HomeMy Public PortalAbout6148 IVAR AVE_Miscellaneous__ -COUNTY-OF LoS AN G ELES
PUBLic WORKS DEPARTMENT OF-PUBLIC WORKS
-� -BUILDING AND SAFETY.DIVISION
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OWNER-BUILDER VERIFICATION
Attention Property Owner;
An ".Owger Bu'd building pelmit.-has .been a piied for ' your 'name .and bearing your signature
at C.r Please .complete
:and return this nformation in the .envelo proided at your lest.opportunity to avoid unnecessary
N
-.delay in .processing and issuing your .building permit. -No .bbliding .permit will -be issued until this
verification is-received.
1. I personalty .pian to provide the major labor and .mate6aks for construction :of the proposed
property improvement (;yes or no .
2.'. 1 (havelhave'not) signed an application-for a.building pemnit-for.proposed,work:
.3. • I have contmcted.with:the following:person.(firm)to provide the proposed construction:
Mame� 7
Addres Gity..
Phone Contractors; .License No.
4. I 'plan .to-,provide -porbons:-ef.the. work.but.I have-hired the -following .person-to coordinate',
supervise;and provide#he:majorwork: ;
Name
Address City
Phone Contractors .License:.No_ .
S. 1 will provide ao'me-of the:work but I have contracted (hired)the following persons.to provide the .
-work indicated:
Name Address Phone Type of Work
Sign -
ed• Return Form to Address Below
Property Owner
Date