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Home My Public Portal About9430 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 f�0 DISTRICT NO. PLAN CK.NO. P RMIT NO. BUILDING yr^ �,/ `•� ...+++yyy ADDRESS "�"( S r 7®6 o// F / LOCALITY RECE-t/VEDBY ,DATE OF��GAlIGddPPL., 1DAVVVTE[19/3 U//E'D NEAREST ,�, l /�! r 1 /"' �/ �`•' y l CROSS ST. °�� _ y r OWNER �.��-�z-�t,� BUILDING /_ � - ! "7lU /,:{ .� 'ADDRESS ...yyy - J MAIL - e�� Q _ _ LOCALITY ; C ADORES ►t/yJ�t/ , • �NEARE9T I' TEL. Y�3 �] CROSS 9T. CITY N O. �•3 FIRE .NO.OF q TYPE) GROUP ARCHITECT OR TEL. ZONE PLANS NO. ENGINEER - BLDG. j- / ORD.NO.! ADDRESS SETBACK LINE - ,L•''►� /'•�!7 L` S'C �� APPROVED • r _ - + TEL. BY 1 t DATE CONTRACTOR NO. I:JSE /t � APPROVED ADDRESS ZONE i4•/ BY, DATE LEGAL (� CORRECTIONS DESCRIPTION LOT NO. BLOCK /� { TRACT _- .. ��/- ,'C•i�-'lI�'�-C'/FLi� r �/ NO.OFBLDGS. SIZE OF LOT I{ /,o a I NOW ON LOT _ //' / �pr• USE OF NO.OF NO.OF EXISTING BLDG. FAMILIES ROOMS - DESCRIPTION OF WORK - NEW ALTERATION ADDITION ^y REPAIR MOVING DEMOLISH SQ.FT. //r�B NO.OF SIZE ROOMS STORIES D WALL ROOF �/-1 - .. - a`,•.�� P COVERING /) I COVERING USE OF NEW '\[/ -• -a BUILDING /— rr V I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE FORMS, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FLOCATION ] FORMS, MATERIALS �7- �P AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, / SIGNATURE OF - BRACING,BOLTS PERMITTEEINT. AUTHORIZED AOT LATH, EXT. 1 76AS38A 9-48 PLASTER, INT. D99-3 50M SETS $ � kt- PLASTER,EXT. VALUATION FINAL - µµ � 76AG38A CE#803 10-58 '.APPLICATION FOR BUILDING ' PERM.1"T COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY NGINEER ADDRESS •E BUILDING AND SAFETY DIVISION LOCALITY { JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO.• GROUPIYPE P ESSED BY FOR APPLICANT- TO FILL IN ; oNST.' BUILDING 0 ` STATISTICAL CLASSIFICATION S WKR MAP - ADDRESS_ I , - CLASS.NO. DWELL. UNITS LOT NO. BL K -MAP - " �f ,p�� - STATE' _ YES NUMBER =�6*—f' HWY. TRACT -USE ZONE SPECIAL " ` NO.OF BLDGS. CONDITIONS - SIZE OF LOT. Q -3 ' I NOW ON LOT- / _ - - - •-- - , USE OF EXISTING BLDG. BUILDING YARD HWY 'STREET•NAME EXIST' - �I SETBACK WIDTH= OWNE I FRONT MAIL P.L. ADDRESS SIDE - ,{ 7 , NEOL P.L. : ARC ' INSPECTION RECO ENGINEER TEL. ENGINEER NO. _,//S / �/LL�.Cj.,+L+�.F/�//� �/IJWeY/]�' '�(-�//�iw��f��•/� ADDRESS TEL. r0�'/fi.S/ / Y//C•°Yilfo��'I "-O."Wdh 'G O/� f� ei CONT ACTO NO. 7.5� DDES R DESCRIPTION OF WORK NEW ADD EPAIR '-'DEMOLISH DEMOLISH SQ. FT. N NO.OF - - - SIZE -STORIES FAMILIES -- USE TRMCTURE a - E O APPROVALS" 5 N,�TUR APPLICANTf •- DATE - •INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION s - $ Q Q FORMS,MATERIALS �[+�O P.C. $ FRAME: FIRE STOPS. FEE "�� BRACING, BOLTS _ VALUATION - a $• r e FURNACE: LOCATION. FEE -.GAS VENT,DUCTS A 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,'INT'. J, - PLICATION AND STATE THAT THE ABOVE IS CO ECT AND AGREE TO COMP�,U AL OUNT ORDI 'NCES AND LATH,.EXT. G STATE LAWS RN UI G• C STRUCTION. SIGNATURE O HOUSE NUMBER COR-.PERMITTE RECT AND POSTED i ADDRESS �_ FINAL - - - -! - CLYDE N.DIRLAM, PRINCIPAL-ST URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH "PERMIT VALIDATION CK. M.O. CASH Lf5 9 8 7.Lel 7 1:'a:. : 6.00 1 DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETYB-u " . COUNTY OF LOS'ANGELES WILLIAM J. FOX, COUNTY ENGINEER I APPLICATION' - - CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR•.OFFICE. USE..ONLY DISTRICT NO. j PLAN CK.OR REC.No. PERMIT NO.r PADDRESS ®r („e •, RE IBY DATE OF APPL. /j ATE/yIyS8 •i �O /� BUILDIN ADDRESS O LOCALITY !RTEL. NEAREST CROSS ST. G� FIRE I NO.,OF TYPE .. GROUPt �. ARCHITECT OR � TEL ZONE""`1 PLAN4 ENGINEER NO. ADDRESS Al BLDG. F _ _ - ® - - R NOo• 4y,,��,�,, SETBACKiLINE CONTRAW BTrY �'�f0oNO. *'" A � USE APPROVED + ATE ZONE BY I 4 HOUSE NUMB RT G ADDRESS - , LEGAL MAP NUMBER /•R7, NO. A68IGNED B1�5 •/v 0 DESCRIPTION I LOT NO. / BLOCK .-I CORRECTIONS-'- TRACT.~ NO. OF LDGS. SIZE OF T( Q/� I• NOW B ON LOT USE OF NO. OF •• --r--- --EXISTING BLDG. G S FAMIue t;. pt T�At LJC Ste" DESCRIPTION OF WORE RE AIR �I DEMOLITION ADDITION N ALTERATION �q— D D r SQ. FT. /�L • NO.'OF ? I`' ' SIZE t/'�✓ ROOMS STORIESEXT. WALL / COVERING �..�i v �ti/'� 'COVE V INGO /-O'' USE OF-STRUCTURE L G i7-0 D APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION `/,Y FORMS, MATERIALS, -a-I C3 /"sov I , HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS,' {/ PLICATION AND STATE THAT THE INFORMATION GIVEN IS ,BRACING, BOLTS CORRECT. FURNACE: LOCATION, 1 AGREE TO COMPLY WITH'ALL COUNTY ORDINANCES GAS VENT,,DUCTS AND,STATE LAWS REGULATING BUILDING CONSTRUCTION: SIGNATURE OFLATH, INT. PERMITTfi LATH. EXT. ,2 ADDRESS /' n �� 'a PLASTER, INT. AUTHORIZED AGT. ^ ' PLASTER, EXT. $ /�`�D �' P• C• $ HOUSE NUMBER COR- FEE RECT AND POSTED VALUATION FEE $� - FINAL • 713A131313A DBS 3 9-132 WORKERS'COMPENSATION DECLARATION hereby affirm that Ihavecertificate of consent to self A P P L I•CAT I O N. FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, ^ ' or.o certrfied copy thereof (Sec; 3800, Lob. C.)- = STC ,Q COUNTY OF LOS ANGELES . , BUILDING AND SAFETY Policy No. Company l BUILDING ❑: Certified copy is hereby furnisKed. FOR APPLICANT TO,FILL-IN- ADDRESS Certified copy is filed_ with my building inspec- BU G -wr tion department. DRESS• , L o46 JV t✓Q •Y!L LOCALITY ' _ f� c� NEAREST _ Date /Z Z �+. Applicant CITY IQ ZIP • / 7 p O CROSS ST CERTIFICATE OF EXEMPTION F M W ERS' NO.OF BLDGS ASSESSOR COMPENSATION IN RANCE 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 hundred dollars ($100)or less ) TRACT: BLOCK LOT NO NO:.•• �,l TEL. ' _//�� SPECIAL• �... I 'certify that in,the performance of the work for which this OWNER / 0-we NO T1 CONDITIONS '_ RY ' permit is issued, I shall not employ any person in any manner 1 DISTRICT " GROUP TYPE FIRE PROCESSED BY O, so as to become'subject to the.Workers'Compensation Laws. ADDRESS 2,Qp J�/�(/ 1 CONST ZON / V OC Date 'Applicant CITY ZIP 01 STATISTICAL C S I CATION „ . PT CONDO., NOTICE TO-APPLICANT: ,If, after making this Certificate of ARCHITECT OR TEL ENGINEER NO. CLASS NO DWELL. UNITS_'1 Exemption, you should become 'subject .to the Workers' d Compensation provisions�of the Labor Code, you must forth- ADDRESS SEWER MAP with comply,'with such provisions, or this permit shall be v VALIDATION deemed revoked. CONTRACTOR C,.7 ; TEL -1 J SG� `.BK PG LICENSED CONTRACTORS DECLARATION / I hereby affirm that I am licensed-under provisions of Chapter) ADDRESS/C>O,k- S O t J0,J ". NO.3k.7 0 8 VALUATION ^,J (commencing with Section 7000)of Division 3 of the Business and /� ' LIC p Professions Code, and my license.is in full.force and effect CITY CLASS $ SO. FT NO OF NO. OF `CHE K pop.' y License Number Lic.Class SIZE STORIES FAMILIES ONE Contractor ' Date DESCRIP ION OF WO NEW Jo_ ADD 0 j am exempt under Sec. � ,cS Jo_ AL7ER El FINAL , B.&P C.-for this reason REPAIR DATE d?�� Date: USE OF DEMOL FINAL, " EXISTING BLDG ' By ..�. ._ Signature APPLICANT TEL 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 BUILDING 1, j, as owner of the'property, or my employees'with ADDRESS wages as their sole compensation,will do.the work and LOCALITY the structure is,not'intended or offered for sale(Section 8 4'9 8 A' - 7044, Business and Professions Code). MOVING TEL. - , j„66 owner of the' ro ert ;am•exclusivel' contracting LADDR TOR NO.. with licensed contractors to construct the project„(Sec tion 7044,.Business and Professions Code). 2.t°'° 5 0, 8 �` ED TOTAL SETBACK FROM EXIST a,- CONSTRUCTION LENDING AGENCY K'. YARD HWY PROP. LIN WIDTH -performance- affirm that the�e.is a construction lending agency for ► ° ° ' 50,$ y the performance-of the work'for which this permit is issued (Sec-3097, Civ, C.). - SIDE- L 2 2J —82- P. ,t. . s o Lender's Name- Lender's Address S Permit Fee "I certify that"I have read this application and state that the Issuance Fee "•' , dbcve information is correct. I agree to comply with:all County tion Fee ordinances and-.State jaws relating tobuilding construction, Total Fee an ere ''authorize representatives of this County to-enter • , •t •;; u on the bove-mentioned property i spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Aae� - - a�,"y; ignature o Applicant or Agent Date -• - '®3 APPLICATION FOR BUILDING PERMIT .' ..� _COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS ' BUIL NG ADDRESS C 3 I hereby, affirm that I have a certificate of consent to self Insure, u or a certificate of Workers' Compensation Insurance,or a certified. / 2�Iiler l copy,thereof (Sec 3800,Lab.C) __ CIT - ZIP Q Policy No �a IOZS2D23y �r`� (n 7�s.fia/) ^'I t 7(J LOCA ITY Company SIZE OF-LO NO OF BLDGS NOW ON LOT Certified copy Is hereby furnished NEAREST CROSS ST ❑ Certified copy is filed wit u y b ilding inspection TRACT BLOCK LOT NO department USE ZONE -MAP NO . ASSESSOR MAP BOOK -PAGE •• - PARCEL nt Date ApplicaSPECIAL CONDITIONS CERTIFICATE OF EXEM ION FROM WORKERS' OWNER' EL NO COMPENSATION INSURANCE rC WITHIN 1000 FT.OF SCHOOLS YES NO (This section heed•not be completed if the permit Is for one hundred ADDRESS doll arS ($100) Or IDSS.) - Cl,-/�"�� jO(.•-L,� DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY I certify that in the performance of the wo-rk for which this rCITY �/"l /� �•' ZIP• 7V� G ✓ �dG is issued, I shall not employ any person in any manner-so as to perm becomesubjectto the Workers'Compensation Laws ARCHITECT OR ENGINEER TEL NO P STATISTICAL CLASSIFICATION APT CONDO Date • . Applicant ADDRESS- CLASS NO �� DWELL UNITS • NOTICE TO APPLICANT. If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become Subject to the Workers' CONTRACTOR EL NO // SET BACK YARD HWY PROP LINE WIDTH Compensation'provisions of the Labor Code, you must forthwith i/'/YGG e /7 �70� FRONT comply with such provisions or,this permit shall be deemed revoked ADDRESS. LIC N PL LICENSED CONTRACTORS DECLARATION `�y2- S ' x`1 Z SIDE CI LIC CLASSS P L I hereby affirm that I am licensed•underprovislons'of Chapter 9 � o` SEWER MAP (commencing with Section 7000)of Division 3 of the Business-and SQ FT SIZE NO OF STORIES NO OF FAMILIES y Professions Code,and my license is in full force and of ct NEW ❑ BK 4 PG' ® f a License Num r � LIC.Class q DESCRIPTION OF WORK f' ADD ❑ VALUA O 9 R 0 Q Contractor bate 3�=! 7 S ^ _ " ALTER `� U ElI am exempt under Sec. D t - REPAIR ❑ $.` 0 B&PC for this reason DEMOL 1:1LDMA P/C# LLI Date USE OF EXISTING BLDG, URM ❑ 23 z Signature APPLICANT(PRINT) ., TEL NO LDMA Perm# ' , - ❑ 1, as owner of the property, or my employees with wages as ZO ACCT.g .1 their sole compensation; will do the work and the structure Is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE Q 3303 183.69 PfOFQSSIOr1S Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL I l 4 M 1' - ❑ 1, as Owner of the property, am exclusive) contractin with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE - y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALSANFORMAMON GUIDE'S FINAL BY -1 licensed contractors-,to construct the project (Section 7044; ACCTo7 Business and Professions Code') Yes El No WILL THE 'NTE DED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 3303 - 3K.-.12 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR ITEMS GUIDELINES + I hereby affirm that there is a construction lending agency for YES❑ NQ TOTAL 52 1 £' 1 N the performance of the work for which this permit is issued(Sec ' b .® � p - IHA EAD THE S MATERWLS INFORMATION GUIDE AND THE SCAQMD PERMITTING /+�,� Q3097,Civ C) C T I UNDE �RDOU MY REQUIREMENTS UNDER THE,LOS ANGELES COUNTY CODE, CHECK •- 521oV 1 TLE APTER NS220100THROUGH 2 20 140 CONCERNING HAZARDOUSLender's Name MATE AL OR OBT ING A PERMIT FROM THE SCAQMD CHANGE OD o Lender's Address CHANGE e Q OWNS ENT ' o I certify that I have read this application and state under penalty O of er ur that the above Information's correct.I agree to comply PC FEE �//� PERMIT FEE _ C with all cou ordinances and State laws relating to building /" �T�D' d 'M-0001` 10� •i�9_� m construction an hereby authorize representatives of this County ISSUANCE FEE '� Q '2652 1 AIS11.-31 a 4oe Upo the b ve-mentioned property for inspection purposeses INVESTIGATION FEE TOTAL FEE MW Aoe�� - SEE REVERSE FOR EXPLANATORY LANGUAGE