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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 Print or t e only) GL. BUILDING - DIST TT NGROUP TY EWbCESSED � BY � 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 . TEL �d 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) �/� L.� // TYPE OF EXISTING SETBACK HIGHWAY } YARD = d CONTRACTOR ,ct,2�e cl. NOA;8e!6 HIGHWAY WIDTH FROM,C.L O U A 1 •ADDRESS G�. Q NO �G/ } O LIC C-') 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 {���///]/ 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. Print ort a only) ,-+— -� 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