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Home My Public Portal About9520 KENNERLY ST_Building__ DBS-3 25"4 SETS 2-4S � ISEL ARZ!LENT OF BUILDING AND SAFETY '. APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WTI. J. FOX, CHIEF ENGINEER L i FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ' BUILDING / DISTRICT NO. _ PLAN CK. NO. PERMIT NO. ADDRESS (r b ig >2? LOCALITY_• CEIVED BY DATE OF APPL. DATE ISBUED NEAREST ��' ,-�� _11 (-911; I. CROSS ST. BUILDING OWNER v ADDRESS Z (Q MAIL �yl� - �� (1 LOCALITY ADORES 8 'I 11V' V T Y�Td I- NEAREST " CITY• P NEOL . )4 Sq.) CROSS ST FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE I PLANS I e ENGINEER NO. BLDG ORD. NO. ADDRESS SETBACK LINE EL. APPROVED CONTRACTOR -�,1 0. BY DATE UBE APPROVED ADDRESS ZONE BY DATE LEGAL v DE CRIPTION I LOT NO. I BLOCK CORRECTIONS TRACT NO. OF BLDGS. SIZE OF LOT x �I I NOW ON LOT USE OFI NO.OF I NO. OF EXISTING BLDG. FAMluce ROOMS DESCRIPTION OF WORK x NEW ALTERATION - ADDITION O REPAIR MOVING DEMOLISH la SO SIZE I e R OMB TORIES r Y r WALLROOF „ COVERING COVERING _ USE OF NEW BUILDING - l� C. 63y� --/3 APPROVALS ' I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, _ANSPECTOR DATE FORMS, MATERIALS r 7 SAND AGREE TLULATING UNTY ORDINANCES AND STATE LANG CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING, BOLTS. + OWNER LATH, INT.: /l AUTHORIZED A 7 7 _ LATH, EXT.: 7 P. C. !s PLASTER, INT. FEE PLASTER, EXT. VALUATIONFEE �""'�" FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER L FOR APPLICANT TO FILL IN t FOR OFFICE USE ONLY DISTRICT NO. '� PL:AN`CK.NO."_ -'"'PERMIT NO. BUILDING } 7" ADDRESS LOCALITY �,� RE EIVED BY =� DATE O 'APPL� DATE ISSUED I NEAREST CROSS ST. A BUILDING OWNER ADDRES9 MAIL I LOCALITY ADDRESS �f( CITY 7� �.J � N TEL. CROBB ST. ,f j�/J/ r s- 1 " NEAREST FIRE NO OF TYPE GROUP ARCHITECT OR 000 TEL ZONE PLANS 1-17- 1 ENGINEER NO. BLDG. ___ _ ORD.NO., ADDRESS SETBACK LINE _� !i APPROV! TEL. BY �) Z�.i�:, DATE i CONTRACTOR 40 NO. sr UBE��r APPROVED ADDRESS �v 'WP.AI.�� A / ZONEA ::�BY � DATE LEGAL � S CORRECTIONS F DESCRIPTION LOT NO.. BLOCK TRACT O �I..o oz-o - / I NO:OF SLOGS. 912E OF LOT NOW ON LOT , USE 4t I NO OF �� NO.OF EXISTING BLDG. Fu nMlee ROOMS _- DESCRIPTION OF WORK NEW IAJ ALTERATION I ADDITION j I O , A REPAIR MOVING DEMOLISH p SO FT. NO OF _ Z SIZE WALL ^^Q ROOMS STORI`E/S�� r ROor COVERING� � b�&� I COVERING USE NEW •Ry .o,, d ,,.mss �� -v��l - ` BUILD DI 1 N G V 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 FRAME: �p SIGNATURE OF � f BRACING,,BOLTS /iAN✓ ' PERMITTEE- ��•JJJ �� LATH,INT.: AUTHORIZED AGT LATH,EXT.: t I DBS-3 sora SETS 1-48 $ P.C.0 PLASTER,INT. -�� FEE PLASTER,EXT. /�, S VALUATION v v FINAL FEE �- /GA.xslt�i J/1 7/o� DMSION OF BDII.DING AND SAFETY BUILDING UILDING Department of County Engineer my of Los Angeles WMW__ITIPFFOX .COUNTY E_ NGINEER .'APPLICATION LOCALITY BUILDING �// BUILDING � FOR APPLICANT -T/O�FELL IN ADDRESS �O ��,/ek ADDRESS �y �:fI // ,may` - ♦�' NEAREST LOCALITY ��. T,cl�i ,,� /� � f9 CROSS ST. z / ♦ �Z12.1 DISTRICT NO. PLAN CK.OR Rbc. NO. PERMIT NO. NEAREST CROSSST l i j OWNER �'7„ /�s��y�^+i!! t �RE�CEIVED B : DATE OF'APPL. D� AAJTE SBUED - -,ADDRESS iCc �/ ill/ Zell c USE ZON NO 'OF_• TYPE GROUP" I FIRE ZONE TEL. PLANS - CITY G�f-�s� ;.,.i /° �. No. ARCHITECT OR' TEL." - ZONING ENGINEER ,NO APPROVED B BUILDING s J -ORO NO. ADDRESS SETBACK LINE: TEL. APPROVED CONTRACTOR NO BY HOUQSE NUMBERING ADDRESS LEGAL !� MAP NUMBER '�/�� NO' ASSIGNED �-- DESCRIPTION LOT NO LJ BLOCK A O DATE COR=TIONS I INSPECTOR- SIZE OF LOT�k 4 F I NO OF NOW ON LOTBLD /��I 7_ !s..� C�+�� G-. ` 7 USE OF NO. OF I /♦� } / _ 7 EXISTING BLDG FAMILUES LZ O�'C� �S Ld�C.C. ' -- — 0� DESCRIPTION OF WORK 2 / P �.� L�r• �� °c�'a a NEW ALTERATION ADDITION REPAIR DEMOLITION SQ FT NO OF 1- _ SIZE ROOMS STORIES /� $ ILZ / EXT WALL ' ROOF COVERING I COVERING �,e,_ I USE OF ST CT R ♦�� y'! :7 �-9z.--�it'd � f�l_o:.-.� vf/lif � ' ,•+_. %�' °r3�2'"6 � ._ ' APPROV INSPECTOR SSIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN 19 CORRECTBRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION, AND STATE LAWS REGULATING BUI/LD�I`NG CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF V LATH, INT PERMITTEE ADDRE86 `� �• G �r Sr LATH, EXT. PLASTER, INT. AUTHORIZED AGT , PLASTER, EXT.. ® - ®® FEE'S HOUSE NUMBER COR- RECT AND POSTED VALUATION ' FEE FINAL a'z .76AS38A DBSS-2-88 — WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR B U I L D I N G PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Poli No.t; -Company /� —agp BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING I:—:- tion department. ADDRESS 77 CITY C r ZIP �� LOCALITY Date 2. Applicant NO. OF BL GS. NEAREST CERTIFICATE OF EXEMPTION M WORKERS' SIZE OF LOT 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 PAGE PARCEL hundred dollars ($100) or less.) _ TEL. O �'3�l USE ZONE MAP OWNER NO. I certify that in the performance of the work for which thisSPECIAL >_p permit is issued, I shall not employ any person in any manner ADDRESS J T—' CONDITIONS O � so as to become subject to The Workers' Compensation Laws. U CITY � C ZIP ;> Q U Date Applicant ARCHITECT OR TEL. ix DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE Exemption, you should become subject to the Workers' W Compensation provisions of the Labor Code, you must forth- ADDRESS -OG ��3 � 3 a. with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR L(/ - NO..� 0'4 �J ,. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. �3!DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS D •Cr f3L d-V NO. 6?31 7 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY D$ 07 lO4 CLASS .�! BK • PG VALIDATION SQ. FT. �f NO. OF NO. OF CHECK License Number i 177 Lic. Class �7 SIZE v STORIES FAMILIES ONE � VALUATION ContractorW� ��'l�015- Date DESCRIPTION OF WORK �'t/� () •,� NEW El ,3,p 0 b ❑I am exempt under Sec. AlOtISK , /C O ADD 1:1 If Jq ALTER ED]B.BP.C. for this reason CA < — REPAIR $ Date: USE OF -2, EXISTING BLDG. DEMO, ❑ LICANT TEL. Signature APP(PRIINT). NO. FINAL �9 OWNS ILDER DECLARATION DATE I hereby affirm that I exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By y BUILDING rt El 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and �Q -a i1 the structure is not intended or offered for sale(Section LOCALITY 61 _ti'Ie = -•- 7044; Business and Professions Code.) MOVING TEL. CONTRACTOR NO. ❑ I, as owner of-the property,.am exclusive) contracting, with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) _ .. REQUIRED TOTAL SETBACK FROM EXIST. "HN. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 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. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name ?-''.R.I-1 _U-J J. r' �f LDMA Ref. # P.C. Fee$ Permit Fee O _: 5."_ 3 A� _ _ Lender's Address o I certify that I have read this application and state that the Issuance Fee LDMA P/C# , 8 above information is correct. I agree to comply with all County Investigation Fee R ordinances and State laws relating to building construction, Total Fee LDMA Perm. # and hereby authorize representatives of this County to enter upo a above-me toned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signa of Applicant or Agent Date