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Home My Public Portal About8812 - 8814 ELM AVE_Building__ A ROAD. DEPT. :,PER#"ff fS R^ i{21 FORANY MATERI,,�L STORAGE`CR V!CRK' DONE. IN THE,-ROAD -RIGHT, Or \yAY. APPLICATION yam �ryI pp p/► qq��y( ' FOR gp�gg A gg'p`*p®w►� PERMIT,--.9y��,��/g�nq 70A698A:6E 8098-69 /-:n� Ho9 V� L tl'��,x- 9 ®II \ Y�UH�®!, �Y O� H brl\lY9Y�,.•. . �': "ADDRESS' COUNTY OF. LOS ANGELES DEPARTMENT OF' COUNTY'ENGINEER s BUILDING.AND• SAFETY DIVISION LocauT _: %i t 7 'f NEAREST`.•-. e, JOHN A. L.AMBIE, COUNTY ENGINEER'.. 'CROSS S - : itrkF .CASSATT.D. GRIFFIN,•SuP•T,oF BUILDING • - DISTRICT-NO. GROUP .P SS 3Y -` nuummonomTYPE FOR APPLICANT TO,FILL"IN CONS ,BUILDING„ - : - ` ,- _ ,A STATISTICAL-CLASSIFICATION a .SEWER.M P BKlADDRESS. - CLASS,NO. 'DWELL.UNITS - �,1�)- /�.� 7•+'. LOT NO. MAP STATE'' NUMBER'.BLOCK .=o.. .`HWY. - YES ',_ 2 _ TRACT° �. USE.ZONE. ''.SPECIAL - - NO.OF'�BLDGS, CONDITIONS SIZE OF'LOT I NOW ON LOT_ - USE OF' _ / r. :EXISTING BLDG: - - 'BUILDING "EXIST. _- -- - SETBACK. YARD.., ,STREET NAME =.,WIDT•H OWNER -- FRONT �-, I O i•r„' , -�-e:' -,. ADDRESS (j- tom+' °- SIDE TEL. _// P.L. CITY iVO. T>/ RCHITECT"OR 'TEL. N ENGINEER NO. INSPECTI REO `J, AT��• -mow . C r` r o = ? ADDRESS •` -,� - .. •. , _ TEL: - 1.At - •r. •l •U�ia.� CONTRACTOR'S IVO. "` ADDRESS DESCRIPTION�OF. WORgpw .NEW ADD ALTER' REPAIR .,DEMOLISH SC!: FTh-- :ANO. ,OF,- NO. OF SIZE . -STORIES FAMILIES' &r -USE:OF STRUCTURE ' .. SIGNATOR OF:: - .. - - k_•.- APPROVALS" 'DATE`; INSPECYOR SISI GNATURE ADDRESS - Gam( - FOUNDATION: LOCATION - f ,�y FORMS,.MATERIALS o�0'(!`, � i. VACUA:ON $ � I .S! •� FRAME: FIRE`STOPS. fJ •. �,,,:,r BRACING,,,BOLTS P.C. YZPMT+`�'�` , .0-: FURNAGE: LOCATION, + /�,qy. �' GAS VENT,:ICTS •�„ y ' FEE $ FEE ..$ a.l �� . Fill EREBYACKNOINLEDGE-THAT I HAVE fAAb THIS AP='' PLICATION AND STATE THAT-THE ABOVE IS CORRECT AND LATH, IN '•b'v w'-li%�•^•<_ f j - `STATETO CS REG.WITH ALL COUNTY - CONS CONSTRUCTION. O. e� !-"GA e`i f - STATE'-LAWS REGU TING BUILDING- CONSTRUCTION: �- LATH',.EXT. .. � ";� . SIGIVATURE',OF. HOUSE NUMBER COR RECT AND POSTED' PERMITTEE ADDRESS ' .• V _ .l (" FINAL , ,,, _ ;t�,e, • - •C'LYDE N_ DIRLAM, P,RINCIPALSTRUCTURAL-Er NE•, PLAN CHECK VALIDATION CK.,, M.O._ cnsH• PERMIT VALIDATION .CK. M o.' 'cAZH i' . . DECLARATION WORKERS',COMPENSATION I hereby affirm that I have a.certificate of consent to self O P insure, ora �� certificate of Workers'Compenstion Insurance, or Lr U P 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 BUjLDWG 1: f r`ADDRESS J,.` Certified'copy is,filed with the county building'inspec- BUILDING a`. -tion department. ADDRESS +. ► LOCALITY C'u—, L/IY NEAREST ` Date -x >.APp1,,t ? / ^�s CITY - r ZIP o CROSS ST. �''I/1 rJ ' CERTIFICATE OF EXEMPTION FROM WORAERS" NO. OF BLDGS.. ' ASSESSOR -'COMPENSATION INSURANCE - SIZE OF'LOT NOW ON LOT. MAP BOOK PAGE PARCEC (This,sectioFi need not be'completed,if tke permit is for one / USE ZONE MAP hundred dollars{$100)or less..) TRACT BLOCK LOT NO. NO. a• - TEL. . 2 SPECIAL - ' 1 'ceri,if chat in the. erformance of the work,for which this.,_ „ OWNER �Y -"ANO. CONDITIONS - 0 y' p DISTRICT GROUP= TYPE FIRE PROC SED BY permit is issued, I shall not employ any person in any manner S '�, _ V so as.to become subject to the Workers'Compensation Laws. ADDRES Y' �� J - CO E CITY 'r ,1 _,{y ~ .ZIP' c Date Applicant STATISTICAL CLASSIFICATION APT. CONDO' V NOTICE TO APPLICANT: If 'after making this'Certificate.of ' ` " ARCHITECT O - TEL - W Exemption, CL you should become subject :to' the Workers' ENGINEER• NO. CLASS NO. _DWELL UNITS Compensation provisions of the Labof Code;you must forth- "^ ADDRESS =S-E- Pith comply. with such ;provisions or this permitshall be,deemed.revoked c {TEL. G, VALIDATION CdNTRACTOR ` LICENSED CONTRACTORS.DECLARATION- L C. I hereby that I am licensed under provisions of Chapter 9 - t' ADDRES N VALUATION (commencing with Section 7000)of`Division 3 of the Business and LIC. Professions Code, and my license'is in full force and effect. CITY ``_ ": CLASS $„z r SQ. N0.-OF NO.OF CHECK ' License Number. � Lic.Class SI; (fCJ`j^ STORIES FAMILIES ONE Contractor. Date N OF WOR _ ' NEW $ DESCRIPTIO K ADD. I am exempt from ihe,licensing requirements as I am a licensed architect.ora registered professional.engineer P ALTER FINAL acting 'jn my professional capacity (Section 7051, �E REPAIR DATE Business'and Professions Code). USE OF DEMOL FINAL EXISTING BLDG. ❑ By Lic.or Reg.No. Date APPLICANT .TEL. OWNER-BUILDER DECLARATION' (PRINT) 1 "NO. I hereby affirm that I am exempt from the Contractors License Low for the-following.-reason ,(Section.7031 5, •Business;and - ADDRESS Professions Code):• PRESENT d' z 5 8b 3 A ❑ BUILDING r I, as owner of,the property, :or my employees with. ADDRESS # 0 0 0 0 0 ,.wages as their sole compensation,will'do the work and LOCALITY ' the structure is not intended or offered,for sale(Section-" � C 7044, Business and Professions Code). MOVING. TEL. 2io 0 5,2 0 0 I, as owner of the property; y g ° CONTRACTOR NO._ p p y; am exclusive) coniractin _ !a'o o = �' .. 5.2 0.0 . with licensedscontractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). Oo F ` REQUIRED TOTAL SETBACK FROM EXIST 0 ch 2 6.-82 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 1 I hereby affirm that there is a construction lending agency for FRONT ihe'performance of the work for which this permit is issued PA. (Sec. 3097, Civ. C.). 'SIDE. P.L. Lender's Name ' ` ®m _ Lender's Address 'P.C. Fee's Permit-Fee , ` w I certifythat l have read this application and state that the C+ , Q PP Issuance fee above informatioWis correct. I agree to comply with all County. Investigation Fee, 3 ' ordinances and State laws relating to building construction, a m - Total Fee and hereby authorize representatives of-this County to enter aupon the above--mention d property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE f Applicant'br Agent Date ..• - .