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HomeMy Public PortalAbout9241 KENNERLY ST_Building__ DEPARTMENT OF,BUILDING AND SAFETY APPLICATION FOR PERMIT F,• � - ._CCiUMTY OF LOS ANGELES B U 1 L ® I N G Fr WM. J. FOX. CHIEF ENGINEER - FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �' DISTRICT NO. PLAN CK.NO. PERMIT NO: BUILADDRESS ' 241 $ennerl Street S" �Zd Z N I,L--) LOCALITY Temple Cit California RECEIVED BY DATE OFAPPL. DATE ISSUED NEAREST Fratus Drive t- ���°� CROSS ST, BUILDING 1 1 I N ` L J 6• T OWNER TURNER HOMES I{NC• ADDRESS +-f l { � 1 ADDRESS 26 East Santa _Clara ►Ito MAIL LOCALITY NEAREST ` � , CITY Arcadia NO.-DO 6 CROBS ST. r FIRE NO.OF 1 TYPE GROUP, ARCHITECT OR TEL. - ZONE PLANS W ENGINEER NO. BLDG. `1/� % L� A� 1 O NO. ADDRESS SETBACK LINE _ - APPROVED CONTRACTOR ' Same NO BY DATE UQE t APPROVED ADDRESS ZONE BY DATE DESCRIPTION I"'L'OT NO. 11,5 BLOCK V 1,` CORRECTIONS TRACT 164715 Q SIZE OF LOT 8 X lOO NOW ON LOT No USE OF NO.OF NO.OF EXISTING BLDG. No FAMILIEOS ROOMS - - DESCRIPTION OF WORK NEW X1 ALTERATION ADDITION. REPAIR MOVING DEMOLISH O •Sq.FT. p NO.OF Z SIZE 8 ROOMS STORIES 1 D WALL r COVERING Plaster I COVOERING SUSE OF NE n B •. ' BUILDINGW Dwelling — attached garage , J i �+ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT' FDUNDATIONI: LOCATION INS CTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES, FORMS,MATERIALS_,- AND STATE LAWS REGULATING BUILDING CONSTRUCTION:. FRAME: FIRE STOPB, _ - SIGNATURE OF TURNER HO BRACING,BOLTB PERMITTEEH LATH, INT. �L AUTHORIZED AOT LATH, EXT. 76A639 9-48 DB9-3 SUM SETS FEE P.C. PLASTER,INT. E $ FEE I PLASTER,EXT. Li VALUATION �, 027 FINAL � •76A639ACE#60911_$; .APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDIN DEPARTMENT. OF COUNTY ENGINEER °DDRES -'BUH bING AND SAFETY DMSION LOCALITY • Tt JOHN A.LAMBIE;COUNTY ENGINEER ' NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. - _. DISTRICT NO. G OUP TYPE SEWER MAP" FOR.APPLICANT'TO FILL IN - BK PG ...JJJ..��-.. CONST. BUILDING .� STATISTICAL PLASSIFICATION - ADDRESS _ _ O _ CLASS NO.'PS DWELL. UNITS .LOT NO. BLOCK MAP' STATE •• NUMBER I HW-Y, YES. NO TR.►CT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT' - - - USE OF EXISTING BLDG.' BUILDING' EXIST. SETBACK YARD HWY. _ S REET NAME WIDTH OWNER A FRONT v ' - MAILP.,L. ADDRESS A` SIDE TEL. P.L. - CITY '72NO' A INSPECTION RECORD ARCHITECT OR - TEL. ENGINEER NO. ADDRESS TEL. CONTRACTOR ICZ Yc NO. ADDRESS I DESCRIPTION OF WORE NEW .ADD ALTER REPAIR DEMOLISH - SQ. NO.OF ' NO.OF SIZE STORIES FAMILIES _ �A n A•w USE OF UC LJRE• _ . �........ .� SIGNATUREOF - APPROVALS ` APPL I CANT �J - „ a DATE INSPECTOR'S SIGNATURE ' ADDRESS!"/// .: FOUNDATION: LOCATION• ' FORMS,MATERIALS - P.C. S FRAME: FIRE STOPS, N" ,g�© FEE - BRACING.BOLTS t' '7 ' VALUATION �ZY/) S-z. FURNACE: LOCATION. FEE GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT ['HAVE READ THIS AP- 'LATH,INT. PLICATION"AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH.ALL COUNTY ORD]NANCES-AND. __ STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH,EXT. \ SIGNATURE OF HOUSE NUMBER COR- . PERMITTE9 0 - RECT AND POSTED Lo cw ADDRESS FINAL ' CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENG EER 'PIAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. A 5-s _Jt1N `5 WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate ompe of coInsur to self y' APPLICATION 'TOR BUILDING, PERMIT -insure, or a certificate of,Workers'Compenstion Insurance, or - - a certified copy thereof (Sec 3800, Lab C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy,No Company Certified co s hereb furnished. BUILDING I?v v- FOR•APPLICANT TO FILL IN ADDRESS Certified copy i3 filed"with the county building inspec- BUILDING tion department- ADDRESS LOCALITY NEAREST t Dote-- Applicant CITY' r �� ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM:WORKERS' NO OF BLDGS ASSESSOR COMPENSATION INSURANCE. SIZE OF LOT NOW ON LOT '. MAP BOOK• PAGE PARCEL (This section need.not be,completed if the permit is for one USE ZONE. MAP No 'hundred dollars ($100)-or'less ) s TRACT. BLOCK LOT NO SP } '- - TEL SPECIAL d , I certifythat•in'the erformance of the work for which this OWNER L N 'f CONDITIONS O p 1 STRICT GROUP TYPE FIRE PRO SSED BY (J permit is issued' I shall not employ any person in any manner CONST ZONE so as to-become subjeci,to the Workers'C ensdhon Laws. ADDRESS p� O CITY ZIP 1�• Dot Applicant STATISTI L CLASSIFICATION " APT CONDO W .NO CE TO APPLICANT If,- ofter.,making this ,Certificate of` ARCHITECT OR TEL•... Exemption, ENGINEER' NO CLASS NO DWELL UNITS N p you. 'should becom-e subject to the Workers' ,Compensation provisions of the,Labor-Code, you must forth- ADDRESS SEWER MAP z with,comply, with such provisions or this permit shall b_e TEL -VALIDATION deemed revoked CONTRACTO NO �' BK PG, 4 LICENSED CONTRACTORS DECLARATION. �jc I hereby affiFm that I am licensed under provisions of Chapter.9 ADDRESS` k VALUATION (commenung.wah Section 7000)of Division 3 of the Business and //'��,, LIC ' ;-Professions Code, and my license_ is in•full force and effect CITY �i.L-- CLASS $ SQ F NO OF NO OF CHECK. License Num Lic.Class SIZE STORIES FAMILIES ONE _ NEW $ .. Contractor Date DESCRIPTION OF WORK - I am,exempt from the.licensing requirements as•I am a cy( ADD lJy! FINAL r licensed architect or a registered professional engineer ALTER acting in ,my professional capacity (Section 7051, r REPAIR DATE' v Business and ProfessidrSs Code). USE OF , O FINAL pp EXISTING BLDG �; DEMOL B �Qr Lic or Reg No. Date APPLICANT.�, TEL Y OWNER-BUILDER DECLARATION," PRINT) NO I hereby affirm that-I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS Professions Code) PRESENT f BUILDING-' O j, as'owner of the property, or. my employees with ADDRESS -'2'5 .25.9.0, 1,A wages as their sole compensation, will do the work and the structure is not intended or offered for sale'(Section kADDRE w- 7044, Business and Professions Code) TEL # °rc'c ° � 1.. CTOR- NO I, as owner of the property;am exclusively contracting .. 2,- with licensed contractors to construct the project (Sec= 2 O tion 7044, Business•and Professions Code) _ ED TOTAL SETBACK FROM .' EXIST +°r° 2 v v CONSTRUCTION LENDING AGENCY - - CK YARD HWY PROP LINE WIDTH, I hereby affirm that there is a construction lending agency for 0 g•2t7�_8'2 the performance of the work for which,this permit is issued (Sec 3097, Civ ,C,)Lender's NameLender:s.Address $ Permit Fee ; w Icert f that I have read this application and •state-that the Issuance Fee • + ° ab nfor horr.is correct I agree to comply with all County• Investigation Fee ordi an State aws relating to building construction, and 1 ou hors representatives of this-County to enter Total Fee < up e o e ned property for ins ection purposes 1 . a 8Z SEE REVERSE FOR EXPLANATORY LANGUAGE -o - - - OS ^ Signature of Applicant or Agent Date r