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HomeMy Public PortalAbout9455 KENNERLY ST_Building__ DEPARTMENT OF BUILDING AND SAFETY AFPLICATIUM r-Utt PZI ML COUNTY OF LOS ANGELES ® 1ARL WM. J. FOX. CHIEF ENGINEER ! V FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING d, q / DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDREBB �y( V 4 51 LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST C BB T 861 LDNG OWNER UYL _ 1I �C� ADDRESS 7 ? C� MAIL LOCALITY � ADDREBB Q TEL. NEAREST CROBB 9T. y CI NO. _FJRE No.air I TY OROU� ARCHITECT OR TEL. ZONE PLANS" v ENGINEER NO. BLDG. ADDREBBSETBACK LINE APPROVED CONTRACTOR NO.B Y MATE USE APPROVED ADDRESS i ZONE BY DATE LEGAL / CORRECTIONS DESCRIPTION LOT NO. may/ BLOCK TRACT / V / NO.OF BLDGS. SIZE OF LOT /�- !' �� I NOW ON LOT USE OF NO.OF NO.OF EXISTING BL / FAMILIKe ROOMS i DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH 6 8q.FT. NO.OF Z -SIZE-,- �Q--- ROOMS STORIESWALL ROOF' � COVERING ,((ie_ COVERING /de'44 1 USE OF NEW BUILDING V • 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INBPEOTOR DATE / AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES; FORMS,MATERIALS �t AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS r� PERMITTEE LATH, INT. C9�iCP�Vrs t AUTHORIZED ABIT LATH. EXT. 7EAG38A-3 2-50 $ P.C.R PLASTER,INT. a"D / FEE PLASTER,EXT. GJ S VALUATION FEE FINAL ©s 76A638A r - CE#803(REV.6/78) " • t APPLICATION FOR' BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY, FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS i L LOCALITY L NEAREST CITY J ZIP CROSS ST OF BLDGS ASSESSOR SIZE OF LOT - C� X I Z'S NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT TYPEFIRE PROCESSED BY. TRACT BLOCK LOT NO `✓ CONST ZONE- p`� .TEL, OWNER NO V j � STATISTICAL CLASSIFICATION, SEWER ADDRE ! \ ) -7 CLASS NO -� DWELL UNITS BK63 PG CITYMwe" ZI ` ` ARCHITECT OR TEL VALUATION 'ENGINEER NO ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) CONTRACTO NO HIGHWAY + .YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO _ LIC + CITY , CLASS ' CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH -SIDE PROP LINE OF � (STREET) TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH 0 • - SQ FT NO OFNO OF CHECK SIZE STORIES FAMILIES ONE 09 F i / 0 DESCRIPTION OF WOK -7^n �// NEW P C Fee$ o Permit Fee / C 7 Lt+Q . . ADD ❑ Issuance Fee ,,.-�.��._ .ALTER -, REPAIR Total Fee USE OF DEMOL ❑ EXISTING BLDG Z - APPLICANT TE 1 4 2 6 A (PRINT) V N Q e - o L000023 BY(SIGNATURE) ~ ` > 2 0 0 �6 $O- • I HEREBY ACKNOWLEDGE THAT VE READ THIS APPLICATION AND STATE um THAT THE ABOVE IS CORRECT AND AGRECTO COMPLY WITH ALL ORDINANCES ' AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE Z o•o o 6 4,8 Q U _ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF v THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM Z `2 S Q PENSATION INSURANCE 2 O 7 SIGNATURE OF � 1 4127A PERMITTEE # 00000-1. ADDRESS Z TEL 0 2 0'0 8 a 0 0 - CIT N Q U MAP C 0,0 0 8&o 0.c:c) 'NO 4c; . SPECIAL �_ 1.20-78 CONDITIONS FINAL 7 BY DATE' It BUILDING ADDREND'•Q ADDRESS / APPLICATION ! LOCALITY DIVISION OF BUILDING AND SAFETY NEAREST CROSS BT. (/C 10 � )o� Department of County Engineer DISTRICT NO. RECEIPT NO. , PERMIT NO. County of Los Angeles I.Ir— (jK j.z y WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CASSATT D. GRIFFIN, BuP'T OF BUILDING FOR APPLICANT TO FILL IN TYPE�CDNST. — RECEIVED BY 7 IsaUE D er OWNER . � MAP STATE 166 ND MAIL •_ NUMBER b HWY ADDRESS L i USE ZONE SPECIAL L. -•7 �7 /1 _f CONDITIONS CITY ZO. �G j/ij�'�� ARCHITECT O TEL. ' ENGINEER NO. _ BUILDING YARD HWY STREET NA ME SE70ACK WIDTH ADDRESS FRONT �' A7 Z-, __ , ' l TEL. P_L /� G� CONTRACTOR �qy NO. - SIDE ADDRESS BUILDINGDATE CORRECTIONS INSPECTOR ADDRESS L-7 LOT NO. G� BLOCK TRACT NO. OF SLOSS. 91ZE OF LOT (p D �a[ I NOW ON LOT ' USE OF FXI-ITING BLDG. �� 1 DESCRIPTION OF WORK A Q NEW ADD - ALTER /f REPAIR DEMOLISH Z SQ. FT. / NO. OF NO.OF Y SIZE / 70 -STORIES FAMILIES r / USE OF-STRUCTURE EMPLOYEES ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE 'DATE CORRECT. IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATELAWB REGULATING BUILDING CONSTRUCTION. FORMS, MATERIALS 47.v,*v-7 !tit cz. FRAME: FIRE STOPS, SIGNATURE)OF� BRACING,BOLTS PERMITTEE// ``__ - FURNACE: LOCATION, GAS VENT,DUCTS ADDRESS • LATH, INT. AUTHORIZED AOT. LATH, EXT. $ D �`� -P• C. $ •HOUSE NUMBER COR- FEE_ i RECT AND POSTED � II VALUATION .F_EE �J�! FINAL ` •,p�y�,,,.,.,-.—. '4?—`�.. �$ `� 76A638A DBS 3 Ob 5-54 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT `COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER I B .' L ® ' N FOR APPLICANT T FILL IN FOR OFFICE USE ONLY` 6 BUILDING �� DISTRICT NO. t PLA(gN'(C/nK.N(O. PERMIT NO. -ADDRESS .� ri + �7 T f �t LOCALITY RECEIVEDfBY DATE OFA/PPL.^ DATE ISSUED NEAREST CROSS 9T, BUILDING ADDRESS ( l��'1 /W'^ OWNER /y r� /J • 73-0 \ l -� �A B ' ' LOCALITIP7'r'CI MAIL dw(J �'G./i9'�LA ADDRESS I = NEAREST TEL. CROSS 9T. CITY NO. FIRE NO.OF TYPE GROUP• ARCHITECT OR - TEL. ZONE -PLANS ENGINEER NO . -- BLDG. - ORD.NO. ADDRESS SETBACK LINE �� / �•- / j/ 6/ 'APPROVED CONTRACTOR' NO. BY j DATE USE APPROVED I ADDRESS ZONE "/ BY, t DATE ' LEGAL .� CORRECTIONS s DESCRIPTION LOT NO. - BLOCK TRACT SIZE OF LOT D ,Q I NO.OF BLI t ' NOW ON LOOTS.T �� �C' '� •,"�•�. USE OF I NO.OFI NO.OF } c EXISTING BLDG. FAMILIES_ ROOMS — DESCRIPTION OF WORK NEW ALTERATION ADDITION y Y y --.' •'_ T _-• REPAIR MOVING - DEMOLISH Sq.FT. Q NO.OF Z SIZE 0 ROOMS 'STORIES D WALL ROOF COVERING I COVERING USE OF NEW • ... - . BUILDING r dLA— ell 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS ' APPLICATION AND STATE THAT THE ABOVE'IS CORRECT FOUNDATIOW LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS ��/V.3 / ` AND STATE LAWS REG TING BUILDING CONSTRUCTION. /1 FRAME: FIRE SIGNATURE OF BRACING,BOLTS PERMITTEE �� � ` LATH, INT. AUTHORIZED AGT- /%/ != T LATH, EXT. 76A639A 9-48 DSS-3 sora SETS $ P.C•$ PLASTER, INT. FEE PLA9TER,EXT. i$ VALUATION FEE U// � FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FQX. CHIEF ENGINEER { FOR APPLICANT TO FILL IN OR OFFICE USE ONLY ` DIBTR CT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDREBH LOCALITY r�. { �,,,lT,,�� RECEIVED BY DATE OF APPL. JDAITT6 18GUED NEAEST _�.. C ORT Y ,P BUILDING /L OWNER ADDREBH MAIL ADDREBH/,� ` . ..✓eo crs t_I1-..�L LOCALITY • ! SY ► NEAREST CITY _ NO. FIRE BT. FIRE NO.OF TYP_E�J— GROUP ARCHITECT OR V TEL. ZONE PLAN;--/ ���L... ENGINEER NO. 0 � ADDRESS SETBACK LINE 261 • �j APPROVED CONTRACTOR Q T O, BY DATE USE APPROVED ADDRESS ZONE BY DATE f, LEGAL CORRECTIOIQS- :4! DEA13RIPTION LOT NO. 5 BLOCK C TRACTNO.OF BLDG SIZE OF LOT GG LOT ON NOW O , ! L��s� .aAoTioff USE OF NO.OF ND,OF EXISTING BL O sFAM11 I[B ROOMS DESCRIPTION OF WORK_ ___-- - - -- - ,q -'Q�-.eiloa�- �s�••�• ' "NEW - ALTERATION ADDITION .1 A REPAIR MOVING DEMOLISH p Sq.FT. NO.OF z SIZE ROOMS STORIES WALL ROOF ' COVERING COVERINGUSE OF NEW BUILDING L.._.p/►��� b / �G.�yV Imo—. ' r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS; APPROVALS ` APPLICATION AND STATE THAT THE ABOVE 113 CORRECT' FOUNDATION: LOCATION INSPECT DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES, FORMAT MATERIALS J AND STATE LAWB.REGULATING BUILDING CONSTRUCTION." �_d • _ ,n FRAME: FIREBTOPST SIGNATURE OF d . ��c BRACING,BOLT; V Ac ✓� PERMITTE LATH, INT. P �~ AUTHORIZED AOT_1 LATH, EXT. 76A63BA-3 2-50 $ P.C.III PLASTER,INT. T� < FEE PLANTER.EXT. VALUATION FEE FINAL ♦ f DEPARTMENZ,OF BUILDING AND SAFETY APPLICATION FOR PERM COUNTY OF LOS ANGELES iNG WM."J: FOX, CHIEF ENGINEER FOR'APPLICANT TO FILL IN FOR OFFICE USE ONLY �t DIST, NO. PLANO. ERMIT NO ADDRESS . BUILDINGStn -Jf..Ei�i'w"`/ fo 3• LOCALITY JG'? I/;� - �+ R DAT EE BY DATE OF APPL.. DAE ISSUED NEAREST ' � BUILDING CROSS ST. � �•L�[/� .Y..f , OWNER /^7,p �j�� ADDRESS (� / 1/fly/ .. MAIL L; /f ,,pp��J LOCALITY - ADDRESS �� _ 9�fi1�+Gti �f?/J`' NEAREST, P'� � TEL: CROSS ST. CITY �,�,�riIYJJ'F /-. .NO. .ar A���.+ 'FIRE NO. OF GROU.�_ ARCHITECT,ORf., ��� TEL. ZONE PLANS ENGINEER-, ,.,",_ 'NO. BLDG. 1 ryry SETBACK LINE �(� F fl/ --�j---(���1 ADDRESS' _ - ---APPROVED - .• TEL. BY DATE CONTRACTOR NO:• USE APPROVED ' ' - ZONE. -I BY DATE ADDRESS i HOUSE NUMBERING ---r•---—.__. _ LEGAL I /rf/� _ DESCRIPTION LOT NO. BLOCK •• MAP NUMBER c•w /� 'S FIELD CHECK BY TRACT .Q 'NO. ASSIGNED BY ❑ATE NO.•,OF BLDGS. j _ CORRECTIONS SIZE OF LOT d /J I NOW ON LOT USE OF - - NO. OF // 2/�� EXISTING BLDG: w(„rj - � rte„ JI FAMILIES DESCRIPTION OF WOBg NEW I I ALTERATION I I ADDITION REPAIR ;I-. I DEMOLITION, I I I - - •-• - •- _ ...._ 0, SQ. FT. L rj, NO. OF O SIZE (� ROOMS' STORIES, / Z FACT. WALL ROOF COVERING I COVERING f' USE OF STRUCTURE,, APPROVALS INSPECTOR'S SIGNATURE• ,DATE 1 HERESY•ACKNOWLEDGE THAT I HAVE ,READ THIS AP- "FOUNDATION: LOCATION PLICATION AND-,STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT._ I AGREE TO,, COMPLY WITH THE' CORRECTIONS' LISTED FRAME: FIRE STOPS, f✓ HEREON AND* ITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS f� n LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, / I 1 ,��', 4 SIGNATURE OF '/fl - /fl � GAS VENT, DUCTS �/ V ' PERMITTER �sir J' s !' � Q� y � �rt J� 1LATH, INT. I✓ wf ADDRESS r 1• AUTHORIZED :AGTLATH, EXT. Ll PLASTER, INTI 75A5a5A-. Dess 110-50 $ P. C. $ ® 9 FEE •,PLASTER, EXT.' VALUATION QO $ FE "FINAL - ©S 76!633( CE 9303(REV.6/78) APPLICATION FOR; BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY, RADDRE OR APPLICANT-TO FILL IN ADDRRESS �r fir/ ��,' - CYCLOCALITY NEAREST ' f ZIP COSSSTO OF BLDGS ASSESSOR�� NOW ON LOT MAPBOOKPAGE - PARCEL DISTRICT GROUP TYPE FIRE .rPROCESSED BY BLOCK LOT NOCONST �ZONE'EL ,,TN 'oQ'74G� ,/Lj • STATISTICAL CLASSIFICATION - - SEWER MAP��jCLASS:NO DWELL UNITS BK �PG ////��Gi C� ZIP ARCHITECT OR 'TEL-+ VALUATION ENGINEER NO - ADDRESS BLDG SETBACK FROM EEJ FRONT PROP LINE OF � (STREET) CONTRACTOR d00 TOTAL SETBACK FROMTYPE OF EXISTING n NC n HIGHWAY +;.YARD, = FRONT PROP LINE, HIGHWAY WIDTH ADDRESS 0, /( !i LIC- No CITY U CLASS CONSTRUCTION LENDER BLDG SETBACK FROM CONSTRONSTR C BRANCH SIDE PROP LINE OF (STREET) NAME,AHIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY . SIDE PROP LINE HIGHWAY WIDTH O SO FTNO.OF NO OF CHECK + = V SIZE AWISTORIES FAMILIES ONE O DESCRIPTION OF'WORK NEW ❑ P C Fee$., O Permit Fee- !Z ~� ADD Issuar ce Fee _ G YI ALT //f' Z REPAIR ❑ Total Fee .1 —7 �O : USE OF ❑ EXISTING BLDG' DEMOL APPLICANT EL 2 (PRINT)w NO Q BY(SIGNATURE( Q I HEREBY ACK WLEDGE THAT I HAVE AD THIS APPLICATION;AND STATE YY THAT•THE ABOVE IS CORRECT AND AGREE T COMPLY WITH ALL ORDINANCES - id AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE S _ WORK AUTHORIZED HEREBY IW ILL NOT EMPLOY ANY PERSON IN VIOLATION OF - `x'4'5°3,'5'A}.• THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- Z }{ ' PENSATION INSURANCE O;O 10102 3 - 6 SIGNATURE OF. PERMITTEE fi:= ADDRESS' O •o N - _ Z °t'o 1 `6 S,6 0'Ir 5:n o :o'. o' O, CITY - N N) N iv,..O '� a 0 5 2 3'=7.9 .. USE ZONE MAP cn i I'. P1, a sA a ` NO J O O wU > ` SPECIAL.' -0 'O -O 'D CONDITIONS BY CH - - W FINAL Q /� d DATE �� � / d D2<06 t_.. „�•'_ ' WORKERS'<:0M.PENSATION',DECLAR4I6N `•'4i+`.. J ri••f.'%t"° i{t. ;+ �? `y t`I;Hereby.affirm that, I.have a certificate,of consent'to self p i insure, or a certificate of-Workers' Compensation Incur'nce,. - �+B P L I CAT i Q N F O'R �lJ'I LD I N G.=PERMIT 6'rTa'certified copy,tKereof (Sec.3800,•L6b`•C)`' s'•++t:•`e;. - •: .. ) .• _- t.. - 'COUNTY OF LOS ANGELES fir+ ' BUILDING:ANt SAFETY-- 4 P.olic ;No. �'Um y.- Pa Y r rtified"co 'is'hereb furnished J. CANT TO FILL IN BUILDING �// `Ce i PY Y t. •• �' FOR•APPLI ADDRESS- 7 7S Certified copy'+s Bled wifh`the'courity`,�buildmg BUILDING - i r + /y' /' F •,g �Jt 5 tion dep6rtrnentt•' �' ADDRESSj� / `%1+� � "1 /��_ Date,"1 )plicanT`- CITY LOCALITY.>' CERTIFICATE OF EXEMPTION O ORKERS'•� - - -'" -NO-OF BLDGS” NEARES_T_. . ., .�,_.T.,.-.., - "'• COMPENSATIOIN URANCE'-3�'.+• SIZE OF LOT NOW ON LOT CROSS ST GGd' . ,- ASSESSOR (This'sechon,need.not be co eted tf-the.peimit islfor•one. + - - - t -' i=.z hundred;dollars 100 or.less TRACT BLOCK LOT NO MAP'BOOK t+? PA E i'• PARCEL' r,- _ ($- )• . ,c. ` - ` '`TELAAA •.•.a" ,l. •--`b "• '" OWNER' "�" ;-�,`�.- -- -NO- y'�S USEZONE P' I`certif -thd't•in"the erformance of`K workrfor""-wh'ich'this _ _ NO tI Y„ f.P . . _ c_ permit is"issued, I:shall not employ any person'in'an`y,manner - -' *:SPECIAL O sods to`•becomesublect'id The-Workers'Compensatior1'Laws. -ADDRESS- '} CONDITIONS <•,•,;.r, w L.1 1'.t�i✓..%. -' .:.'h s:•,'.fir •±;:7 5:'�3t:' z - CITY .: ;. _ �.:. ZIP. __ _ " _ .' '.. ~. �•i., ,`"«., � "''+ x Doff' .., ` . Applicant 4 YAR( TEL . O NOTICE`TO'APPLICANTO°If;:after 'making'this''Certificate of ENGINEER IT OR 'NO DISTRICT_ , GROUP_ TYPE _ _ _ _FIRE'_ _PRO SED,By-_: t Exemption;'',you"'should become'sul5jeelu t•=to� the•'Workers'• CONST r ZONE - Compensation+provisioris+of the Labor'Code;Lyou�must.forth- 'ADDRESS - •• ;-.--..{/ IL ' witFi'.comply cwith such'provisions or..'this_kpermit,shall, be - ` ' _ 'TEL r y deemed-revoked ;�- t = u z ,.x'', ;rjg;;;aTtr- ' ' , -- STATISTICAL CLASSI IC TION '- .-a APT- r. , . ...' CONTRACTOR NO• _ r = - __•e LICENSED CONTRACTORS DECLARATION, -� ` - LIC �� ,` -7 CLASS-NO —DWELL, UNITS - Ihereby affirm that I am licensed under provisions of Chopter.9 ADDRESS v 'Y jy' NO 7v�7d/ H f M ,. r '. SEWERP'' + (commencing with.SecTion 7000),of Drvtsion;3 of the Business and __.___ - _ L1C---- jj�� y._- s` Professions Code; and rny'hcerise is- - o 't' i SQ FT'- NO OF NO OF CHECK BK r „ 1m . SIZE _ - '- ST RIES' FAMILIES License Number Lic. lass ' .,. .�.: y NEW a VALUATION s' '`4`�''J'�'L.0le �"'c•.•} };" DESCRIPTION-OF'WORK' Contractor DaT.,\ ADD I'am exempt under Sec: ;,- - l tires '- - . ALTER 1 B.BP.C.'for this reason „ REPAIR Q ; ' '. „"' _ .` _ ' _ "1' - Dafeti�•_ USE OF DEMOL. Q i EXISTING BLDG - - - " APPLICANT - - TEL Signature FINAL OWNER BUILDER DECLARATION (PRINT) _ ; 'NO- ,,DATE` -- •-, - I.hereby,affirm.ihat'.l am,exempt.from the Contractor's License 1 gDDRESS �� y.c T FIN Law for the followmg're6son,(Section 7031:5y Business and. ; Professions Code) >. r>V 1- a `' PRESENT „.. BUILDING. ;~ 1_ #•o e{.e s ov�.i., - I: as owner of the property, or'_my_employees with' ' ADDRESS woges as t, eir sole compensation',`will do the wor-Ccind ell 3.a.2 JSP the structure isnot mtended or offered'for sale(Section•• ' LOCALITY - ;T "w 7044, Business and Professions'Code). MOVING°' ^' -TEL �' "-' __ ` , - _ >_ �� } CONTRACTOR NO Y" e o �'3-� �'rj•v' 1^,as owner of'the property, am exclusively contracting• Y _ s v kith-Iicensed,contractors'to`construct the-prdlect`(Sec= ' ADDRESS _ . -..- �.. :,,-.. .• ¢ P s' ..r t z �.i::;'+ tion 7044, Business and Professions Code). , + 2,1.2 , 8 6' "s REQUIRED_- { TOTALSETBACK F _ '' ;""'� 0 °" CONSTRUCTION LENDING'AGENCY' - - %YARD HWY' - "' SET BACK"L1nvestiga!i?.n PROP LINE WIDTH "i' } I hereby affirm that there is a constructio"n'lending agency for . `t r'ihe—performance of The•work-for.which-this-permit is issued -"- _ _,(Sec.,3097, Gv: C.). `;Lehder's Name•Lender's Address PermiYFeecertify that.) have-.read this_application_and;statethat the F ,S o.- - .a Issuance-Fee- - -(V•� - •.•CDMA P/C;#-•above information'is correct..)agree tocomply with'all County - ee^ 2 y^ a _ordinances and.State laws^relating-to'building,construction, Total Fee*--r 3 --i�- %' ' CDMA Perm and hereby authorize representatives of this County to,enter - upon,the above-mentioned property for inspection purposes a �✓' ? '' SEE REVERSE FOR EXPLANATORY.LANGUAGE' Si o ure -0?--App canrorAgenr 3... cte i_.