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Home My Public Portal About5136 DOREEN AVE_Building__ 76AG38A C;"03 9-67 APPLICATION OR BUILT NG PERMIT COUNTY OF LOS ANGELES BUILDING1 DEPARTMENT OF COUNTY ENGINEER ADDRESS ,-S 7c3 K / %e l BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUv'T DF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT N G P C.TONS / YPE PRocCF D By (Print or tvae only) �.� BUILDING / STATISTICAL))CLASSIFICATION SEWER//MA AODRESS / CLASS NO.�DWELL,UNITS� BK(� Q LOT NO. O. S.4 BLOCK USE ZONEI NOP TRACT O` a SPECIAL '] NO.OF BLDGS CONDITIONS SIZE OF LOT o pC NOW ON LOT USE OF EXISTING BLDG. �-i. •� BLDG.SETBACK FROM TELFRONT PROP.LINE OF -/—(STREET) //,, . NO, f� •Il TYPE OF EXISTING SETBACK I HIGHWAY } YARD .= TOTAL 'ADDRESS f.F HIGHWAY WI IDD�T/H FROM O.L. CITY i C� } � .SETBACK FR ARCHITECT OR TEL. SIDEGPROP.L NEOFOM (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL } _ CONTRACTO _ ( NO. O ADDRESS NO. CORNER CUTOFF YES ❑ NO V C LIC. O clTv - CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS � DESCRIPTION OF WORK a 2-2G G,fS 5��_ �trBT,�{i✓1.o� • �r�-r�:� NEW ADD ALTER REPAIR EMOLISH n y a SO. FT. NO. OF N , SIZE STORIES ) FAMILIES I V USE OF ST CTURE J `SIGNATUR / *"LICA NE .1 `r VALUATION $ V �� APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S FEES Q FORMS, MATERIALS FRAME: FIRE STOPS, HEREBY HAT THE EDGE THAT HAVE READ THISGRE APPLICATION BRACING, BOLTS AND STATE THAT THE DIVA IE CORRECT TE AGREE E COMPLY FURNACE' LOCATION, WITH ALL COUNTY ORDINANCES AND THAT LAWN REGULATING GAS VENT, DUCTS BUILDING RIZ CONSTRUCTION.I WILL CERTIFY THAT IN DOING THE WORK TION HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA ReLAT- LATH, INT. ING TO WORKMEN'$CO'/Mj/APEN.,MLOONNp`fINSURANCE. SIGNATURE —r�� rFIN EXT. SIGNATURE OF I _ NUMBER COR- ADDRESS./ g'7 A T AND POSTED lr JOHN F, LEWIS. PRINCIPAL ST RAL ENGINEER PLAN CHECK'VALIDATION CK. Mo. CASH PERMIT VALIDATION DK. M.D. CASH LAC;0 3 2 2 2 FE8 21 1 D 6:0-0 -7 � - 761638A' CE#503 9-67 APPLICATIO� FOR SIDING PERMIT," COUNTY OF LOS ANGELES BUILDING DEPARTMENT,OF COUNTY ENGINEER ADDRESS 1,573 3 A� i BUILDING AND SAFETY DIVISION LOCALITY F X/ JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICTN ROUTYPE P OCES ED BY (Print or type DDIy) <Si (�1I. P eoNs, C', O -L BUILDING STATISTICAL CLASSIFICATION SEWER M1 P ADDRESS CLASS NO. DW/E LL,U/pNITS / BK VP Tl�` LOT NO. I, )T BLOCK USEJ$ONEMA NOP TRACT . „yl SPECIAL NO.OF BLOCS. Q (/(/ CONDITIONS SIZE OF LOT �_V)(a 12C/I NOW ON LOT USE OF EXISTING BLDG. - BLDG.SETBACK FROM l .,( TEL. FRONT PROP,LINEOF� �a-LeC�fv -(STREET) OWNER Y-OG O NO' /�•" ` TYPE OF EXISTING SETBACK HIGHWAY } YARO = TOTAL oo 4 j� HIGHWAY WIDTH FROM C.L. ADDRESS Ll V' ) J CITYAlAzyM CK FR ARCHITECT OR TEL. SIDEGPROP.ANE OPM , (STREET) ENGINEER NO. TYPE OFEXISTING SETBACK HIGHWAY } YARD : TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRA CTORO✓/ - NO. +YS O LIC, CORNER CUTOFF EV ADDRESS LIC E] NO K CITY CIC. LASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK ` a •- NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF 1 `�- h b e - i' ^=- •"'-a+i"v".`^'L•Y�fJ , -+ SIZE �. STORIES FAMILIES USE OF STRUCTURE ZoW SIGNATURE OF / APPLICANT -L - -\- - VALUATION S . 7 APPROVALS y ', DATE �AIK.lCGT,R'S SIGNATURE P.Q. 2,� PMT, A o FOUNDATION:-LOCATION > � + FEE s ` -L 47r' FEES 1z FORMS, MATERIALS _ FRAME: FIRE STOPS„ J 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, I' CERTIFY THAT IN DOING THE WORK, - AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- TION IOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. _ _ •J I ING TO WORKMEN'S COMPENplLN INSURANCE. - // �' � LATH, EXT. S SIGNATURE OF/ 'cA///l HOUSE NUMBER COR_ PERMIT / .,E RECT AND POSTED ADDRESS ZE) b` L ,I' • /LT• FINALu JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION R. M.D. CASH _ PERMIT VALIDATIONCK. M.D. CASH -Y3 e 2:1.x..FEB 21-_2 3 ,D ,. 5 5.8,8 5-4 3.4�., w-.' S 3=0 1 5.3 7 q LAL�03435�s MAR 5 14250,�- e WORKERS' COMPENSATION.DECLARATION I hereby affirm that I have a certificate of consent to self AMO V O R BU O L DV` P S R 'Tinsure, or a certificate of Workers' Compensation Insurance, ApPU777 or a certified copy thereof (Sec. 3800, Lab. C.) - COUNTY OF LOS ANGELES - BUILDING AND SAFETY Policy No. Company• _ BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING '7/6 ll b L'@N v� tion department. ADDRESS /J CITY �'M G'r G/ ZIP 1 0 LOCALITY -LA Date Applicant 9_ NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. 1 Fvce!_J% 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 ($100) or less.) El. OWNER' E �''�ZL D I NO. USE ZONE MAP I certify that.in the performance of.the work for which this 1_ NO. \ permit is issued, I sholI not employ any person in any manner ADDRESS J'13 T&. F - T` SPECIAL la- so so os to become subject to the 'Compensat n Laws. �p CONDITION$ O CITU r'MP4� Gr'( ZIP 0 0 Dote/ —_�_Z—'1d�Applicant- ARCHITECT OR iEL. DISTRICT GROUP TYPE FIRE PR CESSED BY O NOTICE TO APPLICANT: If, after maki h' er tficate of ENGINEER NO. CONST. ZONE H- Exemption, you should became. subject the Workers' - ..��R j �1 � U Compensation provisions of the Labor Code, you must,forth- ADDRESS. - J IIIJJJ��' a with comply with such provisions or this..permit shall be - /�� TEL STATISTICAL CIASSIFICA710N APT. CONDO. 7 Z deemed revoked. CONTRACTLOR -f� C V/✓ NO. - L ' pWELL. UNI75 LICENSED CONTRACTORS DECLARATION ADDRESS,7 16 UC C Cu5$NO. I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP ,(commencing with Section 7000)of Division 3 of the Business LIC.and Professions Code,and my license is in full force and effect. CITY CM L,r �-( CLASS BK _ VALIDATION 5O. FT. NO. OF NO. OF CHECK a.{ \' License Number S '`19 3 q3{ Lic, Class SIZE PDO STORIES FAMILIES ONE VALUATION \ - C/✓//(yrs DESCRIPTION OF WORK NEw. ❑ 4 •- Contractor ate l _ $ 0 dC7c V D 1r ADD ❑ ❑I am exempt under Sec. �T' �2)"q L 'ti •� s 6 cc • OyB'¢ .ALTER, ❑ "y B.BP.C. for this reason L o` 3o�hFL% REPAIR $ , u5 oF. - ACCT.s Date: EXISTING BLDG. ,1 Pt DEMOL ❑ -, 7_!7 2f1,_a Signature APPLICANT t• , I TEL. DATE FINAL � - ♦ / OWNER-BUILDER DECLARATION (PRINT) INO. !� G I hereby affirm that I am exempt from the Contractor's license - pr- Low for the following reason(Section 7031.5, Business and ADDRESS FINAL P I I iTA } ra :.p Professions Code): .- PRESENT .- _- _. _ .. BY C. `.-�1• '.r'Iy`,EIS; t'+'-t1i ❑ I, as owner of the property, or my employeesBUILDING with ADDRESS wagesas their sole compensation,will do thework and - - DjYyyOf�E�DE ,eG fd2� v 1-JRN4" the structure is not intended or offered for sale(Section LOCALITY 7044,Business and Professions Code.) MOVING - - TEL ✓�[J/ ❑ I, as owner of the property, am exclusively CONTRACTOR NO.usively contracting j•'I_(Ij lj IL /_r 11'7_r with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) IST. _ _ H�� 7�L'yY CONSTRUCTION LENDING AGENCY SETT REQUIRED YARD HWY TOTA SETBACK FROM• ' WIDTH ' 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 - Lender's Name ' /y LDMA Ref. N $ Lender's Address P.C. Fee$ Perm "'it Fee • 9 ' ' Da I certify that I have read this application and state that the Issuance Fee" • Sv LDMA P/C q 8 above information is correct. I agree to comply with all County Investigation Fee/�drMy _ R ordinances and State laws relating to building construction, '_TU• Totul Fee Z tDNA Perm. N _ 4 and hereby authorize representatives of this County to enter upon the above-menti o d property or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE, Sign e of4Kpp7cjnt or Agent Date