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Home My Public Portal About8837 ELM AVE_Miscellaneous__ COUNTY OF LOS ANGELES DEPARTMENT OF PUNUC 11� MIgROPILM INPOW ICK s Record Search Building Address an A L) t locality �t�►�o�� Tract No. 3(0 2 3 Lot No. l0 O Lot Size 5 C 3 Building Permit # QE. Z9' (3 Issue Date 3 Final Date Z))fl-.? Description of work a Sq. Ft. 30 p Building Permit #=9 �� Q Issue Dates 35 Final Date 3 Description of work Sq. Building Permit # 2�Issue Date-2/ Final Date 3 Description of work Sq. Ft.±1 Building Permit # Issue Date Final Date Description of work Sq. Ft. Duiltlirig Fermit # Issue Date Final Date Description of work Sq. Ft. Note: The information given is taken from Building Permit Records. Unless an Occupancy Inspection is requested and the fee for this inspection is paid, no investigation of the property will be made by this Department. Sewer Permit # Issue Date Connected to sewer in street: Inspection Date 1 enior Clerk WORKERS'COMPENSATION-DECLARATION t r CE 875(11-84) pI SC E L LA N E^ S APPLICATION PPLICAT0ON I hereby affirm that I have a certificate of consent tsett' COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure,'or.a certificate of Workers'Compensation Insurance, e,or • a certified copy thereof(Sec. 3800,Lab.C.). Policy No. - Company FOR APPLICANT TO FILL IN BUIL°'NG ADDRESS T �' \ Certified copy is hereby furnished. ADDRESS P'g 3 CL LOCALITY 71-I 0 Certified copy is filed with the county building inspection LOCALITY •^�' (A p (1? _ EAR EST department. / /-/ �� < 4 OF Mi! ROSS ST. Date Applicant NEAREST DISTRICT N�O�J GFF L1, TYPE PZCESSED BY CROSS ST. ,�(j(-TCL �J�\/ CONST' / C CERTIFICATE OF EXEMPTION FROM WORKERS' LEG UYA lY/ COMPENSATION INSURANCE DESCRIPTION LOT NO. BLOCK MAP HIGHWAY No, (CIRCLE) STATE MAJOR S ND LOCAL NOOF LDGS.. (This section need not be completed if the work involved TRACT NOW ONBLOT US ZONE SPECIAL CONDITIONS by the permit is for one hundred dollars ($100) or less,) US of A I certify that in the performance of the work for which this SIZE OF LOT �iJ EXISTING BLDG. it,? o permit is issued, I shall not employ any person in any manner OWNER 1 Z65 A =� so as to become subject to the Workers' Compensation Laws. MAIL OCCUPANCY GROUP �3 o ADDRESS /JMC, I~ Date Applicant LI, TEL p I' OCCUPANT LOAD - NOTICE TO APPLICANT: If, after making this Certificate of cirY No. a 37 �'I Exemption, you should become subject to the Workers' APPLICATION FOR EXIT HARDWARE: _ Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be TRAILER USE GEOLOGY INSPECTION ❑ No Spec. Knowl.. deemed revoked. LICENSED CONTRACTORS DECLARATION occupwNCY INSPECTION Panic Devices E I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT E] LIST ITEMS BELOW) 9 (commencing with Section 7000) of Division 3 of the Busi- No. OF EXITS ness and Professions Code,and my license is in full force and /� y� ! effect. `'L�� U(1S C��V ��V UC�UJ LGt PARKING SPACES REQ'D pROVID ED 1 1 LJ License Number Lic. Class LIMITED TIME USE Contractor Date - DATE DATE DI am exempt from the licensing requirements as I am a FROM: TO: licensed architect or a registered professional engineer SIZE OF NO. OF % INSPECTOR'S acting in my professional capacity (Section 7051, Bus- EXISTING BLDG, STORIES SIG ATURE iness and Professions Code). � � PRESENT USE OF BUILDING l�L�+'\.!� FINAL APPROVAL Lic.or Reg.No. Date YYY —ZZ G . HOME OWNER-BUILDER DECLARATION NO. OF EXISTING BUILDINGS . ON LOT AND USE �{.0;0 C Z O I hereby affirm that I am exempt from the Contractor's }► License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): NO. PARKING I as owner of the property, will do the work and the SPACES PROVIDED 'structure is not intended or offered for sale (Section ` o 0 0 8 Q.5-0 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY PROPOSED USE OF BUILDING ee _ 0 O,,Q 0 "'8 8 I hereby affirm that there is a construction lending agency for the performance of the work for which.this permit is issued(Sec. 3097,Civ.C.). Lender's Name PROPOSED MAX. OCC. Lender's Address I certify that I have read this application and state that the PERMIT FEE above information is correct.I agree to comply with all County ISSUANCE FEE , ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter TOTAL FEE upon the abo e-mentioned property for inspection purposes. - SEE REVERSE FOR EXPLANATORY LANGUAGE „ SignatuZC-J(- of ermittee Date v