HomeMy Public PortalAbout9018 EMPEROR AVE_Building__ 76A638A CE #803 1/71 • 14 a�
�'• -�f APPLICATION FOR B IL ING P.E , MIT
COUNTY'OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
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BUILDING - DIST TT NGROUP TY EWbCESSED
� BY
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ADDRESS - 5 Z�Si uv/i►.n''CJ
STATISTICAL CLASSIFICATION SEWER MAP
LOT,NO BLOCK CLASS NO. ? DWELL UNITS BK PG
TRACT USE ZONE MAP- 2&>z>L-5
NO OF SLOGS j NO
SIZE OF LOT NOW ON LOT / SPECIAL
USE OF-, A4-b IG f�' 11 CONDITIONS '
EXISTINGI,BLDG .
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OWNER 4 NO BLDG SETBACK FROM •aw"
ADDRESS" r, FRONTPROP LINEOF (STREET)
TYPE XISTING SETBACK HIGHWAY '} YARD = 'TOTAL
CITY , I . - HIGHWAY •FROM C L
ARCHITECT.-OR TEL. } _
ENGINEER NO
BLDG.SETBACK FROM
_
ADDRESS SIDE PROP. LINE OF (STREET)
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// TYPE OF EXISTING SETBACK HIGHWAY } YARD = d
CONTRACTOR ,ct,2�e cl. NOA;8e!6 HIGHWAY WIDTH FROM,C.L O
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•ADDRESS G�. Q NO �G/ } O
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CITY � r CLASS 4 CORNER CUTOFF ' YES ❑ NO Lu
CONSTRUCTION ENDER va
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS
SO FT NO OF NO. OF NEW ra71 r
SIZE STORIES FAMILIES KY
USE OF - ADD ❑
STRUCTURE ALTER ❑ '
SIGNATURE OF f� pp REPAIR F1 -
APPLICANT liC DEMOL E]VALUATION $ APPROVALS DATE INSP TOR'3 SIGNATURE
P.0 PMT FOUNDATION; LOCATION ,
FEE $ FEE $ ZrDa FORMS, MATERIAL'S �3 ��-
FRAME. FIRE
I HEREBY ACKNOSTOPS,
WLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE•'LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
'STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPEN TION IN LATH, EXT,
SIGNATURE OF • 7� �'�� HOUSE NUMBER COR-
PERMITTEE I RECT AND POSTED '
ADDRESS FINAL
' - JOHN F LEWIS PRINCIPAL STRUCTURAL ECASH
,
PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION K mo
CQ
i0`t 2�4 2_N, 24 0�
�. _ -
TMENT-OF BUILDING AND SAFETY APPLICATION- FOR PERMIT
COUNTY OF LOS ANGELES t'LLrWM. J. FOX, CHIEF ENGINEER " ILFOR APPLICANT TO FILL IN I FOR OFFICE USE ONLY 968
` DISTRICT NO. PLAN CK.N PERMIT NO.
BUILDING / /� / �-^_�
-ADDRESS
I
�
LOCALITY �?" v J RECEIVED BY DATE OF APPL. D +E IS?U �D9
NEAREST GC"� l ~11 / 1 (/ l
CROSS HT. _ �0
/ BUILDING
i I.C. 2r'A,' -a /_ /1,R}/J�l�/y /�/�K i ADDRESS / /.► I �'��.�i�,l� �!/`+^��
OWNER MAIL Q t �I 'JlLOCALITY
ADDREBB -
NEAREST
CITY TE. " �. S CROSS ST.
_ FIRE NO.OF TYPE GROUP ,Z ,
ARCHITECTOR EL y /y`�� ZONE PLANS
ENGINEER O. J H
SLOG. d� / �' ORD.NO.
SET
SETBACK LI 1,04 /
ADDREBB - 0
APPROVED
TEL 1 BY - DATE A-1
CONTRACTOR Q
UBE A APPROVED
ADDRESS ✓ ZONE BY DATE
LEGALDESCRIPTION LOT'NO. BLOCK- CORRECTIONS
TRACT I 0
NO.OF BLDGH.
SIZE OF LOT ��yr I NOW ON LOT ,
USE OF NO.OF �/ NO.OF
EXISTING BLDG. FAMIL11E ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION t
- O
A
REPAIR MOVING DEMOLISH p
Sq.FT. NO.OF / Z
91ZE ��/ 1� ROOMS STORIES D
WALL ROOF /�yy r
COVERING edO V rrCOVERIN13 ff$-MV.
UBE OF NEW
BUILDING
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I HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION I SPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES- FORMS,MATERIALS �/
AND STATE,LAWB REGULATING BUILDING CONSTRUCTION �
/�� FRAME: FIRE STOPS,
SIGNATURE OF (/� BRACING,BOLTS lo-I
PERMITTEE_ ;�- LATH,INT.:
I
AUTHORIZED AOT 1 LATH,EXT.:
DSS-3 SOM BETS 11-4e $ FEE
��, PLASTER,INT.
�.� PLASTER,EXT. 47 17
VALUATION j
� FINAL
,6A636A CE*803-10.56 A P P L I C A1"I O FOR .E U L D I N G PERMIT'E-RMIT �.
BUILDING AND SAFETY DIVISION BUILDING Q
Department of County Engineer ADDRESS /
County of Los Angeles
LOCALITY J "
JOHN A.-LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN. SUPT OF BUILDINGCROSS ST.
DIST ICT�10. GROUP TYIE SEWER MAP
FOR APPLICANT _TO,FILL IN Ut/ ' K PG
CONST.
BUILDING - I
ADDRESS 9018 Eeror STATISTICAL CLASSIFICATION ,
'LOT NO. BLOCK CLASS. NO WELL. UNITS -
MAP STATE YES N
NUMBER - HWY -
TRACT Cf - USE ZONE SPECIAL `
(] �( /G NO.OF BLDGS. CONDITIONS
!
SIZE OF LOT -/ /7 I NOW ON LOT
USE OF Res.EXISTING�BLLDGGBUILDING YARD HWY STREET NAME EXIST.
SETBACK
OWNER k R. A. - Nothwan WIDTH
FRONT
ADDRESS 9018, E eror P L -
SIDE _
CITY TEL Gabriel Co. Nom' P. L.
ARCHITECT OR TEL. ' INSPECTION RECORD
ENGINEER NO. - '•
ADDRESS ' - -
CONTRACTORVirgin Roof Cory.AT70507 .
ADDRESS 600 S.San Gabriel B1.S.G. _ - -
DESCRIPTION OF WORK =
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO.OF
SIZE _ STORIES FAMILIES
USE OF STRUCTURE & Gar.
Re-roof -Hse.
APPROVALS
SIGNATURE OF
APPLICANT DATE INSPECTOR'S SIGNATURE
ADDRESS 600 S.San G rel B1• S.G. FOUNDATION: LOCATION
FORMS, MATERIALS
$ 448.00 FEE FRAME*BRACING. BOLTTSS
_ isZ!f,,.Cjcs FURNACE' LOCATION.
VALUATION FEE GAS VENT. DUCTS `
- ,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- : LATH. INT. -
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WTHA COUNTY pRDINANCES AND LATH. EXT.
' STATE LAWS- OUSE NUMBER COR
a.R BUILDING.CONSTRUCTION.
SIGNATURE OF HRECT AND POSTED
PERMITTE
ADDRESS
600—S-.Sa abrie 1 B1• ,S.G. NNAL
JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM. PRIN IPAL STR URAL ENGINEER,
PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATION" •cK. M.O. CLASH
A P PL I CAT I O ISI •FOR COUNTY OF LOS ANGELES
PERMIT R M T DEPARTMENT OF COUNTY ENGINEER
B U I L D N G BUILDING AND SAFETY DIVISION
BUILDING
FFO^R AP�,�PLI✓CANT T/yO�FILL' IN ADDRESS � � ,
ADDRESS BUILOING% (� �+ . �, ` P1/Z 0 ^ LOCALITY ] `
NEAREST
CITY �j �/T IC/ El- ZIP / I �_ CROSS ST
NO OF SLOGS ASSESSOR
SIZE OF LOT X(` NOW ON LOT MAP BOOK PAGE PARCEL
,[r� w DISTRICT GROUP TYPE FIRE. - •EBBED BY'
TRAC I�~ -LOCK LOT NO � T Coll/,/r / -
Q �/' TEL ��� --+� •1/ �` -
OWNER �(O�'A� GV L!C /T ��`sAJ/Q�NO - STATISTICAL CLASSIFICATION __ S WER MAP
_ ADDRESS 70iV � .. F�-� (?AFQr OZ 4✓� -CLASS NO C, ;34�PG
'CITY 3,_99) lJ`� - R/�L ZIP. /-� 775 : US -ZONE NAOP Q - -
ARCHITECT 99�� /,� TEL. r _ SPECIAL_
'ENGINEERCT,A��C�S //� E; ,�,.)NO YS - / CONDITIONS - -
ADDRESS /d ism ` IC t-". 0 •V ROAD DEPARTMENT APPROVAL, REQUIRED YES[D- NO
CONTRACTOR , _ ;'�"�` S NOL11'�$`j� B DG SETBACK FROM '
-LIC 4.,,J F ONT PROP,LI NE OF - (STREET).
ADDRESS /�(.I� %_1 r— NO Oil IQ TOTAL SETBACK FROM TYPE,OF EXISTING
NI HWAV } YARD HIGHWAY WIDTH
CITY LIC - iFRONT PROP LINE
Ni Al T' -IC-ASS - 131 _
CONSTRUCTION LENDER }
NAME'ANDBRANCHBLDG"5gTbACKFROM• -•-I" - - O
ADDRESS _ CITY SIDEPROINE OF (STREET) C>
SQ FT NO OF / NO. OF CHECK HIGHWAY } YARD = L SET.BAC'K FROM TYPE OF- EXISTING CC
SIZE STORIES r/ FAM ILIESONE SIDE P NE HIGHWAY WIDTH
DESCRIPTION OF^^W0RK+�—i/V�✓t"� y� C ,() i� NEW } - t
/'?�Dfh' �•I �oaih %� 7 j(r) ADD }Q CORNES R CUTOFF~ YE ❑. NO Z
3 c-f:R I4-c- LTER � IN•OPEN SPACE YES,❑ NO
REPAIR❑
USE OFL/O n_AI ,± DEMOL a IN COASTAL PERMIT ZONE - YES [_ NO
EXISTING BLDG. /T E-5 _
(PRI Ij3 NOL -I`T C-s,.Yf'
BY (SIGNATURE)' `
1-HEREBY ACK OGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDIHANC S AND LAWS REGULATING BUILDING CON- -
.,STRUCTION I CERTIFY THAT IN DOING THE-,,WORK AUTHORIZED
HEREBY I WILL,NOT EMPLOY ANY PERSON IN VIOLATION OF THE -
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPEN ION INSURANCE
el 1 1!
SIGNATURE OFAFINAL BY
PERMITTEE DATE
ADDRESS �yK�
p w^l TEL: / y P.C. Fee$ _ Permit Fee
CITY FL L' NO
Issuance Fee: i
VALUATION -
v Total Fees , L�
PLAN CHECK VALIDATION CK M O CASH _ ' PERMIT, VALIDATION CK M O' CASH
9"6 .Or 111L.:12 3'5.2 5'a�'
76A63 BA CE#803B 12/74 - - - - - - - -»- -
76 A638A CE 4803 4/72
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING d .. tea/ 4!.
11.1KE CHECKS P.11:1(3LE TO: ADDRESS +�•.. -✓
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY ,
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
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DISTRICT NO. GROUP TTYPE PROCESSED BY
rEXISTING
CONST.STATISTICAL CLASSIFICATION SEWER MAP
'�' BLOCK
CLASS NO. OWELL,UNITS BK 4;PG
USE ZONE MAPNO.OF BLDGS. NO.T NOW ON LOT SPECIAL CONDITIONS
LDG.
TEL. '
OWNER ` NO. BLDG.SETBACK FROM
�^- FRONT PROP.LINE OF (STREET)
ADDRESS
�„".. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY
°f % ' HIGHWAY WIDTH FROM C.L.
;•"„�.,.,�' � ,,r'�' l/
ARCHITECTORTEL. ` _ +
ENGINEER NO. O
BLDG.SETBACK FROM C')
ADDRESS SIDE PROP. LINE OF (STREET) W
TEL yy TYPE OF EXISTING SETBACK HIGHWAY + �arRD = TOTAL J
CONTRACTOR I - - - NO. /E���/.L�w HIGHWAY WIDTH FROM C.L. li
ADDRESS _ `NO._.' + —
LIC.
CITY - - - CLASS CORNER CUTOFF YES ❑ NO ❑ 0Q..
CONSTRUCTION LENDER m
NAME AND BRANCH JE
EE REVERSE SIDE FOR SPECIAL APPROVALS ~
ADDRESS
SQ. FT:- NO. OF ./ NO. OF
SIZE STORIES FAMILIES NEW USE OF -.t J /,,.% ADDSTRUCTURE ! -.._;�;+' -f r �" ALTERREPAISIGNATURE OFAPPLICANTDEMOLVALUATION $ ^' w�"""T-,JAPPROVALS DATE INSPECTOR°5 SICNATURE
P.C. - PMT. UNDATION: LOCATION
FEE S FEE $ _. FORMS, MATERIALS
FRAME: FIRE STOPS,
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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE. RECT AND POSTED
ADDRESS / ,.�. �f ,..��J,4'.'�!. �,e; FINAL
PLAN CHECK VALIDATION CK. M 0 CASH _ PERMIT VALIDATION CK. M 0 CASH
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT ILiI
insure, or o certificate of Workers' Compensation Insurance,
or a certified copy thereof (Sec 3800, Lab C )
F�P COUNTY OF LOS,ANGELES, BUILDING AND SAFETY
Policy Nowp Company BUILDING
FOR APPLICANT TO FILL IN ti
Certified copy is hereby furnished ADDRESS
® Certified copy is filed with t4ccon y b Iding inspec- BUILDING
tion department ADDRESS Em eror LOCALITY 'NEAREST
Date Applicant CITY ZIP CROSS ST
ERT KATE OF EXEMPTI NWO ERS'' NO OF BLDGS ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP
hundred dollars ($100)or less ) TRACT BLOCK LOT NO NO O G ,.
' CONDITIONS SPECIAL >-
OWNER ODOri BucTEL
hanan NO'2 8 5-2 5 2 0 � ' a
I certify that in The performance of the work for which this ISTRICT GROUPTYPE FIRE PR ESSED BY O
permit is issued, I shall not employ any person in any manner ADDRESS AS above CONST ZONE V
so as to become subject to the-Workers'Compensation Laws IU
Date Applicant CITY ZIP STATISTICAL CLASSIFICATION PT CONDO
NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL tat
Exemption, you should become subject to the Workers' ENGINEER NO CLASS NO -� DWELL UNITS 9L
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this -permit shall be EL /
deemed revoked CONTRACTOR NO — BK_ PG, 1 VALIDATION
LICENSED CONTRACTORS DECLARATION V inedo LIC 309178
I hereby affirm that I am 265 TT,licensed under provisions of Chapter 9 ADDRESS NO VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC
Profess+ons'Code, and mylicense is`m f II force and effect CITY Pasadena CIASS C39 $ 2 ,900.
oil.
FT NO OF NO OF CHECK
License Number Q L+c Class SIZE STORIES FAMILIES ONE
$
Contractor Reroof house NEW Date DESCRIPTION OF WORK ❑ '
w yr. .Tlm er lne ADD ❑
❑ I am exempt under Se
• ALTER ❑ , FINAL L� ��
B&P C for-this reason • ® DATE i
• REPAIR
USE OF
1p
Date' FINAL
DEMOL. ❑ B
EXISTING BLDG -ekl - Y
Signature APPLICANT TEL
-OWNER-BUILDER DECLARATION (PRINTJJ.L.SHIPLEY NO 792-2437
I hereby affirm that I am exempt from the Contractor's License ADDRESS Pasad na 11 , g•l ,3 6t 7
Law for the following reason (Section 7031 5, Business and
Professions Code) PRESENT To
❑ BUILDING
j, as owner of the property, or my employees with ADDRESS o o+o
wages as their sole compensation,will do the work and, 5:9,•25
the structure is not intended or offered for sale(Section LOCALITY 0 3r 2 1 —$4
7044, Business and Professions Code) MOVING TEL ,
j, as owner of the property, am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions.Code)
REQUIRED TOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY - SET BACK YARD HWY PROP LINE WIDTH
I hereby affirm,that there is a construction lending agency for FRONT -
the performance of the work for which this,permrt is issued P L
(Sec,3097, Civ C ) SIDE
m PL
a
Lender's Name
Lender's Address P C Fee$ Permit Fee
I certify that I have read this application and state.that the Issuance Fee
above information is correct I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee $59 . 25
>� and�hhery' uthonze�repres �tativesof this County to enter
uponve-me tinspection purposes ;
a •S : SEE REVERSE FOR EXPLANATORY LANGUAGE_
1 Signature of Applicant or 96ent Pate