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Home My Public Portal About10940 DANBURY ST_Building__ 6;3U-66 .APPLICATIOfV FOR BUILDING ERWT COUNTY OF LOS ANGELES BUILDING 0 DEPARTMENT OF COUNTY ENGINEER AooREss BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST _ COLEMAN W. JENKINS SUPT OF BUILDING ,CROSS ST. DISTRICT N GFuG TYPE �- R C O B FOR /,APPLICANT TO FILL IN (j L CONST. INU yT/ '(i. STATISTICAL CALL RR SSIFICATION 'E WEIR MAP ADDRESS /`/ /✓vR CLASS NO.ILDWELL UNITS SKS PG el LOT NO. BLOCK USE ZONE NOP FI `d TRACT SPECIAL NO. OF IGLOOS. / CONDITIONS SIZE OF LOT NOW IN LOT USE OF NG �J S - SLID SETBACK FROM OWNER • /✓U E1J NOL V QD/ FRONT PROP. LINE OF - (STREET) ,( TYPE OF EXISTING SETBACK HIGHWAY ' YARD - TOTAL A DDR E55 09 Lip E, /%/"� ✓R HIGHWAY WIDT CITY [r</vL 4 ,f 7_v + ARCHITECT OR TEL. BLDG. SET FROM ENGINEER NO. SIDE PROP. LINE (STREET) TYPE OF EXISTING BE HIGHWAY } YARD = TDTAL ADDRESS / / HIGHWAY WIDTH FROM C.LTE . CONTRACTOR (b- (JG NOL / L p p 7J Z ADDRESS ZJ/tE_ NO I CORNER CUTOFF YES N d C CITY "A C° -�-Q SEE REVERSE SIDE FOR SPECIAL APPROVALS DESC TION OF WORK 3 7777 LL F NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF Z SIZE STORIES FAMILIES USE OF STRUCTURE ..i (.� SIGNATURE OF APPLICANT yy�� VALUATION$ 7 �5�0/ ; .00 APPROVALS DATE INSPECTOR'S BIG NATURE PMT. FOUNDATION, LOCATION FEE$ FEE 7i FORMS, MATERIALS FRAME, FIRE STOPS,' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GA$ VENT. DUCTS 9UILD IN CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VfOLA. LATH. INT. TION OF THE LABOq C DE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKM EN'SC PENSATION INSUR NC E. LATH. EXT. SIGNATURE OF 7 HOUSE NUMBER COR- PERMITTEE RE T AND POSTED ADDRESS Fq FI NAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION (2s) M.D. CASH ._ PERMIT VALIDATION CK. M.D CASH LAUD 21 Ots JN26 1 0 1 725- I V f APPLICATION FOR- BUILDING PERMIT. COUNTY OF LOS ANGELESADORrs"s/dqe o P DEPARTMENT OF COUNTY ENGINEER L BUILDING AND SAFETY DIVISION LOCALI C LX.' OL JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. DISTRIC7 NO. GROUP TYP `RO ESSED BY FOR APPLICANT TO FILL IN J! Q� I co A BUILDINGSIFICATION STATISTICALO AS $EW ER�MAP ADDRESS ro I S B�S PG CLASS. NO. OW ELL. UNITS LOT NO. co BLOC. " MAP --(( �p STATE ,.YES NO _ o� NUMBER�,C� v v HWY - - TRACT I 1-. USEZONE • SPECIAL /p/ NO.OF BLDGS: ] CONDITIONS '� d SIZE OF LOT,I/L.[.G�.t.1'iQN INN ON LOT Xi'I i USE OF EXISTING BLDG. BUILDING EXIST: V,� 1312 YARD :HWY STREET NAME OWNER f'>A�Lh'7.(f TEL. SETBACK WIDTH NO. FRONT T Yr L.yp i i�41 ADDRESS ,SIDE 4 ARCHITECT ORTEL. P. L, ENGINEER Q No. INSPECTION RECOKD / / } ADDRESS �o� � TEL I ^�� / ✓G1 lq a,%:. )�/L .�O/'. CONTRACTOR .f�� Ne- 4O /M/'l1 ' - ` -/ ADDRESS - O", DESCRIPTION OF WORK Al, - 14""_1e& ' 1V/n r�.�"..v.dti✓tf-2� � ./Af.P�7�"�' s�w"�W`7.('Q..- ""y AD❑ ALTER REPAIR .Ff: NO.OF NO.OFf SIZE STORIES FAMILIES ` " y^� USE OF f >1JJ� rT.- "/IrN.+A1?XZfi STRUCTURE .r I r tl-"p lrf:- s:,JY?� SIGNATURE OF - APPLICANT ?"1 VALUATION$ D I �J /c f r APPROVALS DATE ,.- INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION 'FEE $ FEE $ �� v. FORMS. MATERIALS J I FRAME: FIRESTOPS. HEREBY THAT ACKNOWLEDGE BOV 15 I HAV T AND THIS APPLICATION GRADING, BDLTI / I ANO STATE THAT THE ABOVE ICORRECT AND AWS TO COMPLY FURNACE: LOCATION. / WITH. ALL COUNTYCONSTRUCTION. TION.ORDINANCESCER IFY THAT LAWS REGULATING GAS VENT DUCTS / f Bl11LOI G CONSFOR WON. 1 CERTIFY IT I IN THE PERFORMANCE f } OF THE WORK FOR WHICH THIS PERMIT IS ISSUEDNOT LATH .INT / EMPLOY ANY PERSON IN ANY MANNERTO BECOME S.B{I , . ECT / TO THE WORKMEN:S COMPENSATION LAWS WS OOF CALIFORNIA. A. I/ LATH, EXT. SIGNATURE OF V POSTED NUMBER COR- PERMITTE RECT AND POE❑ _ ADDRESS FINAL WAA4 CLYDE N. DIRLAM. PRINCIPAL STR / RAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.o. GSR d y ,aABsaA Ea..... APPLICATION FOR BUILDING PERMIT , �. . COUNTY OF LOS ANGELES BUILDING L� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST _ CASSATT D. GRIFFIN, SUPT OF BUILDING _ CROSS ST. .1 - DISTRICT NO. GROUP .TYPE P SED BY FOR APPLICANT TO IN CONST. BUILDING STATISTICAL CLASSIFICATION BE ER MAP . ADDRESS BK PG CLASS.NO. -DWELL.UNITS/I LOT NO. BL K NUM ER HWY.STATE YES N TRACT ' I I 2 USEZONE SPECIAL q A CONDITIONS � G` 7/ p �/f NO.OF.BLDGS ,/J.,}. SIZE OF LOT �/ �O_jp 1 NOW ON LOT USE OF . EXISTING BLDG. k�RN YARD HWY STREET AME EXIST: J /y / /j WIDTH OW NER/� `0 `p/`AIL / y� ' ADDRESSpT !A/! J—f/S �[�d Pp L4 �ani4l�iS- TEITE CITYUs �/ INSPECTION RECOARCHITECT ELENGINEER NO 7ADDRESS y TEL CONTRACTOR G✓AlA 10. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OFNO.OF SIZE STORIES FAMILIES USE OF STRUCTURpEy ✓17 /1 SIGNATURE OF APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADORESS�D Zi/ - OUNDATION: LOCATION L G L -f"--�.� O RMS,MATERIALS r VALUATION Q t FRAME: FIRE STOPS, BRACING,BOLTS P.C. PMT. _ FURNACE:LOCATION, FEE $ I FEE $ I GAS VENT.DUCTS p 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 CONST,RUCTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- SE OR- ' n RMITTE SE /RECT AND POSTED l@/ ADDRES � v �(/ /,ANAL N CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER CK PLAN CHECK VALIDATION M.O. CASH PERMT] VALIDATIONCK. M.O. ' CASH LAC07 2 9.5,S W.R 42 3 A. 2 1 .0 N _. .. — LACo.7 5 9 2 RAR 11 1 A 4 2.0 0 ®. r WORKERS' CO,^.APENSATION DECLARATION • M gyp} ��y,� �rI��FI�,/`��.r �p}�I��y�///L7� 1 hereby affirm that I have a certificate of consent to self QP.p��QXM V FOR BUOLDO V V PIS11�111C -T insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) , , - COUNTY OF LOS ANGELES -. BUILDING AND SAFETY iOJe 7N"/2 .J ZA1' !oM/l Policy No. Company— IL ❑ Certified copy is hereby furn shed_ BUDING FOR APPLICANT TO FILL IN ADDRESS /fJ/SPC y ❑ Certified copy is filed with the count buildingec- BUILDING tion department. y insP ADDRESS /U.92/O Date 'Z d .Applicant :� 52e CIN' r!////L/= G / ✓ ZIP q/7 YO LOCALITY NO. OF BLDGS. NEAREST /' J CERTIFICATE OF EXEMPTION FROM'WORKERS' SIZE OF LOT - - 'NOW ON LOT % CROSS ST. Cli�lL-C2. COMPENSATION INSURANCE' ASSESSOR / a (This section need not be completed if the permit is for one TRACT�. I.J Z BLOCK LOT NO. G MAP BOOK `�vl PAGE -� PARCEL hundred dollars ($100)or less.) - TEL, / i OWNER 1 Fd/1./7, /=17J// NO. USE ZONE OP L - I certify.that in the performance of the work for which this = v SPECIAL - Y permit is issued, I shall not employ any person in any manner ADDRESS / U ^/p /1y/,�J/T - CONDITIONS 0' so as to become subject to the Workers' Compensation Laws. ZIP �/7y(� O CITY 7Z/el/`l e c-/ i i Date' - Applicant ARCHITECT OR TEL � 'NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO .DISTRICT GROUP TYPE - FIRE PROCESSED 0Y CONST. ZONE l(,,pp O Compensation o Exemption, you should become subject to the Workers- ��D� _� . ` aU Cam ensation rovisions of the Labor Code, you must forth- 'ADDRESS `� "t with comply- with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. N /_1+- NO�PJ` _73j20 deemed revoked. CONTRACTOR CfI/N4%'i''.Pc///c z LICENSED CONTRACTORS DECLARATION //-?O>" � LIC. �f Z Z CLASS NO. DWEII. UNITS RESS _ I hereby affirm that I am licensed under provisions of Chapter 9 ADD _67, � / NO..S %�2 SEWER MAP (commencing with Section 7000)of Division 3 of the Business CITY F'�y/./7L/ G// k z4. CLA55 C -3 and Professions Code,and my license is in'full force and effect. BK PG VALIDATION 1// 2 2'Z e SQ.F: NO. OF NO. OF " CHECK License Number Lic. Class G 3 SIZE STORIES FAMILIES ONE VALUATION Contractor Date cl_2,6-X12 DESCRIPTION OF WORK /f/" .SZGn I� /y Z NEW ❑ $ [/Ur / ❑I am exempt under Sec. - ADD ElD �' 8.8P.C. for this reason ALTER E]REPAIR ❑ $ Dat USE OF L _ _ ., EXISTING BLDG' /�0,tt"L` DEMOC'❑ 1 Signature •/� APPLICANT NOTEL, FINAL OWNER-BUILDER DECLARATION - DATE - - 7✓ - 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 - _ By . 1 ❑ I, as owner of theproperty, or m employees with BUILDING -Y- tADDRESS _ D h7oK� !r ' wages as their sole compensation,will do the work and � - the structure is not intended or offered for sale(Section LOCALITY - C--l`� j,y. 7044, Business and Professions Code.) MOVING -TEL. El 1, NO. --'-- , I, as owner of the property, am exclusively contracting ,._C. with licensed contractors to construct the project (Sec- ADDRESS - rD! ,;"�' tion 7044, Business and Professions Code.) .' I•'= ---5-' ® &53 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWV PROP. LINE WIDTH - tai=`-F`. .i;.,e, 1 I hereby affirm that there is a construction lending agencyfor FRONT the performance of the work for which this permit is.issued FRONT ' I1 (Sec. 3097, Civ. C.). SIDE .. - • P.L. Lender's Name LDMA Ref. N P.C. Fee $ - Permit Fee Lender's Address i = i , 1. o I certify that I have read this application and state that the Issuance Fee a_7`,76�1 LDMA P/C k $ above information is correct. I agree to comply with all County Investigation Fee ' ordinances and State laws relating to building construction, Total Fee 4/f Op� LDMA Perm. N _ a and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. - SEE REVERSE FOR EXPLANATORY LANGUAGE - '. Signature of Applicant or Agent Date 5