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Home My Public Portal About10038 GREEN ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS LOCALITY RECEI)/�D,BY DATE OF APPL. DATE ISSUED NEAREST - CROS5 ST. AAP! BUILDING OWNER ADDRESS - MAIL LOCALITY i ADDRESS � NEAREST TEL. / I� FICROSS ST. CITY NO. {IJ - RE NO.OF 7 TYPE GROUP ARCHITECT OR TEL. ZONE PLANS - ENGINEER NO. BLDG. - ORD.NO. ADDRESS SETBACK LINE `•. APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE : IBY DATE LEGAL - CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT NO.OF BLDG SIZE OF LOT �2 I NOW ON LOT USE OF %' ' NO.OF NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O 9 REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z SIZE O ROOMS STORIES D WALL ► • ROOF f' r COVERING COVERING USE OF NEW 93UILDING IF 1 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 FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRU TION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE LATH, INT. AUTHORIZED AST LATH, EXT. 7GA639A 9-48 DSS-3 SOM SETS $ P.C.$ PLASTER,INT. FEE PLASTER,EXT. VALUATION FEE E - � FINAL - r DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING 1 WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. f4 ADORE99 DNG p3 G o�e n S LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST l'9 e �� CROSS ST-1 c3 ( d W y� BUILDING OWNER , ! - C� ADDRESS l� %�- 'c-'ti•..+ S4(v, ADDRESS( J Q (nMAIL ' e C h S r LOCALITY NEAREST F.. } TEL. n p CROSS ST. CITY ., 7 ( NO. /S �J IS 6 FIRE NO.OF TYPEGROUP I ARCHITECT OR TEL. ZONE PLANB ENGINEER BLDG. RD.NO. ADDRESS SETBACK LINE 1 R �— APPROVED TEL. BY DATE CONTRACTOR h_�` NO. USE a APPROVED ADDRESS ZONE BY DATE � ` LEGALyJ CORRECTIONS DESCRIPTION LOT NO. BLOCK '- TRACT , NO.OF SLOGS. SIZE OF LOT I NOW ON LOT USE OF NO.OFNO.OF EXISTING BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH SQ.FT. C /, L� NO.OF Z _SIZE ')' l4 ROOMS STORIES WALLROO _ F COVERING��G'l' - I COVERING; USE OF NEW BUILDING .1 r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS 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, SIGNATURE OF BRACING,BOLTS PERMITTEE "� � =""" LATH,INT.: AUTHORIZED AGT LATH,EXT.: DBS-3 SDM SETS 7-47 $ P.C.� PLASTER,INT. FEE PLASTER,EXT. l VALUATION FEE / O FINAL 76A638A CE#8032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELESBUILDING A.-RES /� r DEPARTMENT .- OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY �, JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRI T O. GROUP I TYPEP ESSED BY FOR APPLICANT TO FILL IN �� CONST. BUILDING STATISTICAL CLASSIFICATION SEfWER MAP ADDRESS `. G� Q. CLASS. NO._CDWELL. UNITS BK PG LOT NO. G.� :�G' BLOCK WATERF;Ul CERTIFICATE: NOT REQUIRED RECEIVED ❑ TRACT MAP ,I HIGHWAY STATE MAJOR SECOND OCAL r NO.OF SLOGS. (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF /� CONDITIONS ,Q EXISTING BLDG. /�/ TEL _ / t w � OWNER JQL NO. BUILDING EXIST. SETBACK YARD H Y T ET NAM WIDTH ADDRESS FRONT s. ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE - P. L. ADDRESS TE O CONTRACTOR NO C.1 ADDRESS eaL� .W-) Z.'Z, - O DESCRIPTION OF WORK v W 4'.i�'r""j CL DD ALTER REPAIR DEMOLISH N SO. FT. / / NO. OF NO. OF SIZE (L; (! STORIES FAMILIES USE OF t,`° - STRUCTURE `-A ! % \J I SIGNATURE O APPLICANT VALUATION $ (1' �� PROVALS IDATIE INSPECTOR'S SI G.N ATk1RE / i P.C. PMT. FOUNDATION: LOCATION - FEE $ FEE $ �. FORMS, MATERIALS '"q`" FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS 3-7-C4t AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK 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 COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF, • (In HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 5 FINAL - JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.U. CASH u x5336. FEB 6 ., D 15.00- / V� i. . •' APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION RJlL�AN FOR APPLICANT TO FlLL IN . I hereby afflrm that I have a cefflaate of conaerrt to self.hrsure, or a certificate of Mrkare' Cofrrpensatbn Irmurance, or a cerfffied 3 Tit Copy thereof(Sec.3800,Lab.C.) ZIP U LocALwe pwcY No. Cary 8 Cr un No.of BLDOB.Now CN LOT , ❑ Certtfled copy Ie hereby fumlehed. NEAREST CROSS ST. ❑ Certified copy Is %dl wRh the county buDdlrrg Inepectbn TRACT BLCG< LOT-40. depertrnent L13E zow MAA NO. Dfl3H APPi t ASSE39OR MAP BOOK PARE PARCEL 3PECUL C0NDrrK)N8 CERTIFICATE OF EXEMPTION FROM WORKERS' ow" NO YES COMPENSATION INSURANCE �' Z � s w -w 1000 FT.OF SCHOOL? ddLare(5 10a eed10 0) or lase.)nerd not be Completed ff theermb ADDRE38 pletepit for One hundred 0 0 f Q e QCT oRotJP TYPE CONST. WNE PROCESSED BY ddf I certtfy that h the performance of the work for wNich thia permit Q Ct A# aP 7O 4 m Issued, I sW not empty arry pardon hi any manner ao as to p/, J become eubkKt•to the Yubrkers'Cortpensatlon Lam OR aNGINEER Na STU ST0 AL APT corrpo Date APPIlasrt ADORE88 CLASS N%a=mw LL LPUT9 NOTICE 70 APDL CkW..• ff, after rnaklrlp thle C&tflcate of RE-CURED TC"PL SETBACK FROM ExtST Exemptbn, you should become subject to the Vkrkars' CONTRACTOR TEL 40. SET VACK 10Um kwY PROP LPA WIDTH CornpeneaHon provlabns of the Labor Code, you must for&wfth FRONT corrpfy with such provblona or thb permit aha➢be deemed revoked. ADDRE88 LIC.NO. PL . LICENSED CONTRACTORS DECLARATION sr� CRY LIC.CLASS PL I hereby affhm that I am Ilcermed u rKierprwiabrn of Chapter B y�yyEp MAP (comrrwdng with Section 7000)of Dlvbbn 3 Of the BuAneaq and saFT.SIZE ND.CF 9TOREs NO FAJdtLIEs NEW BK PO Profeasl" Code,and rry Ilcenea le In full force and effect Ucense Number Lic.Clean pf CF c Lt/ W Al ADD C] ��+ Contractor Data J� el ALTER El ElElI am exempt under Sec. UCC- 0 REPAIR ❑ BA P.C.for thFB reaeon DEMOL ❑ LDW P/C r Date: USE of DOSSING BLDG URM ❑ co feAPPUCANf.(PWT) TEL N0. WVA Penni _ •p j ,C.T.T Z the r adze Son, yWn do the work and wages Is VSs C 0.3303 '-'39.2-55 not Intended or offered for &ale (Section 7044. Buminees and FQtAL DQE s2 Profebalons Code.) 1 ITERS MLL TFE APPLIGANr OR FUTIFE&UlOfdO OCC1FlMfT I-L4�LE A I-LIZAFDOIJB IWFJiAL ❑ L as owner Of OR A MUTIFE COI IAT A RAZ&R U&MIUEF EOIYL TO OR OFEk-ER TFIAfI THE property, ani 9xdU rofec CSecta n With AMOMM ePECFED ON THE HAZARDOU&M4EFML8 lFOF"OT"OLIDET C Ilcefraed corrtractore to conetrTx t the project (suction 7044 YES I] 40❑ Ar+u ey Y TOTAL 89 _ —e amhreso and Pro(eeabns Code.) rLrt $ `25 YLL THE MENDED UBE CF THE BUID NG BY THE APPL".NT OR RMM a Z-DM CCE[ 1 . CONSTRUCTIOrI LENDING AGENCY AFI o OCCUPANT FlEQUl:tE AMA ff�T i�� r FOR GUIDELNEa I hereby afflrrn that there le a conabiKton Verdln g agency for YEe❑ ra❑ a the performance of the worts for whbh this permft to Issued(Seo m I FWE FEAR THE HIAZJIFDOl18 MA7ERALa lFORFA410N WIDE LMD ll-E 8"'•••"F'E71Al--rN(1 . 3087,Ctv.C.) Ta HPTea �22?�0, HFOO W.8 UNDER-- lab�a Hvcnrfloila OUNTY CODE, 00X�aC 1 11/29-/94 Lenders Name Nq-EW1E F=cFn2 a MD FSR OBUNlK3 A F-E.FT10M THE 7p{[ i Ph 5.:!56.C L Lenders Address !7 10 1 f t I F.�19 o awe OR,err . I certify that I have read thls arolcaua, and state under psna}ty P PEl ff FEE p of perjury that the above Irrfor matbn la correct.I agree to cornpty With al Canty ordh,an,oee and State 1,," relating b buldlry G� corrstrux�, and hereby authorize repreaentathes of title Canty I8sl1ANCE FES / b eerier themenjioned for htepeotfon puapoeee. (� & PIVEST)GAT10N FFE TOIL FEE . r• � Awa �f SEE REVERSE FOR EXPLANATORY LANGUAGE