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HomeMy Public PortalAbout6137 IVAR AVE_Building__ COUNTY OF LOS ANGELES ��� ®� ®� DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT Tb FILL IN ADDRESS & /3- 7 `72. ttJV ..BUILDING ADDRESS 6P.�'�. Jr. 1-I /f�. LOCALITY .NEAREST 1/ CITY JMt�„/,e !�/ `/� ZIP CROSS ST. ,� --�'"��C.-G�„•(.� F / NO.OF BLDGS. ASSESSOR- - ,SIZE OF LOT J X �'' .NOW ON LOT MAP BOOK - PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCS$ED BY- ��p� L NE TRACT �S BLOCK .LOT NOCONST ZO RAS TEL. OWN ERL .�uf _ NO. STATISTICAL CLASSIFICATION _ - SEWER MAP .. ADDRESS ,/,: yiZ_ CLASS NO. DWELL.UNITS BK SPG f) c USE ZONE MAP m - C I T Y�'� -,� r-f'• - ZIP NO. �z+-�•�p ARCHITECT dR �..� TEL. , / SPECIAL ENGINEER P. „�{�j. NO. ,•i- 'f;. CONDITIONS - I ROAD DEPARTMENT APPROVAL. YES E]� J ' l,� ,�;,,s� C!%t.i ❑ NO ❑ CONTRACTOR TEL.> BLDG.SETBACK FROM �• i NO '�'�' FRONT PROP.LINE OF (STREET) 'ADDRESS ,'�„<�.,' �.+�+�L^ e, LIC, �5- .� __ TOTAL SETBACK FROM TYPE OF EXISTING ✓>y; f NO..;;23(J HIGHWAY } YARD / _ �p . LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY -� C%��✓- <. CLASS" CONSTRUCTION L NDER. } NAME AND BRANCH - - BLDG.SETBACK FROM a ADDRESS CITY SIDE PROP.LINEOF ,(STREET). O V SQ. FT NO. OF NO. OF CHECK HIGHWAY } YARD = TOTAL SETB K- FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE. SIDE PR LINE. HIGHWAY WIDTH C. W DESCRIPTION OF WORK r NEW [:] } O. ADD - CORNER CUTOFF YES ❑ NO ❑ Z f ' ALTER ❑ . IN OPEN SPACE YES ❑ NO ❑ - REPAIR❑ - USE OF ! IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG.' - ;� DEMOL ❑ J g �'.• y,.� /,,/� APPLICANT y - TEL �� ,� .� �(�� i/ J ®f\_ "�" • (PRINT) �'�/ aLI ./ N 0 . �;3 n` -! BY (SIGNATURE) N _f.9"' -. �'''D�[,/4 ' 17 I HEREBY ACKNOWLEDGE THATU HAVE READ T.H12i 'PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWSREGULATING BUILDING CON- STRUCTION. I' CERTIFY THAT_IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. - SIGNATURE OF ` FINAL /� BY PERMITTEE- = DAT ADDRESS TEL. N® CITY ��3I'1s.�`!• (A"�..=. NO. ��•-3'�-� •C. Fee$ Permit Fee o�•� .3 ' Issuance Fee VALUATION$ - C Total Fee /'_ PLAN CHECK VALIDATION CK. M.O. CASH o PER IT P LIDATION CK. M.O. CASH 76AG38A CE4#8038 12/75 DEPARTMENT OF-BUILDING AND SAFETY APPLICATION FOR PERMIT.- COUNTY OF LOS ANGELES-�J" WM. J. FOX:-CH 127'-ENGINEER N, 1;'i-' s { f`' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING may/, ./gam DISTRICT No. . PLAN CK.NO. PERMIIT�.0, DO ESS_ /�7 ® 7__ 1��/� � � ' C � CSV /� LOCALITY y:A�1 !� ,�•�1:.. > 1 J/4/ - - '1R. EIVED BY �DATE °OOFAPP(L..(_ DATEISSUED NEAREST. t Y' t.Y I .: .!CF• �r l � asE lm1+►/ L.. �av/'1 ^'V 4 �_z?-_%.vim k CROBBS /J ff ter' ADDRESS l3 7 OWNERMAIL ADDRE ! �s V '•mak �q vim,+ // o� AD REBS y �- ! ® c7 A4 le xell f////w LOCALITY NEAREST TEL. / CROSS ST. FIRE NO.OS TYPE - ORD UP/� % ARCHITECT OR �wr"'- T,�L. ZONE PLANS �., ENGINEER /" 1 ,,IJ,O. O BLDG. t F.1 l i < `l ADORE SETBACK LINE APPROVED CONTRACTOR i a 5- , 9-11 S NO. l_% f -,E3)t " BY D AT.Q USE ADDRESSf3OC,P. ,I/4, ZONE �.q ``BYPRO�vV�ED / 4 �p DATE LEGAL a ` `olm 8 ows / ( ' DESCRIPTION LOTNO.) 1 Q BLOCK �1 - r TRACT sla -4., NO nn �l � ✓ SIZE OF LOT ` NOW ON LOTS / �?{'✓ /../�ItV1S'lna.�/X 2/rc� i UBE OF { NO.OF m� O.OFr. EXISTING BLDG, t ..Q FAMILIES Is RNOOMS DESCRIPTION OF WORTS NEW ALTERATION ADDITION' REPAIR MOVING DEMOLISH Sq.FT. �y NO.OF - SIZE 1 t -. ROOMS TSTORIE9 / - G°- !`e"'' 'ts�:. 2P°' D r WALL ROOF COVERING +'3 C(/fJQ/ I COVdE_RINyG C-0 /e�_°+b,'�1J/�f,� B U LD I N USE OF NEW tY �11/i�!`��'I �"" Pfd C D°' 13 r:f'f t: �*°` "' �i " s /nee" �f > c i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR R,,DATE AND AGREE TO. COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS '��� '�'� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, . SIGNATURE OF - BRACINO,SOLTS PERMITTEE F % - ) ��, l.iQ .1• e .. LATH. INT. � n J/l.Wt AUTHORIZED AGT � ` LATH, EXT. _r [ l../I/ y 7,6A63BA-3 2-6L $ 2 O O U ` P.C.s.. PLASTER,INT. A "`^----� FEE �� PLASTER,EXT. p VALUATION FEE S FINAL L WORKERS' COMPENSATION DECLARATION r , • M nn insureboraafcertificate of Workers'certificate of on Insuran elf �PIP'k �A, 0 "��' O D 11 I ora certified copy thereof"(Sec.3800 ab C.) . .,. r. Policy�No �/%�61i ompany iL COUNTY OF'tOS"ARIGELES BUILDING APID SAFETY BUILDING -7 ❑ Certified co is hereb ,furnished.". "FOR"'APPLICANT TO FILL IN' py y ADDRESS >� © Certified copy isfiledwith th`e,countybuilding inspec- BUILDING tion department: ADDRESS �(�•`I 3 7 :'Y.> l v a b" -Z9�92.. Uu CITY 11 Cvl1" l�CI ZIP 7 ! 70'� LOCALITY f . Date " :Applicant t OF c 6 �-:**-- NEAREST COMPENSATION INSURANCE E h�1�.G SIZE OF LOT 00 t p _' NOW ON LOT CROSS ST This section need not be-com leted if,th'e ermit is CERTIFICATE OF EXEMPTION ERC. WORKERS' q Q j (, J p p • 'for one TRACT. .D BLOCK l0T NO. ` 8� GE D PARCEL 0'b3 hundred`dollars ($i00) or less ).''• - TEL. alp MAP BOO 3„ /l7 USE ZONE,-,:KM4P, OWNER' d hb��d w Ir NO. (�. ; �a� „ - PA I certify that'in`the.performance of th'e work'for which'thisNO. } �t ] °:SPECIAL permit is issued; I'shall"-not,.employ any-person.,in any manner, ADDRESS j / t L U`C1 CONDITIONS" O .so-as,to become sublect'to the Workers Compensation Laws. ,.- U CITY e—kyv _..a ZIP Date Applicant ARCHITECT OR, TEL TRI FIRE PROCESSED BY NOTICE TO.APPLICANT: If,',,after makin this Certificate of ENGINEER• NO TYPE 0 g - P Y CO E ZONE c` 0. ,Exemption, you should i6ecome subject to the,.Workers' 1� _ 'DIS CT • —GROUP' Com ensation•, rovisions-of th'e Labor Code, ou'must forth- ADDRESS d��C-2 fU_ A Le,A►ot w& comply with-such. provisions or.,this.permit shall be TEL STATISTICAL,CLASSIFICATION APT.: CONDO, N eC 5 Z deemed revoked + j. CONTRACTOR NO. 7 �. 3'iJ LICENSED CONTRACTORS'DECLARATION p LIC CLASS NO. DWELL. UNITS Ihere6 affirm that;l'sam.licensed' r rovisions;ofCho ter9 ADDRESS �Zd� Sa31 t1�� 0.5� l� - t�!+e N Y P P. SEWER iMAP (commencing with Section 7000)'of Division 3 of,the Business LIC and Professions Co my license is in;full force,and_ effect. ' CITY, Nl.an � BK. PO. VALIDATION,. d CLASS "• c P• SQ. FT.' NO. OF NO.-OF CHECK License Number> _7 J•-' Lc.;:Class <2�! STORIES• FAMILIES ONE SIZE Contractor _ V ATION —y C? DESCRIPTION OF•WORK, o,0 Mrx- Pert!�.' NEW ALU '3/I✓C� Date 2� ,9'�. $ � r}b'"V r• ❑I am exempt'un der Sec El '.. . HADD p ,D ALTER . B.&P.C. for this reason . REPAIR - Date. USE OF EXISTING BLDG. �`'g L�PJ1t DEMOL Signature fIMAI APPLICANT TEL:, OWNER-BUILDER-,DECLARATION ''(PR �L INT) NO. - ` I hereby affirm that I am exempt from the Contractor.:s License DATE .f Lawfor the following'reason Section 7031,5; Business and ADDRESS FINAL /`� Professions Code).. . ( PRESENT gy r property; Y P Y ADD ~' BUILDING.: ❑ I, as owner of�theor,m employees"'ees with ADDRESS s q Wages as their sole compensation;.'vvill'do the work and r = _ the structure is not intended or offered for sale(Section LOCALITY 7044,.Business and Professions Code.) - MOVING TEL - D CONTRACTOR NO. ❑ I, as owner•of the property, am exclusively contractirigL y F' with licensed contractors to construct'The project'(Sec- ADDRESS tion 7044, Business'and Professions.Cocle.) REQUIRED YARD TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY. SETBACK RD HWY PROP. LINE WIDTHir; I hereby affirm that There is a-construction lending agency for e FRONT the performance'-of the work-for-which this'permit'is issued P.L' g'v ;6 (Sec. 3097, Civ. C. Ar SIDE., L s Lender's Name s 4 • .� LDMA Ref•# P.C. Fee$ �� Permit fee 3.3 �-- 3 Le6der's Address o I certify That,I have read This application and: that the Issuance•Fe' LDMA P/C-# ;_ :•, �s D 8 above information is correct. I agree to comply with all County o Investigation.Fee yr,� T R ordinances and,State law relating to'building"construction, Total Fee. �7 O LDMAPerm. # ° •1 r a and h r or ze re ntafi sof this County to enter ` '" up n e Y -ment o ed p efty or.inspection"purposes. — ] 7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or'Age i Date,