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HomeMy Public PortalAbout10941 FREER ST_Building__ 7&A@36. CKjObS WX7 APPLICATION. FOR BC)ILDING PERMIT �.. CV NT' OV LOS ANtrt.i.M 9UIL.DINO , DEPARTMENT OF COUNTY ENGUMM ADDRR" BUILDING AND SAFETY DIYLSION LOCALITY JOHN A.L,.AMBIE,COUNTY IENGINESR N.E REST ,l � CAR&ATT n GRIFFIN Curr of HuiLmmcs RO DISTRI NO. G OUr .�,� SEYVER V" FOR APPLICANT �O FILL IN Bx , N QUDRESH ILDING ATISTICAL CLSBSUPICATION - � LOT NO. BLOCK CLASS.NO UNI 'MAP SI ATE YSE NUMBED htWY TRACT U%670AE U%67HF Cl NO.OR BLDGS. - CONDITIONS SIZE OF LOT NOW ON LOT USE OF VL- Q�d BUILDING SETBACK YARD Y HW8TREI{rNAJoM IST. ►.CSr � �j� _ WIDTH: OWNER FRONT ADDRE18 ��/'` 4� �PJ�I f ► QIDE CITY No - ARCHTHL IPNSPECTION RECORD ITECT QR ENGIN$ER NO. , ADORE" T'E L CONTRACTOR C NO . 'DhSCBEMON OF WORK NEW ADD RETAI DEMOL1814 _ - ,SQ.PIT. H -O NO.OR SIZE STORIES FAMILIES' USE Olt STRUCTURE SIGNATURE OF _I' APPROVALS APPLI +� 1lIDPE IV53IOl1A7URE ADDRESH /2 ��L fOUNDATION; LOCK ION " .. FORMS MATERIALS P.C. FRAME: FIRE STOPS. BRACING,BOLTS -VALUATIONS URNACE: LOCATION. GAe VENT____DUCTS D HTREOY ACKNOWLEDGE THAT i HAVE READ THIS AP- L;kTH INT. PLICATION AND STATE THAT THE ASO V7'}S CORRECT AND AGREE TO COMPLY WITH ALL.COUNTY I C¢�$g AND STATE LAWS RE6U NO ILDI G RUC I'I LATH,EXT. - SIGNATURE OF HOUSE NUMB$R COR - PFLiRMI ��•• GT AND POSTED? ADDR -� Wil. l7NAL JOHN A.LAMBIE.COUNTY ENGINEER. CLYDE;N.DIR M PRINCIPAL StRu RAL E.NGIN8X! PLAN CE=VAILDAX= ar- hLo. CASH PEBWr VALMATIO39 mo C.Alw TE ALE CITY r - 79AG38A cr.#80}1-61 APPLICATION FOR BUILDING PERMIT Y COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY v L c JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DIS ICT pw� GROUP ITYPE SSED BY FOR APPLICANT TO FILL IN d �S CONST.`� ADD BUILDISS T r��E� STATISTICAL CLASSIFICATION KR/MAP CLASS.NO. , DWELL.UNITS `T LOT NO. BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: /� TRACT NO.OF BLDGS. No -� � (iCGRCLE)HWAY STATE MAJOR SECOND, LOCAL J SIZE OF LOT �J P I NOW ON LOT USE ZONE SPECIAL USE OF �: CONDITIONS EXISTING BLDG. - ` TEL. OWNER r - f NO.^ - BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESSfye_(_ FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P.L. ADDRESS INSPECTION RECO O TEL. CONTRACTOR NO. U ADDRESS Q DESCRIPTION OF WORK W CL NEW ADD v ALTER REPAIR DEMOLISH Z SQ.FT. r//..�� NO.OF NO.OF A $IZE J V STORIES FAMILIES / o USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION$ / 7 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. ) FOUNDATION: LOCATION - FEE $ '7 FEE $ FORMS,MATERIALS FRAME: FIRE STOPS, s ;, IHEREBY 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 DOING THE WORK rj AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- -LATH, INT. !•� TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S CO PENSATION INSURANCE. QN-' l r LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- 'L 7- -- PERMITTEE/,� P? "G RECT AND POSTED ADDRES$/o!7g lzAa, FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION cv- M.O. CASH PERMIT VALIDATION cK. M.O. CASH W4ERS'jCC IAPEN5ATION DECLARATION - ., l iuUre , that I have cert Come of ro�.nt ro >�� APPLICATION FOR ,BUILDING , PERMIT Insuro, or a certHlcote of Worker' Compensation Insura7iu, , or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Pollcy.No.: : Company CertHled cbpy Is hereby furnhhed. r' FOR APPLICANT.TO FILL IN App� ' E] Cert Hied copy Is filed with the county building Irap*c- auiLbitib (l tion deportment. ADDRESS Date App It co nt crry ZIP LOCALh 1 CbnFKA1E OF F MWnQN FROM WORIgRS'. NO.OF NEAREST OQMPENSATK W I NSU RANCE SIZE OF LOT NOW ON ST TA (Thh on Geed not be corn leted If the parrinit Ys for-one �. hurm� dollaq(1;1-00}o{ lest - TRACTBLOdc tC7f AAAF BOb1C - PAGE ' PAkC,a OWNER r o. 1/�/ usa OnF F rectify that In.tfine,performance of the korrkipr wl5ich this. ►p, permit is rssued;I II not employ any hl nner , S so as to' me b�ect to the WR �.� PDcft tl NO O A�pl ret a ng th s Cai itficate of AFK}iRECT bR NCO. ISRGFRUP. TYPE BY EX*m on, 'you should :-sublect to the Workors' QQNEER cdmperswtlbn provlllbrls Labor Code,'you must forth y J with. co{npfy wttfm,}uch provl.slons or thl4.permFt shall be _ deemed ked.. u T STATtShCAL TION AFT. fn COWMAC:TOR Z. LICENSED CONTRJ4CTORS DECLNZATKSN,., , LK: .. CLASS Nb. bwai. UNITS J hereby affirm that am I"need under provbloos of ChapW 9 ADDRESS No. (commendrl with SoOlon.7000)of Dtvisior,3 of the Busher and. MAP Ptofeulorn Code, and my Ilceose is 1n fulr force and effect, CITY '' CLASS � � OR SQ.'FT DF CVO: C�iEO( LlcenwNumber, Llc. ea S✓YF - CSf� Contractor ,pate " DUCO PTIONOF 41 ,6",6w ;µUA7110� DD O -ADC) I am exempt-under Sec. ALTER B.&P.C. for-this roason --- — rL - REPAIR . _ _ Da». ENDO DEMO( C)F Slgnaturs OWNER$UILDER DECLARATION I .1 hereby affirm that I am exempt from-the Contractoep Llto tw .Law for the following feasor*CSectloh 7031.5, Busher and- Pro nd _ ProfewIons Cod$)i BUILDING i I, as owner of the proppeerrtyry,� or my employees with ADDRESS wos es as thelrsgle tomponshtlon,will do the alo'q. 8 b�mO A the structure Is not Intended or offered for �Ile70+1 , Bwlner grid Proferloha Codo) MOVINGTEL 1, as owner of the property, am excluslvblytraACTOR with Il-:41bontractors t4-contftvd the pct (Sec tion 7044,-Builnea'and Fraf000nsCode). r !�ADDIRM ° 1''9{1,7 5 CONWRUCnON LENDING AGENCY YARD I hereby affirm that then Is a construction leading Ctpenry for FRONT the performance of the work-for which this permit IsiasC"ed P o5•Iit.a`7 {Sw-,3097, CIv.C.}. SIDE Q P.L. Lenders Name LDMA Ref.!' $ Lenders 4ddres} P_C. Fee= Permk Fee I certify that 1 have reod'thls application and state that the lauxxwe Fee 9.s—o LDAM P/C* ti g above Information Is coned. I agree to comply with all County Invesripdtlon r-" ordlrancp and State krws reWng to building construe4on, Total -75 Perm. / 1 and hereby authorize representatives of this County to enter �. upon the loned for,lnspectbn o SO WMM KW EU"MTORY MMWA04 of ApplkQ+t or Agent ;r-A WORKERS'COMPENSATioN bEC1.ARATION „ - byaffirm fi a, I'have k&n' om of ron..nt to self APPL-ICATION., FOR ,B IJILDINC" PE•IZMITInauro, or a ceritflcate of Worker' Comperiwtlon Irnurgnce, _or a'certified copy thereof (Sec. 3800, b. C) - - COUNTY OF LOS ANGELES, BUILDING,AND-SAPM r l PolIcy,No_ Company. • ' twRDRdO - - • Certtfled copy,is hereby fuml}hed, . .. FOR APPLI NT-TO FILL IN - �SS Certtfted'co6ent filed v/Ith'fhe 2ouaty tiiilldlrig inspec- BUI tJG O 7 - 7 , floe_dipartrrient. ADDRESS jj Date Applicant' ar' CITY 4 t Z,P' L^ ,Z LOGALMY - "" CE3MFIC`?1TE OF Bffi TION fROMWC)RIORS' _ t _ .OF BLDGS.- NEAREST....._ - +-+ COMPENSAT-EON I NSU RAf SUI OF LOT NOW ON L T ST. (lilb'sectlorrheed not be cam leted If the permlrJs for one - - - - �.- _- ' ARCEL hun,dfgd.dollar;($100)or letFs w,.. TRACT T NO. MAP BOOK PAGE P USE /� OW S2 E N0. (/� h.1 J'-} I tlfy chat In.r�e Per'for4rTarice of,ihq.wor for whlc�,thIs _ If fi isstldd, s+fa�l not elnpfdy any. n In any manner, _ SPECtiD41 . _.. . Pbt�°• A> - cS MONS I to I eCotne sUb16;t to tfib Work" 'ComPgflvatlon L"m f j ' DaAppllcant �T/ ARCH ITECT - NOTI TO.APPLICANT:-af, aftel thli Certtficafe of ,NO DI$TRICi GROUP. TYPE iCONST_ _ r f3RV _ r BY_. . ., �C1cem nsaZONE ronoh pro old become Cc>djecf i y o' W forth- ADDRESS 616 R 3 tom nsatfoh vlslorn of'the Labpr Code,• u moat forth with.compiy•wttkn,su&r provlslorts or7.this,permit shall be - -- TEi- - . - , deemed,rpvo4cpd_ STATISTICAL CL SSI TION ;. AFT. - r ,, i. 1,.:,, ''•• CONTRACTOR �` NO. �1.._ ___ LICENSED tONT1fACTORS D3 C1ARATlOf`L CLASS NO. DVYELI_?UNrrS I hereby dffltrn that am Ikgnsed under prpvislpns of Chapt+r 9 ADDRESS NO. (comme�xJng w)th f(°n 7000)of Dlvtifon or a Buslnesi and - _ _ -._ -__ _. -LC - :_ --• __ -- SEWER MAP 11 Profesilorn,�oderand my Iice rise Is'frijuIHolxe an$•e�fect CITY CLASS VAl3aAT70N - o •l, .;,'. CH Bk .. PG. "r 5Q FT, NO. NO Cf L��errie`N'u`mbei ' L.c_Class - SITE — S'iC ftI F LB. .. ._ � •_ �. V TION . Contractor ;•�s c - DESCRIPTION OF'WORIC - - NEMr - ; V Y' I arTr exempt under Sec _ •tt' . - kms•. . C.-T �� 1 �. _ #0.0 0,°_°_1_ B.&P. for'thIs reason' _ �. REPAIR - -' - - - USE OF r DEMOL EXISTING'BLDG. -. .. . _ /� G 51Qr1ahjFe - - I�NAL P a o 4 X.0..6 ' owNER-BUILD(:R DEaARATION' _-, -. _ T _ _ BATT a __ L affirm that.)-am from.the-Conh doesLcansq - ' - - /� hereby Pt ADDRESS -- - r ,`) �ya•� 8.'t. Law for the follo,#yi4rbcrsbn_(Sectlon 7031.5, Business and ~ PtofwLorts Ctsdli�'._ .,_ - BUILDING , WWI I, as owner of the propirty,.or my emplpyees with ADDRESS wagei as tfitlr sole comperuaflon,wlll do the w&'k and. the structure•Is not Iptepded or offgred for sale(Section''' TEL Bvalner'and frofeaslon�Codej _- - W0Y1 _-. — - I,as owner of the property, am exclublvely'coptractln¢ CONTRACTOR NO. w" Ilcerabd-contractors-to construct-the Project (Sec- - ADDRESS tlpn 7b44, "mess and Professions Code). f 'CONSTRUCTION LENDING AGENCY' -TOBy,,pf YARD IfwY' PROP. UNE WTDTi1 - -,-- - TOTAL SETBACK M^ I hereby Arm that them Is a construction lending agency for. FRONT i �-the,performance af.the work for which this permit•Is-Inued - P L - —• - - - - _ (Sec 3097, tiv. G� SIDE P.L. ' Lenders Name -' O .* f f. Lenders AddresA P-C Fee= . . . - Perms Fee _ Ref 2^ _ sF I_cgdtfy.lhat.l have read this Jippllcatlon.and:state that_the lssuanceFee a -LD&%kP/C-#. above Ipforrrxrtbn h correct..)agree to comply wNh'all County Invest) -. �_-_ __ _ - ordlnancys ar State_ - relatlr�g fP byllctin �qyp -gLlgn. T Tow) /r tflAkA Penn. f and herdby outho esentatives of thts•County to enter upon.thal v ed property for Inspec•tion'purpoees.. f✓■MVVM=PM M04ANATORY lANGUA04 I m �, IlmMpr•Apent- -- ---. Dab ._-�_.._ _ _ •- -. _ --. -- - - _ _ '_ __ .-- -- _ .. _ ._. .. _ r