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HomeMy Public PortalAbout6231 IVAR AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY � APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ��,:,MM. J. FOX, CHIEF ENGINEER 0 L 0. R� � \ FOR/ APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING / DIBTRICT NO. PLAN CK.NO... PERMIT NO. ADDRESS (J�(� ` / LOCALITY /� Bel J� ! � RECEIVED BY DATE OF APPC. `7 lfD�ATVE 11308U/E/Dy NEAREST CROSS ST. �A B Df Al S = BUILDING OWNER . - ADDRESS MAIL ADDRESS _ LOCALITY l NEAREST -.CITY AOP'd��ic' No. CROBSST. ,}�C,`�--�.dC�� e��,.,-- ✓ ARCHITECTOR TEL. ZONE I PLANS I FIRE No.or TYPE GROUP/ ENGINEER NO. _ //��� BLDG. / ✓ // �G'/I�r�(� OIRD.NO. ADDRESS SETBACK LINE TEL APPROVED O`_CONTRACTOR NO. BY- DATE• UBE APPROVED ADDRESS ZONE BY DATE LEGAL DESCRIPTION I LOT NOCORRECTIONS. I BLOCK� _ TRACTNO.OF �/ �/ �' SIZE OF LOT 15-lox /,s-8 I NOW ON LOTS. USE OF NOF NO.OF EXISTING BLDG. r-- -^ FAMILIO. ES ROOMS--� DESCRIPTION OF WORK - NEW ALTERATION .ADDITION O REPAIR MOVING DEMOLISH G) —SIZE FT. Z-# ROOMS STORIES _ r WALL RO F COVERING _ ( COVERING y4 USE OF NEW - BUILDING o.� 11 A—Y I HEREBY ACKNOWLEDGE THAT 1 HAVE READ-THIS "' ' APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES, FORMS, MATERIALS •1 �- Y-7 AND STATE LAWS REGULATING BUILDING CONSTRUCTI ON. 1V 1df/f 4 / FRAME: FIRE STOPS, SIGNATURE OF04� BRACING,BOLTS ��W."'`' �� _y2 OWNER LATH,INT.: AUTHORIZED AOT. LATH,EXT.: oes-s 25M SETSI-47 $ FFEE PLASTER. INT. / ��}} (� PLASTER, EXT. / VALUATION 5;,9l \ ,� ; FINAL ` // BUILD NG L � PU V EI ADDSS APPLICATION LOCALITY _.✓ytif�EL Cir NEAREST DIVISION. OF BUILDING AND SAFETY-,_ CROSS ST: i- -�t�G Department of County_Engineer DISTRICT NO. (/ RECEIPT NO. PERMIT NO. County-of-Los Angeles z s 7 WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUEDD..dd���� CASSATT D. GRIFFIN, SUPIT DF BUILDINGr3 FOR APPLICANT TO FILL IN TYPE • RECEIVED BY ISSUED BY t OWNER �Q V //�7A,L� _ MAP 9 �'J O STATE -xEw NO MAIL / :dUM®ER 20? 0 Y ADDRESS 1� , y �J J��� ,// 7� USE ZONE SPECIAL CITY _. 01 NO.'f'N/�7C�7iVI _ //�� CONDITIONS ARCHITECT OR .TEL. _ DOV ENGINEER NO. BUILDING YARD HWY STREET NAME EXIST. / SETBACK WIDTH ADDRESS FRONT O TEL. P.L. L— CONTRACTOR NO. - _ SIDE ' P.L. ADDRESS I / DATE CORRECTIONS INSPECTOR BUILDING ADDRESS- qo LOT NO. ® BLOCK TRACT -3 ��y y NO.OF BLDGS. SIZE OF LOT t,7 /1 I NOW ON LOT 21, USE OF A. �C /�--/J�.B7 A /• Y" EXISTING BLDG. V V f7/�C�/J�Cyf^✓ , DESCRIPTION OF WORK NEW - o ALTER REPAIR - DEMOLISH, - D so.FT. NO.OF - No.or r SIZE STORIES FAMILIES .USE OF STRUCTURE L � I NO.OF EMPLOYEES I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-� PLICATION AND STATE THAT THE INFORMATION GIVEN ISI APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT: IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION., FORMS,MATERIALS J,�', � FRAME: FIRE STOPS, SIGNATURE OF I(�•f///+ ((/� �J BRACING,BOLTS PERMITTEE - -- - -- FURNACE: LOCATION, ADDRESS /A ,-Q_ � GAS VENT,DUCTS �1•� �: 9 LATH, INT. AUTHORIZED AOT. `:. LATH. EXT. $ �1 ov P.C. HOUSE NUMBER COR- aG (/(/ FEE / RECT AND POSTED VALUATION - It e± FINAL FEE 76A638A DBS 3 12-S3 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT . COUNTY OF LOS ANGELES WM.'`J. 'FOX, CHIEF ENGINEER BUiLDINU FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY.. x DISTRICT-NO. PLAN CK. NO. /�j PER141T Nr ADD EISS f_o aG.. /1� � 1 (/��r LOCALITY _Q G1 RECEIVED BY DATE OFAP/P�L. JOATEISSUED NEAREST CROSS ST.. 'd .y.O'-..o"A.,. BUILDING v ADDRESS OWNfiR r J MAIL �- v LOCALITY ADDRESS � ;!� •;'� �J � 'p,, , a-� ,,,w NEAREST . CROSS ST. CITY P-4Au,,;P&,':,o CD t NO. � �� r FIRE NO. O�/ I TYPE I GROUP{j ARCHITECT OR ' )y�/ a TEL � ? ZONE PLANS ` ENGINEER `(o J��QjJ,/) NO. 9 1pr n 23 BLDG. ��7 a 1 G" ORD.-NO./ SETBACK LINE !/Y/ eayAwr�•v ADDRESS- .;:r+f.1,1.. BkA A/ (.�,.�..ff tJ�A.J../.,G{/1� t� APPROVED `-'" - y . ..x'�- _ _ � B TEL'. Y DATE `' CONTRACTOR; NO. USE APPROVED . �� w ZONE/e/ BY DATE ADDRESS '9: r HOUSE NUMBERING _ LEGAL DESCRIPTION 'I LOT NO. !� I BLOCK MAP NUMBER FIELO CHECK BY TRACT NO.NO. ASSIGNED BY DAT; ,mss �. /�� I NO..OF BLDGS. CORRECTIONS-- SIZE OF LOT NOW ON LOT USE OF I NO. OF- EXISTING BLDG. - ��, FwmiuEs ( - - _ :DESCRIPTION. OF WORK NEW .I A.�."I.ALTERATION I I ADDITION- I - O ` REPAIR `I ;,I DEMOLITION I I I -- ----- - -_.. ._ A SQ. FT. NO. OF - D SIZE p : ROOMS STORIES Z EXT. WALLI COVER NG• `- , COVOERIN6 ,ZOIAII�,D f' USE! IS / O i . APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ-THIS AP= FOUNDATION: LOCATION PLICATION 'AND STATE THAT THE INFORMATION GIVEN IS - FORMS, MATERIALS CORRECT. - 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,' HEREON AND WITH ALL COUNTY ORDINANCES AND STATE _ BRACING, BOLTS LAWS REGULATI G BUILDING CONSTRUCTION. ' r���f111�/nJ FURNACE: LOCATION, - SIGNATURE OR,{�" (/` �, -a GAS VENT, DUCTS PERMITTER ADDRESS LATH, INT. /�,..+i. XLJ[A Dom,,:! - ... 12 A p� LATH, EXT. n AUTHORIZED AGT: [(� PLASTER, INT. iGAesaA- Deoa I0-50 $ �� P. C. B FEE PLASTER, EXT. - VALUATION ' � x. FEE $SIS � FINAL E'i �1 t:::J BUILDING � q F� f I ADDRESS ! l7 APPLICATION LOCALITY ,CP. CY, i DIVISION OF BUILDING AND SAFETY CROSS ST. 0 Department of County Engineer DISTRICT NO. R CEIPT NO. PERMIT•NO. County of Los Angeles �6 WM. J. FOX, COUNTY ENGINEER ROUP DATE RECEIVED DATiE ISSUE- CASSATT D. GRIFFIN, SUPT OF BUILDING / FOR APPLICANT TO FILL r IN- TYPE g2U= RECEIVED BY OWNER / _, """ ��' MAP ��j e7 STATE YE SVC - ADDRESS ' , h ` NUMBER G/ 7 HWY ADDRESS /J I-�� USE'ZONE SPECIAL �//TJ 17 CONDITIONS r . ARCHITECT OR TEL. ENGINEER NO. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS �r!/�/i! FRONT TEL P.L. / G� CONTRACTOR NO. SIDE P. L. ADDRESS DATE CORRECTIONS INSPECTOR BUILDING ADDRESS _ LOT NO. Z BLOCK J , TRACT NO. OF SLOGS. !' _ SIZE OF LOT 7) .�( J I NOW ON LOT D� USE OF //�I V'%EXISTING BLDG. C 0( r /.Pi _ A DESCRIPTION OF WORK / a° 0 NEW ADD. LTEi3 REPAIR DEMOLISH - Z 80.FT. -NO. OF NO.OF r SIZE�"- STORIES FAMILIES USE OF STRUCTURE /1 /I I& �- ) NO.OF EMPLOYEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- - - PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT.. IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION . "I AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS F / FRAME: FIRE STOPS, SIGNATURE OF /l / i0� BRACING,BOLTS r� ' ' PERMITTEE , p}� _,•_ 1 FURNACE: LOCATION, - ADDRESS ^ _� .O /�p�--.7 =/ GAS VENT,DUCTS LATH, INT. AUTHORIZED AOT. LATH. EXT. QO ®© P.C.$-c---- HOUSE NUMBER COR- FEE RECT AND POSTED VALUATION S ®a FEE FINAL ®/• �e,\,p�� Yo'S�� 7GA638A DBS 3 12-53 1 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles SVM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT O FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. OR REC.NO. PERMIT NO. BUILDING3f �• O G S T F ADDRESS � J C! R BY DATE OF APPL. DATE ISSUED LOCALITY � NEAREST CROSS 6T. BUILDING / q (/yJ,� ADDRESS (/� /.�� r `�" OWNER MAIL LQCALITY ADDRESS NEAREST TEL CROSS HT. CITY No. FIRE ND.Oi I TYPE ( GROUP ARCHITECT OR TEL ZONE PLANS ENGINEER NO. NO. SETBACK LINE ADDRESS •I �P' _ USE I / APPROVED /J .i TE 4Q. ZONE/ -7 BY DATE CONTR ;GT//�''�j'� V HOUSE NUMBERING ADDRESS V -2 I MAP NUMBER NO. ASSIGNED BY LEGAL ` DESCRIPTION LOT NO. BLOCK CORRECTIONS TRACTNCL OF 5 D SIZE OF LOT ( NOW ON LOTGB. i _/ UBEOF I NO. OF ;' - 6®OOQD 47� - EXISTING BLDG. DESCRIPTION OF WORK Q NEW ALTERATIO" ADDITION Z D REPAIR DEMOLITION - r SQ.FT. NO.OF i- - HIZE ROOMS STORIES EXT.WALLI ROOF COVERING COVERING USE OF STRUCTURE L INSPECTION FOR APPROVAL'S OCCUPANCYAS INSPECTOR'S SIGNATURE DATE .FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, CORRECT. BRACING, BOLTS I AGREE TO COMPL``��WITH ALL COUNTY ORDINANCES AND STATE LAWS el LATIN13 BUILDING OONBT UNION. FURNACE: LOCATION, e,� t GAS VENT, DUCTS SIGNATURE Or ell- J "LATH, INT. PERMITTE nuc LATH, EXT. ADORE w J* U PLASTER, INT. AUTHORIZED AST. PLASTER, EXT. P.O.S PEE HOUSE NUMBER COR- RECT AND POSTED VALUATI N ®. sa FEE FINAL 76A63BA DSS 3 1-52 e . ; WORKERS' COMtPENSATIrfN DECLARATION I hereby affirm that I have a certificate sti of,consent,to self �.��(� O LI V O -insure, or a:certificate of Workers'Compenstion Insurance, or L/�1LI LIVL/�1 LI V LJ� • , g d py th r of(Sec. 3800, Lab. G.) COUNTY OF LOS AN [ES BUILDING AND SAFETY _ Company _ BUILDING 9 . Certified copy.is hereby furnished. �. FOR APPLICANT TO FILL IN ADDREss v Certified copy is filed with the county b ing'inspec- BUILDING tIA Tion department. ADDRESS LOCALITY 1 —�, NEAREST � _- Da e� ' Applicant CITY_ J � ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM W RKERS' OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NO ON LOT MAP BOOK PAGE PA (This section•need not be completed if the permit is for oneU ZO .MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. �Ay/� SOCIAL U I certify that in the performance of the work for which this OWNER , " J _ Uv" CONDITIONS O ermit is issued, I shall not em to an person in an manner D TRICT P TYPE FIRE R S D BY-11 V P P Y Y P Y 1 C ST. ZON so as to become subject'to the Workers'.0- tion Laws. ADDRESS r 7Y� G�? 1Z 04, Dat �� Appliccet_ �` CITY ZIP STATISTICAL CLAS S¢ TIO API— ICONDO. NOTICE TO APPLICANT: If, after making this.Certificate of ARCHITECT OR TEL. LU Exemption, you should become subject to.the Workers' ENGINEER NO. CLASS NO.: D LL. UNITS H Compensation provisions of the Labor Code, you must forth- ADDRESS r- SEWER P' ..With-comply with such provisions or this permit. shall be TEL �� deemed revoked. CONTRACTOR( CL BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION C. I h'ereb'y affirm that I am licensed under provisions of Chapter 9 ADDRESS .1 VALUATION (commencing with Section 7000)of Division3 of the Business and i Profession's Code, nd m licg,nse is in full force and effect. CITY CLASS $ SQ. N ..OF NO. OF CHECK License Numbei. Lic.Class SIZE STORIES FAMILIES ONE N $ tor�tract�r Dat DESCRIPTION OF WORK I am exempt from,the licensing requirements as l am a D licensed architect or a registered professional engineer ALTER Q FINAL acting_ in my professional capacity (Section 7051, REPAIR Q - DATE / Business and Professions Code). USE OF EXISTING BLDG DEMOL FINAL. 1 � - - i 'Lic.or Reg.No. 1 - ate - APPLICANT - TEL. By. '1 - o OWNER-BUILDER DECLARATION" (PRINT) NO. /// - z:5 4 �i 7 A I hereby-affirm that I am exempt from the Contractor's License �` "''^ AW # o 0 0 0 2 Law for,the following reason (Section 7031.5, Business and ADDRESS Professions Code):_ PRESENT. 2.o ° 6,S 52 . BUILDING l .1 ,��� - ) 1'; as owner of the property, or-my employees with ADDRESS _ wages as their sole'compensation,will do the work and (S 5 5 2 c� the structure is not intended or offered for sale(Section LOCA 7044, business and Professions Code). MOVING TEL. O'✓�l(�,� ��1'�\ 0 5 2 8r—8 1 I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to.construct the project (Sec- t Sec- ADDRESS tion 7044, Business'and Professions Code). �^ ' REQUIREDTOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PRO INE WIDTH ' 1-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 25 4 i.8 A P.L. Lender's Names� , r�V # 0 D o Co. o Lenders Address P.C. Fee$ �`—��f' Permit Fee C/ '7 Cmc 2 1' 2a0.0 I.certify that I have read this application and state that the �. Issuance Fee /l _ above information is correct. I agree to comply with all County Invesrigarlon Fee. ° ° 1, 2 i,0 0 v ordinances and State laws relating to building construction, Total Fee pp and hereby authorize representatives of this County to•enter 0 5 2 8 89 f < o; Bove-m ntione propertfor inspection purposes. m - iQ SEE REVERSE FOR-EXPLANATORY LANGUAGE - ^ Signatur of Ap licant or Agent Date ©s