with licensed contractors to construct the project (Sec- • • 7'9.O 0 tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. ° 7 Q O O U CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONTL. D ,1 21 6—8 2 the performance of the work for which this permit is issued P. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name -] Lender's Address P.C. Fee$ Permit Fee /©. I certifythat I have read this application and state that the •SQ PP Issuance Fee a above information is correct. I agree to comply with.all County Investigation Fee g ordinances and State laws relating to building construction, Total Fee d and hereby authorize representatives of this County to enter 9 upon the above-mentioned or erty for inspection'purposes. 11/23/82 SEE REVERSE FOR EXPLANATORY LANGUAGE ` Signature of Applicant or Ag Dote ®t