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HomeMy Public PortalAbout6002 IVAR AVE_Building__ '•76A 636A CE b803 2-63 •/^SPY LI A ION. OR BU a'LL DIN..V+ PE Y `MIT 1 " 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.` : DISTRICTNO .G'ROUP [TYPE I OSSE FOR APPLICANT TO FILL,IN ---',corvsr: `i 'BU'I LID,ING �/!�' Q �/^.� �Id�; 'r" 'M L STATi STICAL CLASSIFICATION _ WER MAP g .ADDRESS M�'- � (�,� '��.: D':• � � I j�I BK . PGj CLASS. NO. i' DWELL: UNITS "'�� / 1, +-• s .LOT N / - BLOCK WATER - „NOT''REQU�I@ED'1 RECEIVED•. ' Y r; C.tH i i:FICATE: - TRACT• MAP- L _.HIGHWAY NOOF,'BLCiGS. NO. �•(CIRCLE) STATE-MAJOR SECON LOCAL', - SIZE;OF LOT '~�# .•�- NO.W-ONLOT: '. '.USE ZONE SPECIAL .t' .USE OF a'., - CONDITIONS.. - EXISTING BLDG..' /� ��y dA q�J"Q V,/p�� _ OWNER, !� `*'1.©a u`!•' At A71 TE 6,OL•,7/ BUILD ING EXIST. - YARD HWY� STREET-NAME SETBACK _ _ WIDTH ,ADDRESS' "FRONT - •ARCHITECT.OR . .TEL, .. P..,L ov!/.S-•� l •` / ���. , ENGINEER - NO. - SIDE .•• .� - P. L. `ADDRESS _ TEL. Jrl��3 � •CONTRACTOR- NO. +^� ADDRESS 6f�C r0- DESCRIPTION OF WORK an d ( w • _ ,.k �,�/ �" � G- - Q')t/.''c�-ate• N ?.NEWADD ALTER ;REPAI'R DEMOLISH \? SQ: FT.: NO. OF NO:OF, SIZE ' '�� - STORI S FAMILIES USE OF,, i' i.. .. . STRUCTURE' r - GY -• „ - , SIGNATURE OF,:, � APPLICANT VALUATION $; !!! APPROVALS r DATE. INSPEETOR'S SIGNATURE FQUNDATION:-LOCATION r FEE $ --�� FEE $ '- Q” FORMS. MATERIALS : e�10✓ T I HEREBY ACKNOWLEDGE'THAT I.HAVE READ THIS APPLICA FRBRA6 ING'BOLTOS;S� rb AND STATE,TH'AT THE,'ABOVE.15 CN ORRECT AND AGREE TO.COMPLY. FURNACE: 'LOCATIO . WITH 'ALL'"COUNTY ORDINANCES AND, STATE'LAVYS REGULATING � �'GAS'VENT. DUCTS- BUILDING.CONSTRUCTION. I ;CERT-IF,Yx,,THAT IN DOING THE-WORK- -AUTHORIZED HEREBY I WILL,NOT EMPLOY 'ANY PERSON IN VIOLA. . TION OF THEA.LABOR CODE OF'THE-STATE OF CALIFORNIA RELAT-, .. LATH INT. _ ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. ' SIGNATU.RE'OF HOUSE-NUMBER COR: PERMITTEE " ZiG('x.".Cil7ZVl/D /•+/1w C7• r `•',RECT AND'POSTED: •'AODRESSl62(`) _�h• C•-Yr�n Cs� FINAL- -r " - ;, `• - ;t JOHN F. LEWIS.�PRINCIPAL STRUCTURAL'EN 1 PLAN'CHECK VALIDATION �K: M.O. `r SASH _ PERN[IT,.VALIDATION . CK: M,6. - SASH •� h; L7 �� t VsnRb2F COMPENSATION DECLARATION M i _ he eb,y 1.11 m,rthat I, have at'ertrficate:of consent To self `L/�1 •F0 21, 01 U 0 Lo 0 NA -F E ROM O V M ,nsure ''or a certificate of Workers' Compensation.lnsurance, or a L,""fed copy the (Sec.'3800 Lab. C ) ` " . ` " " �ertiCOUNTY OF•LOS ANGELES _ BUILDIWG Akb SAFETY Policy,No 'CompanyAZ BUILDING n Certrfiedtcopy rsrhereby.furnished. 1 FOR APPLICANTk1 .TO FILL.IN 002 # Cernfied copy is filed with the county butlding'inspec BUILDING / ADDRESS department. ADDRESS- \fc. - J ZIP - 1 Date '�` ^Applicant":' +•• z •CITY LOCALITY 1 CERTIFICATE OF EXEMPTION FROWWORKERS' - "" ""` •'NO.•OF BLDGS NEAREST- COMP EAREST.. COMPENSATIONsINSURANCE •- ' SIZE OF LOT NOW'ON LOT. CROSS.SL_ SGS/ (Tfiis'senctioneed•not:be.completed'if,the permit,is for;one = -- - ASSESSOR; "•'"' hundred dollars ($100)or,aless.,), TRACT BLOCK LOT NO. MAP'BOOK PAGE PARCEL TEL I certify that m the performance of the work for whichltthis OWN > ER�+y. r NO. USE ZONE MAPVq - • � 1 permit is issued, I'shall not ertiploy any person in any manner CIAL ADDRESS- "Ji V , O NO. / 1 CONDITIONS so to become`sublect to the Workers Compensation Laws. V CITY ZIP >r Date Applicdnt ARCHITECT OR TEL.. O NOTICE'TOi'APPLICANT`.'If afte »making'`this"Certificate of „ • DISTRICT GROUP TYPE. FIRE., -,PROC SSED BY . - __ ENGINEER NO. Ezertiption;'you should, become' subject' to ihe';Workers' CONST y ZQNE L Co`mpensati'on provisions of the Labor.'Code yowmust".forth= ADDRESSoo Iir `U Iy// .AJC with :comply:;with.,such':pr,ovisions or this.perrriWshall be , _ -_ • , -:•.. •x:, ;. as x ?, TEL -ATISTICAL CLASSIFI N _ APT CONdeemedreyokeclCONTRACTOR NO. Y � •LICENSED CONTRACTORS DECLARATION,,... . ----••-- -- --• - -• - - - -- LIC. t bW •�CLASS•NO. �. ELL. UNITS I hereby�affrm thot.l am licensed,under,provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)_of'Divsion 3 ofshe Business and _ --- i'_,: LIC-.__ _ -t M j SEWER AP Professions,Code, aril my license is in full force and effect. CITY, CLASS BK. PG. f VALIDATION . _,. SQ. FT _ NO OF _ NQ OF _ CHECK License Nhumber Lic''Class SIZE STORIES FAMILIES ONE c` a r• • LYAIL(I ATION'DESCRIPTION_ OF'WORKNEWContractor Date ADD"� � `1 6 7,3 A 1, I am'exempt under Sec e A , B:&P.C. for this reason �� $ REPAIR::_, "r` -'# o+o-o -0'0 1- Date: USE OF , DEMOL ,Q _ EXISTING BLD '1'-1 2 - APPLICANT TEL. Signature f• PRINT Ca? NO. FINAL 488 OWNER-BUILDER DECLARATION' I _• DATE' C� e••o-••� 2 (. �► 8 8 Wt I hereby'affirm•that I am.exempt.from the Contractor's License Law for the followir4`reason r(Section 7031.5, Business and i ADDRESS L ?•� r _.,„. _. -Professions'Code): .. _. PRESENT ,-__: �_.--, - -- - :, _ _ FI T 2 8T5 , BUILDING' I, as owner of°,the property,:or'"my employees with ADDRESS a _ 'wages'as their sole compensatiion,-will do the work and 'LOCALITY:. �. the structure-is not intended or offered for sale(Section t r-_._, . ., - - - 7044;.Business and-Profess ion s*Code). - 'MOVING -' 'TEL.-.''_ -� •,'' ':,''` •;' I'as owner of the property, am exclusively contracting CONTRACTOR NO > with (icensed`contractors'to;construct the project'(Sec- " '"' ADDRESS tioh 7b44; Business and Professions.Code): "�� i4 aSL - REQUIRED'. TOTAL SETBACK.FROM' . XIST r ' 4 I_,: CONSTRUCTION LENDING AGENCY SET BACK' YARD HWY"'" pROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work:for which_this permit is issued 0.L7 - - - (Sec. 3097, Civ. C.). . - ,. SIDE _`ti Lender's Name= _ l`l 2 LDMA;'Reo# \' - - _-� _ -_. -.. _ . _ .:•- P:C:Fee,$. - _ - Permit-Fee - Lender's Address l.certify that-.I have-read This application and.state-that-the �•:�__.. y - Issuance Fee - 7LDA1 P%C#� p a above information is:corre'ct. I agree to comply.with all County Investigation Fee' }� i m ordinances and State laws relating to building construction,. Total Fee LDMA°Perm, # - u and hereby-authorize representatives of this County to enter ^upon the above-mentioned.property for inspection purposes.'- _. _ _. O - _>`� SEE REVERSE FOR EXPLANATORY LANGUAGE -^ ) Signa ero pp icant c r Agent ---•-Date