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HomeMy Public PortalAbout9515 FLAHERTY ST_Building__ ©s AA63V- _ C.5#803(REV 11/�'8 APPLICA _ r� ,O R BUIL E RMIT COUNTY OF LOS ANGELES BUILDING AND SAFETYBUILDING L -FOR APPLIC TO FILL IN ADDRESS - (A3 r BUILDIN ADDRESS LOCALITY r NEAREST ` ti CITY ZIP CROSS ST NO OF BLDGS ASSESSOR „ t SIZE OF LOT I NOW ON LOT MAP BOOK - PAGE - PARCEL DISTRICT IGROUP I TYPE FIRE P O SSED BY TRACT T BLOCK LOT ONST r TEL OWNER NO STATISTICAL CLASSIFICATIONF', M ADDRESS f CLASS NO DWELL UNITS x CITY ZIP ARCHITECT OR TEL VALUATION $ ENGINEER NO ADDRESS BLDG SETBACK FRO TEL FRONT PROP LINE (STREET) CONTR TONO TOTAL SETBAC M PE OF EXISTING l ' LIC HIGHWAY + YARD = FRONT PROP TINE, IHIGNWAYI WIDTH ADDREk O LIC CI r CLASS CONSTRUCTION LENDERv _ BLDG SETBACK FROM 1 a` `� SIDE PROP LINE OF h� 1 (STREET) NAME AND BRANCH , TOTAL SETBACK FROM TYPE OF EXISTING �. _ HIGHWAY + YARD = ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH Q .. ' V SO FT NO OF NO OF CHECK + = b SIZE STORIES FAMILIES ° ONE cc AZO MAP 0 DESCRIPTION OF WORK - NEW I�\J" NO SPECIAL ADD ❑ CONDITIONS t y 1 ALTER ❑ FINA ti Y z / REPAIR ❑ DATE _ n USE OF ❑ /// . ` DEMOL s EXISTING BLDG Z / - � .: e- ,, APPLICANT TEL 'j O # o o o o 2 3 7 (PRINT) NO Y , C4 3 2 0 s,a _i o 0 r BY(SIGNATURE) ` - r j 0 4. 0 4 3 2 0 m 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE v, u«, u THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES .. �. �L a 3 2 5-8 0 AND LAWS REGULATING BUILDING CONSTRUCTION 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 COM Z P SATION INSURANCE ' L p 9 5 1 6A SIGNATURE OF # 0 0 0 0 0 * ' PERMITTEE ri 1 ADDRESS I C 2 0 0 6 1 0 0 { TEL ~ CITY NO y 4` Q 'oo 0 6 1 0 0 x r✓St r P C Fee$ d Permit Fee ; � I , a 7GA638A CE k803 2 63APPLICATION FOR BUILDING PERMI I -COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRI&LI GR TYPE P SS Y FOR APPLICANT TO FILL IN CONST BUILDING STATISTICAL CLASSIF ATION SEWER MAP ADDRESS BK CLASS NO DWELL UNITS LOT NO ` BLOCK WATER`i" CERTIFICATE NOT REQUIRED RECEIVED ❑ TRACT MAP / HIGHWAY STLLLA���TJJJE��`MAJOR SECOND OCAL NO OF BLDGS NO (/ (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF �� CONDITIONS EXISTING BLDG I CNG OWNERWA A/ EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS JAY4T�� FRONT ARCHITECT OR V TEL P L a ENGINEER ° NO SIDE / a P L O ADDRESS TEL v CONTRACTOR NO I w ADDRESS / Q I r DESCRIPTION OF WORa NEW ADD ALTER REPAIR DEMOLISH Z SQ FTI NO OF NO OF SIZE v STORlEs'f FAMILIES USE OF 1 STRUCTURE SIGNATURE OF APPLICANT VALUATION $ APPROVALS DATE INSPECTOR S SIGNATURE P C PMT �Tyn FOUNDATION LOCATION FEE $ FEE $ • (/ F/ FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIF NIA RELAT ING TO WORKMEN 5 COMPENSATION INSURA LATH EXT _ SIGNATOR F HOUSE NUMBER COR PERMITTEE RECT AND POSTED I ADDRESS FINAL �� F LEWIS PRINCIPAL AL PLAN CHECK VALIDATION CK M O CASH _ JOHN PERMIT VALIDATION TRCK TURM O ENrASHER � 1 4 2 5t2 OCT] 4. 1 D 8.0 0- S DEPARTMENT OF BUILDING AND SAFETY Q APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM J FOX CHIEF ENGINEER r B U ' L ' G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLANCK NO PERMIT NO BUILDINGADDREBB Flaherty St. o LOCALITY RECEIVED BY 1 DATE OF APPL DATE ISSUED f NEAREST Cloverly Ave. , lempleCtNG ty BUILD OWNER Meeker Land Company ADDRESS � lS s'd t IZT "I MAIL ADDREBB11236 E. Live Oak Ave. LOCALITY �C NEAREST / CITY Arcadia TEL DO-72151 CROBB ST �/ � (- pR No FIRE NO OF PE GROUP ENGINEER Upeo.A.Bi s S e11 NOL FL-74420 ZONE PLANE BLDG ORD NO ADDRESS SETBACK LINE 74e5,� .IYI i�7 �4e4lp APPROVED TIE CONTRACTOR NOL. BY DATE USE APPROVED ADDRESSZONE / BY DATE LEGAL DESCRIPTION LOT NO 24 BLOCK p 6 CORRECTIONS TRACT 17179 54x132 NO OF BLDGS none C -7 x SIZE OF LOT NOW ON LOT USE OF none NO OF NO OF 6 EXISTING BLDG FAMILIES ROOMS DESCRIPTION OF WORK NEW j x ALTERATION ADDITION REPAIR MOVING DEMOLISH .L O SI 1161 ROOMS 6 STORIES o rT NO OF1 WALL ROOF y pglr COVERING T7 Plaster- - I COVERING W•S�'1es* FTEl2 Tr S S fR FN<,-rWFiiVF_n USE BUILDING Residence Plan 4-D Garage 18x20 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION FORMS MATERIALS �� ��! FRAME FIRE STOPS f l SIGNATURE OF BRACING BOLTS PER M ITTE LAND LATH INT AUTHORIZED LATH EXT 76A639A 3 7 as s (p Q p P C $ 7 2-g PLASTER INT T C5 FEE- PLASTER EXT VALUATION / �d d FEE X13 �a FINAL l APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING AD�$Ey' %¢ I hereby affirm that I have a certificate of consent to self insure, BUILDI /S or a certificate of Workers' Compensation Insurance, or a certified ( r C copy thereof (Sec.3800,Lab.C.) A CITY ZIP �J JJ pp Policy No. Company — N� ;�/OQ LOCALITY SIZE OF LOT NO.OF BLDGS.NOW ON LOT ElCertified copy is hereby furnished. NEAREST CROSS S 1P c7� •� C��J / /� ' ❑ Certified copy is filedwith the count bui Ing ins e i TRACT BLOCK LOT NO. de rtme t. USE ZONE MAP NO. DateApplican ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION F M WORKERS' OWNS T L No. COMPENSATION INSURANCE t S WITHIN 1000 FT.OF SCHOOL? ves No This section need not be completed,if the permit is for one hundred ADD S ( P P 5• A DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100) or less.) H �rJ Com/ CITY ZIP I certify that in the performance of the work for which this permit ��� s issued, I shall not employ any person in any manner so as to become Subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER, TEL NO. STATISTICAL O'SS'IFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT.- If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CO AC T I- o. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith z1q S FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS j} LIC.NO. P L 1. (/• c (J 3 (, LICENSED CONTRACTORS DECLARATION r f L SIDE P L I hereby affirm that I am licensed underprovisions of Chapter 9 C SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force arr]�1.,ef ct. NEW BK PG a License Number Lic. Class ` LCC DESCRIPTION OF o ADD ❑ VALUATION , Q Contracto to > 7�`, 67/ ALTER El $ —L ` ❑ I am exempt under Sec. REPAIR El $ 0 BAP.C.for this reason DEMOL ❑ — ,,,R W , Date: USE OF EXISTING BLDG. URM ElLDMA P/C# ;j.3 a f 1 !r,'_,_ Cn Signature APPLICANT(PRINT) TEL NO. LDMA Perm# Z ❑ 1, as owner of the property, or my employees with wages as Z `1'11 HL. their sole compensation, will do the work and the structure is ADDRESS O IL �. FINAL-DATE CK I23 a''f'•.� not intended or offered for sale (Section 7044, Business and Q CHECK Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL Zv��„ t•I`IHN1'E A i ❑ I, as owner of the OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 5 licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) Ii f� `— I(I(�I WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ' l OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH •' CONSTRUCTION LENDING AGENCY COAST GU DEL AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR 1 3 J: d =.f S 1 a L• I hereby affirm that there is a construction lending agency for YES❑ NO❑ N the performance Of the work for which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097, CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address 0 OWNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above ' format' correct.I agree to comply P.C.FEE PERMIT FEE with all county rdin ces an S to laws relating to building construction, her by a h Iz representatives of this County ISSUANCE FEE,CO to en a ab ve-me t' property for insp do urpo e�� (O d a INVESTIGATION FEE TOTAL FEE I e of Applicant or Agenl Uale 3 �- SEE REVERSE FOR EXPLANATORY LANGUAGE