Loading...
HomeMy Public PortalAbout6227 IVAR AVE_Building__ 76A638A C E#803 3-68 - T EM Pt-E CITY APPLICATION FOR BUILDING PERMIT IJ COUNTY.OF LOS ANGELES'. BUILDING 'J DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY. JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING .NEAREST - CROSS ST. - FOR APPLICANT TO FILL IN DISTRICT NO GR Y,TP C-E D B.. (Print or type only) D C. ST. BUILDING. ,STATISTICAL C I.FICATION SEWER MAP - ADDRESS 62,27 Ag .. IV a r Temple C 1 t CLASS NO. DWELL,UNITS y BK PG LOT NO. BLOCK USE,ZONE MAP 44 -- ' NO. TRACTSPECIAL NCONDI TIONS 1 ' NO.OF SLOGS. SIZE OF LOT OW ON LOT USE OF - - EXISTING BLDG,. BLDG.SETBACK FROM . TEL. FRONT PROP.LINE OF - (STREET). OWNER 'v .'M Barrett No. 287--�.739rI •TYPE OF EXISTING SETBACK HIGHWAY } YARD- _ TOTAL ADDRESS 62.2 N .,. I arAvenue HIGHWAY WIDTH FROM C.L. - CITY Tempi e - Cityt, + _ ABLDG.SETBACK FROM ARCHITECT OR TEL, (STREET) SIDE PROP.LINE OF ENGINEER NO. TYPE-OF EXISTING•SETBACK HIGHWAY { , YARD = TOTAL ADDRESS ,�.II � HIGHWAY WIDTH FROM G.L. CONTRACTOR U' TOL'288^ O4O ADDRESS 529 E . Valley CORNER CUTOFF YES NO, 186086 0. ' . No. O CD 1 .C� - - CITY San Gabri1 C a i . CLASLIC.:S C-39 . SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK r a z NEW ADD ALTER - REPAIR X DEMOLISH - - '- SQ. FT. NO. OF - NO. OF - - - SIZE - - - STORIES ` FAMILIES , USE OF" STRUCTURE Re-.roof, small h.Se on real - -of t *tW-0ej o . C.om. . SIGNATURE - ` APPLIC NT VALUATION $_ `Z.O.Q ..QQ, APPROVALS DATE INSPECTOR"S SIGNATURE P.C. PMT. FOUNDATION: LOCATION- ' FEE $ FEE S--fi on FORMS, MATERIALS 'FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE,READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY I FURNACE- LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS •BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING.THE WORK _ AUTHORIZED HEREBY 1 WILL NOT EMPLO PERSON IN VIOLA- ' TION OF THE LABOR COD O TH T E O C FORNIA RELAT. 'L•A'TH, INT. - - - ING TO WORKMEN'S CO E ATI RA E. - LATH, EXT, 'SIGNATUR HOUSE NUMBER COR- PERMITTEE RECT'AND POSTED ADDRESS 529 E Valley' •R 1 v.d S a n A a . ��q r r.•. FINAL `�J -JOHN F. LEWIS, PRINCIPAL.STR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION c : M.O. CASH 76A638A DBS-3 12.54 ' APPLICATION FOR:, BWLDING PERM I DIVISION OF BUILDING` AND SAFETY BUILDING c�- Department of County-Engineer ADDRESS 6oC vY 7 [ 'r i�__ 1/115 County of Los Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. GG3114-re FOR APPLICANT TO FILL IN DISTRICT No. I GROUP I SEWER MAP L,� �� TYPE BK G • J CONS BUILDING / h_ ��. ,Jp YES NO ADDRESS e.G V C� MAP Q�� �/ STATE '- T y- NUMBER pLu'Q/r � HWY - LOT NO. ,rd d / OSS - BLOCK USE'ZONE SPECIAL' ' CONDITIONS TRACT y� �/ NO: OF BLDGS. SIZE OF LOT �V -J( '�.4- 7 NOW ON LOT. c/��+ry BUILDING _ YARD HWY STREET NAME EXIST. : USE EXISTOING B�L/D/�G/w�/�A, (�y> `�j�p�+ �� (z++Cz SETBACK q- - WIDTH OWNER VIA• 1: CL Y � � • OL-�. ���`P SIDE P. L. MAIL �y / ADDRESS 4-1--1�/ /11 1.T\1a y�/+/� /� V t:p CITY ,. T� 1Nl f/ I1�. ���V THE Aj:. c�7� DWELL. '1 UNIT 5 INDUSTRIAL ^ _ 2 -DUPLEXUNIT $ PUBLIC BLDG. ARCHITECT OR P'1 d I �I 1�. Y "NO.� TE ENGINEER 3 �APT. UNITS. 7 ADDN.,ALT., ETC. ' Ce/ ADDRESS - - 4. COMMERCIAL 8 .MISCEL. y.e, r TEL. INSPECTION RECORD CONTRACTOR - NO. p N ADDRESS r d-'J er. I���P 217 .3 DESCRIPTION OF WORK ' NEW ADD ALTER Y REPAIR' 'DEMOLISH SO. FT. �q `' NO. OF NO. OF _ r SIZE �.V STORIES / FAMILIES .. USE OF STRUCTURE Co Iv Cr Tv Gyv6sT. 00.y SIGNATURE OF.�/ ' APPLICANT APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE / . FOUNDATION: LOCATION. � y,/� r $ O P. C. $ _FORMS, MATERIALS /� � ��D FEE_ FRAME:FIRE STOPS, VALUATION. _ S, a o.I BRACING, BOLTS FURNACE: LOCATION.. 1 HEREBY ACKNOWLEDGE:THAT I HAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE 'IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.' AND STATE LAWS •REGULATING BUILDING CONSTRUC- TION. LATH, EXT. ' SIGNATURE OF �o�� ,HOUSE NUMBER - PERMITTEE v! / RECT AND POSTED ED ADDRESS FINAL Way. J. FOX: CouNTtr ENGINEER VALIDATION BY . � Z:o 1Y2';S. NfAR Z8 I 6 4 0 DEPUTY -- DEPUTY BY BY © DEPUTY 1 DEPUTY W:, ERS`COMPENSATION DECLARATION Thdt I have a certificate of consent'To self D D OD OiWnsu , raetificate of Workers' Compensation dnsurance, ... a p p d Q7 0 G ] FOR C3 M d D 0 l C� p C CM or.6*certified copy thereof (Sec. 3800,lab. C. COUNTY OF LOS.ANGELES BUILDING AND SAFETY Policy No. Company BUILDING 1 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑, Certified copy is filed with the county.building inspec- BUILDING tion department. ADDRESS' , , LOCALITY NEAREST' Date Applicant CITY ZIP CROSS ST. r CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT d 6 D NOW ON LOT MAP BOOK PAGE PARCEL (This,section need not be completed if the permit is for one USE ZONE' MAP .j�0 hundred dollars ($100)or.less.). TRACT BLOCK LOT NO NO. CX ro _ TEL , r •j... SPECIAL I certify that in the performance of the•work for which this OWNE�. U NO. [/OS- �/' 1t CONDITIONS fS. permif y issued, I e pe not employ an personin any manner / DISTRICT GROUP TYPE FIRE PROCESSED BY O p ADDRESSB�ti' r p� C U CJ ON57 � ZONE so as to,become sub'ect to the Wo er`s''Com Compensation Laws. - j(" �A 4 .. �-�...� _" CITY ZIP APTICONDO.Date Applicai STATISTICAL CLASSIFICATION - ARCHITECT OR; TEL. NOTICE.TO APPLICANT: If, after making this Certificate'of ENGINEER NO. CLASS NO.�DWELL. UNITS W Exemption, ,you should become.subject to the Workers' CL Compensation provisions.of the.Labor Code`, you must forth- ADDRESS - SEWER MAP with comply with such,provisions or this permit shall` be TEL. Z deemed revoked.:' BK PG, VALIDATION CONTRACTOR NO. .� LICENSED CONTRACTORS DECLARATION LIC. I hereby-affirm that I am licensed under provisions of Chapter ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of The Business and LIC. Professions Code, and.my license is infull force''and effect. CITY CLASS $ SQ.FT. ' NO.OF NCCOF. CHECK D License Number Lic.Gloss SIZE STORIES , FAMILIES ONE Contractor Dare DESCRIPTION OF WORK 13 NEW ❑ $ ADD. ❑ I�am exempt under.Sec -�XIL ALTER ❑ FINAL B.&P:C. for this reason REPAIR DATES USE OF v DEMOL ❑ Date: EXISTING BLDG: FIN ,L Signature APPLICANT TEL 9 OWNER-BUILDER DECLARATION PRINT L O1. �' S I hereby affirm that I am exempt from the Contractor's License r / Law for•the.following reason(Section_7031.5,'Business.and ADDRESS —. ' Sem' Thi Professions Code), PRESENT �7f BUILDING W, I, as owner of the property or` employees.with ADDRESS wages as their sole compensaTion,:will do.the work and � 2 d the structure is not iritended or offered for sale(Section LOCALITY �/�, , 7044, Business and Professions Code). MOVING TEL CONTRACTOR• NO. 1, as owner of the,property,am exclusively contracting z 2 3�3,8 A with licensed contractors to construct The project.(Sec- ADDRESS . tion 7044, Business and Professions'Code). _ # o o 0 0 0 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH o o c�.Jc Q 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.' 2 8_5 0:3 (Sec. 3097, Civ.'C.). -SIDE P.L. 0 2 7 1 _85 o Lender's Name $ Lender's Address P.C. Fee$ : Permit Fee �fl J' O I certify that] have read this application and state that the. Issuance Fee above information is correct. l agree to comply with all County Investigation Fee p' g ordinances and State laws relating to building construction, Total Fee D 1" u and hereby authorize representatives of this County to enter " .'w Upon Fe—above-mentioned property for inspection purposes. a �_ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®s -let 'Ail o®., asH nSTn 0,AAAPPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �� T _ 1VIA.J. FOX, CHIEF ENGINEER ALJ IL I—)I1 QiR,7 DISTRICT NO. PN . O. NO. OF BLDG. ORO.NO. LACKNPERMIT NO.I Q / PLANS SETBACK LINE FIRE APPROVED ZONE BY DATE RECEIVED BY' DATE OF APPL. DATE ISSUED ' USE fin} APPROVED .. 2ONIr ` BY DAT APPLICANT FILL. IN HEAVILY OUTLINED PORTION ONLY' �O NAM.- t ^ �` � / �.. BUILDING n:. e - 'L. .1 v 4 AIJOHEbM F W W Z ADDRESS V 1 LOCALITY \ -•�/'G/\./\-��- 2 Z, , NEAREST w CITY _ :'L,.y�,'�,J'.�_1_.-` r /\ CROSR ST. < �{ r BTATE TEL. i _ V'(� 'I",— Ir A _ LICENSE NO. NO. d, NAY.E 1`/A,./ W MAIL r Q NAME ; AD ORE33 oL F " U ir" V I� 'TEL. ^ h < ADDRESS l y��r CITY, �A" Y NO. 2 4 Z CIT. I HEREBY ACKNOWLEDGE THAT I HAVE READ TI19 O APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSM%j o. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z •� � _ I „ "� �� •.r!) SIGNATURE OF O LOT NO. _ SIZE OF LOT OWNER n J H NO. OF BLDGS- < IL BLOCK I NOW ON LOT , AUTHORIZED AG ue — J m TRACT CORRECTIONS d D USE OF BLDGS. ✓/ y r ' NOW ON LOT ✓, -ZG?_.6/�. ., �• _ DESCRII'TION OF WORK USE OF n /1 y BUILDING '/ 1• o - - o y ' NEW TYPE GROUP NO. OF NO. OF y„ ALTERATION ROOMS FAMILIES !djiy li ADDITIOII SIZE REPAIR STORIES t MOVING I Yl ALL COVERINn __ 1 DEMOLISH ROOF COVERINGID P.MFILn FINAL APPROVAL INSPECTOR'9 VALUATION FE3 +!� - DATE �C;7-' NAMQ '/•Vi(/�-:i'L� .� R