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Home My Public Portal About4857 FIESTA AVE_Building__ 76Ae30A CE#809960 APPLICATION FOR BUILD[ G PERMIT COUNTY OF LOS ANGELES BUILDING ADDRESS DEPARTMENT OF COUNTY ENGINEER I B=ING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTR5-PNO GROUPTYPE PR CE4SE Y FOR APPLICANT TO FILL IN J' ,Q CONST BUILDING STATISTICALCLA�SIFICATION I SEWER MAP ADDRESS L['� Bif PG CLASS NO DWELL UNITS /� LOT NO BLOCKMAF' �/J� //�� STATE YES NUMBER 5Z-0 HWY TRACT USEZONE SPECIAL v NO OF BLDGS CONDITIONS SIZE OF LOT O /� _i NOW ON LOT A- 1- / USE OF EXISTING BLDG6;4ILDING YARD '�9� ST ET NAME EXIST /j TEL ACK WIDTH OWNER (/lJ �� .,�p/� N/O� FRONT ADDRESS L6$S -7 �/{"'�� P L SIDE ARCHITECT 011 TEL P L ENGINEER NO INSPECTION RECORD } a ADDRESS _ O TEL U CONTRACTOR G Fv NO { w ADDRESS Q DESCRIPTION OF WORK ; lllhJJJ j W � a N NEW ADD ALTER EPAIR� DEMOLISH Z SO FT NO OF } SIZE STORIES FAMILIES USE OF STRUCTURE R SIGNATURE OF APPLICANT VALUATION$ �-�L� APPROVALS DATE INSPECTOR S SIGNATURE FOUNDATION LOCATION FEE $ FEE $ FORMS MATERIALS .n FRAME FIRE STOPS I EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION (BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH INT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT prep _ ♦ �} a TO THE WORKMEN S COMPENSATION LAWS OF CALIF RNIA LATH EXT SIGNATURE OFCL&Af � HOUSE NUMBER COR PERMITTEE- RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK MO CASH CLYDE PERNIIT VALIDATIONLAM PRINCIPAL CSTRUCTURAL EN�HER Lr698 7 1 D 1 cC' / DEPARTMENT OF COUNTY ENGnUnL DIVISION Off' WELDING AND SAFETY COUNTYi`OF LOS ANGE M DING WILLIAM'J FOX COUNTY ENGINEER APPLICATION } CASSATT D GRIFFIN SUP T OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY FADDREBS NG DISTRICT NO PLANCK OR Rbc No PERMIT NO TY RECEIVED BY DATE OF APPL DATE ISSUED NEAREST -'To m 1 I. 2- - -5-3 1 I- 2 - 5 CROSS ST T BUILDING ADDRESS OWNER MAIL LOCALITY_r ADDRESS NEAREST TEL CROSS ST L t g NO� / CITY TEL N FIRE NO OF TYPE GROUP ARCHITE NGINEER OR TEL NO ZONE PLANS I Z E BLDG ORD NO ADDRESS /� SETBACKIINE USE AP CONTRACTO ✓�'� ZONEt\—I BYPROVED 0 L_ ATE -S HOUSE NUMBERING ADDRESS G /5 LEGALI y' > !'— MAP NUMBER �y NO ASSIGNED BY 1`a-C• DESCRIPTION T NO BLOCK/ ✓ CORRECTIONS TRACT 2 ♦ t- r� r c�/�/�"�rrt/ NO OF BLDGS SIZE OF LOT &12 NOW ON LOT UBE OF ' I NO OF MI + ' EXISTING BLDG FALIe DESCRIPTION OF WORK v o — A REP IR I� DEMOLITION I—ITION ADDITION I � 2 a r SQ FT NO OF SIZE ��//'J ROOMS STORIES EXT WALL ROOF COVERING I COVERI G USE OF RUCTURE APPROVAJdS INSPECTOO 8 SIGNATURE DATE FOUNDATION LOCATION FORMS MATERIALS _ �2 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FRAME FIRE STOPS /fin PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS CORRECT 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LA REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS C� A LATH INT SIGNATURE F PERMITTfi LATH EXT ADDRESS PLASTER INT AUTHORIZED AGT PLASTER EXT 1 P C FEE HOUSE NUMBER COR RECT AND POSTED VALUATION �/ FEE )$ rJ FINAL ✓ 1 `� 76A888A Doe 3 0-09 1 ¢ DEPARTNENNT OF COUNTY ENGINM DMSION OF WELDING AND SAFETY COUNTY OF LOS ANGELES BUILDING WILLIAM J FOX COUNTY ENGINEER APPLICATION CASSATT D GRIFFIN SUP T OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLANCK OR Rsc No PERMIT NO BUILDING ADDRESS LOCALITY ! / RECEIVED BY DATE OFAPPL DATE ISSUED NEAREST IOL- Z-S 3 - 2— - �✓ CROSS ST BUILDING ADDRESS S 1`S V= OWNER MAIL _ �L LOCALITY ADDRESS of-� NEAREST I TEL CROSS ST L 9 l,J 5� CITY O TEL FIRE NO OF I TYPE-1I GROUP ARCHIT CT OR ZONE PLANS _YI ENGINEER NOBLDG (' ADDRESS SETBACK LINE zo NO TEL YUSE APPROVER-----�--� CONTRACTOR E !/^ ZONE X-`\-t BY too DATE II- -S ADDRESS V HOUSE NUMBERING LEGAL "� MAP NUMBER ZC'I C,e NO ASSIGNED BY g DESCRIPTION T N BLOCK _ � CORRECTIONS TRACT NO OF SLOGS SIZE OF LOT NOW ON LOT L- USE OFI NO OF EXISTING BLDG FAMILIES DESCREPTIO&bf WORK o - r � RE AIR ( DEMOLITION I TION ADDITION Z D r SO FT NO OF / SIZE ROOMS STO EXT WALL I ROOF COVERING C VERING S US OF STR R APPROVALS' INSPECTORS SIGNATURE DAT FOUNDATION LOCATION, e_ / � FORMS MATERIALS 7`+.� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FRAME FIRE STOPS PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS CORRECT IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS SIGNATURE O LATH INT� PERMITTE J l LATH EXT ADDRESS / � �'"� t t PLASTER INT AUTHORIZED AGT ^ PLASTER EXT $ o P C E /D O FEE HOUSE NUMBER COR RECT AND POSTED VALUATION FEE f CJ O FINAL 7GA633A OW 8 9-52 I i I V � 76AGBOA CE#809,O E9 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS / BUILDING AND SAFETY DIVISION LOCALITY zell JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRII NO OUPe -ry PR SED BY FOR APPLICANT TO FILL IN ", coNST ADDREBUILDIS STATISTICAL CL A:D�� )��T� �V� I SEWIVR MAP ADDRESS CLASSIFICATION BK P CLASS NO DWELL UNITS � v LOT NO BLOCK MAP STATE YES ,1 NUMBERS HWY . 1 TRACT I I ,4 S 4 - USE ZONE SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTIN BLDG BUILDING EXIST ` STREET NAME SETBACK YARD HWY WIDTH OWNER' . FRONT MAIL P L ADDRESS �AI�dL� SIDE _t. TEL P L HIt RCT `� �j fj�� No INSPECTION,ORECORD z -�,--;� NGINEER R —� ADDRESS ''/I f..o Xl-.e r I� +71�A-t CONTRACTORjM7SDr—j'2 KI C NO t/ r f V ADDRESS ��\F Ia IZ D�I I \-f{�OVENV&g.C"1 i(-•f / DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ FT r NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE 1 v . SIGNATURE OF APPROVALS APPLICANT 1 DATE INSPECTOR S SIGNATURE ADDRESS O FOUNDATION LOCATION I FORMS MATERIALS �""CJf� $ ° PC S �- FRAME FIRE STOPS t FEE BRACING BOLTS 7 - VALUATION lJ $ A FURNACE LOCATION , FEE GAS VENT-DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT 1 STATE LAWS GUT IN BUIL NG CONST U TION SIGNATURE OF HOUSE NUMBER COR PERMI E RECT AND POSTED ADDRESS '102Glk FINAL " CLYDE N DIRLAM PRINCIPAL ST —`RAL ENGINEER PLAN CHECK VALIDATION K M O CASH PERMIT VALIDATIO CK M O CASH t ACC 9 1 09 "') JUL 8 2 3 8 3 00 - LXc19 1 1 0 JUL 8 1',A 1200 WORKERS COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self APPLICATION F®R BUILDING PERMIT r Insure or a ceitificate of Workers Compensation Insurance or a certified copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES s BUILDING AND SAFETY' Policy No Company ' " BUILDING Certified copy is hereby furnished FOR APPLICANT TO FILL IN, ADDRESS < �S D Certified copy is filed with the county building inspec FAUDDRESS k ` tion de artment " LOCALITY `�� r t NEAREST T Date Applicant - r �0 T ZIP 7) CROSS ST f # CER IFIC TE OF EXEMPTION FROM WORKE NO OF BLDGS ASSESSOR COMPENSATION INSURANCE NOW ON LOT ' MAP BOOK PAGE PARCEL " USE ZONE MAP ` (This section need not be completed if the permit is for one BLOCK LOT NO NO a ` hundred dollars ($100)or less ) , � r TEL "� SPECIAL ? �- OWNER EL CONDITIONS > O. I certify that in the performance of the'work for which this n t (STRICT ®ROUPTYPE FIRE PROCESSED BY a O permit is issued I shall not employ a� arson m any manner ADDRESS r{�� CONST Z E ` U so as to be oma ublect to the W er Compens ion ws _ Ly Date` " Av ApplicanA CIT5711, t �� ryY ZIP ro STATISTICAL CLASSIFITION APT JCON&6 17 0 NOTIC O A PLICANT If afte king this C c Te of ARCHITECT OR r TEL r Exemption you should become su jecT To 1 Workers ENGINEER , NO CLASS NO DWELL UNITS � ` Compensation provisions of the Labor Code you Ymust forth i ADDRESS J SEWER MAP with comply with such provisions orthispermit,shall be z t deemed revoked ` + TEL BK PG VALIDATION& r , + CONTRACTOR NO j yz LICENSED CONTRACTORS DECLARATION T LIC µ �� I hereby affirm that I am licensed under provisions'of Chapter 9 ADDRESS NO LUATION (commencing with Sectionr700f))of DivisiorY3 tithe Business and LIC v9 ' Professions Code and my license is in full force and effect CITY— CLASS rt ` " t SQ FT NO OF NO OF , 4, CHECK _ License Number Lic Class + SIZE STORIES IFAMILIES ONE +X a ; '< �► ocC NEW S z t + + DESCRIPTION OF WORK 4 Contractor Date 4 ADD 0 �'I am exempt under Sec * � E?0 1 L l> i ALTER FINAL t/ B&P C for this reason i T uJ REPAIR DATE Date USE OF FINAL i- a EXISTING BLDG DEMOL By ` APPLICANT TEL F * r Signature _ OWNER BUILDER DECLARATION 3wx� PRINT _ NO I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and, ADDRESS ► r Professions Code) E E _ k s r to BUILDING I as owner of the property a my employees with ADDRESS wages as their sole compensation will do the work and LOCALITY u ` r the structure is not intended or offered for sale(Section s LI 0 1 �7 A z 7044 Business and Professions Code)' + A MOVING TEL ,e 4, e + I as owner of�the property am exclusively contracting CONTRACTOR ti� a NO # 0 0 0 00 1 r with licensed contractors to construct the project (Sec `' V�fi R Y 2 iR tion 7044 Business and Professions Code) ADDRESS r e - 9675 t, REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION(ENDING AGENCY SET BACK YARD HWY PROP'LIN WIDTH 0 0 o C)�'7 v I hereby affirm that there is a construction lending agency for FRONT ' bt + 1 r ! the performance of the work for which this permit is issued e P L a X 0 727-83 (Sec 3097 Civ Ct) r �t SIDE: ti x a a z m ^/ P L S < 4 e Lender s Name + Perrrut Fees + + Lender s Address ( P C 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 g ordinances and State laws relating to building construction i Total Fee • � �t i9 and hemby authorizerepresentatives of this County to enter { F upo he bove me do prgp rty for inspection purposes 3 ' '1 SEE REVERSE FOR EXPLANATORY LANGUAGE ` ignature of Applic or nT Date