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Home My Public Portal About9839 HOWLAND DR_Building__ DEPARTMENT OF BUILDING AND SAFETY T' APPLICATION FOR PERMIT COUNTY OF LOS ANGELES Ip � ' p► WM. J. FOX, CHIEF ENGINEER ® V 1111 asonaElsom FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK,NO. PERMIT NO, ADD RE99 ..CC ✓✓ //(�J / JJ (/�� I � � � � , LOCALITY -/�Q TjY�///N{�)lP_'/l-. !, T A. RECEIVED BY DATE OF APPL. DATEISSUED NEARESTCROSS ST. J�//T I(y l��I /VOr `! hai�`cm /� BUILDING K ADDRESS OWNER �� -Al MAIL / N �n N..I� S, �� LOCALITY ADDRE9L7B/� ,/ //� yn�/� (C/ , NEAREST CITY , H/I LI I�{' /I-/./ (% ✓ NOL CROSS BT. FIRE NO.OF TYPE ';� ' GROUP ARCHITECT OR TEL E A ZINPLANS /� S ENGINEER NO. //�/�/� BLOS. ADDREGG SETBACK LINE �,•A 1 I APPROVED TEL BY DATE CONTRACTOR NO. UBE _ APPROVED ADDRESS /i ZONE BY DATE LEGAL GN ',�� BLOCK �¢D� � CORRECTIONS DESCRIPTION LO N n TRACT & r'S ,/C`N13* - [_ S1ZE OF LOT �',�X I G. NOW ON LOTS /y dar /✓ USE OF ( NO.OF NO.OF EXISTING BLDG. FAMILIE! RDO MS DESCRIPTION OF WORK NEW 2FALTERATION ADDITION O F REPAIR MOVING DEMOLISH � 9O.FT. NO.or Z SIZE -L� ROOMS STORIES D WALLROOF COJY! E\f�f�C F COVERING COVERING USE DI NEW BUIL/DING d I / 7 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 ��.(�S 6- Y/� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. _ FRAMEIFIRE STOPS, SIGNATURE OF BRACING, BOLTS i PERMITTEE- \ LATH,INT.: AUTHORIZED A13T LATH,EXT.: DBS-3 50M SETS 1-48 $ P O ® PLASTER,INT. FEE .I PLASTER,EXT. .�, O JII VALUATION /�YTyP(� Q 16 FEE d U FINAL 11. I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERM COUNTY OF LOS ANGELES 1 ®� p®p WK. J. FOX, CHIEF ENGINEER BU I 1�. IN G T- :FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRE BUILDINGSS ,• 3 �(J 7 LOCALITY RECEIVED BY DATE /OOFF APPL. DATE I,S/SUE(D� NEARESTr Iii L/S.SD ID CROSS BT. - BUILDING ADDRESS OWNER MAIL ^ v OCALITY e / NEAREST TEL. CROSS ST. /�5,{I G. CITY NO. FIRE NO. OF ' ARCHITECT OR TEL ZONE I PLATYPE GROUP-y' �NIa I (/ ENGINEER - NO. SETDBACK LINE �/i l / / Z-t /L��J ADDRESS APPROVED —� TEL. BY DATE CONTRACTO NO. 2 USEAPPROVED- _- ZONE � BY DATE ADDRESS';?'60. _ - - HOUSE NUMBERING LEGAL / DESCRIPTION N27./.� I BLOCK MAP NUMBER Z� RIEID CHECK BY TRACT NO. ASSIGNED BY ^ATF //,, No. of BLocs. CORRECTIONS SIZE OF LOTeju/S NOW ON LOT USEOF NO. OF EXISTING BLDG. /L�.S FAMI US. - «S 5 SLI STQ-o.0 S .TCS SsL UF2 B' DESCRIPTION. OF WORE _ NEWI I ALTERATION I ADDITION REPAIR I DEMOLITION I I /-5 <� O SO. FT. NO. OF SIZE - ROOMS STORIES Z vc- > EXT. WALL ROOF r COVERING COVERING USE OF STRUCTURE ce-lv 7-O�C 411, (j APPROVAP INSPECTOR S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS • ��7�'� CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, �� / /� /3/5 HE AND WITH ALL COUNTY.ORDINANCES AND STATE BRACING, BOLTS / LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION SIGNATURE OF GAS VENT, DUCTS PERMITTEE LATH, INT. ADDRESS " LATH, EXT. AUTHORIZED AGT. PLASTER, INT. TOAOIOA DBI; ID-00 PLASTER, EXT. / VALUATION FEE S V ��' FINAL I >BACSSA CE#609.9-67 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING 'ool�� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY o92 9& ' JOHN A. LAMBIE,COUNTY ENGINEER NEAREST CASSATT D:GRIFFIN,SUPT OF SUILDING CROSS ST. .41 DISTR NO. GRP TYPE 3EWBK—AP FOR APPLI T T FI IN L con sr. 6 BUILDING STATISTICAL SSIFICATION ApDRESS / CLASS.NO. ' DWELL.UNITS LOT NO., —,(p BLOCK ' MAP NUMBERSTATQ 16 HWYE YES O- TRACT USEZONE SPECIAL NO.OFT J CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING BLDG. ^-S— BUILDINGEXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER i . FRONT MAILO G / N P. ADDRESS �A i L SIDE P. L. CITYP ' TL No. o I - ARCHITECT OR TEL. INSPECTION RECORD ENGINEER NO. TEL ADDRESS )��•,� CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW ALTER REPAIR DEMOLISH SO. FI'. O.OF NO.OF SIZE Zrr� STOFOES FAMILIES USE OF STRUCTUR / SIGNATUREOP ff-N APPROVALS APPLICA /w�''• ADDRESS ![tt / - DATE INSPECTOR SIGNATURE FOU NDATION: LOCATION —FORMS,MATERIALS _ FRAME: FIRE STOPS. �'� FEE BRA CIN.. BOLTS FURNACE: LOCATION. C� VALUATION FEE GAS VENT.DUCTS T I 1 HEREBY ACKNOW E HAT HAVE RE THIS AP- LATH.INT. PLICATION AND STAT THE AB VE IS RRECT AND AGREE TO COMPLY L COUN O INANCES AND STATE LAWS RE ILDIN CONSTRUCTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED -------- ADDRESS I FINAL JOHN A. LAMBIE. COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL• NGINEER PLAN CHECK VALIDATION CK. M.0, CASH PERMIT VALIDATION ..CK. M.C. �srtst—1 ( a � 9 � .DEC 10 1 2.0 0 ®/. s RKERS'COMPENSATION DECLARATION sure, a car that haver certificate of consent to self APPLICATION FOR BUILDING PERMIT insure,.or o certificate of Workeri Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Na. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ElADDRESS Certified copy is filed with the county building inspeo- BUILDING 3 tion department. ADDRESS T Date Applicant CITY f ZIP 0( Ow LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' - NO. OF (DGS, NEAREST COMPENSATION INSURANCE SIZE OF LOT /p��'' CC NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one TRACT r MOGY f Q - LOT NO. ASSESSOR hundred dollars ($100)or less.) MAP BOOK PAGE PARCEL TEL (pIf__7�� USEZ NE MAP OWNER 6 D /A certify that in the,performance of 1 work for which this {FR-� NO. NO. permit is issued, I shall not employ erso anner -' SPECIAL .. so as to cc subje t.to the Wo mpensotio ws. ADDR� 2• CONDITIONS O CITY I c, ZIP Date E � Applicant ARCHITECT OR TEL. NOTICE O A PLICANT: If, after makingthis Cerh ate of DISTRICT GROUP TYPE FIRE PROCESSED BV Q Exemption, y u should become subject to the Workers' - ENGINEER NO. _ CONST. ZONE (~.7 Compensation provisions of the Labor Code, you must forth- ADDRESS S• /3 J W with comply with such provisions or this permit shall be O_ O.SS,Sl.,• STATISTICAL CLASSIFICATION APT. C DO. LO deemed revoked. CONTRACTOR � Te tJ� N -'�� LICENSED CONTRACTORS DECLARATION LIC CLASS NO._rDWELL. UNITS_ Z I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CLASS BK PGVALIDATION SQ. FN LIES NO. OF CHECK License Number9_74 Li tic Cl6ss - SIZE y S RIES FAMILIES ONE AL Jf 1 /�A j/ NEW ❑ VALUATION Contractor I lt'�J�l•' " Dote DESCRIPTION.OF'WORK D t ([�/- $ 1 am exempt under Sec. ADD ❑ ' ALTER B.BP.C. for this reason REPAIR ❑ _ Date: USE OF (�_ DEMOL ❑ EXISTING BLDG. �� L VV Signature APPLICANTTEL. FINAL �f OWNER-BUILDER DECLARATION PRINT ) NO. DATE (i I hereby affirm that I am exempt from the Contractor's License (G,'�G Law for the following reason (Section 7031.5, Business and ADDRESA 5 1 rlc- FINAL Professions Code): By / ❑ ' I, as owner of the property, or my employees with BUILDING ADDRESS wages as their sole compensation,dorff will for the work and 4$9.7A " the structure is not Intended or offered for sale(Section LOCALITY 1'vf-c^Pff2.. t 7044, Business and Professions Code). MOVING TEL. , #re • e a.� A/I I, as owner of the property, am exclusively contracting CONTRACTOR NO. t ,�I e 8 1, 1 3 W with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). t', a t.1 8, 3 iS REQUIRED TOTAL SETBACKS• '- {, - CONSTRUCTION (ENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH - 0615-88 I hereby affirm that there is a construction lending agency for FRONT - .. the performance of the work for which this permit is issued P.L. - (Sec. 3097, Civ. C.). SIDE - P.I. Lender's Nome -� / /J LDMA Ref.'# - 1 Lender's Address P.C. Fee$ Permit Fee ` f loll I certify that I have read this application and state that the Issuance Fee of J O LDMA P/C# 9 above information is correct. I agree to comply with all County Invastigmion Fee ta,.ne relating to building construction, Total FeeCDMA Perm. #° r b i rire esentarivasof thhI ova-men io ed property f spectio pur oras. '•,•.h'�y, ayv 5�`i L rt ., �• ; 't L +V r,.. `y'• �� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Da