Loading...
HomeMy Public PortalAbout6025 HART AVE_Building__ 76A638A:CE#803-10.56 A P P U G A T�O V FOR 1.3 U I L®O N fid. P E R®C/d BUILDING AND SAFETY DIVISION BUILDING . .. ADDRESS Department of County_Engineer L; County of Los Angeles LOi:AL1TY JOHN A. LAMBIE, COUNTY ENGINEER NEf.REST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. �✓' �'` " DISTRICT NO. FOR APPLICANT TO FILL IN P I TYPE >4 - :;"BK PG CONST. BUILDING i ADDRESS Op Cr¢5 .Hart Street STATISTICAL CLASSIFICATION " ' h; .' LOT NO.. - 323 BLOCK „ CLP,SS. NO. DWELL. UNITS ' aMAP q - STATE R NUYES ,. TRACT 5904 NUMBER ,/�s�.-, _ STATE . (�[ ¢ USEZONE SPECIAL. SIZE OF L0i65.YXlv3'e5` •I'NOW ON LOTNO.OF S " CONDITIONS ' USE OF V a EXISTING BLDG: Residence BU'IL;DING - EXIST. YARD HWY- STREET NAME !: �SET73ACK WIDTH OWNER Leo Liman FRONT Yom_ P: L. MAIL tt "ADDRESS 4 'SIDE ' TEL P. L. clTv NO' '- INSPECTION RECORD ARCHITECT OR TEL. ENGINEER " NO. - - - .ADDRESS - -._ EE��. f1 �ti •� ,5"'I CONTRACTORSchulz Bron. . N(*t a $-092', t Pr ra P x-r = v F ADDRESS 9203. DeAd'alena- .St,, Rslnd.. —• DESCRIPTION OF Vf�ORg F_'?)A ry n-i r k F u I';T l AIG `? NEW X A3.DDD ALTER REPAIR DEMOLISH S ZE T. 1$65 .. J STORIES IFAMIO LIES USE OF STRUCTURE Residence v -a: .� APPROVALS SIGNATURE OF APPLICANT DATE INSPECTORS SIGNATURE ADDRESS FOUNDATION: LOCATION ! �J FE,RMS. MATERIALS `13 FRF.ME: FIRE STOPS.. FEE ,, � BRACING. BOLTS ,�" �i�K� C"•7rr_�A�k.����li -® FURNACE: LOCATION, c--VALUATION o _ FEE S y v .GAS VENT. DUCTS .. JSC.T' 1k7-r1C ' �I HEREBY ACKNOWLEDGE THATvI HAVE READ THIS AP- LATH. INT. ZIJD �lSlT Q PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - AGREE TO COM Y WITH ALL COUNTY ORDINANCES AND • LA7H. EXT. STATE LAWS RE TI 'B DING ONSTRUCTION. SIGNATURE OF rFMAL USE NUMBER COR- PERMITTEE CT AND POSTED ADDRESS JOHN A. LAMBIE, C6GhTy ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL"ENGINEER PLAN CHECK VALIDATIONm.o. CASH PERMIT VALIDATION -CK.' M.O. cases ,Co2 s 6.s 'F 27 .2 .3 -A . 30.0.0A. a .... _ _ L-G3"04.40: -MR :4. 1 .A 6.0.00 76ASSS-A CS 118088-88 DILL PLO ATL0N FOR BVOLDI■ 4G PE,RM9T �M1 COUNTY OF LOS ANGELES BUILDING ' DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST r Y CASSATT D.GRIFFIN,SUPT OF.BUILDING CROSS ST. "�• f" - `"'� "' - DISTRICTNO. GROUP P SSED BY FOR APPLICANT TO FILL TYPE s- _r I CONST.�� BUILDING STATISTICAL CLASSIFICATION I SE ER MAP ADDRESS OL 3 • {. CLASS. NO�DWELL. UNITS LOT NO a BLOCK MAPSTATE YES (NO) NUMBER ' HWY. TRACT ® USE ZONE SPECIAL - !! NO.OF SLOGS. p CONDITIONS SIZE OF LOT {O� � NOW ON LOT. 11 ^ USE OF ` .EXISTING BLDG. BUILDING EXIST. r, SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT 7V ' MAIL - P.L. C.l ADDRESS SIDE .. TEL. P.L. CITY NO.- INSPECTION RECORD ARCHITECT OR• -• TEL. ENGINEER NO. .1 ADDRESS CONTRACT , /! wA DRESS - �Q-.. AR ��Ck DESCRIPTION OF WORK I' # 'rs/?A,111/9GL NEW DD 'ALTER REPAIR DEMOLISH SO.FT. ,y�� NO.'OF NO.OF SIZE V STORIES FAMILIES - - USE OF STIR UREl/�I//}Jp�f/� SIGNATURE OF APPROVALS-SDmE,P/J //� �0/%G:•1 APPLICANT_- ' - DATE INSPECTOR'S SIGNATURE s ADDRESS FOUNDATION: LOCATION / 0 FORMS.MATERIALS. $ `9 P.C. $ FRAME:. FIRE STOPS. may' ` FEE BRACING, BOLTS �/f%,// r �D// VALUATION - $ FURNACE: LOCATION, „ , •, ,. .y�_. rs.• ., ,.- FEE �.- .' GAS VENT.DUCTS f. I-HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- / �9�. PLICATION AND STATE THAT THE ABOVE IS CORRECT ANDLATH, INT. / Ar AGREE TO CO Y WITH ALL CO TY. ORDINANCES AND LATH,E•EXT. STATE �LAW RE)UTIN BU11 D G �C STRUCTION. D !/ SIGNATUF2E0 HOUSE NUMBER COR-, 'PERMITTEE RE CT AND POSTED ADDR fT FINAL - CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH f Y.- U o.. : 5. . E 4 1.A. 12,0,0 Q f. WORKERS' COMPENSATION DECLARATION n n n n I hereby affirm that Lshave a certificate of consent to self OIj�UI O p U D�jl��lIGF,i gR/��//►�dV insure, or 9 certificate of Workers' Compensation Insurance, ALJ lJ A u uuu vvv ,!� u tl u v u u or a certified Copy#thereof (Sec.'3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING �L �s- Certified copy.is hereby.furnished. . FOR O APPLICANT TO FILL IN ADDRESS 7 Certified copy,is.filed with the county building inspec- BUILDING tion department. ADDRESS 2 Z Date Applicant' CITY' ZIP —l t v ` LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT_ CROSS ST.- COMPENSATION INSURANCE 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. OWNER NO. Z' USE ZONE MAP NO. I certify that in the performance of the work for which this I I W SPECIAL permit_is issued, I shall not employ any,person in_any,manner ADDRESS'' V CONDITIONS rte. CL 1 so as to become subjectto.the Workers'Compensation Laws. , c O CITY' Lf: • ZIP -i.l 8 U Date Applicant- ARCHITECT R TEL. DISTRICT .GROUP• TYPE, FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If; after making this Certificate of ENGINEER NO. CONST. ZONE r Exemption,. you .should bcome subject. to the-Workers' p U Compensation provisions of the.Labor Code;'you must,forth- ADDRESS eN with comply with such provisions,or this,permit 'shall be TEL. i STATISTICAL CLASSIFICATION APT. ICONDO.',' Z deemed revoked. CONTRACTOR .D NO. - _ LICENSED CONTRACTORS DECLARATION uC. CLASS NO. �� DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 700.0)of' Division LIC SEWER MAP 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 INO. OF 'CHECK _ License Number _ Lic. Class SIZE STORIES IFAMILIES ONE [V�AL:;UATIONContractor Date DESCRIPTION OF WORK o NEW F-1 ODp I O ' ADD ❑ D ` ❑I am exempt under Seca ALTER ❑ , BAP.C. for;this reasonREPAIR ❑ $ Date: 'USE OF EXISTING BLDG. DEMOL' Signature APPLICANT TE N NO: FINAL OWNER-BUILDER DECLARATION.. DATE I hereby affirm that I am exempt from the Contractors License p� Gt. Law for the following reason {Section 7031.5, Business and ADDRESS !:�/ (-fi+v •L'� -FIPdA 23' Prof sions Code): PRESENT BY , , BUILDING ACCT. , s ro erty; or my empto ees with s ADDRESS wages;as their sole compensation,will do the work and 3 ' c the structure is not intended or offered for sale(Section LOCALITY +S 0 50..c 0 7044,'.Business and Professions Code.) MOVING TEL. ., �• I, as owner of the property;am exclusively contracting CONTRACTOR NO.' n , With licensed contractors to construct the.project (Sec- ADDRESS A'~ •T"g tion 7044,-Business and Professions Code.) -++ r REQUIRED TOTAL SETBACK FROM EXIST. 3303 .227,3` CONSTRUCTION LENDING AGENCY. SET BACK YARD HWY PROP. LINE WIDTH. _i I hereby affirm that.there is a construction lending agency for FRONT ? ITEMS the performance'of the work for which.this permit is issued P L. " (Sec. 3097, Civ. C.). _SIDE ., TOTAL 277 m 1,33 y Lender's Name, CHECK 777.8.3 P.C..Fee$ Permit Fee l/ �/ •D 3 LDMA Ref. # CHANGE a(�)j 3 Lender's Address D 0 I certify that I have read this application and state that the Issuance Fee 2 7 399 LDMA P/C#` above information is correct. I agree to comply with all County Investigatio1 .n:Fee > 75/31/96 / i 6 ordinances and State laws relatin9,.to building construction, Total Fee �& LDMA Perm. # .00013-00111' Jl;��ti a and-hereby authorize representatives of this County to-.enter ,x-97 A upon th above-mentioned property for inspection purposes. . AM10- 17 S ` 7•� SEE REVERSE FOR EXPLANATORY LANGUAGE �4::_"�Siq�n.tur. Applicant or'Agent Date , � � � �FO �� �DaPpCa ONR WT.s ° =COUNTY OF LOS ANGELES BUILDING AND. SAFETY WORKER'S COMPENSATION DECLARATION NG FOR APPLICANT,TO FILL IN ' ADDRESS L trereby affirm that I have a certificate of consent to self'insure,' BUILDING ADDRESS oda; XX,�,� BUILDING ora certificate of Workers' Compensation insurance,or a'certified �`� k copy thereof(Sec.3800,Lab.C.) -y- CITY - QIP 1 - ' -D LOCALITY Policy'No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT-Certified copy is hereby furnished. NEAREST CROSS ST a ❑.Certified copy is filed with the.county building inspection TRACT' BLOCK LOT NO. a department. USE ZONE' MAP NO. ' ASSESSOR.MAP BOOK PAGE PARCEL, Date Applicant " pCONDITIONS, CERTIFICATE OF.EXEMPTION FROM WORKERS' OWNER' TEL'NO. SPECIAL /- YES NO COMPENSATION INSURANCE• `!r�� Z WITHIN,i000 Fi.of SCHOOL?, (This section.need not-be completed if the permit is for one hundred ADDRESS DISTRICT - GROUP -TYPE CONST. FIRE ZONE PROCESSED BY dollars•($100)or less.) I certify that-in'the,performance of the work for which this permit CIT P s� is.iss'ued I'shall not employ any;_person'in-any manner. so as to gRCI ITECT OR ENGINEER - TEL NO: _ bedorne subject•t0 the Workers'Compensation Laws. _ - STATISTICAL CLASSIFICATION - APT CONDO' Date - - Applicant - ADDRESS' - '• "- - CLASS NO. ¢f DWELL UNITS. ` NOTICE TO APPLICANT.'' If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM : EXIST Exemption you should'. become subject t0, the Workers CONTRACTOR TEL NO.. SET BACK PROP LINE WIDTH .YARD. ..:HWY - Compensation provisions ot'the.Labor Code, you.must forthwith 1 2�f 7LC/t/ FRONT ' comply'with such provisions'or this permit shall•be deemed.revoked: - ADDRESS •' - - LIC:NO.' PL - _ _ �..• LICE NSED"CONTRACTORS DECLARATION SIDE O CITY • 'LIC.CLASS P'L ,U. I,hereby affirm,that I-am licensed:underprovlSlons"of Chapter 9 (Commencing with,Section;7000)of Division 3 of the Business and 5Q. T.SIZE NO.OF.STORIES NO.-OF FAMILIES - . SEWER MAP Professions Code;and-my license Is In full force and effect; �, �p NEW , ❑ O License Number- Lic.+Class. DESCRIPTION OF WOR D S 1� 'ADD -- Ila'- •vALUA ' D ; t •,,w_ T PG Contractor Date ALTER ❑- $ � 1 G- -- ❑ 1 am exempt under'Sec. REPAIR-,❑ $ Z B.&P C for this reason DEMOL ❑, „�y r .Date: STING - ... _ _ ' s:.f .. . USE OF EXISTING BLDG. U,R,� --.❑ L _ DMA P/C�#. w A 3 1 . Ignature'. Ht t.T .a .. APPLICANT(PRINT) T o-.LDMA Perm# CC;; as owner'_of the property;or my employees with wages~as Z 4 __ Ici u � e their sole compensation;will do the work and the structure is ADDRESS / C� 0 not intended or offered for sale (Section 7044, Business and ( (/ FINAL DATE Q Professions Code) :,t s. ,.. WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE-A,HAZARDOUS MATERIAL VVV ,J. AC. e'E •QR A MIXTURE CONTAINING A HAZARDOUS.MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the;property, am exclusively contracting with Q AMOUNTS SPECIFIED_ON THE HAZARDOUS MATERIALS GUIDE? •.FINAL BY > ; `` 's licensed contractors to construct the project.(Section 7044, a� �_)�•1': t�eal� Business and Professions Code.) 'YES❑. No !� T WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING - .a3 .L t' I15:3 ' OCCUPANT.REQUIRE_A PERMIT FOR CONSTRUCTION OR;MODIFICATtOWFROM THE SOUTH _ CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR TOTAL } Ay GUIDELINES. !I Y I AL 4 :9,Q, I hereby affirm that there is a construction lending agency. for r/ :VES❑ NO -_ .y. . . - 1• fi'•aCi.•r. �Ft'(_F a.t..f the 7,Civ. Of the Work for which this permit IS Issued(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PE RMITTING -t» `- 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS,ANGELES COUNTY CODE, (,�4AN GE .00 0 N TITLE 2.CHAPTER 2.20 SECTIONS 2.20'100 THROUGH 2.20.140 CONCERNING HAZARDOUS - - - - m Lender's Name MnreRIALS REPORT G AND FOR OBTAI ING A PERMIT FROM THE SCAQMD. Lender's Address ��. -� OWN2R OR AGENT - - - . • o -' , 3 1 certify that I have read this application and state under penalty [ —LIU-i 4, 2196 -Of' er ur that.the above information.is correct.I agree to comply P.C.FEE '- PERMIT FEE � +� ,qt-•!.•�•�n i^y o P 1 Y' 9 PY A/?� �E 4 ri11 J with all county ordinances and State laws relating to building (!! In construction,'and hereby authorize,representatives of this-County ISSUANCE FEEto enter upon the above-mentioned property for inspe ti perp s. g - - INVESTIGATION FEE —TOTAL FEE //�• D j/� N ' \ of Apo..n...Ag- - D R, i •�^" SEE REVERSE FOR EXPLANATORY LANGUAGE R COUPITY{'OF LOS'APdGEtEAPPUCAT Ok 0 BUILDING AND SAFETY' WORKER'S COMPENSATION'DECLARATION FORAPPLICANTTO FILL IN �.p" /�,..� BUILDING'ADDREss :.y - BUILDING ADDRESS J v'.:.F" �;,I �"11�1 ,f'1'_„ jC�o I hereb affirm that�I.have a certificate of consent to self insure 1 ora certificate of Workers Compensation Insurance;or a certified ' copy thereof:(Sec 3800,L'ab:C.) CITY `.. ZIP Gj/, Policy'No. • 'Company v. • �', LOCALITv � • SIZE OF LOT N0:OF BLDGS.NOW ON LOT �7 i .❑ Certified copy is hereby furnished. NEAREST CROSS ST. .. TRACT 'BLOCK LOT NO. ... ❑ Certlfied•copy Is filed-,with the county building inspection department. USE ZONE MAP NO: Date - - Applicant - O EL C CONDITIONS - ASSESSOR MAP B OK PAGE PARC -SPE IAL CO ON5 T OWNER TEL NO: CERTIFICATE OF EXEMPTION FROM WORKERS' VES NO COMPENSATION'INSURANCE WITHIN 1000'FT of scHlooL� (This seetiomneed not be completed if the permit is for one hundred ADDRESS. I dollars.($-100)Or I@SS.): - Yl •' DISTRICT GROUP TYPE CONST: FIRE ZONE PROCESSED BY CITY Y f' 1 ZIP I � ,1 certify that"In the performance of'the work for which this permit llwww l� d; I shall not employ any,person in-any manner so as to �� is issue ARCHITECT O ENGINEER TEL NO, , 2 �-cam beCOme Subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION. - APT CONDO Date -Applicant- ADDRESS CLASS NO.' DWELL UNITS NOTICE TO APPLICANT.•. If, after _making' this Certificate .Of, 'REQUIRED. TOTAL SETBACK FROM EXIST Exemption, you should• become subject t6 the Workers' CONTRACTOR TEL NO.- SETBACK YARD HWY '.PROP LINE WIDTH Compensation provisions:6U the Labor Code, you must.forthwith FRONT ' comply with such provisions or this permit shall be deemed.revoked. ADDRESS LIC.NOt`. PL } SIDE CL LICENSED CONTRACTORS DECLARATION CITY . LIC.CLASS P L 0 hereby affirm that I.•am licensed.underprovisions of Chapter 9 U (commencing with.Section 7000)of Division 3 of the Business and S SI S NO.OF TORIES NO-OF AMILIES SEWER MAP IY Professions Code,and my license is in full force and effect. i NEW BK PG O License Number .. - Lic.Class DESCRIPTION OF WORK - ADD ❑ VALUATION _ •D U Contractor Date W ALTER' _• .. $ �©s00 Z ❑ I am exempt under Sec. — REPAIR_ ❑ , BAP.C. for this reason DEMOL ❑ LDMA Pic# Date: - USE OF EXISTING.BLDG. URM - ❑ j .. Signature _ _ _ ,` - APPLICANT(PRINT) -• TEL jJO.. - .`LDMA Perm.# - as,owner of,the property, or my employees with wages as G L" f�{. Zl�t• '_�e their sole compensation,'will do the work and the structure is ADDRESS A r �-, :; 158.35:7 t.�• not intended or offered.for sale (Section 7044, Business.and `f r(N • G' FIN DATE / a g-� qq ITEMS t y 1=° I: PfOfeS510r1S Code) WILL THE APPLICANT OR.FUTURE BUILDING OCCUPANT HANDLE HAZARDOUS MATERIAL-. `2/ '�� - 1 .L Lf tJ El 1, as owner of the,propert 'am exclusivel' contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE !!! y y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY � licensed contractors to construct the project(Section 70441. TOTAL�TAL 1_+a„r i ;...a�-_g Business and Professions Code.) YES❑ No CHECK._£[r WILL THE INTENDED USE'OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING - - - t.•t�ECK •y P"`. _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE'.SOUTH ' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT SEE PERMITTING.CHECKLIST FOR y GUIDELINES. - _ - 1 hereby affirm that there is a construction_lending agency for YES-❑ No the performance of-the work for'Whlch this permit Is issued(Sec. HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING • - 3097,.CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 0000-01010 1, TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING.HAZARDOUS ' Lender's Name MA RIALS REP TING ANDfPR OBTAINING A ERMIT FROM THE SCAQMD. 5193 }i i] ,� ;jyt(S n Lender's Address Ir 17 1 NER OR A JVF 3 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 ' P.C.FEE- PERMIT FEE with all county ordinances and State laws relating'to building /�/ Ch IM construction;and hereby authorize representatives of-this,County, ISSUANCE FEE to enter upon the above-mentio ed property for ins ection purposes. r go INVESTIGATION FEE TOTAL"FEE N s9nalure of Applicant a Agen Oaie O SEE REVERSE FOR EXPLANATORY LANGUAGE