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HomeMy Public PortalAbout5220 DEGAS AVE_Building__ 7GA638A CEd8430-84 APPLICATION FOR BUILDING PEF2MIT / COUNTY OF LOS ANGELES ""ING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUP-T.OF BUILD180 CROSS ST. I DISTRICT NO. - G 6UP TYPE PROCESSED BY 7 FOR APPLICANT TO FILL IN G CONST _�� ♦Y5 BUILDING STATISTICAL CLASSIFICATION SEWER MAP AGORE55 jtb _ CLASS NO. 5, OWE LL UNITS BK PG LOT NO. BLOCK USE ZONE MAP �/ Iv NO. TRACT A _ i / SPECIAL N0. OP BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF NG SLDO. SETBACK FROM TEL. PRO NT PROP. LINE OF /' (STREET) OWNER _ TYPE OF I EXISTING I SETBACK- (HIGHWAY YARD. - TOTAL ADDRESS HIGHWAY WIDTHR.QM C.L. + CITY ARCHITECT TEL. BLOC. SETBACK FROM - - ENOINEER NO. B1DE PROP, LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. y TEL. + = O 'CONT O U A D D R E5 _ LIC CORNER CUTOFF YES NO O CITY : IOAss SEE REVERSE SIDE FOR SPECIAL APPROVALSw DESCRIPTION OF WORK 26 s� a . / 1 s r,�aecr> z NEW N ADD ALTER REPAIR DEMOLISH - SO FT. NO. OF NO. OF SIZE STORIES FAMILIES q"e• `� // / USE OF STRUCTURE L l INATURE OF - e (/p 11 111 1i APPLICANT / �'4� ` VALUATION$ .7 ✓� APPROVALS GAT/E (NSP C OP'S SIGNATURE P.C. � � •� PMT. FOUNFORMS,MATERIALSON 3"3/-C! ///.. FEE$ ,7 ON, LOCAT FEE$�;S_� 'FRAME, FIRE STOPS, ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES 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. LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT, SIGNATURE OF 'fa HOUSE NUMBER COR- PERMITTEE .� RECT AN POSTED ADDRESS 6 _ FINAL JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK M.D. CASH _ PERMIT VALIDATION cK. M.O. cdsH `l ACO o 5 1 5� MAR 16 2 13.7 5- Q LACO0 5 1 6—� MR 16 1 D 1 5.00~ rJ 76Afi38F C4.803 B-64 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 590�Z BUILDING AND SAFETY DIVISION LOCALITY g tip p C j JOHN A. LAMBIE. COUNTY ENGINEER NEAREST +/ COLEMAN W. JE NKINS,SUP'T OF BUILDING CROSS ST. e G IV DISTRICT NO.,� GROUP TYPE. PROCESSED! B FOR APPLICANT TO FILL IN SG � CONST � r', BUILDING I, STATISTICAL CLASSIFICATION SE ER MAP ADDRESS �.�jJ V� 1 CLASS NO. DWELL UNITS K PG LOT NO. G BLOCK USE ZONE MAP NO. TRACT 9 6 SPECIAL ••// ( N0. OF BLOBS. CONDITIONS SIZE OF LOT .-6 J� /00 NOW ON LOT USE OF _ EXISTING SLOG. BLDG. SETBACK FROM TEL FRONT PROP. LINE OF — / (STREET) OWNER NO. '0906 – TYPE OF E%)BTI NB SETBACK HIGHWAY TARO – TOTAL ADDRESS 11461 U NIGH WAY W..yI-TX FROM C.L. CITY E C T J�F Lf�, T � } �� – 2-J,ARCHITECT OR //..// I` TEL. BLDG. SETBACK FROM ENGINEER /(R' F+ O NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } TARO = TOTAL ADDRESS ;TYY HIGHWAY WIDTH FROM C.L. CL CONTRACTOR SQ IC CFIdpS NOL `6^6 oo } - ILI 0 ADDRESS �l" TU NRS LICNO O -7AV CORNER CUTOFF YES NO O LIC CITY ' 4-= CLA SS / SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK 4-I°l-(oT- LgQ:A-MI.A)�.- Lo wllj(y 6�4 Z NEW ADD ALTER REPAIR DEMOLISH ole- f •'^� 4 / SQ.FT. NO. OFES NO. OF VV [`- SIZE /L- 6, STORIFAMILIES J _ USE OFII�� FV ERR �j ) K 4 -i + w r <-HSLIG 6 A'A U STRUCTURE 2L Si VE ' ITL G ©A,/ STAi zea�y Va�e�ara r�i.(r:,�..>,.. ^k..., 4„ SIGNATURE OF ,, \, - '•Z� V�'� Gd LOLL �A�J ALiLTp�Rr M� ANO .APP LI CANT - VALUATION$ A(LboO 20 P CF I LIA)G CLnv clue-G•-��✓ - A (� APPROVALS DATE UINGP ECTOR'S SIGNATURE P.C. S� PMT. OLr FOUNDATION, LOCATION r FEE$ FEE S FORMS, MATERIALS --/ ��J (.(A"L4 FRAME, FIRE STOPS, � F� V 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS S'•l y-W /,1i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION V(* ( ✓ a • dwyl WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS IBJ ( 8 'V 9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORN AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR COOL OF THE STATE OF CALIFORNIA RELAT- ING TOWORKMEN'SC MP SATIONINS MANCE LATH. EXT. S „ �1-7 ( ing SIGNATURE OF HOUSE NUMBER COR- 1 - + PERMITTEE ' RECT AND POSTED . "f I ADDRESS- FINAL o/c '3\ G JOHN F. LEWIS. PRINCIPAL STR CTU RAL ENGINEER PLAN CHECK VALIDATION cK. cK.M.O. CASH PERMIT VALIDATION �� D �use� 0 9 0' FLs 1 z D 3 5.5 Q A c Lo-- xv pp ue .092aA ;,Vli g 1 D 71 .00^ APPLICATION FOR COUNTY OF LOS ANGELES OF COUNTY BUILDING PERMIT DEPARTMENT BUILDING AND SAFETY DIVSIONR BUILDING ,FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS LOCALITY NEAREST. ZIPSQ CROSSST. C, NO.OF BLDGS. ASSESSOR _ SIZE OF LOT ._ NOW ON LOT / MAP BOOK PAGE PARCEL TRACT` SV DISTRICT GROUP TYPE FIRE 3CF�bED BY BLOCK LOT NO. 0 s �q CONST. , / ZI (% �. TEL. /s •.0 G. V r..n.u,p-Yf OWNER NOv -? 3 STATISTICAL CLASSIFICATION SEWER MAP ADDRESS Z-22. 0. P+ f 'C CLASS NO.�DWELL.UNITS BK/19& CITY �'/ -e // ZIP TEL- USE ZONE. NMAP O/ O ARCHITECT OR - / ENGINEER NO. SPECIAL _ CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED VES ❑ NO ❑ TEL. CONTRACTOR /� NO. _;,- Q BLDG.SETBACK FROM FRONT PROP.LINE OF 1 T - (STREET) ADDRESS 'W LIC3 TOTA SETBACK FROM TYPEOF EXISTING LIC. HIGH WAYS + YARD = FRONT PROP.LINE 'HIGHWAY WIDTH CITY /./. -- CLASS - /J CONSTRUCTION LEN R + 'T Q NAME AND BRANCH O BLDG.SETBACK FROM - V ADDRESS CITY SIDE PROP.LINE OF ISTREETI SO.FT. NO.OF NO.OF / CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING w SIZE O STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH, J w DESCRIPTION OF WORK / Q Q K.AJ NEW ❑ + _ Z I= V4 ly N R / e ADD ❑ CORNER CUTOFF YES ❑ NO ❑ lq ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ USEOF REPAIR ❑ IN COASTAL PERMIT ZONE YES. ❑ NO ❑ EXISTING BLDG. DEMOL ❑ APPLICANT TEl - .X/iCGQ Pe(/��(� S CD Co PRINT NO. BY(SIGNATURE) -1-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE - THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELA TING TO WORKMEN'S COM- PENSATION INSURANCE. PERMIITTEEE OF � � [. DAEl t,/, —�j / 'BV ADDRESS FF✓✓//��..VJJJ / -/ /CD,` TEL 35= WORKERS'COMPENSATION DECLARATION - - jl I hereby affirm that I hove a certificate of consent to self ///ppp'\� D O ❑CP ////pp�'��� �I1�FT�'���IFp11�� FOR O � 1p� �El��lp� app RO �///��� �-dull insure, or a certificate of Workers' Compensation Insurance, (/'ly����vi?W��®UV Il �tl�l �V�I��DD �UV� �LS II�lll l7 ll�� or a certified copy thereof (Sec:3800, Lab. C. , - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company _ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING y ADDRESS ` O /�• Certified copy is filed with the county ui lding inspec- BUILDING 1 y _ tion department. ADDRESS L3! Date_ Ipplicant CITY �Q/�If ZIP a LOCALITY CERTIFICATE OF EXEMPTI FROM WORKERS' - NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one BLOCK LOT NO ASSESSOR TRACT hundred dollars ($100)or less.) //''�� pp q MAP BOOK PAGE PARCEL OWNER /Y 1/ Y NO J ;/t 'f USE ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner �l�4T `('i yP �� SPECIAL so as to become subject to the Workers Compe. oti Lo s. ADDRESS / /V Gy /} CONDITIONS O Date s`! w Applico CITY -ei ( ZIP `.� r B ARCHI CT OR TEL. NOTICE TO APPLICANT: If, a4f makingthis Certifi<ot of DISTRICT GROUP TYPE FIREONS ZONE PROCESSED BV Exemption, you should become subject to the Workers' ENGINEER NO. - Compensation provisions o4 the Labor Code, you must forth- ADDRESS '/J^ Ll.l with comply with such provisions or this permit shall be � � 6. TEL 'l STATISTICAL CLASSIFICATION APT. CONDO. EA deemed revoked. CONTRACTOR d�� NO. V- Z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS VALIDATION 50. FT. NO.OF / NO. OF CHECK BK. PG. , License Number Lic.Class SIZE �B STORIES FAMILIES ONE VALUATION Contractor Date - DESCRIPTION-0F WORK eA NEW ❑ $ �� ! •� ADD ❑ El I am exempt under Sec /. ❑ ALTER B.BP.C. for this reason REPAIR s Date: EXISTUSE OING BLDG. DEMOL ❑ 9 2•Q''4 A Signature APPLICANTT -EL FINAL � v OWNER-BUILDER DECLARATION PRINT Q• N DATE U I hereby affirm that I am exempt from the Contractor's license 7 a O O Low for the following reason (Section 7031.5, Business and ADDRESS FI e o o 7a O 019 Professions Code): PRESENTBUILDINGB I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and D ' the structure is not intended or offered for sole(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively cohtracting CONTRACTOR NO, with licensed contractors to construct the project (Sec- gDDRE55 tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for - FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.I. Lender's Name SJt IDMA Ref, N m Lender's Address P.C. Fee E Permit Fee I certify that I have read this application and state that the Issuance Fee LDMA P/C A above information is correct. I agree to comply with.all County Investigation Fee /( �( ordinances and State laws relating to building construction, Tolal Fae r Cl(J LDMA Perm. N and hereby authorize representatives of this County to enter upon the above-ma 'one propert for inspection purposes. EEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agan Date - -