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HomeMy Public PortalAbout6202 IVAR AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES , '• WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN a FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING t�1 �' �/4p ADDRESS LOCALITY to IJ / �1. RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST CROSS ST. v A Al 'o le- /V y`��� BUILDING OWNER/®/SKt�� Y t��/ ADDRESS MAIL / n I ` LOCALITY r� �, '�6 A ADDRESS 1:' 0 NEAREST �"^ TEL. g CROSS ST, CITY - lo A-q 1 ( -i /`,.,� NO. FIRE NO.0F / GTYPE GROUP / ARCHITECT OR f TEL. ZONE - PLANS !/ r ENGINEER NO. - BLDG. -�y + O�R!D•f NO. ADDRESS SETBACK LINE VTEL. ^g� y'� APPROVED ' CONTRACTOR �� „y /./ NO. 4� .S.5e ��. BY DATE �t f� rel USE APPROVED ADDRESS 14"a-& ZONE -,0 BY DATE LEGAL - - /ICORRECTIONS DESCRIPTION LOT NO. BLOCK V. TRACT S yyy �1 NO.OF BLDGS. SIZE.OF,LOT l - �.e'1 .� 1`FI I NOW ON LOT EXISTI /tEtA 11"'rt}t oa FAOM LIE �I ROOMS � /�/✓!U/ �GLIiC'J �/� EXISTING BLDG. DESCRIPTION OF WORK NEW ALTERATION ADDITION 4")%/ �j .i�/t.G "--w"1AAm zet p,�/,y11�y REPAIR MOVING DEMOLISH ' yl//' 'r 7s��//Y /� .r T 54.FT. JNO.OF, o Z SIZE te °``1 ROOMS STORIES i �-�i!•��/ji L/�/f�J' y WALL ROOF r C 0 V E R I N G IPl—rA— I COVERING 6}A USE OF NEW - BUILDING v / i/11 A / I U n 1 HEREU-111 ©7 ACKNOWLEDGE THAT I HAVE READ THIS � -APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONI: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS 1� 0 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, - SIGNATUREOF �/ f� BRACING,BOLTS PERMITTEE' - '� ��„pLATH, INT. AUTHORIZED AGT t% LATH, EXT. BS-38A3 50MMSETS DETS � P.C. PLASTER,INT. BB- r FEE' PLASTER,EXT. VALUATION - FEE $ � FiNALMAXIMUM CCO PLISHE DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUX,TY OF LOS ANGELES W:,J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �� DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ¢� ADDRESS ,f`($ 1 (" 64 LOCALITY f�"/�/2� L.f�' RECEIVED BY DDAArTE.OF APPL. �' DATE IBBUED EST CR058 ST. ol - _ BUILDING OWNER ,yeq /�a,ia" � o r'J C�J ADDRESS MAIL J/�� a ADDRESS GC ` LOCALITIP NEAREST. No ra CITY case sr. FIRE NO."OF TrYPEGROUP � ARCHITECT OR TEL. =ZONE: PLANS (f ENGINEER NO. _ .BLDG. ORD.NO. ADDRESS 1s. a-. SETBACK LINE ,� �°'� ► B �If APPROVED TEL. CONTRACTOR NO. BY - DATE e UBEAPPROVED ADDRESS ZONE BY DATE ' LEGALg CORRECTIONS DESCRIPTION' LOT NO. 3 BLOCK TRACT � � �d- �/ _ 7' - NO.OF BLOBS. ' SIZE OF LOT Q �f 4S I NOW ON LOT o - USE OF c NO.OFNO.OF EXISTING BLDG. I FAMILIES d I ROOMS V DESCRIPTION OF WORK NEW ON ,9 REPAIR ALTERATION ADDITIMOVING DEMOLISH O . 54.FT. NO.OF t _ Z SIZEQ ROOMS �' BTORIES / y WALL , / y \ r COVERING -' 'Ger0 I COVER C.-aIL/l"/� o USE OF'NEW BUILDING f ? -- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIB• APPROVA APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION los PECTCR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS � _ C/ AND STATE LAWS REGULATING BUILDING CONSTRUCTION., ! FRAME: FIRE STOPS, "BOLTS S BRACINOLT ,j/ SIGNATURE OF r/A� CZA�: I— LATH, v� i�"` �-3PERMITTEE INT.: AUTHORIZED A©T- - . � LATH,EXT.: DBS-3 50M SET 1-48 $ ;7 _ P.C.G ce I PLASTER,INT. f _ FEE PLASTER,EXT. �f VALUAT - _ ;�� FEE- ID FINAL WORKERS'COMPENSATION DECLARATION � f I_hereby affirm that t have,a•certi icate'of consent to.self D O 0 O SM O D insure or a certificate of Workers' Compensation Insurance, appd�CQO }Gly{ G : C3M�d'D0 ]C� pCQOU : ora lcertified copy i thereof (Sec.`,3800 Lab: C ) y BIILDIbt .AND pETY _._.. _..._ QF Los ANGELES Policy No Certified.copy,is'hereby,furnished.. FOR APPLICANT TO FILL IN' uILDING 9- a' - B �/ x v -..z 4 ADDRESS ' b 2 -./V� . ❑ "Certified°copy;is,filed with'-the cou'n'fy bullding`i'nspec- BUILDING �/� > 1 ition depa"rtmen't.}" "' ADDRESS Z(j vQ-r lam'' Date APPlscants:<ti " CITY !e ZIP ! LOCALITY L!G� CERTIFICATE OF EXEMP.T16N14ROM:WORKERS' :-'' ' =-NO'; OF BLDGS - ' NEARESTST.',' A ' _•. - -. .• d' COMPENSATION-INSURANCE >•' SIZE OF LOT NOW ON LOT CROSS �tUf (Th'i`s secfion^need-not-be`•completed:ifr.the permit:is for-one =- 0BLOC0 ASSESSOR"600 �? t_ �. Q t hundred dollars ($100).or less:) '. TRACT / `� LOT NO MAp BOOK ' PAGE PARCEL ' EL I certif`:- h rn itis performance of-the for which,this OWNER'... 7O- USE ZONE MAP permit,is issued,til shall not employ any person)'Kany manner _ -ZO:2-, NPOECIAL . �/ {//�®� " • ADDRESS. _ �`f-r • G�Z CONDITIONS' ,,• . so as to become sublec`t to the''Work rs Compensation Laws. U (/e lel _.ZIP r.� ry _ /// �il'/ c9 t1 CITY.: �v10 / Date Applican ARCHITECT OR `',. TEL _ : SED NOTICE'TO`APPLICANT:' If after makirig+'this' Ceitiflcate of DISTRICT GROUP TYPE FIRE„ PROF S BY ENGINEER' NO.' CONST ZONE Ezerription you should become subject to the' Workers' 2✓, Q Compe'risatton-provisions of the Labor'Code;.you'must forth- ADDRESS �� With•comply with such- provisions or this permit .shall, be, ,- deemed.revoked•, 1. t„ CONTRACTOR NO.` S , 7ATIS7ICAL CLASSIFICATION APT CT.DO. 'a'� u LICENSED CONTRACTORS DECLARATION:..,, - LIC:- - SS NO. CL'A � DWELL. UNITS I hereby?affirm that I.-am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (cornmenang with Section 7000)of Division.3 of-the Business and _. _._LIC.- -a h-and my license,is m full force and effect: CITY CLASS' VALIDATION - HECK a _ SO. FT. r NO. OF NO:-OF C BK. PG. } SIZE STORIES FAMILIES ONE, 'License-Number ' � L1c Class VALUATION _r _ DESCRIPTION OF`WORK _ NEW Contfactor Date ADD $ �� oa i I am exempt under Sec ALTER :.. B.8, C for this reason "REPAIR..-E] _ "+ _ ..USE OF' Date: DEMOL EXISTING BLDG. ❑ Signature � +�' -- APPLICANT TEL FINA OWNER-BUILDER DECLARATION PRINT) NO. DATE �d ' I-hereby affirm that,l.om exempt from the.Contractorls:License {:: Law for..the following.reason{Section 7031.5, Business and ADDRESS Professions-Code):'' " '"' "- PRESENT �. BUILDING ; > 1 1, as owner of the property, or my employees with ADDRESS _ wages as their sole compensation,will do the work and7. the structure4is not intended or offered for sale(Section LOCALITY -7044, Business'and Professions Code). '. ". MOVING I;as owner of the property, am-exclusively contracting -1 CONTRACTOR NO ❑ -_. _ o wrth'licensed cont}actors='To'construct itis'protect (Sec ADDRESS 0 tion 7044, Business avid Professions Code). ti { REQUIRED __,> TOTAL SETBACK FROM XIST..:• t QQ CONSTRUCTION'LENbING AGENCY SET BACK YARD HWY PROP. LINE WIDTH! ° ° 4 9,U 8 } + 1'F erebyaffirm that there is a construction lending agency for FRONT ' the performance of the work for whish this permit is,issued PrLr q;8 8'p' (Sec-3097, Civ. C.). SIDE' P.L. ,;. ..•._ .. . .- .._.� _. .__. .� �. 2 - Lerider's Name ' o _ , 1 11 --._..a. .,.,_....�. _- - __.._ .:_• _.. P:C% Fee$' - --- _- .Permit-Fee' - + _ •. _.. - _ - ,. Q CDMA Ref. Lender's Address ertify.,that,LhaJe read this_.application.and_state.that_tlie e Issuance Fee - %LD P%C#•f ;.�5 . Q above information is correct. I agree to comply with all County Investigatiori-Fee ` ' cy o . 'ordinances and State'laws relating to building construction„ _.. Total•Fee - -- •'. -_- _ ._ ,- .: .. ,.... - .CDMA Perm-#- and hereby authorize representatives of this County'to enter �� t m u pon the above-mentioned property for inspection purposes. 7� A, �(� SEE REVERSE FOR EXPLANATORY LANGUAGE. _ - 'r i6noture of Applicant-or Agent• - - Date--- - - - - - _ �i