HomeMy Public PortalAbout10649 FAIRHALL ST_Miscellaneous__ UE8
*,' _ COUNTY OF LOS ANGELES
DEPARTMENT OF PUBLIC WORKS
BUILDING AND SAFETY DIVISIONeNtoe '°
OWNER-BUILDER VERIFICATION
Attention Property Owner
An "Owner Builder" building permit has been applied for in your name and bearing your signature
at Please complete
and return this information in the envelope provided at your earliest opportunity to avoid unnecessary
delay in processing and issuing your budding permit No building permit.&I be issued until this
verification is received
1 I personally plan to praviq the mayor labor and materials for construction of the proposed
property improvemen ( yes r no )
2 (I'(have/ ve not) signed an application for a building permit for proposed work
3 1 have contracted with the following person (firm) to provide the proposed construction
Name
Address City
Phone Contractors License No
4 1 plan to provide portions of the work but l have hired the following person to coordinate,
supervise, and provide the major work
Name
Address Cita,
Phonr3 Contractors License No
5 I will provide some of the work but I have contracted (hired) the following persons to provide the
work Indicated
Name Address Phone Type of Work
Signed /9- � Return Form to Address Below
Pro arty Owner
r
Date
04/18/04
O��pE1E3 COGy
COUNTY OF LOS ANGELES
PUBLIC oaks DEPARTMENT OF PUBLIC WORKS
a BUILDING AND SAFETY DIVISION
46/`c`SeNIcB'n'g��o
OWNER-BUILDER VERIFICATION
Attention Property Owner
An "Owner Builder" building permit has been applied for in your name and bearing your signature
at Ad l C sT , r n o ze Clr` l 9 /-"SO Please complete
and return this Information In the envelope provided at yo r earliest opportunity to avoid unnecessary
delay In processing and issuing your building permit No building permit will be issued until this
verification is received
1 I personally plan to provide the mayor labor and materials for construction of the proposed
property improvement ( yes or no
2 1 (have/have not) A-&V C- signed an application for a budding permit for proposed work
3 1 have contracted with the following person (firm) to provide the proposed construction
Name
Address City
Phone Contractors License No
4 1 plan to provide portions of the work but I have hired the following person to coordinate,
supervise, and provide the major work
Name
Address City
Phone Contractors License No
5 1 will provide some of the work but I have contracted (hired) the following persons to provide the
work Indicated
Name Address Phone Type of Work
Signed Return Form to Address Below
Property Owner
I f "fi(1.IN'ly
Date
04/19/04