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HomeMy Public PortalAbout10766 GRAND AVE_Building__ BUILDING BUADILD [iS APPLICATION LOCALITY NCAR CHT DIVISION OF BUILDING AND SAFETY CROlsO BT Department of County. Engtacer DIKTRIOT (L R[O[IPT NO. PERMIT M0. Oounty of Los Angeles fr oP WM. J. FOX, COUNTY ENGINEER °R P DATE RIO[IV[D UUUATE ISSUED CAMMATT D. GRIFFIN, Qui-,r or ■UILDINO FOR APPLICANT TO FILL IN TY P=. REOEIV[D■Y / 1. D■X OWNER MAP STAT[ YES NO MAIL NUMO[R HWY AD D R KIM 14749 E Ilk-A AID 17 ke. UG[ZDN[ OPEOIAL T[L CONDITIONS ARCHITECT OR TEL. �` ENGINEER HO. GUILDING E [ YARD HWY TR[ T NAM[ EXIGT. GETBACK WIDTH ADPR[Q8 hh p Rlw1C�iCA1L6. TEL.g� 'V/N FRONT OONTRACTO NO. P.L - '----- - - o BID[ P. L BUILDING DAT[ OORREOTION■ INEPEOTOR ADDR[Y I LOT NO. ! 12 ■LOOK / TRACT N0. OF OLD GL SIZE OF LOT 1 NOW ON LOT US[OF or 6� C?CI IN DESCRIPTION OF WORK . A a_ NEW ADD ALTER REPAIR REMOLINH � Z Bp.FT. o NO. OF N0.OF � r ■IZE STOPIM / FAl ium �"` UB[OF STRUOTUR NO.OF EMPL irEs 1 HERESY AKNOWL[DE THAT 1 HAVE READ THIN AP- PLISOGH CATION AND STAT[ THAT THE INFORMATION GIVEN IB APPROVALA INSP[OTOR'■SIGNATURE DAT[ CORRECT. 1AOR[[ O COMPLY WITH ALL COUNTY ORDINANOEM rOUNDATIONI LOOATION AND STATE �WE R[GULATIN° BUILDI ° OONOTRUOTION. FORME,MATERIALS FRAM[: FIR[BTO PG, BIGNAT IRE OF GRACING GOLTG PERMITTE FURNAC[I LOCATION, ADDS GAS VENT DUOTE LATH INT. AUTHORIZED AET� LATH [XT. 0 D F��* HOUQE NUMBER OOR- /fJ� l R[OT AND POSTED VALUATION FE[ FINAL d.�• r; 'j��' 76A638A DES 3 alb 5-54 �� /I PoN pE�a_a'Ra'T"loN - 1.hafeby affirm fifiat C certlficate'of consent to 4eFf� r P �T I N Insures or a eef41flcatdof Workers Compensaflon InturcmGe; A P C Q AOR_ BUtLQIN. PERMIT «a certtfled Copy thereof{Sec 3800, Lob. J tOUNTY-OF LQ$ AN4WS .=LDiNG AND SAFETY � �N� polity No. Company Certified p py,is-hereby fumLshec�.. 1 FOf2�, RICANT TO'FILL•I ADDRESS I+ a.. D Certtfiedtdpy fs filed with the 0DUnty bulldjlV,lnspea Bu ING i tion department. `''' Dafe Appllcanf /r ZIP LOCAUI�F r " OF UDGS. NEAREST CLRTIFICATFO�b(EAAPTION"'FROAA'�AK RKEIZS' SFtE OFkOt:' NOW ONIOT —" :~ CROSS 5.Y - r COMPENSATION I W RANCE ASSESSOR (This section need-not be cam 1et6 If the peR'is TRACT `r BiOCK LOT riNO. MAP B)q(. PAGE PARCEL hundred'dofi9rt'{;100)or less. ff Ta.�• if - OWNER NO. 1,certify that.fn,the performance of.the w'prk•.for which this / { permit is Issbed, I shall pot•prnploy any- o Iq atty mannbr ,G ,..• _ 7 so.4f.tp bei&,o subject to.the V1!orkers'C4rnPen#utlon haws � COtDmbtts CrTy- 24i ZI Date rApplicant .,, , ;., ARCHITECT. TEL.. D P• TYPE. R RE BY NOTIc�TO.APPLlCaN7; I#;.after rQgking this'Certtflcdte of ENGI V sC/1>�3t!V .NO._... pool Exe�lon, -yo euld b¢come. ble0 to-ou-mLa,ofkef�_ �j T of Cqc{ Y a Cora nsatloh_ vlaldns the is e{ you-must forth ADDRESS. with comply wish wch'provisions pr thta,pe+tnit,shall be r��.� STAT15T1CAL WON APT. CQr DG.' deemed rbvoYced. �. lLLJC,.r LICpISED CONTRACTORS DECI:ARA�ON; ° - ADDRESS UC CLASS NO. 11NG5 1 herebyaffirm that I am Iloeruedunderprovlsloilrgf tpr9 :_ NO. LIC, SEWER MAP (eommencing wlth•Seatlon 7000)of--Divlsla.n 3,of.the @uslhess 610 .00d Profeisloris(r�ec and my Manse is,ip fu�Lfo�ce.and:effect. j64; CLFt55 BK PG. VAUDATION SQ. FT_ tJO, NO. Of CHECK Ucense iJunibef lc CCaa# l SIZE STl�k1E5 FAMILIES E VALJATFOW Contractor Date DESMP11ON OF'WORK NEW ❑ : F' ' Eli am exempt ur}dea•sec -^ AkTER_ ❑ $.BP.0 for.this { � r � R REPAIR' ; l Date: v E O _ Slgnaturo f PPIJCANf �d _ -. OWNER43UILDE� 'DEq_A'RAT10N I hereby affirm thetl am exempt from thq Contnx7oes License ., - _ bATlc .. 50 Law for the following'regson..(Section'70,9a.5i Bullriess and er �.J._ RKM + Professlons Code); ❑ I,,a; owi►erlof t1,e property'or my gmpldyees with wvges at their-sole compensation;will do tho�work and t• :-4 MAL 60 r- 0. -: ... the structure Is not Intended or offered for idle(SecHbn , �fti . ]. 70", &sloees and Professlons'Ggde.) MOVING SEL. _. 'o-. . - _ ❑..- 50 I,asawner of ihe,pcop�rty, am ekclyslvely contracting NO with litensed coptrgctori tq.conattuctthe prohd (Seo- app , h tion 7044;Buslness arta Ptofesslons bode.} ' YARD `NWY. ROM. CONMUCT ON-L�NOING AC-.I='C , . 1'here�y affirm that there is a tons&gction lending agency for t �� the perfdrn5ance bf the work for'Which-this penniit is'Idubd ' P.L �'. Af1r.8126 ..{Sec 9097,-.CN. C) SIDE P.L - - Lendeel.Name C Fes Ref. I. ' " Lenders Address Pirmit Fee a { I ce-rtify that I have read thlf appUcafion and state ttrgt the ilsoancs ! � LD�1A P/C I 4bove Information Is oo4roct. I-agrge to compp�ly,wltb 911 Couhiy n4eyatlon ordlnaraces and State laws relatingto building COns1TUCtioA, Total Fee LDMA Parrn,f ar4,b,erebry authorize re tallof this CoJnty to dntdr _ - e above�n ped Irnpectrorl phi SU�I'OR UULANMORY 1AN iii gndturo of Appl or Agew Date YV�RFCPRS' conQP$49Pc DE Q,ARATION sU affirm lira I o WQf7 epehof�"iilon Insurance, r . APPLICATION . FOR. BUILDING PERMIT In ro, or a tertlficate of Wq�en' Feria ton Insurante, or a certffied 4o13y thereof (Sea 3800,,1ab. ) AUNTY OF LO&ANGtM - dIJILDINQ A!F!D SAFk'TY 'Po41cy Nb.T_Company BUILDING / / + . :CirFlftscopy Is h.rgby fufnlil5.d _ FOR APPLIAVE` TO FILL 1N ADDS (p(0 �jI El •C'brttfied copyls filed with the'oo'u' y bulldinfl inspec- BUDNWP + - tfor~departmerrf. { CITY C� ziPLey - Date - - Date -Applicant t. o C�"FIC4TE'OF E7mwmON Fpom WORKERS'• SLZE OF LOTNOW ON LOT ' COMP91.SA'K>l INSURANCE, l -(Thli section need rbt be com efdd'rf.the-p-irmit is for or» "v BLOQC � PARCfL1hultdred dollars(;]00)or l� MAP. PGE _ owi B2 LE USE zott MAP14 I:certify that I T�e perfbrmar"of?he work for which this permit Is Issue, I shall note-imploy-any person In aoy:mgn er ADDRESS` �/ L`�` - ' OONDMONS so-as Tq me•'syb[ed To tkte Wdrk*W,Corppenzatlbrr _ O a^ DatA �44ppppllc4n ARCH OR TEL. be NOTI TO APPLICAf�T: ,.lf,,after Mg this .Cert of It�t �_ . NO �� P. TYPE Zai � O bcemptlon, yoJ. tbwld become, b eat -to the: brkers' Lb Cbmpensatlpn provisions of:the Lbbgr.�¢de, yoy'_m.u#t forth- ADDRESS J ' =nod with such. provislorW'of• this p.rmtt, zl`alr bd. " 1$ T15TIG�L - =nod revoked, ` OOtURACT f /�t' AFTCONDO ;r F C LK_ Qqk%NO. - UNrts - LICENSE.CON?Rti4CtiTORS"DECLARAII,Ot�t' r` - ' I hereby affirm that I afar licensed uRder,prbvlslorn of CFmVter 9 ADDRESS � /� � / SEWER~ Joommencing withSection70W0 of DLvWon 3.of the D601- s ' and Frgfpalons C ,and my Ilaer"lawn full fbrce-and-gffvct. - - CLASS NO. OF NO. Of - BK PG. ' License Num bgr LI�'Ciatis _ SIZE. ORLES LUES - vA�uATwPr /T0�aM/II::` 713yi� 7 Contractor_ � }e DFSCRIR-ipt�)OF WORK N�1M, $ cwm f 1J■3 r _ �. .� F am exempt under.Sec , - _ ►t o • 00 k BP.0 for this redror _ ALTER © - - u� REPAIR ❑ ; , F�tlST1r�G Btnc DEMOL ❑ $Igndturo- APPUCIIA[T• w� _ FlIiA1 +. .�' ■ OWNfR$UILDEi2 DEELARAT]bN INT}'. NO. .• I hoTeby affirm tFwt 1 am exempt from.the Contrador'sTJcens. DAl6 �✓ �� •' r - Low for the foilo;hdng reaaon:(Seatf" 7031.5, BUainew and Abd FFNAI . oPf fgtQons Code): >�.` + BU I Lpl NG I, as owner o£the property or my•employees with` ADD XCT.� t. wages as thelr•6ple compenstrtlbn,will do the-work-and - - �} _ the structure Is rant Intended or offered for so ler(Section- 7044, Section 7041, Bualneis and Profesalohs Code.) AhOVING' T13 V . i, as PWr�of the property, brn exclwiveiy contracting CO OR NO. ._i ITEM L witFr Ircenaed cgntraclora+[o-o4nsttucl,}he project t,%&c -- ADDRESS "( TOTAL 122 . 40. flan 7044, &islnea and Prpf�lgns Code.) IRED-. (i' }r,,�,,�, TOT CONSTRUG71ON LEr1DING AGENCY. -YARD I bVY °r' aM -{ I�, S /,' i (,L[ 4fi WTD I hefeby affirm that there Wa cormi-Mctloh.lending aflency for FRONT r the perfprrTiahce of the work fw Which thU perrriU It Inued P.L f>_i i-+ ti+77'RL _00 y .{Sec 3097,Clv. C ): SIDE .. p t Lenders Name i xr -� 1.9/90 t' P:C Fr •c.7 Parma Fee `kif r� Lenders Address �, 8150 ■ I-certify that I Fwve road thli.appllcatlao and Mate that the V hwanc.Fee d.✓ LAMA PSC F ► 1��1 above information to correct. I agree to 4bmply with all.County Imr.ttl on c : ordinaac s and State laws ralatl to building canstrudion, Total Fee ♦ ,7 LDM� a efeby authorrze this County to enter - abovo-m tion Ib urpoi ` y l. CULANATORY of Apel or Agent Die $1111111 RlVR POR , i z^