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HomeMy Public PortalAbout10769 FREER ST_Building__ ��) rc�RAFPLICANTATOPLICATIOIN (Prinfor type YNOR UI DING PERMIT' COUNTY OF LOS ANGELES BUILDING ADDRESS AQ E_Xs DEPARTMENT OF COUNTY ENGINEER CITY 'rG "r zIP —O• BUILDING AND SAFETY DIVISION NO OF BUILDING SIZE OF LOT JX �� D NOW ONLLOT ADDRESS TRACT 3 BLOCKLOT NO LOCALITY TELlFle NEAREST OWNE lL C, ;'JI/ CROSSST ASSESSOR 'ADDRESS, - /=� 'S' 't MAP BOOK PAGE PARCEL CITY ZIP ����/ DISTRICT GROUP TYPE FIRE PROC ED BY j Og .L CONST ZONA, . ARCHITECT 'R TEL �J ENGINEER------- • NO STATISTICAL CLASSIrhF1CAT ON SEWER MAP ADDRESS S CLASS NO sz+ DWELL UNITS BKPG• / TEL gilu, _ CONTRACT NO P �OLIC -ADDRESS NO CIALLICNDITIONS• CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO E]CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET( ADDRESS CITY TOTAL SETBACK FROM TYPE TR .EXISTING SQ FT NO OF / NO.OF CHECK HIGHWAY +' YARD = FRONT PROP LINE HIGHWAY WIDTH SIZ STORIES FAMILIES ONE } DESCRIPTION OF WORK _y - 1) �" , j NEW ❑ + O /1 6� BLDG SETBACK FROM ILA-2-2 dul?W ADD SIDE PROP LINE OF (STREET) O ALTER ❑ V HIGHWAY + YARD = TOTA ETBACK FROM TYPE OF EXISTING a REPAIR ❑ AE PROP LINE IHIGHWAY WIDTH Z USE OF EXISTING BLDG, / + DEMOL ❑ APPRINTN I TEOL �y-7�S'1 CORNER CU FF YES ❑ NO ❑ f�F-14/x'= c IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE L IN COASTAL P MIT ZONE YES ❑ NO y ❑ Q VALUATION Q V D U(� IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL.ORDINANCES . `-� AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE - sTi�YN>✓,(J �+'�jyp '��� ' WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF i�fw THE LABOR CODE OF,THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM" PENSATION INSURANCE: - - - [ / S S .PERMITTEE E - Z7 /y�' ADDRESS' FINAL /- / �/ BY _ TEL - DATE 6 6 (}�( CITY NO MAKE CHECKS'PAYABLE TO- FEE - Ammo tib' �' FEET 912` HARVEY T.BRANDT,COUNTY ENGINEER 91 ! PLAN CHECK VALIDATION cK M.O. CASH _ p�`l PE-RRMIT VA I "TION CK / .O. CASH' 2 8,'O.�. SFP' 13 1• ©' -8:2.5 0 e ®S 76A638A CE#803 3-75• DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COU1vTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL -IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN, CK. NO. •PERMIT NO. ADDRESS 3155 •Fr'eer Street LOCALITY Temple •C tV. California �'RE I.VED Y- DATE OF APPL. DATE ISSUED_ • NEAREST - c - �'7& CROSB ST. Perajmmon Avenue C]] r_ p OWNER Santa ,`anita c5quaze V no ,' � ADDREISS ,MAIL 32955 PALMER DRIVE, - L0S ANCifiL LOCALITY, T7 ADDRESS TEL. ' ' -- CROSS , CITY NO. CROSS ST. •�C-fCS/N1•�y p� FIRE {I NO.OF TYPE �• GROUP ARCHITECT OR •,TEL. ZONE i PLANS ENGINEER Chrine ` NO. BLDG. ORD. NO. ADDRESS - - ' _SETBACK LINE 0' 171--p C/ /e/F CI C�] pp APPROVED, - r CONTRACTOR �. G. ecit neZ pLoOilii J?an . BY • DATE r— Lam— USE //�� APPROVED• .,ADDRESS 9jt35 PALMER DRIVE • - LOS ANGELES 41.CAL ZONE A Y BY DATE LEGAL DESCRIPTION I `LOT NO. J - � BLOCK CORRECTIONS•• - - _.TRACT TRACT N o.' NO. OF SLOGS. 'SIZE OF LOT 59 X ]02 I NOW ON •LOT None - USE OF I NO.OF I NO. OF - EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION O A REPAIR MOVING, DEMOLISH. L] SIZE �(�Fj '• ROOMS h •STORIES 1' - ' r WALL . •Shadow . '`:ROOF' ,�0,' IlR�es _ COVERING 'S'hH-ke,S� '> COVERING _ USE OF NEW - BUILDING Single Family.Residence .- - Plan No. Lk MRS ; St�ric�ard Plan Nom. 74704- ` APPROVA-LS I HEREBY''ACKNOWLEDGE• THATI HAVE READ THIS - APPLICATION AND STATE THAT THE ABOVE IS CORRECT, FOUNDATION: LOCATION, INSPECTOR DATE 'AND AGREE TO COMPLY'WITH ALL•COUNTY ORDINANCES FORMS, MATERIALS, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: .FIRE STOPS, t ., • g,vic. BRACING,•BOLTS SIGNATURE OF ((7mla gja ocCua OWNER L LATH, INT.: - -AUTHORIZED AOT- A D� • - - ' LATH, EXT.: P. C.Ill. PLASTER, INT. 9;200..00FEE 5.50 PLASTER,- EXT. VALUATION FEE 22.00FINAL ORKERS' CO^AF-_NSATION DECLARATION - insure,oraafcertif cafirm thattd'of Wo�rke s' tompensahgn eInsurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800'Lab. C.) COUNTY-OF LOS ANGELES - BUILDING AND-SAFETY Policy No Company BUILDING ❑ Certified copy is hereby furnished. J' FOR APPLICANT TO FILL IN - ADDRESS ❑ Certified copy is filed with the county'building inspec- ADDRESS UILDING ,'tion department. ,,., Date Applicant CITY % ZhP LOCALITY NO OF BLDGS NEAREST ' CERTIFICATE OF EXEMPTION FROM WORKERS' ' SIZE OF LOT NOW ON'LOT' CROSS ST COMPENSATION INSURANCE F ASSESSOR �[ Cr) �M/1 (This section rieed'not be completed if the permit-is for one TRACT BLOCK LOT'NO' MAP BOOKX 5 PAGE Cr) PARCEL(. O , hundred dollars ($100) or,less.) ' TEL �+ OWNER i/�'/ C FfC Y�NO USE ZONE` MAP I certify that in the performance of'the work for which this �� r ` NO M1 SPECIAL permit is issued, I,shall not'employ any person in any manner ADDRESS =°� / CONDITIONS so as to become subject•to,the Worke - Compensation Laws. O CITY ZIP - Date-�o' Applicant 2 j�J ARCHITECT OR TEL- DISTRICT GROUP. TYPE FIRE P O SED BY^ O NOTICECE TO APPLICANT: If, a aking this:Certificate of ENGINEER NO. ICONST E Exemption, you should become subject to.the Workers' r� /� w Compensation provisions of the•Labor Code, you must forth- - ADDRESS (/ " a with comply-with such provisions or,.-this permit shall be TEL ATISTICAL C ION ^� CONDO. Z ' deemed revoked. CONTRACTOR v — LICENSED CONTRACTORS.DECLARATION LIC CLASS NO. DWELL. UNI75 Nereby affirm that I am licensed under provisions.of Chapter 9 ADDRESS NO. LIC SEWER MAP (commencing with Section 7000)of'Division 3 of the Business - and Professions Code;and my license is in full force and-effect. CITY CLASS' BK PG VALIDATION SQ. FT. NO. OF NO OF CHECK License Number " ' Lic. Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIP OF WORK NEW 40 $ �v� ►E]I am exempt under Sec. .ADD _LTE R B.BP.C. for this reasonY OV✓ REPAIR ❑ $ Date: USE OF /— EXISTING BLDG V,5,Ve C DEMOL ❑ Signature APPLICANT TEL��%' g OWNER-BUILDER DECLARATION (PRINT) �, f�iE/t!L 'f �f/yJ 7 3S ( FINA I1\f1 DATE I hereby affirm that I•am exempt'from the Contractor's License ADDRESS FINAL; �• Law for the following,reason (Section 7031.5, Business and 3 Professions Code)`. PRESENT. By. - f•�.7 BUILDINGl•t•! :c ❑ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and 307 the structure is not intended or offered for sale(Section LOCALITY 7044, Business'and Professions Code.)- MOVING TEL. ; Et IJ CONTRACTOR NO. _ ❑ I, as owner,of the property, am exclusively contracting• Y I e HL � 701- with licensed contractors to construct the-project (Sec- ADDRESS tion 7044, Business and Professions Code.) T•? CHECK t 7:: REQUIRED TOTAL SETBACK FROM-. EXIST. ' -' K 'i� CHECK 7e.33 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT CHANGE the performance of the work for.which*this permit is issued P L ' (Sec. 3097, Civ. C.). SIDE Lender's Name P L '100If)—��ilC11 J 70 IC=`' LDMA Ref. # `- 1 ^M P C. Fee$. Permit Fee 4 t LV�t i ti-'�•` -, Lender's Address i 1 certify that l have read this application and'state that'the Issuance Fee 0' LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee rx9 8 ordinances and State laws relating to building construction, Total Fee (J LDMA Perm # a and hereby authorize representatives of.this County to enter up^ 'the above-mentioned property for inspection purposes. o x' /�������� SEE REVERSE FOR EXPLANATORY LANGUAGE gig-riciture of Applicant or Agent Date