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Home My Public Portal About9150 LA ROSA DR_Building__ 1 I 76A638A CE#803 3-66 APPLICATION FOR BUIL I NG PERMITr COUNTY OF LOS ANGELES BUILDING �S—Q DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY I JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP•T OF BUILDING CROSS ST • i DI ST�T p� •GR P TYPE PR C IB FOR APPLICANT TO FILL IN .�, �X CONST'. BUILDING STATISTICAL CLASSIFICATION „I SEWER MAP ADDRESS ��/ 4. Q 1,4 CLASS-NO. DWELL UNITS '- - BK.^• PG " LOT NO. BLOCK USE ZONE MAP - No-,.;:;/' O.' ./' - TRACT SPECIAL - ' y NO. OF BLDOS. CONDITION SIZE OF LOT ` / Q NOW ON LOT -USE OF -• Q BLDG. BLDG. SETBACK FROM " r TEL. 3,_f/ FRONT PROP. LINE OF. (STREET) OWN E L/ / .Z L• NO. TYPE OF EXISTIN SETBACK HIGHWAY.:•, YARD = - TOTAL ADDRESS (� � HIGHWAY F09M C.L. CITY - -+ - - ARCHITECT OR _ TEL. BLDG. SET ACK FROM ENGINEER NO. SIDE PRO . LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YA = _TOTAL ADDRESS Cr HIOHW WIOTM FROM C.L. - CONTRA CTOR-L V• l;,i.� /�/ NOL•p- y + ADDRESS �� ) NO l / 77 CORNER CUTOFF YES NO d O CITY S, LCL Ass B1 SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK o OAe Ao"CA% � W a NEW ADD ALTER REPAIR DEMOLISH �opT�tiYGS, Z SQ.FT. rr ��/�'�O OF NO. OF SIZE /'/-/ Y"I STORIES FAMILIES USE OF STRUCTURE / ✓ / 1/L'o SIGNATURE OF APPLICANT VALUATION$ �Q •00I APPROVALS DATE INSPEgTOR'S SIGNATURE PPMT. FOUNDATION, LOCATION •� FEE FEE$ FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9U ILD' NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMP€NSATION INSURANCE. LATH. EXT SIGNATURE HOUSE NUMBER COR- PERMITTEE RE AND POSTED ADDRESS 5 FINAL `I)� JOHN F.'LEWIS, PRI CIPAL JTRUbTURAL ENGINEER PLAN CHECK VALIDATION CK. M 0. CASH _ PERMIT VALIDATION CK. M.O CASH LACO.7 1-7 6- FEB 15 1 D - 11.50- 17 i�" 76A638A CE#8033-66 APPLICATION FOR. BUILD NG PERMI COUNTY OF LOS ANGELES BUILDING �--� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS•SUP'T OF BUILDING CROSS ST FADDRDISTRIC N G TYPE P BY FOR APPLICANT TO FIL IN CONST. E G _. �-^ STATISTICAL ASSIFICATION SE ER MAP S �j L7L..� -� CLASS NO. DWELL UNITS - BK PG BLOCK USE ZONE AP /) NO. V SPECIAL- -- - NO. OF SLOGS. CONDI TIONS LOT NOW ON LOT - BLDG. SETBACK FROM EL. q / FRONT.PROP. LINE OF (STREETNO. CJ TYPE OF EXISTING SETBACK HIGHWAY YARD 1 = TOTAL ADDRESS HIGHWAY IDTH rRQM C L. - CITY ARCHITECT OR EL. BLDG. SETBACK FROM _ ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY {• YARD =_ TOTAL ADDRESS HIGHWAY WIDTH FROM C.L /J T E L�. ./ + CONTRACT L� NO `�O 'Y" _ ADORESS c+)NO �; _ CORNER CUTOFF YES NO•[ G c I Tf CLA LIC 2c� SEE REVERSE SIDE FOR SPECIAL APPROVALS D CRIPTION F WORK A W NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF L� Z SIZE STORIES FAMILIES USE OF- STRUCTURE 4 SIGNATURE OF t APPLICANT VALUATION$ �!�!Q�Q .00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. A_5./ FOUNDATION, LOCATION FEE$ FEE$ O FORMS, MATERIALS - FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PER N IN VIOLA- LATH INT. TION OF THE LABOR CODE OF THE STATE OF IF RNIA RE LAT. ING TO WORKMEN'S CO N ATION I SURAN• LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RE AND POSTED ADDR FINAL f ;t JOHN F. LEWIS. PRI CIPAL.'STRUcT RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O- CASH fl7594o MAlli.15 1 D 11 .50- ,CITY OF TENT P.0 I7Y 76A638A CE#8038-64 APPLICATION ,FOR BUILDING PERMIT ,COUNTY OF LOS ANGELES ,B UILOINc DEPARTMENT OF'COUNTY ENGINEER ADDRESS; BUILDING AND SAFETY DIVISION L O C A LI T r ''" JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP•7 OF BUILDING CROSS STS. IS •T .- GR P-:•,;TYPE - PR SS BY FOR APPLICANT 16 FILL IN L^/ CONST: y BUILDING STATISTICAL C SSIFICATION�• -'SEWER MAP ADDRESS ` cilCLASS NO J DWELL UNITS LOT NO. BLOCK 'USE ZONE •MAP. Bn - NO:•F TRACT L '31 z - r SPECIAL '• �• ' NO:OF'BL DOS. L CONDITION SIZE'OF, LOT 'NOW ON LOTA.. bbl S -A / USE OF. k= . _ EXISTING 90. SETBACK FROM TEL RONT PROP.'LINE 0 (STREET) � " OWNER / / NO. - t. TYPE OF EXISTING SETBACK'. HIGHWAY _•-{- YARD = TOTAL ADDRESS HIGHWAY -WIDTH OF OM C.L. O 391 - CITY , 61 7MG. SETBACK FROM ARCHIT• CT ORTE-L. SIDE PROP. LINE OF (STREET) ENGINEER z f _ l NO.- 2 6>- TYPE OF' EXISTING SETBACK" H'IOHWAY- '•} YARD = TOTAL, f T(J ••S' HIGHWAY WIDTH FROM C L. ADDRESS- - IL TEL _ + = O CON TRA CTO R,6W C NO U !ADDRESS j NO �Tt CORNE R G�a5/ 2 ,CUTOFF YES El No O CITYS. 6' _ LIC Bi SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK Z ADD - ALTER REPAIR DEMOLISH ,// •' SQ.FT. NO OF NO. OF ) �i /�''�ro. - b SIZE STORIES 'FAMILIES i _ J may • . USE O•F ,,/ STRUCTURE LG � 4.67,5! t �/ (tom �Jws RAJ t4&•m4 AG SIGNATURE O j� - •'/L -(I' •r'- APPLICANT ��/ �j. VALUATION$ APPROVALSY' - DATE INSPECTOR'S SIGNA TURE P.C. Jo PMT. ` QQ FOUNDATION, LOCATION .FEE$ •�� FEE$ J - FORM_S,_MATERIALS'__- ✓ FRAME, FIRE STOPS, _ I HEREBY ACKNOWLEDGE THAT 1-HAVE READ'.THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT 'AND AGREE TO COMPLY, FURNACE: LOCATION, ` WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS' / 9UILD I NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY [.WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH INT. P/•/7/./1G%.00��R� TION OF-THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT. •�''� - . ING TO WORKMEN'S COMPENSATION INSURANCE LATH EXT. ' SIGNATURE-Og,-� yHOUSE NUMBER COR- P Ef2M ITTEE`-.[�/_____/S �jp / �•-J RECT AND POSTED _ ADDRESS /Q//P /IG.S�J• S� �C4M�/VT� F I N A L • _ JOHN F. LEWIS,'PRINCIPAL STRUCTURAL ENGINEER -PLAN CHECK 'VALIDATION . CK. M O CASH _ PERMIT VALIDATION CK. M O CASH I _1 ..2 3 D . 4 7..5-Q WORKERS' COMPENSATION DECLARATION ? I hereb affirm"that I have a certificate of consent to self insure, or a.certificate of Workers' Compensation Insurance; 'APPLICATION °F OR BUILDING , PERMIT or a certified copy.thereof (Sec; 3800, Lab:"C.) �'-+•• COUNTY-OF LOS ANGELES �. .. .'BUILDING-AND SAFETY Policy Nor99�g�f>� �r�C � ompanj Rep'-��I L4., .4_Hp�xri� ❑' , . BUILDING r -FOR, TO FILLINisherebyfunisd. ,�,�Certified copy 5C2" '❑ Certified copy is filed with the county'bulldmg inspec- BUILDING tion depca�rtment. ADDRESS Date Z-�� I APPhc6nt• P✓SfCt"� _ Oo f��ss� CITY ZIPS LOCALITY ' r' r' NO OF BLDGS NEAREST 4••.' _ CERTIFICATE OF.EXEMPTION FROM WORKERS", SIZE OF COT" NO_W'ON LOT' CROSS ST GOMPENSATION�INSURANCE, ASSESSOR (This section n`e'ed not'be completed if'the permit is for one TRACT" BLOCK ^- _ LOT'NO "' ' ' ' MAp•BOOK";,-', * PAGE "' PARCEL r hundred dollars-($100)or.Jess::); r ;, TEL.' ' a OWNER ! t NO' USE'ZONE.- MAP, - r r K'. Np i I certify, that in.the-performance of'the.w'ark?for which this ba .. SPECIAL 'a`.' `-- t:'`•-- A -permit is issued, I,shall not employ any,person in any manner.,,,''_ ADDRESS..: - -• - - CONDITIONS - -' - so as-to,'become subject to the Workers,' Compensation Law's:r•, " , - - O r CITY ZIP• �... ,.<'.. U 'Date ApplicanT. QsfCl��7fe ./�OO�rf ARCHITECT OR" TEL M C ENGINEER.' NO y,.,• DISTRICT, ' GROUP .TYPE. FIRE PROCESSED BY, O NOT CELE T NT:'If„•after'making.'this Certificate 'of” ) CONST. ZONE 0 < :U. Exemption;,•You ,should' becomesubject to the"Workers' Q W Compensation:-proJisions of-theLabor-Code,`you:must„forth- ADDRESS_ with comply•with-such'provisionsjor this>.p'ermit•:shall,be - Q TEL 17 STATISTICAL CLASSIFICATION " "APT.'- CONDO. Z deemed revoked.- CONTRACTOR NO g /LIQ ✓ .- �J n- _ - LICENSED,CONTRACTORS.DECLARATION LIC CLASS'_NO DWELL UNITS 1 'I hereby affirm•that I a'n licensed under provisions of Chapter.9 ADDRESS N0.7,rC� }' t '4LIC. SEWER MAP . (commencing3wiih,Seciion:7000)•of Division 3 of the Business r' w and Professions,Code,;'and my-license.is m full force and effect. CITY. t�Ufa• Gam- CLASS — �` BK,:. a VALIDATION' za ,. � �.; NO PG OF NO' OF CHECK ' License NunibeF 4/, V� 3- a: 't'i'c: Class, SIZE STORIES FAMILIES' ONE F. VALUATION /��,SSC`v +�_ r �9.`' DESCRIPTION OF WORK. NE '❑ Contractor 'Date _ `�` "t `, - - �.I�. - - <'n:-• ADD- ❑' I am exemptvnder-Sec - ❑ k ALTER 4•. B.&P.C.,for this.recison - REPAIR'❑ s• "Date:, 2- SE,OF DEMO' ❑ _ �.i : : .�_ EXISTING,BLDG / T�'A,,, ^{ r Signature APPLICANT TEL . - (PRINT) t GY 'f = OAE"► NO /QQ FINAL a.. WNER- ER'DECLARATION DATE. ,;- 1 hereby affirm,'that I a exempt from the,Contilactor's License'-'- t icense:- ) ADDRE L t�G.r f� �I rSy�l�(7 • Z7'7; Law-for the'following:Feason.(Section 703'1;5,"Business:ond FINAL. Professions Code):y �, �, PRESENT By. BUILDING ,r.•,. tt_ ❑' I, as owner- of.the•property,Ror my.employees with ADDRESS ' ;wages•asiheir-sole'compensation,;willdo the work and;, LOCALITY , V :iii �' '`c'LI_'•.r`;, ' the structure,is not intended or,.offered forsale'(Section'° _ V 7044,-Business`,and•Profess_ions`Code.)' MOVING m _ TEL.;: _ 1 '• 'CONTRACTOR NO.. z _ T�.E •_ ❑ -I, as owner of the property, am exclusively contracting y �� viiTh licensed.c'ntractors'to,construct'the,project-(Sec- a• v I� , s ti: Tion 7044, Busmess.and'Professions Code:) i _ IHL , 8 �,DS r, REQUIRED'. TOTAL SETBACK FROM- EXIST. ;E E_;}i,_ I's' CONSTRUCTION LENDING AGENCY SET BACK YARD" HWX, PROP. LINE• WIDTH I herebyaffirm'thdt there is d-construction lendin agency for FRONT'- LDe, �= r'' ' ' '''' }i 2-1 9 9 Y '- _ ;tli, the'performance of'the vvorkJo'r which this-permit is'is-sued(Sec 3097, Gv. C SIDEPL`erder'sName ! r(11±-liljllP C.'Fee'$ Permit Fee -Lender's Address_I'cerTify that I,have read this application dnd state'that'the " I'seuance Fee above information'is correct. I agree-to comply with;6lfCounty Invest gat onFe'ordinances and State.laws relating to,building constructionTotal Fee ' O - z • and.hereby duthorize'represertatives of this County to enter 'm up _ e above mentione property r inspection purposes. t f'Z: b^ '[•/ SEE REVERSE FOR EXPLANATORY LANGUAGE " Sig re of Applicant or Agent• Date