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HomeMy Public PortalAbout4921 FIESTA AVE_Building__ 099 3 25M SETS 6 46 j DtPJAR-TIENT OF BUILDING t AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® LD I ®��p Wh1 J FOX CHIEF ENGINEER ® FOR APPL+ICANT TO FILL IN FOR OFFICE USE ONLY BUILDING ��{ �+� � '�� DISTRICT NO ° PLAN CK NO PERMIT NO ADDRESS ' LOCALITY (l a��{IFFe �rj/ f fJ r1� Y RECEIVED BY DATE OF APPL DATEpISSUED NEAREST f� + n/ CROSS 9T �'- 1�`7 c v-`t.�i..,l�r�..,/ ��,YYY v4 NG OWNER L2 , V/t U�G� 4.T"s o ADDREt88�/n/C. / /C S'7�/7 MAIL ��S-�� _/1.t2.Nj�7�A LOCALITY /� Q 0 ADDRESS TEL //'�J��'�J CITY . fir CPOSS ST 6L kr 7 -z FIRE NO OF TY OR UP NEAREST gi ,ARCHITECT OR _ „ TEL ZONE PLANS 'V ENGINEER NO BLDG ORD NO r ADDRESS SETBACK LINE APPROVED ` CONTRACTOR �f � � NO BY DATE USE APPROVED ADDRESS1 r ZONE "" BY +� DATES LEGAL y a CORRECTIONS DESCRIPTION I L�O/T NO S� I BLOCK TRACT 4aiz ns NO OF SLOGS LTJ _SIZE OF LOT M V / �, NOW ON LOT / �j��� P+ d'I �of- `p USE OF rA � NO OF / I/ ✓ � 5�1� �1 ` B NO Or EXISTING LDG FAMtI_I[BROOMS_I DESCRIPTIONAOF WORK 1 D —(o NEW r ALTERATION �'~ ADDITION UO i REPAIR r MOVING DEMOLI8H SO FT NO OF + SIZE / n ROOMS ' STORIES I t WA K,f I ROOF r t COVERINGERING , COVERING l USE OF NEW BUILDING t + t I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE`THAT THEfABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE ' FORMS, MATERIALS � AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AylaM !D 1. AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRE STOPS, B c w + SIGNATURE OF BRACING, BOLTS r OWNER t LATH INT t AUTHORIZED AOT 4n4 i LATH EXT + * ` sP C 4 PLASTER INT LUAT �� FEE PLASTER EXTV /0 �D� FEE 'a t Q FINAL Fl R J 1 V r t ' 4 c APPLICATION FOR _ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ` BOLDING PERMIT BUILDING AND SAFETY DIVISION BUILDING FOR APPLICANT TO FI LIN ADORES BUILDING ADDRESS L l .�J LOCALIT CITY j. �/ ZIP �j NEAREST CROSS S NO OF SLOGS ASSESSOR SIZE OF LOT 6 ©� NOW ON LOT MAP BOOK PAGE PARCEL < DISTRICT GROUP TYPE FIRE ESSED BY TRACT BLOCK LOT NO CONST Zp "1 M TEL OWNER NO -Gtil' STATISTICAL CLASSIFICATION SEWE MAP ADDRESS L CLASS NO DWELL UNITS BK PG �y0 U ZONE MAP �� CITY L,� ZIP �20 v ( NO ARCH TECT R T L SPECIAL ENGINEER NO CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR TEL LIC BLOCS TBACKFROM NO FRONT PROP LINE OF (STREET) ADDRESS �^ NO -^ HIGHWA t YARD TOTAL SETBACK FROM TYPE OF HIGHWAY EXISTING ISTI G DTH CITY LIC FRONT PROP LINE CLASS- CONSTRUCTION LASSCONSTRUCTION LENDER _ t O� NAME AND BRANCH BLDG SE ACK FROM O ADDRESS CITY SIDE PROP (STREET) V SQ FT NO OF NO OF /p CHECK HIGHWAY t YARD _ OT L SE FROM TYPE OF EXISTING SIZE Q STORIES FAMILIES L/I ! ONE SIDE PROP LINE HIGHWAY WIDTH C� t DESCRIPTION OF WORK NEW ID = N ADD CORNER CUTOFF YES ❑ NO ❑ / ALTER IN OPEN SPACE YES ❑ NO ❑ REPAIR❑ USE O ` / IN CO�A�STAL�X►PERMIT ZON�E]� YESQCNO ❑ NG BLDG EMOL ❑ APPL L -1� / �T �^�LY '7�PR I NT) N O6' � rC /YE BY (SIGNATUR I 4�1- HEREBY ACKNOWLEDGE MAT I HAVE READ THIS APPLICATION �(%.' 2 p� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY P WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON N STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED N HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STAT Of C L'I FORNIA IN RELATING TO .� WORKMEN S COMP i 0 UR SIGNATURE O FINALI PERMITTEE _ 1 DATE ADDRESS i TELP C Fee$ ` Permit Fee` V 7� CIT NO «� Issuance Fee �-- VALUATION,P e(/V I *7 Total Fee Q Z�7S PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CH M o C 75 ( � b F 4989tZMAY 25 1 ®, 1 0275 ,fi3o 78A838A CE#8038 12/75 _ APPLICATION 1=O R COUNTY OF LOS ANGELES -OF COUNTY ENGIN JBU I LD I N G PERMIT DEPARTMENTBUILDING AND SAFETY DIVISION BUILDING ` -✓ FO,R APPLICANT TO FILL N - ADDRESS BUILDING ADDRESS LOCALITY CITY -kcZIP NEAREST CROSS ST NO OF BLD S ASSESSOR SIZE OF LO a 6S J NOW ON LOT MAP BOOK PAGE PARCEL 1� ? DISTRICT GROUP TYPE FIRE ESSED BY TRACT/332-9 LOCK L T 461; J CONST ZONE 11 TEL r r z-- 1 OWNER L� NO Z1 STATISTICAL CLASSIFICATION SEWE MAP ADDRESS CLASS NO ? DWELL UNITS BK PG's ZONE MAP CITY/j ��' ZIP J r' NO ARCHITECT OR T It=L , SPECIAL ENGINEER NO v CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR TEL BLDG ETBACKFROM NO FRO PROP LINEOF (STREET) LIC ADDRESS NO NIG AY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING CITY LIC FRONT PROP LINE HIGHWAY WIDTH CLASS _ CONSTRUCTION LENDER~ + NAME AND BRANCH BLDG CK FROM d ADDRESS CITY SIDE PROP L (STREET) C.> SQ FT '�77/ NO OF NO OF CHECK HIGHWAY + YARD = TOT L T FROM TYPE OF EXISTING C) SIZE 176 STORIES FAMILIES ONE ID PR I HIGHWAY WIDTH t3 + L&J DESCRIPTION OF WORK NEW E] N DD ❑ CORNER CUTOFF YES ❑ NO ❑ Z ALTER IN OPEN SPACE YES ❑ NO ❑ REPAIR USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG APPLINT) NO CAN TEL (PRI �� S/Z A-1��^5` �J/ Vv 0lk- G� BY (SIGNATURE � 7-b 1 HEREBY ACK OWLEDGE HAT I HAVE READ THIS APPLICATION Ke AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I�� �" �✓yC./ W �" I`� F�v� '" WITH ALL ORDINANCE$ AND LAWS REGULATING BUILDING CON STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL i�wff--rfi-rg VIOLATION OF THE LABOR CODE OFA IN RELATING TO WORKMEN S COM SIGNATURE OFFINAL �' BY PERMITTEE DATE ADDRESS TEL PC Fee$ Permit Fee CITY NO Q Issuance Fee VALUATION$ -�d Total Fee PLAN CHECK VALIDATION CK M o CASH _ PERMIT-VALIDATION CK M o CASH p O MAY 2 1 6.0 Q AJ6 76A638A C6*803B 12/75 1 f t ©S CA I CE{80IRF 6/78) a � t 1 � APPLICATION FOR U ILDIN PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN \ BUILDING r ADDRESS �,�c�� BUILDINGL.Hy� ' ' ADDRESS =I �L�IA LOCALITY ¢ NEAREST CITY f— ZIP CROSS ST NO OF BLDGS ASSESSOR c SIZE OF LOT G J )f NOW ON LOT MAP BOOK PAGE PARCEL DISTRICTG TYPE FIRE ESSED BY? TRACT BL CK LOT CONST TELQ v OWNER NO 7/ STAT ISI ICALCLASSIFICATION SEWER _P ADDRESS CLASS NO c2Z DWELL UNITS ~BK PG s r. CITY ZIP r ARCHITECT OR TEL _1 VALUATION $ 0 ENGINEER z NO { r ADDRESS ` BLDG SETBACK FROM TELA & FRONTPROP LINEOF (STREET) y CONTRACTOR NO2 / HIGHWAY + YARD = TOTAL SETBACK FROM I TYPEOF _EXISTING Z LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO LIC + _ CITY CLASS BLDG SETBACK FROM CONSTRUCTION LENDER Y NAME AND BRANCH _ � � a SIDE PROP LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING ADDRESS CITY SIDE PROP LINE 1HIGHWAY1 WIDTH SQ FT NO OF NO OF CHECK + = U SQ F�SIZE STORIES FAMILIES ONE W DESCRIPTIO RK NEW PC Fee$ Permit Fee tTA ADD O Issuance Fee / ALTER USE OF REPAIR ❑ Total Fee ' EXISTING BLDG 1 DEMOL El Z r APPLICANT z TEL C IPRINT) NO D BY(SIGNATURE) HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES i �} r ;94823A AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE + f S WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF Y THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 COM Z ' PENSATION.INSURANCE s �, Q # O oto O O 1 a SIGNATURE OF�r�'c�it,� / j"� J ` s1l 2 o Lo 3'(f 0 0 PERMITTEES * t T '0 -'0 3&00 ADDRESS �' ' + Z �V TEL.2 --f—/goly g 0 c608-79 CITY NO_ Q O ' USE rSF I IAL f631- DITIONS FINAL DATE ue�- v ti � r WORJWS' COMPENSATION DECLARATION " insu�borUafcertif cane of Workers' Comtpensation eInsuran ent to lf APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. 1223829 Company State Corm. Ins. ❑ Certified copy is hereby furnished. Md BUILDING FOR APPLICANT TO FILL IN ADDRESS ® Certified copy is filed with't "county buil in�C- BUILDING , tion department. ADDRESS CITY Temple City zip 91780 LOCALITY Date 4/1/93 APPlica NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION F M WORKE SIZE OF LOT NOW ON LOT CROSS SL COMPENSATION INS RANCE ASSESSOR O (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK 8 0 IPAGE 0 19 PARCEL 0 2 0 hundred dollars ($100) or less.) TEL. OWNER ROn Knowles NO.285-19.14 USE ZONE , MAPNO. I certify that in the performance of the work for which this permit is'issued, I shall not employ any person in any manner ADDRESS SPECIAL. d CONDITIONS so as to become subject to the Workers' Compensation Laws. O CITYZIP V Date Applicant ARCHITECT OR TE U NOTICE TO APPLICANT:"If, after makingthis.Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY CONST. ZONE � Exemption, you should" become subject to the Workers' /��/ a ' / o� U Compensation provisions of the Labor Code, you must forth- ADDRESS (/(J J V �✓ pW with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. CONTRACTOR L tle ROOF'iNO. — Z LICENSED CONTRACTORS DECLARATION O UC. CLASS NO. DWELL. UNITS — 294hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 8 NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY Pasadena CLASS C39 BK PG VALIDATION' O SQ. FT. NO. OF NO. OF CHECK License Number 186303 Lic. Class ' M0 SIZE 21aga STORIES FAMILIES ONE VALUATION Contractor T:VtI P. RnOfJ ng —Date 3/31/C)� DESCRIPTION OF WORK NEW ❑ $ ElReroof house w •Class 'A' ADD El4 000.00 I am exempt under Sec. ► Timberlines (UL R21) ALTER ❑I B.&P.C. for this reason REPAIR $ ate: USE OF ❑ EXISTING BLDG. Residence DEMOL Signature APPLICANT TEL. FINAL OWNER-B DER DECLARATI N (PRINT). NO. — Q I hereby affirm that I a exempt from the C ractor's License DATE �— Law for the following reason (Section 7031.5, Business and ADDRESS FINAL = i. Professions Code):' PRESENT By ❑ I, as owner of the property, BUILDI P P Y, or my employees ADDRENSS G P Yees with •kNY Q��y,�% Q� s-- wages as their sole compensation,will do the work and �`7"zb/,a"._ �.'=;``i':% _, _.___ the structure is not intended or offered for sale(Section LOCALITY '" _ 7044, Business and Professions Code.) MOVING TEL. CONTRACTOR❑ NO. _I, as owner of the property, am exclusively contracting ''r;; 47 with licensed contractors to construct the project (Sec- ADDRESSj HL y c tion 7044, Business and Professions Code.) t;'':"?pf v., 12 ;:, • REQUIREDTOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH lk3, I hereby affirm that there is.o construction lending agency for FRONT the performance of the work'for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE- P.L. Lender's Name, N 0 N F _ ~ zi+= ? LDMA Ref. # f? i m P.C. Fee$. Permit Fee �1 � .Lender's Address • o I certify that I have read this application and state that the Issuance Fee "/' �� LDMA P/C# 8 above information is correct. I agree to comply with all County Investigation Fee g ordin ces and State laws relatin building construction, Total Fee 128.63 LDMA Perm. # a and reby authorize r re nt es of this County to enter up above-me one p erty for inspect' r ses. �� ��� SEE REVERSE FOR EXPLANATORY LANGUAGE Signa re pplico Yor Agent Date