HomeMy Public PortalAbout6027 HART AVE_Building__ 9 ,
75A888A CE'M5085.58 . APPLICATION 11 ION E®R. BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING ,
ADDRESS `
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION (LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST -r
CASSATT D.GRIFFIN,SUPT OF BUILDING OROSS ST. -
"' DISTRICT NO. GR UP I TYPE } -� P�BY
FOR APPLICANT TO FILL IN _�� " —i CONST.
BUILDING STATISTICAL CLASSIFICATION ( SEW kR MAP
ADDRESS �nO BK PG _
CLASS.NO'. - DWELL: UNITS ----1
LOT NO.. BLOCK MAP STATEYES
p NUMBER Y.
v
TRACT -/d �f 9' USE ZONE SPECIAL
� NO*OF
SIZE OF LOT J / �7, I NOW ON LOTS CONDITIONS
USE OF`
•EXISTING BLDG. _.BUILDINGEXIST.
Y •
ARD HWY STREET NAME
- SETBACK WIDTH
OWNER i FRONT c/ q n
MAIL P.L. !,/A., C� -
ADDRESS '- SIDE
TEL. P.L.
CITY NO• • INSPECTION RECORD
ARCHITECT OR TEL. a.
ENGINEER. NO.
ADDRESS
CONTRACTO
DDR SS •ry ., 9 6 -�' L
DESCRIPTION OF'WORK s)�_p v DEZAlsAFMd[/Eb
NEW ADD ALTER REPAIR DEMOLIS
SQ.FT.' NO.OF F '
SIZE STORIES FAMILIES - -
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT
.DATE INSPECTOR'S SIGNATURE
ADDRESS x FOUNDATION: LOCATION
- FORMS.MATERIALS
$ "••��i/1 ..P.C. $ ,. ! FRAME: FIRE STOPS. - -
4 (/ FEE .BRACING. BOLTS
VALUATION $ .FURNACE: LOCATION,
• - FEE '�� GAS VENT, DUCTS
I-HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT.
PLICATIONTATE-THAT THE ABOVE IS CORRECT AND
AGREE TO C MP WITH AL COU Y ORDINANCES'AND
STATE LAW RE U ING. UIL 1 YG C TRUCTION. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR- _
PERMITTE RECT AND POSTED 77- n
ADDRESS" - FINAL J
CLYDE N.' DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
.'PLAN CHkCEI VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
DEPARTMENT OF BUILDING- - APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES `
PLANBLDG. FIRE DISTRICT No. JOB NO. PERMIT No.
S
FILED I�ZONE � .� ZONE
T �J 1
YPE OF '-AL1
BLDG. . 1 Il 111 IV X GROUP
BLDG.SETBACK IN_E DATE O/F L. EIVED BY DATE 1 ED -
Vg�
ORD. NO.
APPLICANT.FILL IN HEAVILY OUTLINED PORTION ONLY.
JOB
4A-
0 0: NAME �( ADDRESS T \ Cl-%J�-
I-W r
WZ ADDRESS l LOCALITY
HD CITY _ j NEAREST
U W CROSS ST
m STATE _ - '
Q LICENSE NO. TEL. NO. NAME
MAIL
0 NAME 3 ADDRESS
f
U ADDRESS - - p CITY TEL. NO.
U
Z CITY .J 0. LOT 3 Z„� SIZE OF LOT 46- r q
U - STATE �U NO. OF BLDGS.
LICENSE NO. - TEL. NO. W N BLOCK _ ON LOT / -
DESCRIPTION OF WORK W
D TRACT
NEW' r ADDITION DEMOLISH
ALTERATION REPAIR MOVING CORRECTIONS
USE OF
"BLDG. r -
U.
SIZE OFI NO. OF
BLDG.. I STORIES FAMILIES
SPECIFICATIONS
FOUNDATION'
MATERIAL , EXTERIOR` PIERS, .
THICKNESS-TOP
THICKNESS-BOTTOMw
DEPTH IN GROUND
SUPERSTRUCTURE
SIZE -SPACING SPAN '
R. W. PLATES (SILL) - -j
® GIRDERS _ Q
R Z
JOISTS-FLOOR 9,
JOISTS-CEILING
n
'BEARING WALLS ` J v
PARTITIONS --
ROOF RAFTERS /
SILL BOLTS - -
/ COVERING.
..WALL - I ROOF
1 HEREBY STATE THAT THE ABOVE IS CORR1ECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING �BUILDING CONSTRUCTION.
SIG ... �_• ..
t
OWNER OR AUTHORIZED AGENT- APPROVED - -
VALUATION 5 FEE $' FINAL ' INSPECTOR'S NAME DAAE
zoo I I � I ..
76A63BA DBS-3 3-55
DIVISION OF BUILDING AND SAFETY ADDRE S I Oita
Department of County Engineer ADDRESS i
County of Los Angeles LOCALITY
WM.J. FOX, COUNTY"ENGINEER - NEAREST
P
CASSATT D. GRIFFIN, SUPT OF BUILDING• CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAP..
BK P
I CONST I- B Gi�Cs
[ADDRESS
ILDING to 0 � A I,U, Fr4T Nu BER HWY AP STATE YES
/VT NO. J v1 7? BLOCK USE ZONE SPECIAL
CONDITIONS
AGI. ,tNO. OF BLDGS. BUILDING EXIST.
ZE OF.LOT (QS NOW ON LOT TBACK YP`RD HWY STREET NAME yy1DTH
E OF ISTING BLDG. �Lt`:LLI N rQFRONTNER "S, / /!'! es-llo-j" SIDEMAIL
P.L.
DRESS U( / d�r 1r/ !'/I� O TRACT DWELL. -I UNIT
/�lG TEL. 5 INDUSTRIAL
I` NO. •� 1 .DWELL. I UNIT
CITY J�7 6 PUBLIC BLDG.
ARCHITECT OR._.�� e_ DUPLEX I UNIT 7 .pDDCN..ALT., ETC.
ENGINEER N0. 3 1.APT. UNITS )MI .. ..ETC. '
ADDRESS �/ ', - 4 COMMERCIAL - - -
TEL
CONTRACTOR ,JA/�� NO) - INSPECTION RECORD
ADDRESS h" CT;<s-l*, -m k / //
DESCRIPTION OF WORK M L/v ,s-A/, tSWO IfS k-TAAT/T
NEW ADD `� '- - EPAI 1 DEMOLISH f �/-
SO. FT. i °NO.OF ' � NO.OF — TN N� UT D A '941b AA/� � '
SIZE tJ STORIES FAMILIES (�//_...
USE OF STRUCTUR LL /i
- <-)l7P 'rlt�fii?Ti!
^v 9(�• QLTf 1=MOT1F�rz5'ffE
FX(XKI LA1,3411.d✓/,P/11/S/A`L /L LiGRZ I .,
SIGN A APPLICANT–
F
APPLICANT - APPROVALS
ADDRESS' DATE INSPECTOR'S SIGNATURE,
FOUNDATION: LOCATION ,
Pc C[ $ FORMS, MATERIALS:.
FEE FRAME:.FIRE STOPS, -
VALUATION - $Q� BRACING,BOLTS
FEE r"' FURNACE: LOCATION. - -
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS I`!A?\k�
APPLICATION AND STATE THAT THE ABOVE IS CORRECT -
AND AGREE TO COMPLY-WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE.LAWS REGULATI BUILDINGCO STRUC-,
TION. LATH. EXT. _ -
r
SIGNATUREOF - �� OUSE NUMBER COR- _
PERMITTEE - RECT AND POSTED
ADDRESS - FINAL.
WM.J.:FOX,COUNTY ENGINEER VALIDATION C. N: DIRLAM;CHIEF BLDG.INSPECTOR
Cfi5 1:1:& JM 23' 1 2.0 0
DEPARTMENT OF BUILDING AND SAFETY n
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER APPLICATION .... . .
a<a^ ;
FOR APPLICANT TO I IN FOR OFFICE USE ONLY
DISTRI�T NO. PLAN CK. OR REC':NOC PERNJ.IT NO.'
BUILDING ( `_ �
ADDRESS• Q �.
'`- REPEIVED BY DATE OF APPL. DATE ISSUED-
A LOCALITY /
NEAREST _ 1- �s . /-�� :.s
CROSS T. BUILDING _ - '
DRESS A
OWNER'
MAIL v a LOCALITY
ADDRESS NEAREST, .
TEL." any CROSS ST.
CITY NO. 2Y In FIRE -�, NO. OF ,.I I .,GPc
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO., BLDG.
SETBACK;LINE
-ADDRESS
USE APPROVED t -
TEL. ZONE le- I BY 'DATE'
CONTRACTOR NO. HOUSE NUMBERING ,
.ADDRESS MAP NUMBER C NO. ASSIGNED BY
LEGAL50
CORRECTIONS
DESCRIPTION LOT'NO. BLOCK _ _ -
TRACT
!(��} NO. OF•BLDGIL
-SIZE OF LOT J I. NOW ON LOT -
USEOF � NO. OF - - -
EXISTIN BL - FAM I LIE.
DESCRIPTION OF WORK
NEW ALTERATION ADDITION - D
REPAIR ki DEMOLITION r
SCJ. FT. NO.OF - ..
SIZE SSTORIES -
EXT.WALL - Q F - -
COVERING COVERING -USE OF STRIJCT RE
7 ,19
•INSPECTION FO APPROVALS
OCCUPANCYAS� _ - INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION -
FORMS, MATERIALS
I. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- '
._PLICATION AND STATE THAT THE INFORMATION GIVEN .IS FRAME: FIRE STOPS,
CORRECT. - BRACING, BOLTS
I AGREE .TO COMPLY WITH ALL COUNTY`ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. 'GAS VENT, DUCTS
LATHINT.
SIGNATURE OF , _
FERMITTEE
-
C LATH, EXT.
ADDRESS
PLASTER, INT. `
AUTHORIZED AGT.
-•'+' PLASTER, EXT.
P.
FEE '.HOUSE NUMBER
COR-RECT AND POSTED
VALUATION
FINAL
FEE-
7SA63BA DBS 3 7-57
DEPARTMENT OF BUILDING APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES , BUILDING u
PLANSBLDG. FIRE DISTRICTNO. PLAN CHK. FEE PER O.
FILED77o ZONE /�T ZONE I:.- T RECEIPT NO.
TYPE OF p� ./ 3''�' 16
�-
BLDG. 1 II ill IV v X
GROUP DATE OF APPL. RECEIVED BY DATE ISSUED.
BLDG. 'SETBACK LINE /t P
i ORD. NO. / 3, 3 '" 7- �
APPLICANT FILL IN HEAVILY OITTLINED PORTION ONLY
BUILDING Ll
/ ,� Kim✓�L.
0 � NAME ADDRESS Y a
�U
W _
Z ADDRESS LOCALITY
1- t7 NEAREST /q
= Z CITY CROSS ST.
C W STATE
Q LICENSE NO. TEL. NO. _ NAME 5 .i a,r,,.(�(¢,••6
p NAME Q��Q — MAIL V
�� v 3 ADDRESS a
F
Q ADDRESS �d I"'��/ O CITY Q,,. �Q TEL NO.
0 0�/J•?
Z CITY GI's _ v J 0. LOT SIZE OF
V STATE Q C
LICENSE NO. TEL. No. 1 +� 0 U NO. OF BLDGS. .
CLASS
�I'n Id tl) BLOCK NOW ON LOT,
CLAS�7 OF tY'�U'IZ Jld
D USE OF BLDG.
TRACT NOW ON LOT
NEW _I ADDITION _ DEMOLISH DESCRIPTION OF W04K, .
ALTERATION REPAIR MOVING I Y p
USE OF NO. OF
BLDG._
i ROOMS
SIZE OF /; /x, STORIES / FAMIOLIES
BLDG. �v �v '
SPECIFICATIONS
FOUNDATION _I CORRECTIONS
EXTERIOR PIERS
MATERIAL `. I •-.� V�//7 �„ c�d`46� VII-. �1'�sC�(d..\
THICKNESS—TOP
THICKNESS—BOTTOM
DEPTH IN GROUND 12,—
SUPERSTRUCTURE
SIZE I "
R. W. PLATES (SILL) ��� SPACING SPAti_
GIRDERS IVA
I
JOIST S---FLOOR
JOISTS—CEILING �. t� 4 I J
Q
BEARING WALLS �1 I Z
PARTITIONS
ROOF RAFTERS �y
SILL BOLTS "d/.Q X
COVERING { _I
WALLe� ���••Ii I ROOF ►1 W`v-�4-_-� �. I '�
1 HEREBY gCKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO:COMPLY WITH ALL COUNTY ORDINANCES.. �I _
AND STATE LAWS REGULATING BUILDING CONSTRUCTIOIJ.
SIGN FINAL APPROVAL
OWNER O �UI ORI ED A6 NT •e -�
VA!_UATION �� I FEE $0:21 DATE �-� / V INSPECTOR'S NAME /� i�
APPL. MAT�,ON. 70.R BP�.-LMWQ �PERM�T. � .
COUNTY OF LOS ANGELES BUILDING AMD-SAFETY
WORKER'S COMPENSATION DECLARATION' FOR APPLICANT TO FILL IN BUILDING ADDRESS'
I hereby affirm that'l have a certificate of consent to self insure, BUILDING ADDRESS
or-a certificate of Workers' Compensation Insurance,or a'certified
copy thereof(Sec.3800,Lab..C.) CIT T ZIP 1:1'1 O
T- LOCALITY CSL
Policy NO. Company -SIZE OF LOT '. NO.OF BLDGS.NOW LOT.
❑ Certified copy is hereby furnished. NEAREST CROSS ST.
❑ Certified Copy is filed with the county building inspection TRACT BLOCK LOT'NO.-
department. USE ZONE MAP NO.
Date ,Applicant ASSESSOR MAP BOOK PAGE 'PARCEL
SPECIAL,CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TE NO.
COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO
(This section need not be completed-if the permit is for one hundred ADDRESS
. DISTRICT GROUP TYP CONST. FIRE ZONEJPROCESSEO BY
dollars ($'100)or less.)
CI ` n ZIP ,
I certify that in'the performance of,.the work for which this permit T 'C
is issued, I shall not employ'any person'in any manner so as to
ARCHITECT CR ENGINEER TEL N . "�"� �"2"�-"��"
become subject t0 the Workers'Compensation Laws.- STATISTICAL CLASSIFICATION APT CONDO
DateApplicant ADDRESS CLASS NO.� 'DWELL UNITS
NOTICE TO APPLICANT.' If, after making this .Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers ' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the-Labor Code, you must forthwith FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. p L r
LICENSED CONTRACTORS DECLARATION clTv LIC:cLAss- . SIDE n'
P L OU
hereby affirm that I am..licensed underprovisions of Chapter 9 SEWER MAP
(commencing'with Section 7000)of Division 3 of the Business and so. .SIZE If 'NO.OF STORIES NO.OF FAMILIES =
Professions Code,and my license is in full force and effect. NEW ❑ BK PG O
License-Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION D U
LU
Contractor Date ALTER' �� G-
N
G '
REPAIR: ❑ Z
❑ 1 am exempt under Sec. $
B.&P.C.for this reason DEMOL ❑ LDMA P/C#
Date: USE OF EXISTING BLDG. URM ❑
Signature - APPLICANT(PRINT) _ TEL NO. -LDMA Perm# _
8 .I, as owner of the property, or my.employees.with wages as Z AC •T°4
their sole compensation, will do the work and the structure is ADDRESS 0 3303 92.i
not intended or offered.for sale (Section 7044, Business and FINAL DATE Q Y
Professions Code.) - .WILL THE APPLICANT 0R FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL _Z 9 1 EMS
`� - -
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE. t•
❑ 1, as Owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS.INFORMATION GUIDE? Q `� 2�
licensed contractors- to construct the project (Section 7044, FINAL BY > TOTAL �`i o= ,_
NES❑ NO - �
Business and Professions Code.) CHECK
.WILL THE INTENDED USE OF THE BUIDLING BY THE-APPLICANT OR FUTURE BUILDING
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH / 0;�
CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR - (HIHIj�[E _ a L3V
GUIDELINES.,
I hereby affirm that there is a construction lending agency for YES❑ No '
the 7,Civ.
Of the Work for,WI11Ch this permit IS ISSUed(SCC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THESCAQMD PERMITTING i'tt lhii,,.l"hili J j 7/96 l..�i
3097;CIV.C.) CHECKLIST.I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,. 0000 00 i 7 ! 6
TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS i
m Lender's Name MgALS REPORTING AND F R OBTAINING A PERMIT FROM THE SCAQMD. ' C 192' f PM
1 6 a•2[
Lender's Address
cc OWNER OR AGENT
3 •1 certify that I have read this application and state under penalty
p of perjury that the above information is correct.I agree to comply P.C.FEE- PERMIT FEE -
rn with'all county ordinances and State.laws.relating do building
M construction, and hereby authorize representatives of this County ISSUANCE FEE
to enter upon the above-m tion ed property for'nspecti purpo s' ,30
INVESTIGATION FEE TOTAL FEE _^/ 1
04 Ggnatura of APW7AdFW VDale ✓�{
SEE REVERSE FOR EXPLANATORY LANGUAGE