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HomeMy Public PortalAbout8856 ELM AVE_Building__ IIG-Z 53;4$28w.SETS - 'LICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDING WIA. J. FOX, CHIEF ENGINEER NO.OF ` BLDG. rr l ORD:NO, DISTRICT NO. PLAN CK. NO. PERMIT NO PLANS\ SETBACK LINK APPROVED FIRE \ \\\ ZONE //�} \ BY DATE RECEIVED BY DATE OF APPL. DATE ISSUtE'D ZUSEONE ! APPROVED ...... \ DATE \ I 11 �-�T l l�� 6 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY BUILDING L M S T C NAME ADDRESS W Z ADDRESS \ LOCALITY ( ./M P �fh. C (1-Y ~ C7 \ - .NEAREST \P1 P/M l_ O D�G� !`7 U W CITY CROSS ST. /tiv�/_ / A / /� ,^ �5 c��\ LICENSE NO. NO.STATE � ` E NAME l L ,�L. JV L V m a 1 E MAIL -NAME , S l/ 1/ � ADDRESS --1nlM �. D O �j/� I/P pTEL* < ADDRESS r S `7 D L I Y !` T�. CITY �-- i Pt E' e�rY NO. L E �'�t� It ~ CITY TE'Nt Pr_ �T %/ I HEREBY ACKNOWLEDGE THAT I HAVE READ- THIS Z tl APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE / � / TEL. 4,�r9/' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. n / b NO. J iri AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LQT NO. Pd /h ���1 SIGNATUROWNEOF SIZE OF LOT 13-I p NO. OF BLDGS. / AUTHORIZED AGT. a BLOCK NOW ON LOT TRACT. .� 2 3 I — 3 n CORRECTIONS ! /' W D USE OF BLDGS. F—S�D�/✓C� �i/ (��� y NOW'ON,LOT DESCRIPTION OF WORK USE OF BUILDING (Z et /"Y 4 C �i��' k`a�`''� Y��'S �R• ? Th1S constructio r11c-'Y 1)e 111 FrocluctionEoc=rdC>f.ice before commenc- � irlg this "work aul_-10rizea ui'ui s er..i . � Z D NEW ►/ TYPE GROUP tT r NO.OF NO.OF ALTERATION ROOMS ' I FAMILIES ADDITION SIZE 0 '�( 7—W. REPAIR STORIES .{- MOVING WALL COVERING pCC C 0 Y'S DEMOLISH ROOF COVERING P-0 PES'$ FINAL APPROVAL �►� 1260 ,00 FEE 125. DATE 1�l `� I' INSPECTOR'S VALUATION I 1 DEPARTMENT OF BUILDING, AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' WM. J. FOX. CHIEF ENGINEER OIL FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ADDRESS D19TRI >NO. PLANCK.NO. PERMIT NO. Y�l� v LOCALITY' ` �. C REC EIV P �DIBY DATE OF APL. DATE ISSUEDNrA EST CROBB ST. 4a R . 4 �14 A a.�I �f OWNER I v ' G� A ADD EIS9 MAIL / / ' (y ADDRESS-/ S LOCALITY, „sP,lJ'�hrilPS"r f //�� �p -, ,/�y NEAREST - CITY=e- m 01& '\..i f d NDL-jqy - /0 f�� CROSS ST. /'7 / ARCHITECTOR i . ZONE PLANS FIRE NdOF TYPE �.JGROUP TEL / ENGINEER NO. ,�-/1 (�OROV BLDG. / � O. ADDRESS SETBACK LINE APPROVED CONTRACTOR NO. BY DATE USE APPROVED ADDRES / ZONE Y DATE LEGAL DESCRIPTION L13O'. 7(p BLOCK / CORRECTIONS TRACT SIZE OF LOT p /'Z V I NOW ON LOTS. XI O -. �_ DSI NC.OF �g I NO;OF EXISTING BLDG. A/ FArtiues7i. ROOMS DESCRIPTION OF WORD NEW ALTERATION ADDITION O REPAIR / MOVING DEMOLISH ND.OF / G1 SIZE T/� ROOMS STORIES / D WALL l� --- bAgjW ROOF P COVERING ,�✓ (�," I COVERING UBE OF BUILDING W 1 HEREBY ACKNOWLEDGE THAT I 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. lA ✓ FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE ' LATH, INT. AUTHORIZED AGT LATH, EXT. ' 76A63HA-3 7-49 P.C.S PLASTER, INT. V. FEE PLASTER,EXT. VALUATIONFEE FINAL $� MAXIMUM ACCOMPLISHED 8-15-5.1 - DEPARTMENT OF BIJILIDING AND SAFETY I Ti COUNTY OF LOS ANGELES Bu LDINU A WM. J. FOX, CHIEF ENGINEER f NO.OF BLDG. f/ ORD:NO! DISTRICT NO. P6LAN CK. NO. PERMIT NO. PLANS SETBACK LINE cam° .?��� � f/ /> FIRE APPROVED �yP ppif k 4� ZONE BY DATE RECEIVED BY DATE.OF APPL. DATE ISSUED USEAPPROVED �. a,., ( �, IQ .�•�. _ ZONE 1 BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY 4�V , , tX BUILDING r ,l' # �o / O NAME ,�,p' ADDRESS 4�T' l, + V ADDRESS LOCALITY / f9'�- �+ i F W U' NEAREST U Z -CITYCROSS ST. / I+ 6 fA• '`*� {•� STATE TEL. E NAME , !s Sgt ® I) E IT /4$ LICENSE NO.. �,NO. y MAIL AV lIeD / f .0. •NAME /! pBF ADDRESS �/F { QU ,e f ps _wry O ' off°► TEL. ADDRESS /3 Al 4 S-4 �` a CITY / - }�� • � NO. 41-All 7 „ Z CITY f 1 HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS STATE �I `gAPPLICATION AND STATE THAT THE ABOVE IS CORRECT U LICENSE NO.� r �`""' `�T TF � �� AND AGREE TO-COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ZO L TN O. SIZE OF LOT�Q Y/i(/ SIGNATURE OF J OWNER Q aNO. OF SLDGS. U, AUTHORIZED ACT. BLOCK m.• NOW ON LOT W TRACT �o CORRECTIONS D USE OF BLDGS._- p NOW ON LOT _ " %LAP "^ i 6� (� i%)-f DESCRIPTIONly DESCRIPTIONDESCRIPTION OF WORD ` d \ A v, f P(J/AT . USE OF BUILDING ,1 fi Rx r �f`� Atd11 Is y 1v1.rr , .,o W_&I War iaCOt >i ? x1ITl 3' I.� Z CiSUt: u T ',i with �',your lOLal a c�ductiort-l.>cJariC�fiice ljDcfore coin.nenC � i�ntg the work. cauhorized lr. Efl r,t,ii NEW TYPE GROUP Y P' NO.OF // NO_OF ~ALTERATION ROOMS .4, FAMILIES ADDITION SIZE A 65 )e ate-/S REPAIR 'STORIES mom' i MOVING WALL COVERINGL0 -DEMOLISH ROOF COVERING 4,(-,v,r`',/J elvio $ ®� R$ FINAL APPROVAL. $ 1NSPECTOR� -VALUATION FEE / �� DATE NAME 76ASSBA OBS-3 fl•sS Illl L VB"V - DIVISION OF BUILDING ARID SAFETY BUILDING ADDRESS ° Aj Department of County Engineer County of Los Angeles LOCALITY JOHN.A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUP•L OF BUILDING CROSS ST. DISTRICT NO. GROUP SEWER MAP FOR APPLICANT TO FILL IN TYPE, � BK PG CONST. BUILDING ! ' MAP - /' STATE YES NO ADDRESS fJ °. NUMBER � Cy (C^ HWY LOT NO. �r BLOCK USE ZONE SPECIAL S - , CONDITION - TRACT NO.OF BLDGS. p R SIZE OF LOT I NOW ON.LOT BUILDING EXIST. - ,,. YARD HWY STREET NAME" USE OF SETBACK E WIDTH " EXISTING BLDG. - S/ Z'et e, ` _ FRONT OWNER, SIDE /AELL. 1 UNIT � y P.L. MAIL ADDRESS M •H/ O TRACT DW(B o T g� /� w NO.A 1 DWELL. t UNIT 5 INDUSTRIAL CITY ZIP 1 C - 6 PUBLIC•BLDG., a ARCHITECT OR TEL 2 DUPLEX 2 UNITS ENGINEER NO. 3 APT. UNITS 7 ADDN..ALT., ETC. - 8 MISCEL. ' ADDRESS _ 4 COMMERCIAL / ) �vTEL. g INSPECTION RECORD CONTRACTOR s 6� GJO+NO. ADDRESS DESCRIPTION OF WORK A/ G NEW DD ALTER REPAIR DEMOLISH s. �1 `J m® ( I. SO. FT. NO. OF NO. OF- =ice SIZE / STORIES / /p�� �FA/MrIIL'IESUSE OF STP - et CL4' E 1 ��J aA?st 4 SIGNATURE O _ - - - APPLICANT APPROVALS ADDRESS ) .e r �- - DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION Q� P. C. $ FORMS,MATERIALS -CS i7 Ge FEE w-- FRAME: FIRE STOPS. _� s VALUATION - $ .�J BRACING, BOLTS FEE A FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT: -/40,-ort- AND / i � AND STATE LAWS REGULATING BUIL G CONSTRUC- TION. - LATH, EXT. Z SIGNATURE OF HOUSE NUMBER COR- PERMITTEE / _ RECT AND POSTED �y ADDRESS X © �j�r�gg,,� .FINAL /�•� ��(9 Al/ JOHN A.LAMBIE. COUNTY ENGINEER ATION CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR CASH 0,3 _!�/M 0 2-2 SEP 1 g 6.00 WORKERS'.COMPENSATION DECLARATION `-.- I hereby affirm that I"Nave a certificate of consent.to,se. lf '� (� �POLI�J M 'FORO insure, or a certificate of Worker's' Compensation Insurance, L/11 R LICA D �� ora 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 BUILDING • � ADDRESS 886 El AVenue ❑ ' Certified,copy is filed with the county building inspec- BUILDING t tion department: ADDRESS 8856-58 Elm Avenue Date Applicant' CITY ';Tem le Cit -ZI .9 17`80 LocqurY Tem le Cit _ NO:„OF LDGS. NEAREST-: CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF:LOT” NOWONLOT' Reno.-St. '•COMPENSATION INSURANCE CROSS ST. ASSESSOR M1 �I (This aection need'noh be completed if the permrt.is for one TRACT S3'8 7 BLOCK " 11 COT NO. 16. MAP BOOK 53.4 PAGE �'�/ PARCEL hundred dollars 100 'or less' OWNER C'it Of Temple" Cit N0..285-2171 USE ZONE, MAAP ($ ) ) .],.certify in e that the,performance of the work-for which this p ermit,is issued, I,sFiall not.em'ploy any person,in,ony manner ADDRESS '9701 Las..-Tunas '-Dr-. o CONDITIONS. d so as,to become subject to the`Workers: Compensation'Laws. t 0 CITY Tem le Cit zIP' 91780 Date- Applicant > ARCHITECT OR TEL. FIRE NOTICE-TO APPLICANT: If, after making.this-Certificate' of • ENGINEER.'> NO DISTRICT GROUP ZONE- 0 Exemption, you;-sh•ould_'-become*.subject' to the:Workers' 5:08 _ 9-3 T.-}�1 _ U` TYPE PROCESSED•BY CONS Compensation-provisions of-the-Labor Code; you must forth ADDRESS - 3 "Q with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO deemed revoked CONTRACTOR Cha lie Gann "NO.681-8831 — LICENSED'CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS 9879 Union St 1925'58 Z I hereby off that I arrm licensed under provisions of Chapter9 ADDRESS NO.: (commencing with Section.7000)of Divisio'n-3 of;the.Businesa Glen"'AVOri CA LIC. C-2 T S and Professions Code,-and.mylicense is in full force and effect. CITY CLASS VALIDATION' SQ. FT:- NO. OF NO. OF; CHECKtir - EWER MAP •License•Nurriber' '` � Lic: Class SIZE STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK 'Dem011tlOn NEIN Contractor Date ❑ S ElI am exempt under'Sec C", 2200 Sq. F•t 'dwelling with' ADD ❑ D BAP'.C. for thisreason attached 440 'Sq Ft ,Garage ALTER ❑ DREPAIR EJ $ ate: USE OF - - EXISTING BLDG. DEMOL Signature, a ., TEL... w.. g APPLICANT FINAL OWNER-BUILDER DECLARATION (P FEE RINT), NO. I herebyaffirm tlidi I am exempt from the Contractor'sLicense r DAT ADDRESS E/��. Law;for the following..reason (Section 7031 5, Business and FIN Professions Code) PRESENT By '• 'e/���ey i_t t. } ❑ Ip,, as•owner of'the propertyof my 'employees with ADDRESS wages astheir sol e.compensation;will do the work and ' _t-1 �• F 11 ..the structure,is not intended or offered for sale(Section' LOCALITY 7044,,Business'and Professions Code.) MOVING. -TEL­.t, D ❑ I, as owner of'theproperty,•cim exclusively contracting CONTRACTOR NO. with,licensed coniractors'to,construct'the project (Sec- tion Sec tion 7044;'.Business and Prof essions,Code.) . BD SETBACK FROM CONSTRUCTION LENDING AGENCY WYARD 'EXIST:*, IDH'T HE I hereby affirm that there is,a construction lending agency for FRONT the performance%of,the work-for.which,this permit is issued (Sec...3097, Civ. C.). SIDE .. Lender's Name LDMA Ref. # P C'Fee$ Permit-.Fee ' 3 Lender's Address I'certify that i have read this application and state that the Issuance Fee LDMA P/C It �. 8' above information is correct. I agree to comply,with all County Investigotion'Fee o.. ordinances and State laws relating to building construction, Toial Fee LDMA Perm. # Q and hereby authorize representatives.of this County to enter upon the above-mentioned property for,inspection puiposes: -REVERSE FOR EXPLANATORY LANGUAGE` Signature of Applicant or Agent Date