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HomeMy Public PortalAbout9914 HOWLAND DR_Building__ . . s 76A638A CE-803 2-63 APPLICATION FOR BUILDING PERMIT , COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS / / BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTR T NO. UP TYPE PR CES by FOR APPLICANT TO FILL IN gIM CONST BUILDING / STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ,�_ Z_!K P CLASS. NO. DWELL. UNITS LOT NO. :3 3 BLOCK WATER CERTIFICATE: NOT REQUIRED59 RECEIVED ❑ TRACT b _ ~S• MAP HIGHWAY STATE MAJOR CAL NO.OF BLDGS. NO. 16j (CIRCLE) SECOND. SIZE OF LOT NOW ON LOT USE ZONE SPECIALJ USE OF CONDITIONS; L EXISTING BLDG .� I TE OWNER , .y-, N BUILDING EXIST. YARD HWY STREET NAME SETBACK WIDTH ADDRESS - may. ! FRONT �7�( 41 ARCHITECT OR TEL. ENGINEER NO. SIDE P. L. D_ ADDRESS O y !/ CONTRACTOR �� y NE ( U � - ADDRESS ' ? - H DESCRIPTION OF WORK - w Y D. N ? ADD ALTER REPAIR DEMOLISH �„ Z SQ. FT. NO.OF NO. OF SIZE STORIES FAMILIES J USE OF it f� S ` STRUCTURE . ' vlr K SIGNATURE OFi`L.L APPLICANT r VALUATION $ .d Lo APPROVALS DATEi INSPECTOR'S SIGNATURE P C PMT. �� FOUNDATION: LOCATION z FEE $ FEE� FORMS. MATERIALS FRAME: FIRE STOPS. ) , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS ' BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK _ AUTHORIZED HEREBY I.WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA ELAT ING TO WORKMEN'S MPENSATION INSURANCE. LATH.EXT. I J �y SIGNATURE OF/U ✓�,�l�/`�,, Lv HOUSE NUMBER COR- UF OR- r PERMITTEE �"-1 3I" RECT AND POSTED ADDRESS FINAL ra l —� JOHN F. LEWIS, PRINCIPAL STRUCTAL ENGINEER PLAN CHECK VALIDATION�CK. CASH _ PERMIT VALIDATION cK. M.O. CASH ; 9000r- AUG 1623 D 3025A w V'Lu O 3 7 8:G SEP1 D 6 01.50- -1 i 76A638A CE=8032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. DISTRIC NO. GRAP TYPE PR Fr BY FOR APPLICANT TO FILL IN e, CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS l CLASS. NO._/L5_)DWELL. UNITS LOT NO. BLOCK WATER CERTIFICATE:/NOT REQUIRED RECEIVED TRACT SMAP -1 - 5 NO.OF BLDGS. NO ( CGRCLE) STATE MAJOR SECOND CAL- I� SIZE OF LOT NOW ON LOT ` USE ZONE SPECIAL _ USE OF CONDITIONS r EXISTING BLDG. (,�tr,� ¢ Ct-�Aq L OWNER :�� O 7 'O BUILDI G YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. y ADDRESS CONTRACTO )P, yr-� T ,�I(! 0 ADDRESS DESCRIPTION OF WORK u Lu NEW ADD ALTER REPAIR DEMOLISH` N z SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES kFEE RE .�.i RE O AN ' ION $ APPROVALS DATE INSPECTOR'S SIGNATURE PMT. Q7� FOUNDATION: LOCATION FEE $ - FORMS, MATERIALS FRAME: FIRE STOPS, Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT• ING TO WORKMEN'S OMPENSATION INSURANCE. LATH. EXT. SIGNATURE /, /y HOUSE NUMBER COR. PERMITTEE ��,111/// .Ol����"'WWW___�" � "� RECT AND POSTED ADDRESS FINAL - JOHN F. LEWIS, PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK M.U. CASH .,.. . L"9 0 0 IQ X 16 1 0 4.0 0~ a WORKERS' COMPENSATION DECLARATION insure,hereboraafcertif Cae of Worke sirm that I hove rlCompensaf Cificote of ompensation ent tolf �� �LY'�� IJ ,� �' �� �, DD,� (�,� ✓ �� or a certified copy thereof (S 6.­3800, Lab. C.) I /9G ,, //�� `` " � COUNTY OF. LOS ANGELES BUILDING AND SAFETY'. Policy No. C 0O 3 7 Companyl'GtyT%A/CJV ® Certified.copy is hereby.furnished. �J FOR"APPLICANT TO"FILL iN BUILDING I{ ADDRESS © Certified copy is filed with'the county buil&& 'inspec- BUILDING tion department. ADDRESS Date /l �vD Applicant y W CITY e T ZIP G9 LOCALITY , CERTIFICATE OF EXEMPTION F M WORKER . NO..OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS S7. . (This seetion'need'nohbe completed if the permit-is for one. //'�J ASSESSOR hundred dollars ($100)or less.) TRACT (U [ BLOCK LOT NO. Mqp BOOK PAGE PARCEL 5. TEL. USE ZONE MAP y � I certify that in the 'performance of the work,for OWNER which this S �M SS' NO. 4• NO. permit is issued, I shall not employ any person in any manner.. f� , SPECIAL so as to become'sublect to the Workers'Compensation Laws. ADDRSS/ � CONDITIONS a CITY Cr ,` �! ZIP''- O V Date APPlicant` ARCHITECT OR TEL. NOTICE'TO APPLICANT: If, after making this Certificate of:, DISTRICT GROUP TYPE FIRE PRO SED BY O ENGINEER NO. Exemption;: you should 'W .become'subject to the• orkers' - CONSTZONE . /) Q Compensation'provisions,of the labor Code;',you must forth= ADDRESS ✓ 1\� L+f with comply with .such.provisions,or this permit shall be. } b deemed revoked //J� TEL`' STATISTICAL CLASSIFICATION APL NDO., (/) CONTRACTO Cid NO. -LICENSED CONTRACTORS DECLARATION LIC. 'CLASS NO..' . `DWELL. UNITS I hereby affirm that 1 am licensed under provisions of Chapter _ ADDRESS 14 •NO. (commencing with Section 7000)'of Division 3 of the Business and LIC. SEWER MAP Professions:Code,.ancl my license is'in.full'force and effect. CITY p / CLASS SQ. FT. . NO.OF NO. OF CHECK �7 p BK. PG. License'Numbei'l' S`, °Lic.Class ��' I SIZE STORIES FAMILIES' ONE VALIDATION ... .. ' VALUATION Contracto ate DESCRIPTION OF WnnORK " �' NEW ...:$ 0Q ❑ I am exempt under Sec.• zo.0. Ate, , �o . B.BP C. for this reason r' ra. A e div S REPAIR Q o $ Date: E EXISTING BLDG' DEMOL ❑ Signature 'APPLICANT TEL.. �•-�) FINAL :OWNER=BUILDER DECLARATION PRINT NO Ij6 DATE I hereby affirmrthatI am ezerript from the Contractor's License taw.for the following reason (Section 7031.5, Business and ADDRESS /r /C a AL Professions Code): PR By BUILDING I, as owner of the property, or my employees.with ADDRESS wages as their sole compensation;will do the work and• ` the structure is not intended or offered for sale.(Section LOCALITY ;;7044, Business and Professions Code). MOVING TEL.' - CONTRACTOR NO! --•3 `< I; as owner of the property, am exclusively contracting'' with licensed contractors to construct,the project (Sec- tion 7044, Business and Professions Code). ADDRESS 0 i�'t. REQUIRED TOTAL SETBACK d r, CONSTRUCTION LENDING SET BACK :YARD HWY• PROP. LINE WIDTH Y 1n_p#1 hereby affirm that there is a construction.lending agency,for.. v FRONT the performance of the work for which this permit is.issued z. P.L. (Sec. 3097, Civ. C.)• SIDE P.L. Lender's Name ' t s LDN1q Ref. # Lender's Address P.C. Fee$ Permit Fee certify that,'l.have,read this application and state that the Issuance Fee .. O ;�� LDMA.P/C# F , o above informationiscorrect. I,agree tocomply with all County. Investigation Fee o ordinances and State laws relating to building'construction, L ''`; - d Total Fee LDMA�Perm k# nd he thorize representatives f this County to enter. �.. upon the o e-m ntione prop y r inspe tion purposes., 7. SEE REVERSE FOR EXPLANATORY LANGUAGE Signa of AoPhcantAgent - Date 11-2_q