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HomeMy Public PortalAbout9802 HOWLAND DR_Building__ APPLICATION -FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (PrIR10 ry Pe .DIV) Boo Ess �Ol� COUNTY OF LOS ANGELES 10Wj_6 4o I�RI�'E DEPARTMENT OF COUNTY ENGINEER CITY 84PLE Cifli ZIP 91Ao BUILDING JL+fAND 1` SAFETY,DIVISION NO LONG SIZE OF LOTpp60'T IS / ' NOWOON LOTS ONL AO10RE55 98()Z TRACT I�pO0 BLOCK I LOT NO. LOCALITY T QI,•w 1Q_ C 417 TEL. NEAREST OWNER W. r. 1�gNl(Es NO. yQI CROSS ST. '(J ))dj4` ' ('� ASSESSOR ADDRESS Qqqq l . l_lpp o ORIV& MAP BOOK PAGE PARCEL /•An1 a(�l DISTRICT GROUP TYPE FIRE PROCESSED BY CITY �EN1 PLt ZIP91 �/ �'O,e-� I CONST.p / ZQ(�IE ARCHITECT OR ,1 TEL. 15 V S ENGINEER NC>.Jc NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS OWNER p CLASS NO.�_OWELL.UNITS BK 4PG 'CONTRACTOR OWNOL USE ZONE MAP _ LIC. D NO. Lo l ADDRESS NO. ^� f SPECIAL CITY LIC. CONDITIONS CONSTRUCTION LENDER CLASS ROAD DEPART D YES❑ NO ❑ NAME AND BRANCH NoNe BLDG SETBACK FROM C I FRONT PROP.LINE OF ISTREETI L ADDRESS CITU TOTAL SETeA CK FROM TYPE OF EXISTING HIGHWAY } YARD a' SO. FT. NO. OF NO. OF, CHECK FRONT PROP. LINE HIGHWAY WIDTH F SIZE 4�o STORIES FAMILIES ONE } LL DESCRIPTION OF WORK NEW 6 V llDG.SETBA KFR pall 6 ADD SIZ r 1 SIDE PROP. N O (STREET) ALTER ❑ TOTAL $ETBA FROM TYPE OF EXISTING HIGHWAY } AG = REPAIR❑ SIDE PR LINE HIGHWAY WIDTH EXIOF STING BLDG.��]],/�` ,�/ DEMOL ❑ } APIPRICANTN•NT) n,,;WKrS NO`� CORNER CUT F YES ❑ NO ❑ BY (SIGNATURE) 11). p,� IN OPEN SPAC YES ❑ NO ❑ ^`` 1 IN COASTAL ONE YES ❑ NO ❑ VALUATION Cv1 coW CATEGORICAL EXEMPTION YES[] NO ❑ HEREBY ACKNOWLEDGE THAT I HAVE READ T1115 APPLICATION ENV IRDNMENT AL ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT E TION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PR (DATE) HEREBY I 'WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OFTHE STATE OF CALIFORNIA IN RELATING TO iJ WORKMEN'S COMPENSATION INSURANCE. /- GyS <5- SIGNATURE OFAN�tI/F� - PERMITTEE ADORE S %jnq daH11 FINALe TEL. DATE" CITY�� � NO. MAKE CHECKS PAYABLE TU: a.c. PMT, HARVEY T. SRANDT. COUNTY ENGINEER FEE S, FEE ^E © O PLAN CHECK VALIDATION CH. M D. C,SH _ 5 PERMIT VALIDATION 2 1 7.-GGi 4 23 G 5.4 0 15A638A CEU803 7/73 .2.9 2�GGT 10 1 G �J 9L 0 A98 36A638A PE x003 12/69 --`'APPLICATION FOR BUILDI�MIITY COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING B JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SDP'T of BUIL.IHC LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or r e onl _ CROSS ST. DISTRICT NOGR TYPE _ PR E BUILDING ! /1 (/ CONST. 1/ ADDRESS G/ /f V - STATISTICAL CLASSIFICATION SEWER MA LOT NO. BLOCK UCLASS NO. DA EL L.UNITS_ BKPG 0�3 NO.OF B TRACT S. USE ZONE MAP -/ O. 512E OF LOT`0,69 n NOW ON LOT / SPECIAL USE OF / CNONDITIONS EXISTING BLDG. OWNER El2f C EE NO. p. BLDG.SETBACK FROM ADDRESS 9( Q FRONT PROP.LINE OF (STREET) TYPE OFEXISTING SETBACK HIGHWAY } YARD = TOTAL CITY � HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. / (� } 0 = O ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP. LINE OF (STREET) TEL. TYPE OF EXISTING1 SETBACK HIGHWAY } YARD = TOTAL CONTRACTOR W NO: HIGHWAY WIDTH FROM C.L. ADDRESS NO. } LIG � CITY CLASS CORNER CUTOFF YES ❑ NO CONSTRUCTION LEHNDER NAME AND BRANCSEE REVERSE SIDE.FOR SPECIAL APPROVALS - ADDRESS h Np,'OF NO. OF SIZE Q STORIES FAMILIES NEW fEE:l USE OF' ADD STRUCTURE 00ALTERQ/—' �REPAISIGNATURE OFAPPLICANTDEMOL VALUATION $ "- - - APPROVALS DATE INSPECTOR'S SIGNATURE P.C, PMT. FOUNDATION: LOCATION FEE S FEE $ /• ,� FORMS. MATERIALS FRAME: FIRE STOPS,' HEREBY ACKNOWLEDGE THAT I HAVE READ THIB APPLICPTION AME: NG B TOP "'• /�'' A /rY ♦HO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL OR 0INANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCT ST RUC TION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED y" J HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. ` Il // -I LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING i0 WORKMEN'S COMPE ATION INSUPANC LATH, EXT, -O SIGNATURE OF -•� HOUSE NUMBER COR- PERMITTEE ���✓✓✓ 7 ^ REOT ANO POSTED ADDRESS J .E-�� T✓A/• T C• FINAL JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VAL]DATIO cm M,O. 'CASH 1:P,C 5 3 2 7" JuR l 0 1 0 2 7.7 5 Q APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL 1N BUILDING D Bs / I hereby affirm that I have a certificate of consent to self insure, BUILDI DRE ©7— r or a certificate of Workers'Compensation Insurance,or a certified CIT2NMU zip . Copy thereof Sec.3800,Lab.C.) _ O LOCALITY licy NO. 6�T Company/�-/r� A.O�t�.Q/C SIZE OF LO G NO.OF SLOGS.NOW ON LOT Certified c0 NEAREST CROSS 5 . copy i5 hereby furnished. ❑ Certified copy i9 filed with county building ' ion TRACT BLOCK LOT NO. department. USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS Date ' Applica CERTIFICATEEMPTION FROM WORKERS' OWNER TEL NO. YES No !�/Z� COMPENSATION INSURANCE y WITHIN 1000 FT.OF SCHOOL? ADDRE S (This section Geed not be completed if the permit i9 for one hundred DISTRICT I GROUP 1,TYPECONST. FIRE ZONE SHOCES D BV dollars($100)or less.) CITY .ZIP h(/ ` 3 I certify that in the performance of the work for which this permit �0V 1 W,3 is Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. ill\\\ become subject t0 the WOrkers'Compensation LAWS. STATISTICAL CLASSIFICATION APT CO DO Date Applicant ADDRESS CI-ASB NO. DWELL UNITS NOTICE TO APPLICANT. It, after making this Certificate of CONT CTOR T N REDUIflEO TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers �+ �jBET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith e7 L ibF,�� 7 a 7-2—S' FRONT Comply with such provisions or this permit shall be deemed revoked. ADDRE `D L^ ' LIC.NO. - P L LICENSED CONTRACTORS DECLARATION cITY �I r— Lac PIDECIL I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (Commencing with Section 7000)of Division 3 of the Business and SD.FT.SIZE NO.OF S RE NO.OF FAMILIES ^ Professions Code,and my license is in full force an ffect. NEW ❑ BK - PG , O ' DES IPTION OF WORK VALUATION U License Number Lia Class ADD ❑ OO y Contrscto to �— ALTER ❑ $ �' Z U ❑ _ — ❑ I exempt under Sec. BA.&P.C.for this reason REPAIR $DEMOL ❑ LDMA P/C p us Is G BLDG. URM ❑ � Pe.Dale: G S��w Signature APPL• (PRI G TEL.NO. LOMA Pek El 1, as owner of the property, or my employees with wages as � �N G Z��32Z A�;(;T,A their sole compensation, will do the work and the structure is A not intended or Offered for sale (Section 7044, Business and JV2 ZX, CA O v FINALoItTE Professions Code.) WILL THE APPLICANT OR FUTURE BUILDINGOCCUPANTHANDLEA HAZARDOUS MATERIAL l \Y V I ITEM ❑ I, as owner Of theproperty. am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN y g THE AMOUNTS$PE IFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINALBY licensed contractors to Construct the project.(Section 7044, YEs❑ No ` TOTAL ' e �r Business and Professions Code.) p WILL THE INTENDED USE OCCUPANT REQUIRE A MI THE BUILDING BY THE APPLICANT IO FUTURE BUILDING .UTH .HECK �. 0 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMDT FOR CONSTRUCTION OR OSIEECPERMITTING CHETHE CK ST FOR GUIDELMEs� i:HAh�(�E .Gh! I hereby affirm that Mere is a construction lending agency for YES❑ No —^l ' the performance Of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERI NFORMATION GUIDE ANO THE 9CAQMD 3097,CIV.C.). PERMI G CHECKLIST UNDERSTAN REQUIREM ENTS UNDER THE LOS ANGELES Lenders Name CO DE.TITLE 2,CHAPTE TION52ffi109THROUGH210.11DCONCEBNING U T PO NOTION D FOR OBTAINING A PERMIT FROM THE SCAOMD. Lenders Address [I[lu,i !. Art 7'4. 0 Bw I certify that I have read this application and state that the above $ information.is correct. I agree to comply with all county -P.C.FEE PERMIT FEE ,Q ordinances and State laws relating t building construction,and a. y a thorize repre98ntati O this County t0 enter Upon ISSUANCE FEE 13, 0/^ t le abo is ad pr P -for inspection purposes. ,7, V INVESTIGATION FEE TOTAL F . (0 ,.a Applamo pe. \/ SEE REVERSE FOR EXPLANATORY LANGUAGE