HomeMy Public PortalAbout4826 DOREEN AVE_Building__ BUILDINADDRESS
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C ` E
APPLICATION LOCALITY
DIVISION OF BUILDING AND SAFETY CROSS ST. Lo w#2 ALJ SA
Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles
WM. J. FOX, COUNTY ENGINEERORppQ UP DATE RECEIVED DcA1TE ISSUED
CASSATT D. GRIFFIN, SUPT or BWLPIND J _I 'Z_t _ 5 l
FOR APPLICANT TO FILL IN TYPE CONST. RE CEI ED BY ISSUED BY
.i--� -- z n ' e- -1
OWNER 1G Lfl bQ�IC{1L Ft .AP YES NO
MAIL NUMBER ZQ 9 STATE
O
ADDRESS 8 ��p�
i USEZONE SPECIAL
TEL CONDITIONS
CITY NO. A '
ARCHITECT OR TEL.
ENGINEER NO.
BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS
FRONT
TEL. P.L. I �Q
CONTRACTOR NO. - 510[
P. L. t It
ADDRESS
GATE CORRECTIONS INSPECTOR
BUILDING Z� 7
ADDRESS 3
/M- R
LOT NO. qe] �j Z' O ��� BLOCK
TRACT l
NO. OF GLOSS.
A'
RIZE OF LOT NOW ON LOT
USE OF
1%19TING BLDG. �
DESCRIPTION OF WORK °a
0
NEW ADD ALTER REPAIR DEMOLISH Z
Sq. FT. NO. OF NO.OF D
SIZE STORIES FAMILIES r
USE DF STRUCTURE
NO.OF
EMPLOYEES
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS, MATERIALS
FRAME: FIRE STOPS,
SIGNATURE OFL2nU BRACING,BOLTS
PERMITTEF FURNACE: LOCATION,
GAS VENT, DUCTS
ADDRESS
LATH, INT.
AUTHORIZED AOT.
LATH. EXT.
$ 0.K, P. C. $ HOUSE NUMBER COR-
D/ C='= _ FEE /� RECT AND POSTED
VALUATION FEE $�—�O FINAL
76A639A D85 3 06 5-54
^TfiA 638ACEAB 03 9-67
APPLICATION FOR BUILDING PERMIT L1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS e
BUILDING AND SAFETY DIVISION Locnury �e G
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT OFF-BUIIOIHG NEAREST
CROSS ST. 6 /r
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PROCESSED BY
o +
(Print or type only) Ul', LAAL-1 cF
BUILD'
ICAL NG STATISTCLAS51ICATION SEWER MAP
ADDRESS A90 CLASS NO. IU OWELL.UNITS BK PGj
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT f _/ SPECIAL
NO.OF EILDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG, BLDG.SETBACK FROM /� AlTELFRONT PROP.LINE OF V 6-!L,L• "' (STREET)
OWNER .NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
r HIGHWAY WIDTH FROM C.L.
ADDRESS / -
T loc,9G/ + /
CITY e �/ BLDG.SETBACK FROM
ARCHITECT ORL. SIDE PROP.LINE OF (STREET)
ENGINEER NO.
TYPE A EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM G.L.
((� TEL. �a-`l.3 + Y
CONTRACTOR ,! 5r-e� NO. T.7
ADDRESS !. NO. CORNER CUTOFF YES ❑ NO ❑ V
CITY - /-CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORKlzia
z_
NE ADD ALTER REPAIR DEMOLISH
SQ. FT NO. OF NO. OF
S1ZE STORIES FAMILIES
USE OF w
STRUCTURE Cf
SIGNATURE OF
APPLICANT `�J
VALUATION $ / a. ^0 or APPROVALS DATE INSPECTOR'S SIGNAT pE
P.C. PMT. p -FOUNDATION: LOCATION //>�
FEE S FEES FORMS, MATERIALS f^V P
FRAME: FIRE STOPS,
I HEREBY AC K NOWLEOGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS'
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF TME LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE' RECTA D ST
ADDRESS �7�5 �V IryJ/I YGnS FINAL -�0�G
N JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK, M.D. CASH _ PERMIT VALIDATION CK. M.D. CD
LACo 6 7 o a DCT 4 1 D 1 20010~ ,'�
0 L Do 0 M Q ADDRESS GC Lam? ( Ti
11 VJl 1� 1 2
APPLICATION LOCALITY
DIVISION OF BUILDING AND SAFETY NEAREST 11 w�{
CROSS ST.
Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los ALngeteR IS
_MATT
) . 3 r
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE 159U ED
CASSATTD. GRIFFIN, SUI••T Or BUILDING
J - 1 12 — t • '5 -1
FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY ISSUED By
ch-\ D n I.
OWNERMAP STATE
YES (NO
MAIL
MAIL '. NUMBER �---c7 1 O HWY
ADDRESS USEZONE SPECIAL
EL. CONDITIONS
T
CITY ' .�.i 4J NO.
ARCHITECT OR TEL. A-,
ENGINEER NO.
BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS
FRONT
TEL - DE
L.
P. L.LZ4 A
CONTRACTOR � NO:
^ I
ADDRESS 1_J�ti wl>�-P P. L. UI
DATE CORRECTIONS INSPECTOR
BUILDING
ADDRESS /
LOT NO. /y'� �:2 p.l �`Y 13LOCK
TRACT
NO. OF SLOGS.
SIZE OFLOT 7 I NOW ON LOT 1
USE OF �>
rXIgTING RLDG.
DESCRIPTION OF WORK
r
NEW (AODM ALTER REPAIR DEMOLISH D
BD. FT. ��� NO. OF NO.OF n
SIZE STORIES FAMILIES
USE OF STRUCTURE
NO.OF
EMPLOYEES
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IH APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCESFOUNDATION: LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS.MATERIALS
Q / FRAME: FIRE STOPS,
SIGNATUREOFr` .� .L- �.uln.vt q.(- BRACING. BOLTS
FURNACE: LOCATION,
GAS VENT,DUCTS
ADDRESS
LATH, INT.
AUTHORIZED AST.
LATH, EXT.
$ v O C? FEE o HOUSE NUMBER COR-
��• RECT AND POSTED
VALUATION FINAL
76A638A DBS 3 06 5-j4 ^•
15A6]EA GE N9D]2-a3 APPLICATION_.FOR' BU ILDING-P'ERMIT
COUNTY OF LOS ANGELES' BUILDING
DEPARTMENT OF COUNTY ENGINEER' , +' ADDRESS 26 N Doreen
BUILDING AND SAFETY,DIVISION " LOCALITY
JOHN A. LAMBIE• COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN.,SUP'i of BUILDING CROSS ST: J
DISTRIOT NO., GROUP TYPE P O ESSED BY
FOR APPLICANT TO FILL.IN 5 _ coNsr.
BUILDING - [ - STATISTICAL CLASSIFICATION 5 WER MAP
ADDRESS' 26 Ni Doreen CLASS' NO.--g---DWELL.
LOT NO BLOCK .WATER NOT REQUIRED I\I RECEIVED
.. 'CERTIFICATE:' L8
TRACT - MAP / HIGHWAY STATE MAJOR SECOND. CAL
-, NO.OF SLOGS. NO.� / •IC1FCLEI
SIZE OF LOT .- NOW ON LOT .USE ZONE 'SPECIAL
USE / - CONDITIONS
EXISTING
G BLDG: residence '.
TEL.
W
ONER NO. BUILDING YARD HWY. STRE T AM EXIST.
SETBACK WIDTH
ADDRESS -)" . FRONT
ARCHITECT OR - TEL. P. L.
ENGINEER NO. SIDE.,
ADDRESS _ d
TEL. - 1 O
CONTRACTOR g '''•g E V _
ADDRESS 9 20 E Grand �• _
DESCRIPTION OF WORK
a
NEW XADD ALTER REPAIR DEMOLISH Z'•
SO. FT. NO.OF NO. OF —
SIZE STORIES' FAMILIES
USE OF y -
IS
a a air
1 return
SIGNATURE OF /
APPLICANT
VALUATION $ 5e4.0o - c
PPROV LS DATE INSPECTOR'S SIGNATURE _
P.C.. PMT. FOUNDATI LOCATION -
FE E $ •FEE $ QO . _ FORMS. ATERIALS `
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.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS "
BUILDING CONSTRUCTION. 1 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 COM/ENSATION INSURANCE:
` LATH. EXT.
SIGNATURE OF //�'�/� HOUSE NUMBER COR-
PERMITTEE�N//// \5 � RECT AND POSTED
ADDRESS - FINAL "
JOHN F. LEWIS. PRINCIPAL STIR URAL ENGINEER'
PLAN CHECK VALIDATION` .CK. M.D. CASH _ PERMIT VALIDATION G ! M.D. GASH
m . Lilo?-7 7'81"OCT, 23 1 O 6.00 Q
r OBS-3 25M RETS 10-46 1i
,DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT J
COUNTY OF LOS ANGELES n a O fl ftp
WM. J. FOX, CHIEF ENGINEER L� 19`ad
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
—�=
IS UILDINUJ/� n X�i / �(,(�� ,,� �f///per DISTRI O PLAN CK. NO PERMIT NO.
ADDRESS Jl/ 0�"N / i/ c.1G.C/)'C .�C//. 0
LOCALITY �X [l./-Y(/L.([J E�IVED BY DATE yOOFF APPL. DAT�E•ISSUED
CROSSSST. AN'A���"ya(//�/�/fi�.,aL�/Q+� ///✓�/!/ 9`i//\ /�"/P /� -^�,y._ �/�
'�Y^y/lI L.Jff/!_P� I , ADDRESS /Qy V
OWNER��
MAIL
ADDRESS /�1 �^/ L,p n , ,e _LOCALITY
/ o YW �' !� L'IKiCiC l/
/J
NEAREST
TE"
TEL ,. CR049 9T. l
CITY H1 AA.M.I9X) NO. _ O
9 FIRE NO. OF NJam'P GR
Q ❑BJP
". ARCHITECT OR� NO: ZONE PLANS
GI1/ �1
ENGINEER _4 v
BLOB., Q �y / (ORD.NO.
vg
ADDRESS SETBACK LINE l�L/ ACiI� ]7'
APPROVED
CONTRACTOR NO. BY ) DATE
USE APPROVED
ADDRESS ZON '--/ BY DATE
LEGALr/ CORRECTIONS
DESCRIPTION I LOT NO. / BLOCK /, V
TRACT l
yy��y ''T I NOW OBLDG9,`� l�}—I�(L/�+ I a
SIZE DF LOT�%6[-� )iw3, I ' NOW ON LOT YV'V � .
USE OF NO.OF NO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW I ALTERATION ADDITION LV A<L Gf�IT Cid ✓G A/7�� 1/r 0! >-"�
0
A
REPAIR. L/ MOVING DEMOLISH p
y.r
SIZE T �G ROOMS V STORIES /' Z
D
WALL > ROOF
® r
COVERING}�j��[�_(-rGFiI• I COVERING ,M, '
/ 0
USE OF NEW
BUILDING
r Q.rti,v�vi � I r/,vt6ta s
V `tly •L' 419: 1iRV1
+HEREBY ACKNOWLEDGE THAT:-I�)HIAVE READTH19 APPROVALS
11 PPL'ICATION AND STATE THAT THEiABOVE514..CORRECT FOUNDATION: LOCATION IN PECTOR DATE'
AND AGREE TO COMPLY WITH ALL COUNTYF 012OINANCES FORMS, MATERIALS }�
f 'AND STATE LAWS REG}AT lNG BUILDINp)C ON9TRUCTION. FRAME: FIRE STOPS,
I 1'- )n dl 'jBRACING,BOLTS
41p NATURE OF 1e;. + r
; rf }{t } -
OWNER ,I1 LATH, INT.:
.AUTHORIZED AGT� J'3'lhF�' �I !^+ WPI �.I�r NY�,t.t,/t.1
'y .:l . .•c....Y..Y+Y.1.:)`,.' LATH,EXT.: M >/G(� A7..�-✓./`
t
i� S PLASTER. INT.PLASTER, E%T
9�
a/ Y O --r FEE% .i� _
. A
®r r
1 VALUATION FINAL
1[` FEE
•
WORKERS' COMPENSATION DECLARATION - - -
I hereby affirm that bhave a certificate of conseot to self !'11insure-v>r a certificate of Workers' Compensation Insurdnce, LIAP�UCAT V POR
OR S UR D. G P p R
'T
_,_,pr a certified copy thereof (Sec. 3800, Lob C.) 'COUNTY OF LOS ANGELES'. BUILDING AND SAFETY' - �S
Policy No. ampany- �'t•c^ - �qq '
Certified copy is hereby furnished ': FOR APPLICANT TO FILL IN ADDRESS 00,10 V4_
❑ Certified copy is filed with the county building inspec BUILDING
tion department. - ADDRESS
'Date Applicant'a CITY'. e-C.L .ZIP I I O LOCALITY -
_ _NO. OFBLDGS. NEAREST
'.
CERTIFICATE-0F'EXEMPTION'FROM WORKERS" - SIZE OE LOT - NOW ON LOT - - CROSS ST.
COMPENSATION INSURANCE _ _ ASSESSOR _ -
(This'section need-not be completed if`the'perin it is'for.one TRACT LOCK LOT NO. MAP e00K - 1 PAGE PARCEL `
hundred dollars ($100) or less.) (� i n �j
- OWNER % 1. �-` ,� UFZONE. .MAP OC -..7 - ..
I certify that in.the performance of the work for which this ,h NOpermit isissued;,lshall not employ any.person in.any manner ADDRESS - /• - SPECIALso as to become subject to the Workers'Compensation,Laws. CONDITIONS O
CITY' _ - ZIP + .. U
Date Applicant - -- ARCHITECT O c TELFIR K
NOTICE TO APPLICANT:.If, after making this Certificate of ENGINEER % l ,NO • (,'.2� DISTRICT-•, -GROUP CONST/�'' ZONE TYPE E OCESSED B'Q Q
Exempion,• you should become subject to the Workers' 5,0
"� /(�' ,Q - - I/ 2 U'
Compensation:provisions of the Labor Code, you•,mustform- ADDRESS 4/ J r fJ J Y, —3 a '-
. with.-comply with such provisions or this permit sholF be - • TEL `O� -
deemed revoked. - CONTRACTOR " r (L,.*- NO."I�YNC-s STATISTICAL CLASSIFICATION. APT. CONDO. Z
LICENSED CONTRACTORS DECLARATION - - uC. -
CLASS NO: DWELL. UNITS
I hereby affirm that I am licensedunderprovisions of Chapter 9 ADDRESS C.v �' '�� SEWER MAP '
(commencing with Section 7000)'of Division 3 of the Business - LIC p R R
and Professions Code and my license is in full force and effect. _ CITYttgjI`�10 �I 'CUSS i7"{ BK L.- .PG 3(J _ VALIDATION
/ •((� -, SQ..FT NO. OF NO. OF CHECK - - -
License Number `-"1 Lic..Ygss - SIZE' STORIES FAMILIES ONE
O " VALUA 10 I�
Coniractar�;+fT 7471H4••1D) Date ��• V DESCRIPTION FWORK - NEW' ❑ ,. $- n_ vy ,�� _
ADD
�� O( ✓✓✓ o O D
' ❑I am exempt under Sec. - � h gLTER
B.BP. El
G for this-rea50ri _ - REPAIR.Q
Date:. USE OF
- - EXISTING'BLDG. DEMOL ❑I
SignatureAPPLICANT TEL. j� .FINAL
OWNER-BUILDER DECLARATION (PRINT) NO. �Y' "1 V "VI
1 hereby affirm that I am exempt from the Contractor's License - --- - ' r , - DATE `
Law for the followings reason.(Section 7031.5, Business and ADDRESS FINAL
Professions Lode);. ` . - PRESENT - - - - - - - - • 8
Y
❑ I, as owner of theproperty, or m employees with BUILDING - - - ACCT.t
aYtADDRESS
wages as their sole compensation;will do the work and
the structure is not intended or offeie l folsole(Section LOCALITY 3307 - '256.
56 13
7044 Business and-Professions Cade.) - I MOVING TEL. ii t
❑ I as owner of the property, am exclusively contracting CONTRACTOR NO. - 1 Ibis
E '.
with licensed contractors to construct the project (Sec- gDDRES. 1 c ),I FAL 56 a 1+
tion 7044, Business and Professions Code,) 4 •' ' fLHE
:
REQUIRED- -- - —TOTAL-SETBACK'FROM" "EXIST - - tY -r`6..1
CONSTRUCTION LENDING AGENCY - SET.BACK YARD` HwY- PROP. LINE WIDTH - -
I hereby affirm that there is a construction lending agency for -FRONT _ _ _ _ s� _ - CHANGE � CIEj
the performance of the work for which this permit-is issued 'P:L.- " ` " - - i-,• t'
(Sec. 3097, Civ. C.). - - SIDE. I .. . . - 1 .
Lender's Name - - jt -• �Ijool] 0001 : 10/12/rK
LDMA R.I..g. ..
P:C. Fee$ Permit Fee -
3 Lender's'Address _ h:?CILI . '1 .-AM 9�L11 -
o -' I certify that I have read this application and state {hat'the Issuance Fee / , r + LDMA P/C# D -
8 above information is correct_]agree to comply with all County Investigation,Fee
R
ordinances and State lows relating to building construction,. Total FeA5 • LDMA Perm. q
a and hereby au niatwes of this County to enter
S upon ave= entioned p perty for inspection p rp es.
a - �/ops ..
C .- !•'/ SEE REVERSE FOR EXPLANATORY LANGUAGE _ _-•,
nature of Applicant or Agent Dote -,