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HomeMy Public PortalAbout5211 DOREEN AVE_Building__ DIVISION OF BUILDING AND SAFETY IEM I IJ I L M N G �f Department of County Engineer ) �j County of Los Angeles .WM. J. FOX, COUNTY ENGINEER APPLICATION BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING qq © /� � ADDRESS :S .`.Il f /QV( 1 ;./ ,Q� LOCALITY • Gi �,Ij , NEAREST J ��w�r.�/•. i -LOCALITY - - CROSS'STv /`� C/V ,• DISTRICT NO. PUN CK. OR-REC. No. 'PERMIT NO. NEAREST ' h CROSS ST. P, v 'OWNER REC E I V ED BY DATE OF APPL. DAT�Ej ISSUEDD MAIL +/4v% /ice" :/✓ ADDRESS. USEZONE,I IO. OF TYPE GROUP FIRE ZONE TE4. ��,/ G. PLANS I / CITY - / _ TE FJ "i .V/ ARCHITECT'OR TEL. - / ZONING DATED . ENGINEER' ' NO: _ APPROVED BY T ADDRESS SETBACK LINE: OTY TEL. APPROVED ♦. 1 DATE CONTRACTOR NO. BY: HOUSE NUMBERING. 1 ADDRESS LEGAL MAP NUMBER t 14Y 1 NO. ASSIGNED BA^'r��aJi� DESCRIPTION -.LOT NO. �I�y(,}�BLOCK ^ ' /x;z DATE I : CORRECTIONS' INSPECTOR TRACT d �/ LCJ/ ' `F. SIZE OF LOT %D/T I�✓ I NOW ON LOTS USE OF, -.NO. OF EXISTING BLDG, 'FAMILIES��i I I • 'O DESCRIPTION OF R$ ' NEW -ALTERATION ADDITION - .,��,/y � (1lI - 1r,1 REPAIR /�; DEMOLITION // `�IV)W 'S ZEA �` C' Ir J ROOMS. i'/ STORIES. V'(/�J'(. V/ I EXT. WALL WmO.p COVERING I COVERING USE OF STRUCTURE S >rw I � APPROVALS - INSPECTOR'S,SIGNATURE' DATE - FOUNDATION: LOCATION - --/ FORMS. MATERIALS • - 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP- FRAME: FIRE STOPS, - }" PLICATION'AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS - u " I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AN DSTATE.LAWS REGULATING BUILDING CONSTRUCTION. GAB VENT, DUCTS SIGNATURE OFAADDRE6S .'LATH, INT. " PERMITTE rl � LATH, EXT. � �*...� , PLASTER, INT. _ AUTHORIZED AGT. - - PLASTER. EXT. GOD `1 FEE Is NOUSE NUMBER COR- RECT ANO POSTED VALUATION FEE $ 'moi FINAL 76.636. 0553 2-98 _ - 7BA63RACE 8031.62APPLICATION FOR -BUILDING PERMIT COUNTY OF LOS ES ANGELES BUILDING /, DEPARTMENT OF'COUNTY ENGINEER —ADDRESS �! 22, BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST /Z�,Q/ DIST T N P GROUTYPE PRO S Y FOR APPLICANT TO FILL IN S CONGw_ BUILDING _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS �lf ✓�„'�� BK PG _ GLASS. NO. DWELL. UNITS LOTNO. 'S: AJO/Q� Z L BLOCK C WATER NOT REQUIRED © RECEIVED ❑ �T - CERTIFICATE: L TRACT / _ MAP HIGHWAY i NO. OF BLDGS. NO. (CIROLE) STATE MAJORSECOND LOCAL SIZE OF LOT sQ NOW ON LOT USE ZONE SPECIAL USE OF r CONDITION „ EXISTING BLDG. /� .S �/�q/`` d-/ ij Ko T” OWNER /G Q" 'III' 5x913/.YO NO. T62^ BBUlIILDINGE EXIST, N&/ SETBACK YARD HWY STREET NAME WIDTH ADDRESS 6O ' ` {vi Gl�'T� � FRONT ARCHITECTORTEL. P. L. lQV ENGINEER / J_ NO,- /V > SIDE R L. } ADDRESS - p 0/� TEL. /�-/:7- L1 N4 Ga�.c.r�✓n&cI T• !-YlG1� CONTRACTORI /+oE. U //� O. ADDRESS 60y f -GI CISLT[7L OS/-/O/I V - ' O .�1 -/1-G n /f a Ta- n.e_'c1 '/b :rG/J. .1,.) "r�. - V DESCRIPTION OF WORK - %! " t NEW A ADD ALTER REPAIR DEMOLISH Z SO. FT. NO. OF NO OF ?-!L � Q /C F-'Y UYiLQ�_/!-U(f-C. " SIZE 6 STORIES �t_' FAMILIESUSE Y/ ,p)/��)-^J/'^Ny//_O G (, STRUCTURE { aJ' /_ ../1 G>2/' ..rk" GO/ o - C 7'2�X�.go SIGNATURE OF APPLICANT VALUATION $ n APPROVALS-- /(D ATE INS�PEC-`T�OR',.S S�IIG,N/A,T{LLPE FO FEB$ -� PMT. �✓J C' FORMS, MATERIALSON ON FEE $ / FRAME:,FIRE STOPS. / L ✓ r n HEREBYACKNOWLEDGE THAT HAVE READ THIS APPLICATION 'BRACING. BOLTS I h I l AND STATE THAT THE ABOVE IS CORRECT TE AGREE E COMPLY FURNACE:CE: LOCATION, > WITH ALL COUNTY TI O. I CES AND STATE' LAWS REGULATING ('yqS VENT. DUCTS '1 / / BUILDING CONSTRUCTION. NOT IN DOING PERSON WORK �� �r AVTROgIZEO HEREBY 1 W'S OF T EMPLOY ANY PERSON IN VIOLA- LATH' INT. /, Vi'JFi TION OF OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE LATH, EXT. //J�A�j �/P4 3 SIGNATURE'OF ;V'- HOUSE NUMBER CDR- �j PERMITTEE !O/ /rs��ff�/ � RECT AND POSTED C. _ !, 1Z /�- 7V7 ADDRESS�60?iIE•� ,NAL DI P•,�`!l /�f7rJj'� r� JOHN F. LEWIS, PRINCIPAL•STRIJ URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. GABR _ PERMIT VALIDATION cK. M.O. CASH �rLo 6 3 1_6 Q' NOV 1 2 3 D 2 6.751 Q -l1;Go 8 1 0 5 DEC 7 1 * D✓y.'-,5 7.00-- Z .0G-- Z /•1�77.'V7/Gir.L✓ ,. .,. �,NGrr�i��n:/ DEPARTMENT OF BUILDING AND SAFETY' APPLICATION' FOR'`PERMIT COUNTY OF LOS ANGELES GFS 0 n LS m��7 WM.,U. FOX. CHIEF ENGINEER I 6 u FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY (� I BUILDING,- DISTRICT NO. ly PLAN CK.NO. PERMIT NO. ADDRESS _2 1 .�A'1�G__ 'mra. hj +,. _ _ J-7T('+ 67 LOCALITY �E VN RECEIVED BY EECEI EDBY `- DATE OF AP/P/L./. DATEISSUED I ' NEAREST 3 / ll •, �� /�/Q—W/ l�/G�T / � CROBSST. Gyp /' BUILDING / n (� T r.+ .OWNER &� EIP � 1:--1 41 o 'ADDRESS ./ ! a S .I/n [`",P- Al : i MAIL IO CALITY '�/VI P L•F C/Y 7 ADDRESS ,(J7 p'p ��. tom_/ ^/ /( ^ /] r /� CITY —o NO. ' V�� aC-DV. CROSS 6T. / /C FIRE I NO.OF TYPE GROIIp ARCHITECT DR / / / /TEL.I '/ / / ZONE ��� PLAN9 ENGINEER LOG. /--- r� • / / ` / / / 6ETBACK�LINE ADDRESS (("l(�, - '�/.IAI/ y APPROVED CONTRACTOR (/ R NO. . I l �ili BY JJ�J �• I c;ATE / USEnQ APPROVED - I ADDRESS b tj M. ZONE nle BYI I { DATE LEGAL SO 1/zoF � � CORRECTIONS DESCRIPTION LO^^T NO. 7�w BLOCK '�'�� TRACT NO.DF ILDGS. I " SIZE OF LOT I�—/] 'A %.0 NOW ON LOT / /—/Ql. t7 U SE'OF 'l.,/rC / /��/ISN D.OF , NO.OF EXISTING BLDG, 30=5 is f9 FAenl u[s ROO Fs DESCRIPTION OF WORK NEW ALTERATION ADDITION �e' A'/ �lQ f /1�vNT %�•1 - REPAIR MOVING' DEMOLISH /'/'//,-(/�/'JI<//j �..�//✓/�-�t`✓r 1 tt ��i//I 0 SQ.FT. NO.OF / 1 H ^�^ .. t({ i:,IPI I 61ZE �i./9/l ROOMS / STORIES / - :�Jf l'p, )�//,l7//i�/?�///��n WALL n f ROOF t� a 3!> 1 I t1Ur'i. 'COVERING �(IJ�K(. � I COVERING '.7SN1lp USEOFNEW 570cc0 BUILDING' - �mr /acid ,EN.vr /a .U ' I A n.�f� /cY/FD �/), oC� Fns 7 STr+P.✓ � FMOcJE �J�A/n NA f!� ♦ ..eir.n�C CLAY �/.✓LP UN/lG L1fcG'fC wla�'� k I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT' FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES' FORMS, MATERIALS: AND STATE LAWS REGULATING BUILDING CONSTRUCTION.- T/• ��--�-- J/i.R�P7l RAME: FIRE STOPS, / SIGNATURE OF /� /./ FBRACING.BOLTS PERMITTEE � ��•"�'R LATHr INT. w AUTHORIZED AST - LATH, EXT. ( 'I A 9-4B DBB-a B50M SETS $/�,/� I/]�OD P.C.S PLASTER,INT. K I LI _IVA? G� FEE / PLASTER,EXT. VALUATION _ • /♦ �•� FEE fff000 l� FINAL „ WORKERS' COMPENSATION`DECLARATION p�' T p' ?'/'�.1 �FI��{p' If} Fp}y�{p �FP�pLI����-r_ �r�yI1p}L�ry�sr'/ryL{/R^L1 G�1� _ I,hereby affirm that I have a certificate of consent to self /U1 II a To®11 V_ _ U Ik%� �'®O0 V V •0 LS.II�IYO Y� Y insure ora certificate of�Workers Compensohon Insurance _ //'"U LS !_!11 or o certified copy thereof (Sec 3800 'Lob. C.) - - -.,L __.f I COUNTY OF LOS ANGELES BUILDING AND SAFETY „ft_ -. _ Policy No TYt •^:•Company - �,t Certified col y Is hereby tarnished.,% , ' - FOR APPLICANLTO FILL IN euuDING Cerlified'',opy is'filed'with the'county build ing•inspec- '--"" BUILDING �/ )-� -/� J '�j{ �V tron:depailment iys s. - 'tL ""' ADDRESSrK ADDRESS- ! `+ 1 _` rr f� "F- ) Date ^ Applicant' . 4: CITY I" f 'L'"1 G( ZIP I -v. v LOCALITY `CERTIFICATE OF EXEMPTION'FROM WORKERS '(- _ '-- - '-- - r 7 NO OF BLDGS.'. - -- NEAREST.,._ COMPENSATION`I NSU RANCE •¢- .t SIZE OF LOT l- NOW ON LOT ~i CROSS ST. (This rsection.need:noh•beycom' leted if.tlhe perm it..is forgone, -i _ :J.,.._ _. - , jAgP BOOK"'ASSESSOR1 i 'f-,�y .- • ^4 ""1"" hundred dollar, ($19q) e' ,•ta t TRACT B.�LLOCK �/LLjjOTNO pp�� � PAGEA PARCEL 5 ,• - r -'__ - OWNER- 6-1-0 , f(AfigO. •7{ld ' USE ZONE MAP I cerhf that.in the er ormonce of the"work for whi'C .this NO � � } Y P \ _. SPECIAL-; permit rs rssued,'I shall not employ any person in any manner ADDRESS - ^' ' solos to b a bled to the Workers Compensation Laws - - -- CONDITIONS n,T. U v,3 �� / �• .�._ CITY ._ './_ ... ZIP DatesE/uPa"' ( " ARCHITECTOR TEL - O NOTICEµ 'APPLICA T lf,'ofter moking'this Certificate of DISTRICT GROUP. TYPE , FIRE ,.PROCESSED BY F ENGINEER NO. I CONSi7 ZONE -$U Exemption;'you5 should become subject'to»the Workers' t ) ;W Compe n s-0tionsprovisionstof the Lobor,Code,•you'must.forth ADDRESS' * - •-^ ^ - - d wi I h•comply.nwith•such- provisions o}.`this•.�permitl shall be -- - ------ - ---- - -TEL`'- - "- ' STATISTICAL C- SSEICATION ART_ CONDO. JIZ ', •deemed revoked 1 e-n.' y -t„ ' ` CONTRACTOR NOI i LICENSED CONTRACTORS DECLARATION . .,S;?, -- --- - - - - - LIC. HUNiTS , ..,.,.,_�... __ .PLASS NO � ��DWELL• _.I I hereby affirm,that I am licensed under,provisans of Chapter 9 ADDRESS NO. _ - . (commencing with Section 7000)of Drvisiori Sof rhe Business and .._: _ - .LIG.:_ SEWER P. Processions Code, and my license is in full•force and effect. CITY CLASS. _ - " _ - VALIDATION- 5 ER MA i'¢..e h y. a i13+ IJ - - `i v,r' •tit , _ HECK. .,..,.BK. - PG �..0 t I j' _y SQ,FT. _ _INO. OF . NO OF•,-, __ C _ j Liven Number a t Lic Class SIZE STORIES-' FAMILIES ONE t 3 I - r. VALUATION rt< ,y -r.%, -.ry .t i., .' r: n' t st.. �.\' DESCRIPTION'OF WORK . -. ...-.:.__.NEW- o Jy � � Contractor Date - ADD - Li 's J _• _,{ j .... _ , . �❑ I:am exempt under Sec .r^Ir! ,.• / TER .. - a - ^ B 8P C for this reason - - _ - !• ` REPAIR._: - S `T-Date S USE OF BLDG ' - 'O 13 ". -°t•9 7a () • APPLICANT •�j�y� •� �\! "•-.-Signature - i •. PR � G ( •� /\ . %TELE ' HAf J �� -FINAL OWNER-BUILDER.DECLARATION ,_-..:..1- w. .. I•.-DATE- .1-hereby affirm•that Lam.exemphfrom,the Contractor's'License ADDRESS Y Y ) t^ /% St Lcw,'for the fdllowing1reasoo (5ection-7031 5 Business and .x _ •` -Prafessions'Code) .,�,+, :w. .._ f .. ..__. ` ., . RESENT :. �By AL Y =j _.. _ - s 1 BUILDING ' 't :� as owner of the pr`opeAy or my employees with _ ADDRESS_ __ _ r 't-, I, wages a's'their solelompensahon;.wdl do the work and - I f j the structure is not intended or offered for sale(Section LOCALITY s ® i, j s({ f) 33 A 70 7044 Business and Professions Code) MOVING- TEL j - •'- CONTRACTOR NO. ` ) # as owner of the property am,eaclusively'contracting with licensed contractors to construct the protect (Sec- "-" _.. .;- a •,. �- -, _ 4�.O O , tion 7044; Business and`Professions Code). ADDRESS i - _-_ .--”- '- REQUIRED.. TOTAL SETBACK FROM :_ )J'T.-_ .��. CONSTRUCTION'LENDING-AGENCY-- - SETBACK ".YARD HWVf PROP..LINP WIDTH'. _ "T' _o . _o.(f. _ . '.I her6by'affirm that There is a construction lending agency for FRONT' 'Q a 9 2'6- ahe-cperformance,-cif-the"work'forwhich,this permit:is•issued --P:C• -- - - --t•.- - •-•- -- __ _._ - _,__ t - �_ .i .,, (Sec 3097 Civ C ). - '' SIDE _ I ^ '. _ 1 lenders Name _ - �j 3 LDMA Ref N' P C Fee .�� ___Jr t. Lender's Address - -- r { " ' „Ixertrfy_that -have.read.this application and state.that the __ ..., _ - Issuance Fee - ��:. - LDMA P/C IT • +••r �. - 7=,r " Q. . above information is correct. I agree to comply with all County Investigation Fee 0 ordinances.and State laws relating to building construction, _ _-._t Total Fee - - 7,^!J'� iDNA Perm N. " �•✓ -�* - --•� -' - - r'r"-L 1 v and hereby authorize representaetivof this County to enter - a upon the_abov -mens' ned properlL for,i pfioo ecn purposes. " L f a SEE REVERSE FOR EXPLANATORY LANGUAGE a .' Signature'o_f'Applicant or'Agenr•-'- - ."'-- Date _ _-_... -_�,..._...,.. _ __ ___ .___ t -