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Home My Public Portal About9235 KENNERLY ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' ''WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING Zc�e-3- 6 6,V66q—G ADDRESS _ LOCALITY TemiAeCalifornia RECEIVED BY DATF OF PPL. DATE ISSUED NEAREST Fratus Drive BUILD /�� //I d CROSS ST. -Ap I `, OWNER TURNER. HOMES INC• ADDRESS �o 1�•�� JV �� MAIL �} LOCALITY L . ADDRESS 26 East ,Santa Clara St.ANo.-DO � �� p Arcadia NEAREST i CITY rcadia No- �_3�63 CROBB ST. _ FIRE NO.OF q TYPE GROUP_ f ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. ' 1 ORD.NO. ADDRESS SETBACK LINE Y Ig ry'1 APPROVED TEL. BY - DATE CONTRACTOR .SaT1A NO. USE �Y 1 APPROVED ADDRESS ZONE 4)� 1 BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. 116 BLOCK TRACT 16475NO.OF SLOG SIZE OF LOT X �QO I NOW ON LOTS No USE OFNI NO.OF I NO.OF O - , EXISTING BLDG. FAM ILIEB ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION O REPAIR MOVING DEMOLISH O S4•FT. p NO.OF Z SIZE 8 ROOMS 4 . STORIES 1 D WALL ROOF /y� 4 r COVERING Plaster I COVERINGnG USE OF BUILDING W Dwelliniz Detached Gara 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 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. I FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS � -2 PERMITTEE T ER HO � NV LATH, INT. I AUTHORIZED AGT/ SL LATH, EXT. moi/ 76A636A 9-46 DBS-3 50M SETS $�� P.D.111 7 , PLASTER, INT. FEE PLASTER,EXT. q/zs/VALUATION FEE � /!d � FINAL � S� ,- ir WORKERS'COMPENSATION DECLARATION hereby, affirm that I have certificate of consent to self APPLICATION F B U I L D I N G PERMIT 'insure,or•.a certificate of Workers' Compensatiortdnsuranw„ Qr a certified copy thereof (Sec. 3800, Lab. C.) " COUWTI OF LOS ANGELES BUILDING AND SAFETY Pc4icy No. - Company BUILDING ❑ Certified copy is"6reby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING ��•t) n. tion department. ADDRESS Date Applicant CITY' Vu�/ ZIP 7(s LOCALITY NO. OF BLDGS. NEAREST .01 CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE.OF LOTS OG NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR / (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK �f� PAGE O�U PARCEL hundred dollars ($100) or less.) OWNER TE �S)��7507 i USE ZONE MAP NO. 1 certify that in the performance of the work.for which this /.r�1 SPECIAL >_ permit is issued, I shall not employ any person in any manner ADDRES �� /V v/ CONDITIONS a- so as to become subject to the Workers' Compensation Laws. rr�A O O CITY Lm ZIP / Q Date Applicant ARCHIT CT O 1 TE NOTICE TO .APPLICANT: If, after makingthis Certificate of ENGINEER Q[M Q. N 7� 7 Lj-/l�b�( DISTRICT GROUP TYPE FIRE PROCESSED BY CONST. ZONE Exemption, you should become subject to the Workers' •��t�•� �. ,�//��, C W Compensation provisions of the Labor Code, you must forth- ADDRESS 7Td� rD14l� (.-h Q�/ n .with comply with such provisions or this permit shall be TE STATISTICAL CLASSIFICATION APT. CONDO. N deemed.revoked. CONTRACTOR UJ,JLf_ N /S) g Z LICENSED CONTRACTORS DECLARATIONADDRESS LIC.NO. CLASS NO. Call DWELL. UNITS ��7 7 t�'VI I I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business C�� f° ni /��_ LIC. ,/ and Professions Code,and my license is in full force and effect. CITY el IJI v 1 V` CLASS BK.,T PG L VALIDATION SQ. FT. NO. OF NO. OF CHECK �! License Number Lic. Class SIZE g� STORIES FAMILIES ONE ^,_II VALUATION p Contractor Date DESCRIPTION OF WORK adJ OA .2.44 e NEW 1:1 (�( JA157�1� d' / �ffTf� ADD c , ❑I am exempt under Sec. �TIo"� •--. ALTER ED :�-t:-•• n B.&P.C. for this reason �✓T �/la PJB?G�i1.006►� �l �i�kfN' $ REPAIR ❑ _ DUSE OF Date: P.eS,d C. " EXISTING BLDG. �C DEMOL ❑ Signature APPLICANT �e TE „, g (PRINT) (4 A- l� A-.i"M0-N 1lf) { rj0_1 FINAL — . OWNER-BUILDER DECLARATION DATE '-7+- "`.i ='2m. 1 hereby affirm that I am exempt from the Contractor's License p r'd i t i2. _..r _ . Law or the following reason (Section 7031.5, Business and ADDRESS 1235 ^�/`�?Jl� �� FINAL sl ,`. s; Projifessions Code): PRESENT By BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. ifw, ;_:-.i;-;., r .-..• ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. --g --- °= with licensed contractors to construct the project (Sec ADDRESS 1 _ ; c ' " '�' '•* HI, J_ tion 7044, Business and Professions Code.) 307 89'%q� , REQUIRED TOTAL SETBACK FROM EXIST. 5' i T cj� - CONSTRUCTION 1 LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ITEMS 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. T��T �. ai +��j o �+ (Sec. 3097, Civ. C.). SIDE /�.(j��A+LL _ P.L. CHECK 893J."11 t Lender's Name // Fy yy ` �O .�/ LDMA Ref. # CHANE.... .1043 P.C. Fee $ / � Permit Fee 3 Lender's Address 0 1 certify that I have read this application and state that theIssuance Fee O� 76 LDMA P/C# , 8 above information incorrect. I agree to comply with all County Investigation Fee O 7 / 0 - 1 / ''t '�};; . 0 ordinances and State laws relating to building construction, Total Fee j C� LDMA Perm. # - r C.. a and hereby authori representatives of this County to enter :343 1 AIS �•il:t upon theabov - nti ne roperty for inspection purposes. a ESEE REVERSE FOR EXPLANATORY LANGUAGE Signdt re of Applicant or Agent Date �WORKEIE'C''COMPENSATION DECLARATION herebt ?rm that I have a certificate of consent to self APPLICATION F®R U I L D I N G 'PERMIT insGre'�or 3certicade of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES — BUILDING BUILDING AND SAFETY �y No. Company BUILDING Po Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS QCertified copy is filed with the county building inspec- BUILDING tion department. ADDRESS ��j slC.�iN N•Z�L I LOCALITY ' � ' NEAREST Date Applicant CITY ZIP ( 0 CROSS ST.' CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS ^7 'ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT Z MAP BOOK PAGE PARCEL, (This section need not be completed if the permit is for one USE NE` , MAP hundred doll6rs'($100)or less:) TRACT - BLOCK' LOT NO,' , NO. (0 (�/� /� TEL SPECIAL I certify-that-in the performance of the work for which This OWNER f<l AT-t-6 L+'T NO2:9-79V-7 CONDITIONS d p DISTRICT GROUP TYPE FIRE PROC D BY O permit is issued, I shall not employ any person omp any ma ner " CONST. Z E so as to become subject to the Workers'Com +do ws. ADDRESS 3 IQ f CITY (e Z 'ZIP- -7 9-0 O Date 'ApplicanT. ARCHITECT OR TEL. STATISTICAL CLASSIFICATION APT DO. V NOTICE TO•AP,PLICANTi If, after. making•t s Certificate of ENGINEER 0 NO. CLASS NO.� DWELL'UNITS , ' Exemption, you .should become subject to the Workers' H -Compensation provisions of the Labor Code, you must-forth- ADDRESS SEWER MAP with comply-with such provisions or this permit shall• be TEL deemed revoked. CONTRACTOR NO BK•" PG- VALIDATION LICENSED CONTRACTORS-DECLARATION LIC I hereby affirm that I am licensed'urider provisions'of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of.Division 3 of the Business and 3- —- � .., LIC., Professions Code, and my license is in full force and effect. 'CITY CLASS $ vC! SQ FT. NO OF NO.OF' CHECK License Number.- Lic.Class SIZE Le STORIES FAMILIES• ONE DESCRIPTION OF WORK O C/S F� - NEW Contractor Date � $ r o 't' VSE je(I ng)f-jI- eoi ADD la exempt under Sec. FINAL' ALTER DATE/-• �� - B.B,P.C. for this reason j ❑REPAIR 4 2 9 2'6,A" = Date: USEOFEXISTINBLDG. 1 l�U DEMOL E] FIN Signature APPLICANT TEL: BY # 0 0 0 0 0 OWNER-BUILDER DECLARATION PRINT 2T A k—Vo1 .4 No-�-tZS'o`7. I hereby affirm that I'am exempt from the Contractor's License o:o Law for the followi6g reason (Section 7031 5,,Business and ADDRESS Prof �sions Code):- PRESENT, 0 0 0 ]8 Q 0 BUILDING 23e�IV�LL " I, as owner'of.the property,-or"my employees.with ADDRESS 0 (. 1,6 8 5 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY < 7044, Business and Professions Code). MOVING TEL �, I, as owner of-the property, am exclusively contracting CONTRACTOR NO ` with licensed contractors to construct the project (Sec- ADDRESS -tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY' REQUIRED TOTAL SETBACK FROM do . SET BACK YARD HWY• PROP. LIN •. ' 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' t `".•.: •` (Sec. 3097, Civ: C.). SIDE P.L' Lender's Name / t• 4 `' [_ Lender's Address " P.Ct Fee-$ Permit Fee ceftify that I have read this application and state that the Issuance Fee - above information is correct. I agree to comply with all County Investigation Fee' ordinances and Stc)te laws relating to building construction, Toial Fee d and hereby out or a representatives of this County to enter ° upon the abov -m roperty for inspection purposes. ^ U ! SEE REVERSE FOR EXPLANATORY LANGUAGE Signal ;of'Applicant or Agent Date ,