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Home My Public Portal About10034 LA ROSA DR_Building__ 1..1 DEPARTMENT OF COUNTY ENGINEER - - 1v'DMSION OF BUILDING AND,SAFETY COUNTY OF LOS ANGELES. B U ILD1-IN --` -- -_ WILLIAM J. FOX, COUNTY ENGINEER APPLICATION Y„ LLL999 CASSATT D. GRIFFIN. SUP-T OF BUILDING ,. 1 FOR APPLICANT,TO FILL IN FOR OFFICE USE,ONLY BUILDING q /, DISTRICT NO. ' PUN Cu.OR Rec.No. PERMIT NO.- ADDRESS `B 0 ,?_ ,�'] 40 DATE LOCALITYDATE OF APPL. I /E 149 CROSS ST. / �j �/ BUILDING NG wC+ )A OWNER ADDRESS MAILa ,/ /'y,)�� / CA�/'7F ADDRESS /I ��H ��-//Yn LOCALITY C� i .e ' I NEARE6T / CITY it v V TO CROSS 6T. IV ARCHITECTOR TEL. FIRE NO.ZONE- I PLANS _ it'-T.YP� I GRnt ENGINEER NO. ADDRESS - BLDG. _a 6ETBACKIINE I BYPROVED / .S CONTRACTOR/_ ZONE IDATE �/q I �Nd.G pT��yII ADDRESS � d�C./Yf.N � /, ((/ HOUSE NUNWING LEGAL MAPNUMBER 20/D �' NO. ASSIGNEDBY DESCRIPTION LOT NO. S BLOCK i (..ORRECTIONS TRACT L INWOOF ILLDTGS. SIZE OF LOT Qd c No a O _ D-- USE OF /�,C . I NO. OF -- --- -- J -/ EXISTING BLDG. G Is FANluss G�/�� •�'y � .p fJ l� - - DESCRIPTION OF WORK a r _ o — II�III � -� _a RE AIR ALTERATION ADDITION Z r SO. FT.Q A 0 2 NO. OF SIZE d. V ROOMS STORIES - CEXT'li WALL A _ ,J � I ROOF COVHRA /f/ �KYh� COVERING yLr,.(A 1 USE OF STRUCTURE 7 F O Ei 00 ..3 APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS S T/N 2. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRESTOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. ON, 1 AGREE TO COMPLY WH ALL COUNTY ORDINANCES GAS VENT, DUCTS FURNACE: LOCATIATI -AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE LATH, INT. �"g-// PERMITT / fp-/ 'e r A4a!:; E J LATH. EXT.- C/il/An-G ADDRESS AUTHORIORI PLASTER, INT. , ZED AGT. PLASTER, EXT, r(„ / $ FiE S Y� HOUSE NUMBER COR- RECT AND POSTED VALUATION FEEFEE- S �_ FINAL 70AS36A DSS 8 8-62 APPLICATION FOR COUNTY OF.LOs ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DIVISION qNEAR ING FOR APPLICANT TO FILL IESS BUILDING '�7J - ADDRESS IOJ LITY -- ESTCITU ZIPSTNO.OF BLDGS: SOR -IZE OF LOT NOW ON LOTOOK PAGE PARCEL RICT GROUP TYPEESSED BV TRACT Z BLOCK LOT43 G� ` L CONS ZON 'TEL _ OWNER I' TNo E ' STATISTICAL CLASSIFICATION - SEWER MAP .ADDRESS 420 3 �' H CLASS NO. ;Z/ OWELL.UNITS �BK PG USE-ZONE MAP .ZIP CITY _ NO. V ARCHITECT OR TEL �/ SPECIAL ENGINEER NO. CONDITIONS ADDRESS F DEPARTMENT APPROVAL REQUIRED YES❑ � NO ❑ TEL. . ETBACK FROM 'CONTRACTOR No. _ ' 1 , A, LI N PROP. LINE OF (STREET) ADDRESSp_J �,{�/ NO. Y } YARD -_ TOTAL SETBACK FROM TYPE OF E%ISTING CITY L LIC. — FRONT PROP, LINE HIGHWAY WIDTH. CLASS _ CONSTRUCTION.LENDER }NAME ANO BRANCHG.SETBACK FROMADDRESS CITY PROP.LINE OF (STREET)SQ. FT. NO. OF NO. OF CHECKAY + YARD TOTAL SETBACK FROM TYPE E%ISTING ErCa SIZESTORIES FAMILIES ONE - SIDE PROP. LINE HI GWiHDESCRIPTION OF WORK NEW }IADDCORNER CUTOFF YES ❑ NO ❑LTERPEN SPACE YES.❑ NOEPAIR'E%EOF ST NG BLDG. DEMOLOASTAL PERMIT ZONE VES ❑ NAPPLICANT TEL(PRINT)BY 61GNATUREI HEREBY ACN WLEDBE THAT I HAVE READ TNIS P, ICATIAND STATE THAT THE ABOVE IS CORRECT AND AOR E O COMPWITH ALL ORDINANCES AND LAWS REGULATING BUILDING COSTRUCTIOX. 1 [ERT(IY THAT IN OOIN4 TNF WORN AUTNOR12HEREBY Wlll NOT EMPLOY ANY PERSON IN VIOLATION OF TLABORCODE OFTME TATE OF CALIFORNIA IN RELATING WORKMEN'S [OMPE ION URAN - SIGNATURE OF/ FINAL 9'. 2-.;7 7 BY 'Si PERMITTEE DATE ADDRESS CITYC�� TEL. P.C. Fee$ Permit Fee Z' C Issuance Fee i VALUATIONS -�O 0O - - Total Fee PLAN CHECK VALIDATION CK. M D cA:N t PERMIT VALIDATION «: ' M D: C:BH' 23.8�INOV 10 1 U 42.00A-- 76AG38A C9080313 IZtl5 - `� � Y U ~COUNTY OF LOS ANGELES APPLICATION -FOR DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT'TO FILL IN BUILDINGADDREss _ BUILDING ' go- ADDRESS / O. LOCALITY CITY (, ZIP NEAREST CROSS ST. NO.OF BLOCS. ASSESSOR- I - SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL - DISTRICT GROUP TYPE FIRE PROLE D BY _ - �.� � zOAyE ,L TRACT BLOCK LOT NO LO pay 7- CONS T.V `T TEL. 'OWNER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.�..�3 // OWELL.UNITS BIN-4/ USE 20NE MAP CITY ZIP NO. - ARCHITECT O TEL. /t,..� SPECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD D EPARTMENT APPR OVAL REQUIRED YES❑ NO ❑ rjol TEL. B LDC.SETBACK FROM CONTRACTOR ,, ) NO FRONT PROP,UNE OF -(STREET) ADDRESS /y461 NO. HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF, EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY . - CLASS _ CONSTRUCTION LENDER } NAME AND BRANCH y BLOG.SETBACK FROM - ADDRESS CITY SIDE PROP. LINEOF (STREET) CD SQ. FT. NO, OF NO. OF CHECK HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING C SIZE STORIES FAMILIES ONE .510E PROP. LINE; HIGHwAv WIDTH . O DESCRIPTION OF WORK NEW ❑ } N t ADD ❑ - CORNER CUTOFF YES ❑ NO ❑. z LTER ❑ N-OPEN SPACE YES ❑ NO ❑ REPAIR USE OF - IN COASTAL PERMIT ZONE YES C] NO E]EXISTING BLDG. EMOL ❑ APPLICANT TE �t=fit (PRINT] 6 NO. ' BY ISIGNATUREI I HEREBY ACKN LEDGE THAT I HAVE READ HILGG'P TION ///L �+L Llif3 �,L.Sp-$LDC - Lor✓KcD AND STATE THAT THE ABOVE IS CORRECT ANO ACRE COMPLY +I✓ L/V 1 WITH ALL ORDINANCES AND LAWS REGULATING BUILOING CON- STRUCTION.- I CERTIFY THAT IN DOING THE WORK AUTHORIZED - HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE _ LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO _ "WORKMEN'S COMPEN ON URANCE. 11 SIGNATURE OF FINAL (JI �7^p' PERMITTEE DATEBY ' 1 ADDRESS TEL. P.C.fee$ Permit Fee CITY NO. a- Issuance Fee - •n 'VALUATION d �O L�'.'^ ^� Total Fee - cc PLAN CHECK VALIDATION CK. M.O. CAB. PERMIT VALIDATIO Cl'. M.O. CAG. 4'2 7`e NN "16.. .1 8 92 3 ♦y8 1 ]fi A63BA CE#8036 12/]S- ;Il' WORKERS'COMPENSATION DECLARATION surebo affirm that ( .have a certificate of consent to self • _ — APPLICATION -FOUR BUILDING PERMIT' " insure, or a certificate of Workers'Compensiion Insurance: or ' o certified copy thereof Sec 3800, Lab. C.) r . i l+_�� COUNTY<OF LOS•ANGELES _ BUILDING,"AND SAFETY '- _MI6 No.�Company SA1 Q' ,� -- I • - .. . py ' v —FOR APPLICANT TO-FILL`IN BUILDING �`` Certified ca is hereb •furnished. ADDRESS . �b34`"�r LA.• 9ea v71 Certified copy,is�filed with the county 6uilding'inspee- NG _ n _ G tion department.' ' 'T SS Qg'H LOCALITY, 1 eJl1'L �G t " lA� /q� /' /� NEAREST l� Date - —A-00 2. Applicant .N 1 .:-�C/•- - � _k - C.- •, ZIP "I L�J�r^ 'CROSS.ST. y7 Q1 ( w• _ .. CERTIFICATE EXEMPTION FROM WORKERS' - O. OF BLDGS ASSESSOR COMPENSATION INSURANCE - SIZE OF LOT' -NOW ON LOT MAPBOOK PAGE - PARCEL Thissection need not be completed if the permit.is for one -• p-r � USE ZONE-•, MAP _ nundred dol lars'($100)or less.) - _ - gni BLOCK LOT NO. NO. 1' .TEL` �/ t �/ SPECIAL . . i. - 6. certify that in.the pada mdoce of'.the work for which this R �.uOCA1S NO.�7 �S CONDITIONS - O DISTRICT GROUP: TYPE - FIRE PRO SSED BY permit isissued I shall not employ any person in any manner qqZ1 _ V - SS eJ�'l' �Ar H CONST. ZONE _ o as io become subject totheWorkers'Compensatmn Laws. -•�- �L !•�/�� OC Jote Applicant 1 �� ZIP l t" `♦pt./ STATISTICAL CLASS (CATION- APT. CONDO u TECT.OR TEL.NOTICETO APPLICANT: If,'after making this Certificate of - .` ,< �/ ..izemption,. you -should become subject 'to fhe'Workers' EER _ .F'e Y' 'NO.71� ��`12-18 CLASS NO DWELL. UNITS_ 6 �� L N =ompensation provisions of the Labor Code, you musnforih-- - ADDRESS ..Ary' ll - ,SAYj DL M0.S SEWER MAP t - ? Nith.comply with"such.provisions, or this permit .shall be //ll ,,,,,� (r� e� o� yJ learned revoked. r CONTRACTOR.-`A IIVOfnl4 PL�IS. NO. Zff5-Zz6-I BE. h PG,�cs - ' .VALIDATION LICENSED CONTRACTORS DECLARATION Tii1C hereby affirm that l am licensed under provisions of Chapter 9 . _ ADDRESS �. Lj�•j � NO. { a d I oz-" - r VALUATION .. 'commencingwith'Section 7000)of Division 3 of the Business and {,., \ LIC S '00 - 'rofessions Code, and my, license is in full forceandeffect. _ CITY Tl Y'V(,1 CLASS -C� $ O��— s ' - �a, l� SQ. FT. NO, OF NO: OF _ CHECK - .icenseNumber �a-/� IOZ Lic Classy �%'i-S2; SIZE STORIES FAMILIES ONE _ontractor 0_01\ PCS fIS -Dote -2�1"�'11�" DESCRIPTION OF WORK - NEW. _ $ ] I am exempt from the licensing requirements as Ipm a fy-1. ; P •� ADD '� - ,• ' -'licensed-architect orgregistered professional engineer_,_,., _ _ n ALTER 'Q FINAL n 9 -- acting in my professional capacity.(Section 7051, /' �� ❑ DATE �J 7,Jr�A Business and Professions Code). - _ USE OF - REPAIR ///... - • EXISTING BLDG. C� Q �6f • e DEM FINAL NAL'.. . #- r• • 2 .ic. or Reg. Nd. - - Dafe' APPLICANT -- "' TEL Y - - OWNER-BUILDERDECLARATION '.-(PRINT) .. h� "-- NO:- � � 2 • 5964' hereby affirm that I am exempt from the Contractors License c¢ p �7 _ x ,aw for-the following reason (Section 7031.5, Business and ADDRESS Ot1�+p •'l�� `` (/� - ,• • • 5)9.6 40 - 'rofessions Code): ' PRESENT J . d > .- BUILDING 03.241 82 . I, 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 sole'(Section"' - 7044; Business and Professions,Code). r MOVING TEL -. r ' I,.as owner of the property, am exclusivelycontracting CONTRACTOR NQ. _. z z"3.Z 6-A - with licensed contractors to construct the project,(Sec- F --. ADDRESS _ # ••e e tion 7044, Business and Professions Code). -- - .1 - -- - -- - :REQUIRED TOTAL SETBACK FROM EXIST. - CONSTRUCTIONLENDINGAGENCY ",SETBACK YARD- HWY PROP. LINE WIDTH. _ 2 • �•� 500, hereby affirm that of th re isr car.which t lending agency for- - - FRONT - T - - - - �' - - '- he performance of the work for.v✓h ich this permit is issued P:L. - •!e �.� 5.s, x 'Sec. 3097, Civ. C.), �>v SIDE:... .«_... - ..._ .. . . .._ .`-.. . i. - O S,o 0 3.24 AI l .endera Name .U Y� 1� a?.r�OtP.L. - - ,-82 P.C. Fee.$• V.7 V _ P colt Fee. m .ender's Address - certify that I have read this application and state that the Asuonce Pee ,bove information incorrect. (,agree to:comply with•a ll'County - Invevigatlon"Fee_ ordinances and State laws relating to building construction, no hereby authorize xe r sentives of this County to enter foto LFee - tto pan he above-nn is property for inspectio purposes. s 2 �Z - — SEE REVERSE FOR E%PIANATORV LANGUAGE• - - - S,ignaNre of App`"carrAor Agent r-