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HomeMy Public PortalAbout9816 FLAHERTY ST_Building__ 76A638A CE #803 1/71 APPLICATION FOR .BUIL ING PE MIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL M BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, SuP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tvoe only) CROSS ST BUILDING DISTRICT NO.• G UP TYPE :PRO SSED BY �' •7— CONST. ADDRESS � i � � j � �► C � �;'� � STATISTICAL CL SSIFICATION SEWER MAP LOT NO _ BLOCK - - CLASS NO� DWELL•,UNITS BK PO/ PC TRACT ZONE MAP NO.OF BLDGS. / NO. �Q SIZE OF LOT NOW ON LOT ( SPECIAL I _ USE OF /''� CONDITIONS EXISTING BLDG. TEL. ^' _ OWNER NO• BLDG.`SET K FROM ADDRESS - 1�- FRONT PROP.L OF (STREET) TYPE OF EXISTING SETS HIGHWAY + _YARD = TOTAL CITY i j )j �[�J HIGHWAY WIDTH• FROM C.L. ENG NIEERARCHTECT V.S Sl TOL + _ ' ,�J 'BLDG.SETBACK FROM ' ADDRESS ��.�3 Y(/. ' J.�B �1 X /Q L-(�Ji�-yJ, 'SIDE PROP.LINE OF (STREET) •' TE ,TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL a CONTRACTOR , Q C, p NO. Z pj` IGHWAY WIDTH FROM C.L. - C) U ADDRESS3J312P O +YP. , , N // Qg SSy� tCD CITY G.'//�• O 4 l03 CLASS ' / CORNER CUTOFF YES E] NO ❑ LV�I .CONSTRUCTION LENDER NAME AND BRANCH P ^ SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS a �- -,/ SQ. FT. NO. OF NO. OF 72 OA1 s i'F/�- � � 1/ IG r/J ICAL L., SIZE STORIES J FAMILIES J NEW ❑ 01 f USE OF Q••.v.� 'ADD ❑ 00_",P7 * -,.J STRUCTURE{ .J J '` ALTER ❑ SIGNATURE REPAIR❑ APPLICAN OL ❑ 1 / VA ION $ APPROVALS i DATE INSPECTOR'S SIGNATURE , P,C, T PMT. .,,� FOUNDATION: LOCATION - FEE S 1.20 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 CODgOFT STATE OF CALIFORNIA IN RELATING TOWORKMEN'STION I CE. LATH, EXT,PIERMITTRE � T HOUSE NUMBER COR- RECT AND POSTED, - ADDR FINAL G - JOHN F LEWIS PRINCIP L TRU -UAL ENGINEER PLAN CHECK VALIDATION O.KM H _ PERMIT VALIDATI MO CASH 14AY 30 2 3 1. 2,00 wlf 76A638A CE #803 4/70ff�/ –/ APPLICATION FOR BUILDING PVRMIT ry[y COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING �� JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS / COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY LC FOR APPLICANT TO FILL IN NEAREST / Print ort a only) CROSS ST. BUILDING DISTRICT NO. GROUP TYPE ��tt PRO ESSED BY ADDRESS E 16 �'� J/�/I �, 0 .� �- CONST STATISTICAL CLASSIFICATION SEWER MAP .157 LOT NO 1 BLOC CLASS NO. / DWELL,UNITS BK �L'L.Pcro TRACT , O U ZONE MAP O SIZE OF LOT 4 � �('1'37NOW ONBLOTSv SPECIAL USE OF CONDp ITIONS EXISTING BLDG. 7 TEL _ OWNER >� / �:^i.� :•� NO. _ �j •s'�/� BLDG.SETBACK FROM ADDRESS ✓�7C{ (Citic j/� l�j' FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY �?��fa-/��� HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. + L� _ D ENGINEER !1 NO. BLDG.SETBACK FROM ADDRESS , SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK HIGHWAY + 'YARD = TOTAL CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. LIC. j ADDRESS NO.7, )• ! + = V LIC. CITY CLASS T" / CORNER CUTOFF-,,. •',YES ❑ NO CONSTRUCTION LENDER NAME AND BRANCH PE ' c� r ' L� SEE REVERSE SIDE FOR SCIAL APPROVALS` a SQ ADDRESS NO. OF NO. OF s SIZE _ STORIES FAMILIES f NEW _g -�,,/� //� „�• USE OF ADD ❑ �IC % rte G�L7 !'C� /�Lg STRUCTURE 0,"W 4 ALTER ❑ D y_ SI04 , GNATURE O REPAIR❑ APPLICAN /��r / f�jlti� DEMOL ❑ �� `—46l 3 VALUATION $ /='/ ��` 4�ira. AP ROVALS DATE INs roR's SIGNATURE P.C, PMT. FOUNDATION: LOCATION FEES , . 7 FEE $ �j FORMS, MATERIALS ZS / FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE• LOCATION, 7 / WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUC TI ON. 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 C4MP"SA,ION INSURANCE. _ LATH, EXT. SIGNATURE OF l HOUSE NUMBER COR PERMITT22�.E RECT AND POSTED ADDRESS --� -� r - FINAL JOHN F. LEWIS. PRINCIPAL ST TURAL ENGINEER PLAN CHECK VALIDATION0 -C, CASH _ PERMIT VALIDATIO CK M O. CASH I nA_ �.,� 3 2 . FEB 2 2 3' D /- 8.,­' HD 2 3 D -15.75- b I yr-- r.c3 1 D 11. 1 -75- 4k- ©5 76A638A CE 4803(REV 6/781 - APPLICATION, FOR; BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS LOCALITY NEAREST CITY ZIP CROSS ST OF BLDGS ASSESSOR SIZE OF LOT O ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE CE D BY TRA T _ j Y BLOCK LOT NO CONST Z E TEL, t IT V n �p 7aJ OWNER CA N ' STATISTICAL CLASSIFICATION EWFRR�MAP ' ADDRESS CLASS NO DWELL UNITS BKv 6PG CITY Q _.V ZIP I • ARCHITECT OR TEL VALUATION -ENGINEER NO ADDRESS BLDG SETBACK FROM TE FRONT PROP LINE OF (STREET) CONTRACTOR / N TOTAL SETBACK FROM TYPE OF EXISTING C IC HIGHWAY + YARD = FRONT PROP•-LINE HIGHWAY WIDTH ADDRESS LO p LIC CITY CLASS lbF� CONSTRUCTION LENDER BLDG SETBACK-FROM NAME AND BRANCH SIDE PROP LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH SO FT NO OF NO OF CHECK + = V SIZE STORIES FAMILIES ONE 19 DESCRIPTION OF WORK NEW P C Fee$ 30 ,:- Permit Fee .b- ADD Issuance Fee yy ALTER ❑ Z • REPAIR ❑ Total Fee-- USE OF DEMOL ElEXISTING BLDG t-� L Z APPLICANTTEL 0 a 9 67 (PRINT) 7 C # 000621 BY)SIGNATURE) Lj 3 S V I HEREBY ACKNOWLEDGE THAT I VE AD THIS APPLICATION AND STATE uhe c o 30.L./I• THAT THE ABOVE 15 CORRECT AND TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE V o v - J L �� 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 PENSATION 14CSURANCE g 0 6. � S' -��� �••.• SIGNATURE OF t t`' PERMITTEE K Ma ADDRESS o a o u n • Z TEL 2 c b 1.C,C' CITY NO Q USE ZONE MAP / NO -411L SPECIAL I/� r Q C 1 CONDITIONS P !/ FINAL BY Y DATE _APPLICATION FOR BUILDING PERMIT ,, COUNTY.OF'LOS ANGELES- BUILDING AND SAFETY _ WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure, I ADDRESS or a certificate of Workers' Compensation Insurance,or a certified �� CIT . _ - ZIP copy, thereo ( ec '3800, Lab C) �� �/ 6� LOCALITIY Policy N IG Company 2 SIZE OF OT NO OF BLDGS NOW ON LOT G Certlfled copy Is hereby furnished' NEAREST CROSS ST El Certified copy IS filed with the cggq��Httt���ty bulldinJis action - TRACT BLOCK. - •LOT NO -- - department - USE ZONE MAP NO ' Date � ppllcant ASSESSOR MAP BOOK PAGE� PARCEL SPECIAL CONDITIONS a /' CERTIFICATE COMPENSATIONI YES NO INSURANCE WORKERS' o NER r TEL jJ0 (C.JJ���JC WITHIN 1000 FT OF SCHOOLS (This section need not becom �pleted If the permit'Is for o66 hundred ADDRESS dollars($100) or less) DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY , /w I certify that In the performance of.the work for which this permit CTY �K ZIP Is Issue8, I shall'not employ'any person In any manner so as to / ✓h Cit? become subject tb the Workers'Com ensation Laws ARCHITECT OR ENGINEER - - TEL NO P - STATISTICAL CLASSIFICATION APT CONDO Date ApplicantADDRESS - - 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' CONTRACTOR -/y - TEL NO�-7 - L� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 7. `// v/ v b / FRONT comply with such provisions or,-this permit shall be deemed revoked ADDRESS LIC NO P L LICENSED CONTRACTORS DECLARATIONSIDE Y• - LIC CLASS -) P L I hereby affirm that I am licensed underprovisions of,Chapter 9 (FFT §lt SEWER MAP (commencing with Section 7000)of Division 3 of the Business and NO OF STORIES NO OF FAMILIES Professions Code,and m license Is In full force and effe NEW ❑ BK PG aLicenseNumb r Lic Class _ �wq&F4p^ 7 C,✓ ADD ❑ LUATION ' Q Contractor Date r� 4 ALTER ❑ Z ❑ I am exempt under Sec. REPAIR $ F_ BBPC for this reason c z —,-g PQDEMOL ❑ LDMA P/C#' W �9te' USE OF EXISTING BLDG URM ❑ Signature ICANT(PRIN TEL NO / LDMA Perm# _ _ - Z ❑ 1, as owner of t property, or-my employees with wages'as �� �v� O r{l_. .�',� their sole coin satron, will do the work and the structure.ls ADD ESS T/y� /• �+ �� not intended or offered for sale (Section 7044, Business and ! /L �'l�L G�� / CvO, FINAL DATE - Q .aa L - .'s.�I,_.l Professions Code). - WILL THE APPLICANT OR FUTURE,BUILDING OCCUPANT HA DUE A HAZARDOUS MATERIAL _ i TT!'M!_ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J -i S TOS El 1, as Owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, Yes❑ No❑ s`I_?;,t{l Business and Professions Code) .- WILL THE INTENDED USE OF THE+BUIDLING BY THE APPLICANT OR FUTURE BUILDING HECK 121 :`C OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH =•r�• i S _ CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR" ` /� I!J!J J ' GUIDELINES �•W( !Y!lI�CCC/// •I..I� }_ e I}LI I hereby affirm that there Is a construction lending agency for, YES❑ NO❑ w the performance of the work for which this permit Is Issued(Sec 3097,CIV C I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, N TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS !iljt 11:-I ie lie 1 _, i,S !'t 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD l a.o Lender's Address � 1 i AM I O OWNER OR AGENT , - o I certify that I have read this application and state under penalty 0 of perjury that the above Information Is correct.I agree to Comply PC FEE PERMIT FEE. N with all county ordinances and State laws relating to building m construction, and hereby uthorize representatives of this County ISSUANCE FEE ��' D to ent r pon the above ntloned pro1aer y for inspection purposes INVESTIGATION FEE TOTAL FEE sgnawre of Appi,cem SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION. I hereb . affirm that I have a certificate_ of consent-to self - insure,'or a.certificate of Workers',Compensation Insurance, ._ APPLICATION '., FOR BUILDING PERMIT' or a certifie copy thereof (Sec;"3800, Lob. Cid. ' COUNTY.OF LOS ANGELES, BUILDING'AND SAFETY Poli' 61 Company - BUILDING Certified copy is hei=eby'furn`ished: r FOR./APPLICANT JO FILL`;IN ADDRESS ❑ Certtfied•copy:is filed with the county builds inspec - BUILDING' •-tion department - ADDRESS d. + CITY ZIP LOCALITY DateNAppl,cant NO. OF BLDGS .,, NEAREST CERTIFICATE OF EXEMPTIONrFR WORKERS;" SIZE'OF'LOT NOW,ON LOT, CROSS ST. ' COMPENSATION INSU NCE ASSESSOR .(This section need not'be completed if the,permit,is for one TRACT BLOCK LOT NO MAP BOOK PAGE• PARCEL hundred dollars ($100) or'less.) ; '„ .•: TEL• / USE ZONE MAP OWNER -�r r/ rC NO.0,gL / NO: • 1'certify that in the,performance"of.•the'work7.for'which this ty : �- SPECIAL-,z., r, permitjs issued,.I shall not e'mploy'any•person"in diny'mdnner" ADDRESS / `�• /�- CONDITIONS _ so ds to become sublect to the Workers'Compensation Laws. 777 O CITY.' r' _ ZIP �'T V Date Applicant- ARCHITECT OR TEL: DISTRICT- GROUP TYPE- * _FIRE 'P CESSED BY NOTICE,TO APP.LICANT:'If,-after makin this Certificate of ENGINEER NO'. _ O 9' CONST ZONE 0 Exemption, you:should .become.-subject to the,.Workers° ` w Compensation provisions of-the' or;Code, yo"u'must.forih- ADDRESS - ' �/ :�.- � with ;comply ,with such provisions,or.,this'permit shall be. / TEL STATISTICAL CLASSIFICATION APT CONDO . N deemed revoked.., CONTRACTOR t!i{/ _� N 7:[� _ Z LICENSED CONTRACTORS DECLARATION y - —j LIC' CLASS NO ��" ' DWELL UNITS' •1 hereby affirm that I am'licensed under provisions of Chapter 9 ADDRESS C. L NO (commencing with Section 7000)of Divisi'on'3 of theBu'siness LIC. r� SEWER MAP and Professions Code,•and my license is in full force and effect. CITY 'S %Z C/-- - CLASS J BK PG.' VALIDATION- ` 7 SQ"FT.// NO. OF NO.-OF CHECK" oC.7 •_2 7' Lic.•Class SIZE �/ License Number STORIES FAMILIES' ;"ONE VALUATION ,99 DESCRIPTION OF WORK ,n-WO6/� �C NEW ❑. 9f'j-' Contactor Lfl � F1J777f Date J'. S v ADD '❑ ► "❑I am exempt under Sec. ALTER ❑ - . ._ _ BAP.C.-for this reason ' ' ' •. USE O� '•v �,� -14 REPAIR :; -. •.. _ EXISTING BLDG'' DEMOL'❑ Signature Y APPLICAN TEL. T"FINAL" OWNER-B DECLARATION (PRINT)' �V NO DATE I hereby affirm•that I dm tempt=frorri'the-Contractor's License " 4 Com? Law for.the following reason (Section 7031.5, Busiriess'and ADDRESS' ,.-�" f FINAL i ProfessionLil s Code); PRESENT _- _ -.By. El I, 'as,owner of theproperty,,or m em to employees with BUILDING" Y P Y ADDRESS wages ds their sole compensation;will dorthe work and L`�;�' Y' ^ ' t" L j11 the structure is not intended,or offered for sale(Section LOCALITY •7044,•Business and Professions Code.) MOVING - TEL' 0 I,; as owner of-the ro ert y g CONTRACTOR' NO p p y,.amexclusive) contracting ,1 —;--, -w,ith licensed contractors to construct the'prolect.(Sec- _ i _tHL' •' - - ®i-80 ADDRESS. ` tion 7044, Business'and"Professions Code.,) ~' 133 REQUIRED TOTAL SETBACK FROM EXIST. is�F �� �=1,• 4 CONSTRUCTION LENDING.AGENCY SET BACK YARD''. HWY PROP LINE WIDTH t' I hereby•affirm'that there is,a construction lending agencyfor` ­FRONT' - CHANGE ' "- • ,I JIB the performance of the-work for which this permit is,issued P.L (Sec. 3097, Crv: C:). " ' SIDE .P.0 Lender's Name IIS-1 II 1-^ m /6-.• . UJMA^Ref. # r.n P.C. Fee$ Permit Fee- ^ �::4! 1 AM V Lender's Address t�� C I certify that I have.read this application and state that the Issuance Fee :1'•�J` LDMA-,P7C'#" 8 above information is-correct'I agree to comply with all County Investigation Fee', '• j ,[� d )"ordinances and State laws relating to building construction, Total Fee/ � J 0 LDMA Perm. # a an reby author z representatives of this County"to enter u ri t e'above- en toned prop y for inspe`cttiion,purposes� (�L LL1/Y SEE REVERSE.FOR-EXPLANATORY LANGUAGE. F j• - Si of Appliccint or.Agent Date