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Home My Public Portal About4824 HELEO AVE_Building__ :. . . ,`FOR O..® BUILOI., E, ®� LL T 76A636A CE rye0310-5APPLIverIN COUNTY-'OF LOS. ANGEI:ES ' .-. . BUILDING DEPARTMENT' OF COUNTY ENGINEER ADDREss BUILDING.-.AND SAFETY DIVISION LOCALITY . -JOHN A:.C:AMBIE,COUNTY ENGINEER .NEAREST CASSATT.D:,GRIFFIN, SUPT OF BUILDIN6:, ,:CROSS'ST. - DISTRICT N GRO P' ` TYPE- P, SED BY FOR APPLICANT'TO'FII.L IN . I 'CoNST.' ' BUILDING •' '= - STATISTICAL CLASSIFICATION BE R MAP ADDRESS ... / BK PG :CLASS. r�.NO+• DWELL.UNITSI �,( LOT NO. BLOCK ` •MAP - - / / STATE`;•-..YES O ' NUMBER .l'(E7. .. HWY. :• _. _ - TRACT -USE ZONE: SPECIAL .. - - • ONDITIONS 'C t. .• "1 NO:OF.BLDGS, ' SIZE OF LOTg,7x, p,-�� I NOW.ON LOT•. "' 4 :USE-OF - - �- . ;. '• .-',.: , . EXISTING BLDG. - BUILDING'-;YARD." .HWY _ TRE - NAME EXIST:, - - - SETBACK WIDTH - OWNER• -6 FRONT':' FRONT': -.MAIL` ...• :ADDRESS � � �_ A�//4� '. - _SIDE: . •:TEL.. P.L•: -• � . CITY No. -a INSPECTION RECORD ''ARCHITECTR . - �• ' TEL•. _ ENGINEER' NO ''L -.•�,.... ,. ADDRESS',.. .. .TEL. CONTRACTOR -e.rWAjvo. ..- NO: ADDRESS . DESCRIPTION OF- WO . NEW ADD ALTER- REPAIR .. DEMOLISH SQ: .- SQ.FT. NO:,OFNO.,OF " SIZE :" .v - .'� °STORIES -;'..FAMILIES- USE OF - } '.` •` STRUCTURE G`. - •d /Y 4 -: '.. . - SIGNATURE.OF PPL I CANT - ^APPROVALS DATE- INSPECTORS SIGNATURE r � ' c ADDRESS' _ Cvis /P FOUNDAT.ION..LOGATION Ogg FORMS,MATERIALS VALUATION$ :FRAME:FIRE STOPS," ,BRACING',BOLTS F ��---s' i URNACE:.LOCATI ON. .. - I 2•,.FEE. $ - [FEE-PmT.•'$ GAS VENT,�DUCTS'' - .I HEREBY'ACKNOWLED THAT F AVE READ THIS AP- y - p ? -PLICATION AND STATE,THAT THE ABOVE iS'-CORRECT-AND LP.TH.INT.= • AGREE TO COMPLY„WITH ALL COUNTY'ORDINANCES AND - - -. STATE LAWS REGUL ING BUILDING ONSTRUCTION,.,, LATH,EXT. SIGNATURE OF ,. _ HOUSE NUMBER COR-' PERM[ �� "^ + CCI..O�� RECT AND POSTED ' �. p� ADDRESS FINAL - .' - '•,d." erJ .Y da"r,—, I CLYDE N. DIRLAM PRINCIPAL STRUCTURAr:E rR CK. M.O. CASH t. -- CK. M O - -CASH • PLAN CHECK VALIDATION. PERMIT VALIDATIONcl- 0.0 Or 76A638A_CE y 803}t0-58 APPLICATION LIC TC®N•.,F-®R.. . .:BU-.._ IL-D- ING PERM` B T COUNTY`OF:I:OS ANGELES-: BuILDING%' DEPARTMENT-OF COUNTY_ENGINEER ADDRESS Ess�l $UILDIIVG AND SAFETY DIVISION LOCALITYNEAREST JOHN A.:LAMBIE, COUNTY ENGINEERCROSS.ST..,' R -CASSATT D. GRIFFIN, SUPT OF BUILDING•:'. r•` DISTRICT NO. TYPE' YFOR APPLICANT TO FILL IN __ coNST .BUILDING' ' STATISTICAL CLASSIFICATION - SE ER MAP'.ADDRESS' //� t• - a'',- .- _ _" •C LSA :. .f .- SS.NOS•- -yDWELL:.UNITS I'. BK Gam/' LOT NO - BLOCK - MAP , STATE yE5.�No �9 'NUMBER "% � .-HWY. USE ZONE :SPECIAL,. TRACT r / .._. . LDGS •4 CONDITIONS - ' ONDITf NS SIZE OF LOT I NOW.'ON LOT - L NO OF:•B USE OF EXISTING BLDG. - :' BUILDING-' YARD,- HWY S REET°.AME SEXIST.`'!" ,SETBACK' - WIDTH" OWNER FRONT' j �. t MAIL ADDRESS tT�„3� -L'r�ine/�i«. '� SIDE ' CITY. NO '� /9J`�. RD', -ARCHITECT _ �L q INSPECTION RECO ENGINEER..-!�f>'O.�A� LLk/tF' _. ,NO ADDRESS IrYl // �Q4c�/YIC1�� /�/1f !C "'tii�lY r '•'._ .. TFL ^TT 2 rQ CONTRACTOR ��h: - '�"'. L.c-/��•. 'l�vv�P,. j�?f.-...�sS. o: '.�-o-_`I ADDRESS _ DESCRIPTION OF WORE r•�_ NEW R _ ADD ALTER REPAIR •DEMOLISH -\ _ ✓. SQ:FT: NO:'OF. NO.OF - -. -' SIZE .:„ 'STORIES. FAMILIES.'" `�.- `' USE OF` - ' .•t r.••, - _ STRUCTURE 1391 1 /Y L .l SIGNATURE 02��2 APPLICANT �tAppROVALS—'. DATE INSPECTOR'S.SIGNATURE ADDRESS FOUNDATION:LOCA FORMS,MATERIALS. VALUATION$ " .� „ ,z � F.RAME't FIRE STOPS, .BRACING,BOLTS• I2 -l P:C. j. PMT. $ 0� FURNACE:GAS VENT,D DUCTS_ FEE. $J Cf''""'•I FEE' (J;.m' I£' } I HEREBYACKNOW,LEDGE THAT I.HAVE..READ THIS AP- -: �, •�' PLICATION AND STATE'THAT THE ABOVE ISCORRECT AND. LATH INT i AGREE T.O COIdIPLY'•WITH'ALL COUNTY,,ORDINANCES AND :� r �.. '- / y r; r. STATE LAWS..REGULATING BUILDING CONSTRUCTION LATH,EXT SIGNATURE OF' HOUSE NUMBER CORS PERMITTEE _ - Y RECTAND•POSTED:_ 1'y� ADDRESS ~' FINAL 'CLYDE N. DIRLAM,'PRINCIPAL-STRUCTUR4L E R PLAN CHECK'VALIDATION QK. M.D.•fes^SH PERMIT VALIDATION CK. M.O. CASH AiAo 7' JEP v� L 2 3 1 A 6 U.a U. _�a APPU-CAMON FOR SULUNG PERM7 COUNTY OF LOS ANGELES BUILDING.AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDINGD RESS I hereby affirm that I have a certificate of consent to self insure,; BUILDING ADDRESS or a certificate of,Workers' Compensation Insurance,or a certified. copy thereof (Sec.380 ,Lab.C.) j CITY LOCALITY ` zIP Policy No. '� �� / G V O - Company - J •. SIZE OF LOT NO.OF BLDGS.NOW ON LOT NEAREST C OSS S. Certified cdpyis hereby furnished. is filed with the count buildih Inspection TRACT BLOCK LOT.NO. El Certified copy! y g USE ZONE MAP NO. department.-; , DateaD *"pplicant /`A7 SGL-, (7 . ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER n y� T NO. ' COMPENSATION INSURANCE �- ° /�i�(�' LL 06— WITHIN 1000 FT.OF SCHOOL? YES NO (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.) CITY ZIP I certify that in the performance of the work for which this permit _ is issued, I shall not employ any person in any manner"SO as to ARCHITECT-OR ENGINEER TEL NO. 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 to the Workers' CONTRA TO/R� _ _TEL NO. SET IBACK YARD HWY PROP LINE WIDTH Compensation provisions of the-Labor Code, you must forthwith /� 'i / --�7 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS . LIC.NO. ^ P IL LICENSED CONTRACTORS �� DECLARATION / SIDE .. CIT ,'`t LIC.CJJ+SS 2 PL I hereby affirm that ( am licensed underprovisions of Chapter 9 • • 1 O �. -c7 SEWER MAP (commencing •with Section 7000)of Division 3 of the Business and. Q.FT. N6.OF TORIES .NO.OF FAMILIES . Professions Code,and my license is in full'force and effect. NEW BK PG D d License NumbeF./��te3 737 ❑- Lic.ClaSS 6 y DESC IPTION OF Q K - ADD ' VALUATION O Contractor I A-4 I? Date /210 3p �F s A)& _ ALTER ❑ $ 0 0 ❑ I am exempt under Sec. ` REPAIR El $ BAP.C.for this reason �� DEMOL El LDMA P/C# 0 Date: USE OF EXISTING BLDG, - URM ❑ 0' Signature APPLICANT PRINT) Tvrr� EdL ! LDMA Perm# t _� a ❑ I,'as owner of the property, or my employees with wages as V r I/ �p Z Ql their sole compensation, will do the work and the structure is ADDRESS f O ACCT s FINAL=DATE S not intended or offered for sale (Section 7044, Business and Q Professions Code.) 33., rrr 03 226.05 .. WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT,HANDLE A HAZARDOUS MATERIAL �-•-�!iy ! , 1:1 I, as owner of the property, am exclusively "contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUALTO OR GREATER THAN THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY I / Q 1 ITEMS •, �`// licensed contractors to construct the project (Section 7044, ^' Business and Professions Code.) YES 11 No ElTOTALWILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 05 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH /'•L�E/'.t/ ( ('� CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR CHECK 226.05 GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ CHANGE 000 N y the performance Of the Work for which this permit Is Issued(Sec. I 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, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH2.20.140 CONCERNING HAZARDOUS ('�j�(� (�{'� ' Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. 0000-0001, 12/ 7/95 . o Lender's Address OWNER OR AGENT O 3662 1 PM 6:26 D+Q o I certify that I have read this application and state under penalty 0of perjury that the above information is correct.1 agree t0 comply P.C.FEE PERMIT FEE o With all county ordinances and State laws,relating to building m construction, and hereby authorize representatives of this County ISSUANCE FEE co to enter upon the above-mentioned property for inspection purposes. c INVESTIGATION FEE TOTAL F1,-, ':� y cD. 1�.Jr� r Sign-,of AoPli—t or Agent Dere SEE REVERSE FOR EXPLANATORY LANGUAGE