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Home My Public Portal About6101 IVAR AVE_Building__ ,7 A(;AA'+E#8039-87A. PPLICATIO FOR B10ILDING PERMIT } -COUNTRY OF LOS ANGELES BUI.LDINc DEPARTMENT OF COUNTY ENGINEER ADDRESS: • BUILDING AND SAFETY DIVISION LOCALITY `JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. DISTRI, T, - GR TYPE PR FOR APPLICANT TO FILL IN SSE BY CONST (Print or type only) C�l BUILDING � STATISTICAL CL •S IFICATION SEWER MAP ADDRESS - CLASS NO. DWELL,UNITS "-" BK -PG .LOT NO. .CQ' _( BLOCK USE ZONE MAP 7 4 - _ NO. TRACT ,,-� _ C - - SPECIAL ? NO.OF BLDGS. CONDITIONS SIZEOF,L•OT HJT' x / ; NOWON,LOT USE OF EXISTING BLDG. .BLDG.SETBACK FROM o / .fir TEL FRONT PROP.LINE O N (STREET). OWNER II`�(N��/rdaWHW br ;TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL ADDRESS O HIGHWAY WIDTH FROM C.L. ,} ' CITY �.�'(�L. l.�I / - - -5 F + C/ BLDG.SETBACK,FROM r ARCHITECT OR TEL. SIDE.PROP.LINE OF (STREET) ENGINEER NO. TYPE OF'EXISTING S CK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FRO C.L. TEL. /> CONTRACTOR ISSELka NO. 60 7 _ v + , _ }O ADDRESS 100fIc.�NCI'NLt LO CORNER CUTOFF YES El - NO U - = CITY A' &AA LIC. ASS �� l 4`� SEE REVERSE, SIDE FOR-SPECIAL APPROVALS;, o _ i �. W DESCRIPTION OF WORK _ _ CL_ z_ NEW ADD ALTER REPAIR, DEMOLISH SQ. FT. NO.OOF NO. OF '^`'-•� SIZE d STRIES FAMILIES e USE OF STRUCTURE SIGNATURE OF. APPLICANT - - VALUATION $ ,L O'Q �`��' l - `� -APPROVALS DATE INs ECTOR'S SIGNATURE . P.C. .PMT. ST FOUNDATION: LOCATION FEE'$ - .'FORMS, MATERIALS 6� &r 4�v I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -FRAME: FI MATERIA BRACING, BOLTS AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:.LOCATION, WITH ALL COUNTY ORDINANCES,AND STATE LAWS 'REGULATING BUILDING CONSTRUCTION. I'CERTIFY THAT.IN DOING THE WORK GAS VENT, DUCTS` AUTHORIZED HEREBY-I WILL NOT EMPLOY ANY PERSON IN VIOLA. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- INGTO WORKMEN'S COMPENSATIO INSURANCE. _ LATH, EXT. PIGNATURE ERMITTEE OF b/ G � Q-Q - HOUSE NUMBER COR- PE OR- RECT AND POSTED ADDRESS FINAL - f JOHN F. LEWIS. PRINCIPAL STRUC URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH . - � .: 3�;\a.'I°tfit�.G ` - 2-25 0- �' APPUCATuON ICOR BUILDING PERMIT.,. . FOR.APP'LICANT'TO"FILL IN (:Print or ivP_-only) BUrLDINc f �' COUNTY,.'OF^.LOS ANGELES -ADDREsS '. •.` I,, - DEPARTMENT :OF COUNTY, ENGINEER- CITY•�� '�:� ,�[ . . - .ZIP BUILDING_ `AND SAFETY DIVISION c ' _ 'NO.OF BLDGS: - BUILDING _ SIZE•OF.'LOT 1. � -p�•L .:'NOW ON LOT .. ADDRESS A91 TRACT•: \ BL ., .. BLOCK - LOT NO LOCALITY `' •i . TEL. NEAREST, .OW�NERs_ Vy\•.'•, 'E ...4 '!1 NO.... .�, 'CROSS ST. ASSESSOR "ADDRESS` _ MAP BOOK- _ PAGE. ]PARCEL, . .r `. - FIRE E ''7 ,•� DISTRICT .' G OUP TYPE - SSED BY . CITY : .ZIP ( \ ZONE CONST ARCHITECT OR TEL. <E•NGINEER.` - .,STATISTICALCLASSIFICATION SEWER A P'�' ADDRESS,- _CLASS NO.F��. OWELL,UNITS BK PG CONTRACTOR "' 'IgOL " - U ZONE MA'P,-;'� - Qc NO. Oa f ADDRESS„ , ..NO. . SPECIAL LIC. CONDITIONS CITY CLASS' • ROAD DEPARTMENT APPROVAL-REQUIRED YES❑. NO�❑ CONSTRUCTION LENDER a: NAME AND BRANCH - .BLDGS TRACK FROM' - - 'FRONT ROP:LINE OF (STREET ADDRESS CITY HI .GHWAY }` YARD' -_ TOTAL SETBACK FROM TYPE.OF EXISTi NG SQC(FT:,"• ^NO. OF NO.-OF .;CHECK. FRONT PROP.-LINE HIGHWAY . WIDTH SIZE.^ STORIES, FAMILIES '!ONE .DE SC RIF TION OF WORK :. NEW .❑ `c_:1 ADD ❑ BLDG'.'SETBACK FRO SIDE•PROP. LINE OF (STREET) :,O ALTER HIGHWAY' '+ .'YARD' u_ TOTAL SETBACK FRO PE_OF EXISTING . I— SIDE PROP. LINE HIG AY WIDTH' W 'usE;.OF • , .REPAIR❑ - + - Z EXISTING BLDG.... : DEMOL_.❑ "'t A P.P LI CA \ CORNER CUTOFF YES, 'NO,..❑ _ _ .(PRINT). �Vl , :.1 01_;L� '•NO.� a .,. Ki B•Y (SIGNAT.UR-EY IN OPEN SPACE - YES, NO l NO ❑• IN COASTAL.PERMIT;ZONE : YES ❑ NO ❑ ' I HEREBY ACKNOWLEDGE THAT I HAVE READ,THIS APPLICATION AND STATE LTHAT THE. ABOVE IS CORRECT AND AGREE-TO COMPLY. _ ,., .. WITH ALL ORDINANCES, AND'.LAWS REGULATING,. BUILDING CON- ./ O �` �,+�' /•O�6-l— j�^-' ST RUC TION,: I CERTIFY THAT IN DOING THE WORK.AUTHORIZED I r-�' C� . HEREBY I'rWILL NOT EMPLOY'ANY PERSON IN'VIOLATION%'OF THE ry LABOR :CODE OF THE STATE OF..CALIFORNIA IN RELA'T.I'NG TO: (�` " �,f O'j^' ' ifr—"q- y WORKMEN'S COMPENSATION'INSURANCE: SIGNATURE OF - PERMIT.-TEE- ADDRESS FINAL °} " BY f �+ , TEL. DATE •` �' ///s.-.^'• " ,y�•�� NO. CITYy`.�1%>, • - .. .... MAKE CHECKS PAYABLE 'TO 'FEE FEE.� HARVEY T. BiRANDT, COUNTY. ENGINEER ®d. ;:PLAN•CHEC&`VALIDATION ., CK. -m.0: - cnsH a PERMIT.'VALIDATION ` cK.. /M.o. CASH ' `0. 1�`ap� i 1 2 8 5 i :76A638A CE#603 5/74 WORKERS'COMPENSATION DECLARATION.. M risure hereby ora certif cane certificate bf Worke shavea CompensaT on Insuran elf or is certifieLLd'copy thereof,(Sec. 3800, Lab. C.) }, 000WTY OF.LOS ANGELES BUILDING'AND SAFETY: Polic O.R: Q Company:l . Cer . " BUILDING copy is hereby furnished. '.FOR APPLICANTTO FILL-IN ADDRESS ❑ ,.Certified copy is filed with the county b6 MIN,inspec- BUILDING -6. j� tion department. .. ADDRESS rS /y �. . . CITY ZIP 6 . /�—�OG LOCALITY Date' Applicant J ' - NO.'OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FR WORKERS' SIZE OF LOT NOW"ON LOT CROSS ST` ' COMPENSATION'INSU ANCE ASSESSOR (This section need not be completed if the permit-is for one. TRACT BLOCK LOT NO. ' MAP BOOK PAGE PARCEL hundred dollars`($100) or less.) TEL. I certify that in the.performance of the work for which this OWNER NO 0 USE ZONE MAP permit-is issued, I shall not employ any person,in any rrianner ADDREl ,'.. NO. SPECIAL SS CONDITIONS CL .' sous to become subject".to the Workers Compensation,Laws. O .. _ -. . _ CITY'..: ZIP. - Date- -Applicant- ARCHITECT OR TEL. NOTICE TO APPLICANT:-If,.after.making:this Certificate of ENGINEER NO DISTRICT GROUP TYPE .-FIRE -PROCESSED BY CONST. ZONE 0 Exemption,'you should become" subject to the Workers' i U Compensation provisions of the Labor Code, you must:forth ADDRESS !�. u�t�� a with comply with such provisions or this -permit shall be / TEL. STATISTICAL CLASSIFICATION APT: CONDO. N deemed revoked„ CONTRACTOR .:W NO.O? `�—U� Z_ LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. i / -DWELL. UNITS I hereby affirm that I am.ljcensed uriderprovisions of'Chapter 9 ADDRESS df L NO. (commencing.with Section 7000)of:Division 3 of the BusinessLIC. SEWER MAP (j-�Pt' ' v and Professions Code'and my,license is in full force and effect CITY CLASS L ` BK. PG. VALIDATION SO..FT:' » NO. OF NO. OF CHECK License Number' "'1.3; ;7 6c. Class C3. SIZE I V STORIES . FAMILIES ONE �J �^�( ��'. 9 p G� DESCRIPTION OF WORK �� NEW ❑ VALUATIOPd/,'rj /� Contractor ,1 T_ •e Date !fi —J6 -/ $ AT V V (/.. ADD ❑ D ❑I am exempt under Sec. AT �• �� p r;QA ALTER B.&P.C. for this reason G&l Y_ L"1-11 j(/�9 l� �L. - REPAIR ❑' $" Date' USE OF EXISTING_BLDG. DEMOL Signature / i2 APPLICANT TEL. LL FINAL Y WNE ER DECLARATION (PRINT) /�,/7�` NO. �fvd o DATE I hereby.affirm that I exempt from the Contractor's License ADDRESS t✓l 6 / �/ • Law for-the"following reason (Section 7031'.5, $usiness and FIPdAL•�' _ (� ?_ Professions Code): PRESENT By .„ ! Y ElBUILDING • I,..as owner of the property ,'or my employees with ADDRESS wa es as their sole compensation;will do the work and. tt.'I� ltif�"!_ — =''• the structure is not intended or offered for sale(Section LOCALITY - 7044, Business and Professions Code.j MOVING TEL. _ O. IT EMS _: ❑ I, as owner of.the property, am exclusively'contracting " ,—, CONTRACTOR NO. ` _ { with licensed contractors to•'construct the project'(Sec- €}{, 7!f. =' ADDRESS tion 7044, Business and Professions Code.)' r., REQUIRED' TOTAL SETBACK FROM EXIST. �� CONSTRUCTION.LENDING'AGENCY SET BACK YARD HWY PROP. LINE WIDTH. - I hereby affirm that there is a construction lending agency-for FRONT ,.I^lul til 4`i2ij the performance of the work for which this-permit is, issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. _.. Lender's Name / tll - �Q C LDMA Ref. # Lender's Address P.C. Fee$ Permit Fee I;C 1 rir a I!! 1 certify that I have read this application and state that.the Issuance Fee ��• LDMA.P/C# above information is correct. I agree to comply with all County Investigation Fee i( } a di noes nd State " s relating io building construction, Total Fee cd �/ LDMA Perm. # and hereby uthor¢e repr sentatives of this County to enter upo he a ove=mention . proper for-inspeciion purposes.�y - .-07a ! d, :N SEE REVERSE FOR EXPLANATORY LANGUAGE Signa of Applicant'or Agent Date WORKERS' COMPENSATION DECLARATION insure boraffirm a certif cgte.of Wo ke srlComi6 of pensat on Insuran F0 ID ent to lf or. certified•copy,thereof (Sec. 3800, Cab. C.) `ti COUNTY OF LOS-ANGELES BUILDING AND SAFETY Policy Nqa5w C.rnpaa44 /J7T� u/L��/ BUILDING /►'�� a Certified copy_is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS (7 ff ❑ Certified copy is;filed.with the county building inspec. BUILDING 0 - - -tion department. ADDRESS /'- ' Date!/8'-� Qr Applicant CITY' ZIP LOCALITY CERTIFICATE OF EXEMPTION FR NO. OF BLDGS. NEAREST WORKERS' SIZE OF.LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE. ASSESSOR (This section need not be completed if the permit is for one TRACT' " BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred,.dollars.($100) o'r less.) TEL. USE ZONE MAP /Z OWNER NO. f 2-6 NO.. /-✓D /—s certify that in the performance of the work for which this •permit is issued, I shall not employ any person in any manner ADDRESS SPECIAL a CONDITIONS so as to become subject to the Workers Compensation Laws.. O CITY . ZIP - Date Applicant. ARCHITECT OR TEL. NOTICE.TO APPLICANT: 1f, after,riakin this Certificate'of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY 9' CONST. ZONE Exemption, you should become subject.to the Workers' U. LU Compensation provisions of the Labor.Code,.you must forth- ADDRESS... ` with comply with such.provisions or.this peimit• shall beTEL. N rp �-�D6E9 STATISTICAL CLASSIFICATION APT., Z CONDO. deemed revoked. CONTRACTOR _ /I L NO. _ LICENSED CONTRACTORS DECLARATION uC. CLASS NO.'DWELL. UNITS — LICENSED hereby affirm that lam licensed under provisions of Chapter 9 ADDRESS r/ �i e NO. -f.17 (commencing with Section_7060)of Division 3,of the Business LIC. SEWER MAP F and Professions Code;and my license Is in full force and effect. CITY-. Q CLASS C3) BK. PG: VALIDATION SQ. FT. ,Q t> NO.OFNO. OF CHECK License Number '. Lic. Class " SIZE_,(/ STORIES FAMILIES• ONE /� VALUATION Contractor i(� Y��/I/latey'3.0�� DESCRIPTION OF WORK /� NEW ❑ $ ,a00 ADD ❑1 am'exempt under Sec. �- ❑ V ALTER ❑ D B.BP.C. for this*reason r 61.4s 3 v REPAIR $ - Date, USE OF EXISTING BLDG. 1,DEMOL:❑ Signature APPLICANT TEL. ��}} - � � (PRINT) NO. U'7 o6G FINAL Al-OWN UILDER DECLARATION `'. r DATE _ �� = ' j I hereby affirm that I am exempt from the Contractor's License ADDRESS YO/G •/ C Cil FINAL Law for the.following reason.,(Section 7031.5,'Business and Professions,Code): PRESENT BY � ii �.i,g. ❑ I, as owner of the.property or myemployees with BUILDING ADDRESS jvL1�S 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. "' El 1, as owner of the.property, am exclusively contracting • f'1_;144 93 � 63 with licensed-contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions lode.) CHECK. REQUIRED TOTAL SETBACK FROM EXIST. 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 P.L. (Sec. 3097, Civ. C.). SIDE r P.L. 1�4�i_is j– Ii 9C_I i ;' .,d'".•I�I Lender's Name QQ LDMA Ref. # - Lender's Address P. Fee$ Permit Fee ` o I certify that'.# have read this application and state that the Issuance Fee J LDMA P/C## D 8 above information is correct. I agree to comply with all County Investigation Fee - R ordinances and State laws relating to building construction, Total Fee LDMA Perm. # and hereby au alrize representatives of this County to enter - upo he'abov - entione `property for inspection purposes. a �� pjz( r$=—� SEE REVERSE FOR EXPLANATORY LANGUAGE s 1ure of,Applicant or Agent Date r l :f F t • •3 y° a •+ -v.wr\r�•.-.lr =r,,....,.•+,4 w 4c.•ryi-iha`r•�. .�"'�'�. �"e1�t�H4• -.�.♦1M ^ri` � •v-.t _ j -Yr >w'�,_ ( • tla^w,« w..T'�" rh�M�y: ,,,_".>_..� T •^ti - •�. f!'.•.L'"r'.. /^1i�r�a.+ t7 -� t :;. • r.trr +r•.F �r ,y �• a. 1 ti Ll yw'N'Y"Y'K •t d^•:.L T Y •r"'tY^�c r tx_ y,7� .r wH f p f` S-i4\»yyppL .� t«L ..moi.,...-. ••Y-" :.. .L •-,,•.�Ir c,.t...+..... .. ..t+. .,:.. 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