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Home My Public Portal About10534 KEY WEST ST_Building__ 1r q FOR APPLICK-APPLICATION oroty�eo^FOR BUILDING PERMIT FILL IN (PintBUILDING COUNTY OF.LOS ANGELES ADDRESS , �' DEPARTMENT OF COUNTY ENGINEER zIP BUILDING AND SAFETY-DIVISION CITY/ • ' NO OF BLOGS BUILDING r SIZE OF LOT NOW ON LOT ADDRESS �/, ✓C lc:J TRACT BLOCK I LOT NO LOCALITY TEL NEAREST OWNER NO CROSS ST ASSESSOR ADDRESS/p � gS 7 MAP BOOK PAGE EL DISTRICT GROUP TYPE FIRE �PROCESED BY ZIP '` N T' ZONi , ARCHITEC OR „ TEL ` ti�.J. 419 - - ENGINEER �iG_ NO _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO4,2_/ DWELL UNITS' _ BK 'PG CONTRACTOR L NO, E ZONE MA c,2_c /0 LIC ADDRESS NO �%, 'SPECIAL CITY LIC CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES, _• NO CONSTRUCTION LENDER NAME AND BRANCH D/��F BLDG SETBACK FROM " FRONT PROP LINE OF (STREET) ADDRESS CITY HIGHWAY t YARD = 1TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE CL DESCRIPTION OF WORK NEW O BLDG SETBACK FROM C-'> E '64m ! ADD SIDE PROP LINE OF (STREET) CC 413 �� ALTER ❑ = TOTAL SETBACK FROM TYPE OF EXISTING y HIGHWAY t YARD HIGHWAY WIDTH V REPAIR SIDE PROP LINE W USE OF t _ C/7 EXISTING BLDG DEMOL ❑ Z APPLICANT TEL CORNER CUTOFF YES ❑ NO (PRINT) _ NO _ IN OPEN SPACE Y,ES,❑' NO 1:11. BY (SIGNATURE), _ _ •IN COASTAL PERMIT ZONE YES NO ❑ VALUATION,$ - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _ WITHALL ORDINANCES AND LAWS REGULATING'BUILDING CON- ' STRUCTION I CERTIFY THAT IN ,DOING THE WORK AUTHORIZED - HERE BY'1 'WILL NOT EMPLOY ANY"PERSON IN VIOLATION OF THE LABOR CODE SOF THE ST(�TE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSA I NSU CE " SIGNATURE OF ' PERMITTEE f , ADDRESS 'FINAL , i �• BYE , I TEL � .� CITY / J NO DATE ' MAKE CHECKS PA)ABLE TO P C PMT FEE '✓ FEE HARVEY-'T. BRANDY, COUNTY ENGINEER _/ PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK .0 CASH '7� "''P JUL' 2'2- 1'., p 76A638A CE#803 574, / - - ' APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADOREss ,P_ �v_S DEPARTMENT OF COUNTY ENGINEER cITYj ZIP -BUILDING AND SAFETYDIVISION, NO OF BLDGS BUILDING .,/� �y/� . SIZE OF LOT' NOW ON LOT 2 ADDRESS ' a'5 i-JiG ,'4 TRACT B LOT NO LOCALITY TEL NEAREST ' OWNER �f NO CROSS ST ASSESSOR ADDRES j j MAP BOOK - PAGE PARCEL DISTRICT GROUPTYPE= FIRE ESSED BY CITY > ZIP CONS ZONE ARCHITEC OR TEL �.J✓ �•� ENGINEER L NO STATISTICAL CLASSIFICATION SEWER M P � ADDRESS CLASS NZ---Z?O_DWELL UNITS _ BK 'PG CONTRACTOR - - - NpL USE ZONE MAP LIC ' NO ADDRESS NO �' SPECIAL LIC CONDI TIONS CITY CLASS - ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER } NAME AND BRANCH D,V BLD ETBACK FPOM -0- FRO T PROP LINE OF (STREET) G U ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING JX SQ FT OF _ NO OF CHECK HIG AY } YARD - FRONT PROP LINE HIGHWAY WIDTH a SIZE �,/iy. RIES FAMILIES ONE - L } = U. DESCRIPTION OF WORK - NEW - V ❑ DG SE FROM z ADD SIDE PROP LIN (STREET) 6 ALTER ❑ HIGHWAY YARD — OTAL B ROM TYPE OF EXISTING r SIDE PROP LINE HIGHWAY WIDTH SE OF t = ]STING BREPAIR❑LDG DEMOL El APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) (yB NO BY (SIGNATUR e IN OPEN SPACE YES ❑ NO ❑ Q IN COASTAL ZONE YES`❑ NO ❑ VALUATION Y _�' _ - - - CATEGORICAL E%EMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY. _ IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO ' WORKMEN'S COMPENSATION INSURANCE SIGNATURE OF PERMITTEE c - - ADDRESS TEL CITY �� NO DIATE �.� 9r7S�NAL B MAKE- CHECKS PAYABLE TO FEE FEE HARVEY T. BRANDT COUNTY ENGINEER (/O PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION CK M o CASH / JI.4,t$Z-Mil t 1, u b.0 U e3c lb 76A638A CE#803 7/73 ' - APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) ` - BUILDING COUNTY OF LOS ANGELES ADDRESS �-> F T , DEPARTMENT OF'COUNTY ENGINEER CITY F ^ - ZIP BUILDIING AND SAFI TAY DIVISION NO OF S BUILDING SIZE OF OT NOW ON LOTADDRESS TRACT LOT NO LOCALITY ' TEL NEAREST OWNER j NO 67 CROSS ST •�� s 9 ASSESSOR ADDRESS fl ,y �,t MAP BOOK _ PAGE PA EL IS, GROUP TYPE FIRE RO SSED BY CITY t ZIP � > CONST E ARCHITECT OR TEL - 4 - - ENGINEER NO STATISTICAL SSI FICA TION SEWER MAP' ADDRESS CLASS NO DWELL UNITS—_ BK PG CONTRACT - NoL SE ONE MAP LIC NO ADDRESS ' NO SPECIAL- _ CITY LIC - _ CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ 'NO ❑ CONSTRUCTION LENDER �+ NAME AND BRANCH /d�D�Cn BLDG SETBACK FROM d • - - ti FRONT PROP LINE OF (STREET) C L ADDRESS CITY HIGHWAY } YARD —_ TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF- NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH H _ SIZE STORIES FAMILIES ONE L + LL CL DESCRIPTI N OF WORf—,, - NEW ❑ ❑ ADD BLDG SETBACK FROM Z SIDEPROP LINEOF (STREET) LTER ❑ HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING = REPAIR❑ SIDE PROP LINE HIGHWAY WIDTH _ USE OF } _ EXISTING BLDG DEMOL ❑ - APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO C BY (SIGNATURE) IN OPEN SPACE YES ❑ NO E] IN COASTAL ZONE YES ❑ NO ❑ VALUATION �� _ ' ' CATEGORICAL EXEMPTION YES -NO NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY IMPACT _ EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNI RELATING TO WORKMEN'S CO MPEN T SYRANCE SIGN4TURE PERMITTEE ADDRESS A t TE INALA CITY NOL ` DTE 7 �' 9- 7[! BY 9- 73 i'„✓// MAXF_ CH CRS PAYAl3CF TO FEE $ !.J FEE �1 HARVEY T. BRANDT• COUNTY ENGINEER �{ PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK MO C H - 1 4.,SIP JUL• 2 1 r0 j 9.0 C) A90 76A638A CEN803 7/73 - - ' I S 78A838A C 3 E#80 8-83 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER Le 4e�e BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST f l�•C..�/�l� DISTRICT NO G P TYPE P O ESSED BY FOR APPLICANT TO FILL IN e--- j r coNsr BUILDING U Li Q S� STATISTICAL CLASSIFICATION EWER MAP ADDRESS J BK PG LOT NO L _ ` L� N CLASS NO DWELL UNITS BLO WATER CERTIFICATE NOT REQUIRED RECEIVED �LL�LL'r► TRACT MAP HIGHWAY NO OF BLDGS NO (CIRCLE) STATE MAJOR SEC D LOCIL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL • USE OF VOtjPITIONS EXISTING BLDG d OWNER , 'd 1'd_TEEL B I ING EXIST SETBACK YARD HWY STREET NAME WIDTH FRONT T c / 141 ARCHITECT OR T ENGINEER O SIDE �) ADDRESS 2 9L - O TEL 1 CONTRACTOR/-', NO /• -D `'' -� V ADDRESS .0 !! 0 DESCRIPTION OF WORK W CL NEW ADD ALTER REPAIR DEMOLISH n �Q N SQ FTNO OF NO OF SIZE .. STORIES FAMILIES - O USE OF STRUCT/U�RE /T SIGNATURE OF APPLICANT l ! v VALUATION $ / QQ ! //f APPROVALS DATE INSPECTOR 5 SIGNATURE FOUNDATION LOCATION FEE P C FEE $ '�—' FORMS MATERIALS $ � � � FRAME FIRE STOPS HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT ��(,/'G•I' TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S C PEION It`SURAN CE LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE l ! f RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK M o CASH JOHN F LEWIS PRINCIPAL ST RAL ENGINEER PERMIT VALIDATION �CK7 -0 CASH 0.0 3 8 4""*' JUN 23 1 D 22.00- r . APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING'AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS /' I hereby affirm-that,I have a certificate of consent to self Insure, BUILDING ADDRESS / - ^ or a certificate of Workers' Compensation Insurance,or a certified e copy.thereof (Sec 3800,Lab C) CITY /� ZIP rj�Jy LOCALITY Policy No P C 4�i� ompany• AeR O ((•.// SIZE OF LOT NO OF BLDGS�NOW ON LOT- iif-Certlfled copy is hereby furnished < NEAREST CROSS ST ❑ Certified copy Is ftled'wlth the county,budding Inspection TRACT - BLOCK LOT NO ' deCpy$_rtment - USE ZONE MAP NO Date v jm �2 � Applicant 1 ASSESSOR MAP BOOK PAGE PARCEL- -4 O/ - I. SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER" ]7 , TEL NO� � - ti COMPENSATION INSURANCE {V/'S WITHIN 1000 FT OF SCHOOLS YES No This section need not be completed if the permit Is for one hundred ADDRESS ( p P ! Y UWA�J _ - DISTRICT GROUP TYP ONST FIRE ZONE PROCESSED BY dollars ($100)or less) ' • , CITY / ZIP I cert ' m the performance of the'work for mance this permit ns issuueded,, I shall not employ any person in any manner"so as to become subject to the Workers' Compensation Laws ARCHITECT OR ENGINEER - TEL NO , a, STATISTICAL CLASSIFICATION APT CONDO Date ApphOant 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' CONTRACT95 TEL NO- SET BACK - YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith Q �! 3 5576 FRONT comply with such provisions or this permit shall be'deemed revoked ADDRESS LICO!• P L LICENSED CONTRACTORS DECLARATION IT (15- 6qQY loS 7� SIDE CITY - LIC CLASS P L I hereby affirm that am Incensed underprovisions of Chapter 9 i,.-SEWER MAP SO FT SIZE NO OF STORIES NO OF FAMILIES ' (commencing with Section 7000)of Division 3 of the Business and n } Professions Code,and my Incense is in full force and effect G� of NEW BK PG a ,License Number /n6-17M Lrc Class ��/ SCRIP 10 F WORK ADD ❑ VALUA �O , Q Contractor��f/S KBo�t Date y�tr3 ~r� a Q�� ALTER ❑ $ � v ' El am exempt under Sec � Qs cc qgt2�sqe— 14.5 REPAIR El $ B&PC for this reason �7.5 lrlYii�Aq tf 5h1h is DEMOL ❑ LDMA P/C# 10W Date USE OF EXISTING BLDG URM ❑ Signature APPLICANT(PRINT TEL NO LDMA Perm# _ _ - Z ❑ 1, as owner of the_property, or my employees with wages as E,11,3 o _ n their sole compensation, will do the work and the structure Is ADDRESS p Q 7 not Intended or offered for sale (Section 7044, Business and Z 61 / (/6 - FINAL DATE / Q Professions Code) WILL THE APPLICANT OR FUTURE,BUILDING OCCUPANT HANDLE A HAZARDOUS,MATERIALOR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY n > licensed contractors to construct the project (Section 7044, 1 �9 m Business and Professions Code) ves ElNTE�No Eli n 8-10 - WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ' •I+-'-,r �; -•y c'S i OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING'CHECKUST FOR '- - GUIDELINES s , ' t• .- ;� a- I hereby`affirm that there Is a construction lending agency for YES❑ No❑ m the performance of the work for which this permit is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING _ 3097„-,Civ C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE E+-S^t_ "t t 7 a TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS - Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD o Lenders Address G• OWNER 0R AGENT o d certify that-I have read this application and state under penalty r oPC FEE PERMIT FEE - of perjury that the above Information is correct I agree to comply with all county ordinances and State laws relating to budding constr n, nd hereby authorize representatives of this County' - ISSUANCE FEE to 6MtrVorkfhe above-mentioned property for inspection purposes INVESTIGATION FEE TOTAL FEE -? � spna��e pi, o,Apen� ozre , v . p, SEE REVERSE FOR EXPLANATORY LANGUAGE • APPLICATION FOR, BUILDING PERMIT � • COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUI DING ADDRESS I hereby affirm that I have a certificate of consent to self Insure, r ) l0. 0 or a certificate of Workers'Compensation Insurance,or a certified / copy thereof(Sec 3800,Lab C) C � ZIP LOCAL Policy NO Company SIZE OF LOT NO OF BLDGS NOW ON LOT ElCertified copy Is hereby furnished NEAREST ROS$ST ❑ Certified copy Is filed with the county building Inspection TRACT/ BLOCK LOT NO department -2901 1 USE ZONE MAP NO AS BOOK P PARCEL Date Applicant SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWN /� TEL NO YES NO COMPENSATION INSURANCE WITHIN LOGO FT OF SCHOOL? A RESS (This section need not be completed If the permit Is for one hundred 4 Q DISTRICT GROUP TYPE CONST' FIRE ZONE CESSE Y dollars($100)or less) I certify that m ,qIf�'.�/the performance of the work for which this permit C ZIP 7 D sJz 0X �" , -7 3 is Issued, I Shall not employ any person In any manner so as to ARCHITECT OR EN ERTE NO s,/ become subject to the Workers'Compensation Laws ` ` fjl�� STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS //O/ d CLASS NO ,DWELL UNITS NOTICE TO APPLICANT If, after making this,Certificate ofCONTRACTOR TEL NO U REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS JVJ� LIC NO P L SIDE LICENSED CONTRACTORS DECLARATION CITY LIC CLASS PL c I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP V (commencing with Section 7000)of Division 3 of the Business and S FT' E NO OF STORES NO OF FAMILIES C>r Professions Code,and my license is In full force and effect NEW ❑ BK PG DE CRIPTION OF WORKVALUAVALUATION�[ License Number Llc Class ADD Lal Contractor Date / ALTER ❑ `�`1 ~' Z ❑ I am exempt under Sec �Jiti�� _ �� REPAIR ❑ B&PC for this reason 6/ t e DEMOL ❑ LOMA P/C N Date USE OF EXIS71NG BLDG URM ❑ ' C.i t Signature APP CANT(PRI TEL NO LOMA Perm# 1 l ❑ I, as owner of the property, or my employees with wages as 4 l p a their sole compensation, will do the work and the structure Is ADDRESS F r�r-, ( 7 not Intended or offered for sale (Section 7044, Business and �oa�� 2� /!� , FINAL D(7) C 00.1 .70 7 (- O:_n Ll_) Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �^ ❑ I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ; i TTGME Y g THE AMOUNTS SPEC IED ON THE HAZARDOUS MATEAIALS INFORMATION OUIDE9 FINAL Y licensed contractors to construct the project (Section 7044, YES Eli4oI.IT ` - 00 Business and Professions Code) tl WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING "S OCCUPANT REQUIRE A PERMITFOR CONSTRUCTIONOR MODIFICATION FROM THESOUTH CHECK CONSTRUCTION LENDING AGENCY COAST AIR DUAL"MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES C1 No the performance of the work for which this permit Is Issued(Sec HAVE4GHECKLIST E HAZARDOUS MATERIALS INFOR N GUIDE AND THE SCAGMD 3097,CIV C) RMI I U TA ER MY REQUI SUNDER THE LOS ANGELES C N _EZ 220 SECTIONS ROUGH 220140 CONCERNINGI, Ijl,— l �f �i I jLenders Name H ERIAL RTINO FOR G A PERMIT FROM THE MD Lender's Address 11.� J t73I A) 7:t= 0 1 certify that I have read this application and state that the above in rmatlon Is correct I agree t comply with all county PC FEE PERMIT FEE .'ordm ces and State laws relatln building construction,and he authorize representatly thisCounty to enter upon ISSUANCE FEE Be ve-menti d props Inspection purposes i INVESTIGATION FEE TOTAL FEE mMgkanaro.a o.ie SEE REVERSE FOR EXPLANATORY LANGUAGE