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Home My Public Portal About9447 LA ROSA DR_Building__ ' '`-DIVISION-OF BUILDING AND SAFETY,_ , Department-of County Engineer1 L ® I County of Los Angeles APPLICATION WM. J. FOX, COUNTY ENGINEER ` FOR APPLICANT T9 FILL IN FOR OFFICE USE ONLY DISTRICT NO. _ PLAN CK. OR RED.No. PERMIT NO. ADDRESS L LOCALITY ti, RED EIVED BY DATE OF APPL DATE ISSUED NEAREST CROSS BT. _ ADDRESS �j'L 7 2k. f+FJs 7 OWNER /L/ MAIL / LOCALITY ADORES / Q/ — NEAREST ✓ TEL. CITY CROSS ST. 6X ft NO.EFIRE NO.PLANSVE ORO ♦� \ ARCHITECT OR TL ZONE J ENGINEER NO• BLDG. / t�Q. NO. SETBACK LINE `f• If ADDRESS USE APPROVED CONTRACTOR i^ TSL ZONE BY DATE HOUSE NUMBERING ADDRESS MAP NUMBER NO. ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION ��LOT NO. BLOCK -TRACT r1 V SIZE OF LOT I �' NO. OF BLDGB. NOW ON LOT USE OF I NO.Op• t EXISTING BLDG. FAMIUE2 DESCRIPTIO WORK °i A NEW ALTERATIONADDITION Z D REPAIR DEMOLITION f' SO.FT. NO.OF SIZE ROOMS STORIES - EXT.WALL I ROOF COVERING COVERIN USE OF STRUCTURE l 016 (t A, 2 7 INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-I� PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FRAME: FIRE STOPS, CORRECT. I BRACING, BOLTS !U-r"t- 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCEB,'� FURNACE: LOCATION, AND STATE LAWS EGULATI G BUI t O QON RUCTION.11 GAN VENT, DUCTS SIGNATURE O LATH, INT. PERMITTE LATH, EXT. �� 1 ADDRES F PLASTER, INT. AUTHORIZED AOT. PLASTER, EXT. t FEE , HOUSE NUMBER COR- VALUATION AND POSTED / VALUATION FEE O 'j FINAL ,ee 76A639A DBS 3 1-52 X99-3 25M SETS 8-43 µ - - DEPARTMENT' OF BUILDING AND SAF1AR-12.1 ir APPLICATION FOR PERMIT TCOUN'�Y•OF LOS ANGELES 1 94 �. ' L. NO-W/M. J.,FOX, CHIEF ENGINEER FOR APPLICANT-TO FILL IN FOR OFFICE USE ONLY BUILDING i^ , DISTRICT NO. //PLAN CK. NO. PERMIT : T NO ' ADDRESS -S' 0 `'UV3 �� t /7 ,V �. LOCALITY RECEIVED Ii-y J DATE OF APPLi , DAT ' ISS ED NEARESTY3(�J 3 11tZ'"/.�jG CROSS-ST. /� /f� I l 1/V ADDRE S�69-L 1 1/i 05�0`y- 'OWNER ag� I• ADDRESS •.� 'J `�'i" t�'�a�`/i�. `� fws4�..�"'de^� - LOCALITY�S tom) -PLj - 17y : ,MAIL NEARE CITY• �/`.+s-�"o" C."T TEL •`� � � ICROSSSST. �:,U N S 1—:-T 8 FIRE NO.OF •^� I TYPE i.GROUP,_. ENO NIEERT OR ,` yNOL. ZONE PLANS A"; (BLDG. ORD. NO: ADDRESS 416-0 t,-SETBACK LINE APPROVED - (� �� TEL. CONTRACTO•. "1/`+ tA NO.' - BY DATE _ USE APPROVED ADDRESS '-- +ZONE BY !jpy �DATE 7''" LEGALCORRECTIONS DESCRIPTION I ,LOT NRO. - I BLOCK - TRACTNO BLDG SIZE OF.LOT r� I NOWOON'LOTS. ® -USE:OF NO.OF NO. OF \ EXISTING BLDG. I FAMILIES I ROOMS _ DESCRIPTION OF WORK NEW• -ALTERATION', ADDITION - - - O REPAIR MOVING - DEMOLISH SIZE .' � 100ROOMS yp STORIES • r WALL ROOF - • _ - COVERING I COVEP.ING - USE OF NEW .BUILDING - Jed a r -2. d .APPROVALS . •••I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS " APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, NSPECTOR DATE - - AND AGREE_ TO COMPLY WITH ALL COUNTY-ORDINANCES FORMS, MATERIALS - ,AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, +� SIGNATURE OF _ BRACING, BOLTS ' OWNER LATH,._INT:: AUTHORIZED AO LATH, EXT.: t D �. P.,C. PLASTER, INT: FEE /1. �V PLASTER, EXT. Qd /. VALUATION FEE / •"rO�i FINAL - ��~` - i 7aA413eAcee03• +-6PPLICATION FOR BUILDING PERMIT BUILDING DEPARTMENT OF COUNTY ENGINEER AD°RESS BUILDING AND SAFETY DIWSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST C WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. ! DIST T N GRO TYPE PR SED BY _ FOR APPLICANT TOTUI IN Lt CONsr. BUILDING �j,t/ � J Q, /� STATISTICAL CLASSIFICATION SE ER MAP ADDRESS TT L��+✓ Q�j/T �� K PG CLASS.NO..�_DWELL.UNITS�� r LOT NO. - - BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE TRACT 7, MAP HIGHWAY STATE-MAJOR SECOND, CAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT ,NOW ON LOT USE ZONE SPECIAL USE F EX STO NG BLDG. �f�/; C� /4-,/ CONDITIONS + / TEL. OWNER �y NO. BUILDING YARD HWYRE^ NAME EXIST. y� SETBACK' .WIDTH ADDRESS .5 M _ FRONT- ARCHITECT OR TEL. PA:. ENGINEER NO. SIDE P.L. ADDRESS PL tl,ps NO�• INSPECTION RECORD O CONTRACTOR rJ/L ADDRESSI= DESCRIPTION OF WORK ROUGH GRADING APPROVED: . - J FINAL G ADING APPRO�VEDI - `: h NEW ADD ALTEF�/ REPAIR DEMOLISHa ��. �� Z SQ. FT. NO.OF NO.OF IZE STORIES FAMILIES USE OF _ ./17�6�•f'/ STRUCTURE - `� - r V SIGNATURE O ' APPLICANT , VALUATION APPROVALS' DATE' INSPECTOR'S SIGNATURE . FOUNDATION: LOCATION FEE $ '�— FEE $ Z` ' FORMS, MATERIALS FRAME: FIRE STOPS_ IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS 6 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK / AUTHORIZED N HEREBY 1 WILL NOT EMPLOY ANY PERSON IVIOLA- LATH, INT. �.• / TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. yrs' �1 ING TO WORKMEN'S CO EN KATION INSURANCE. "LATH,EXT. SIGNATURE HOUSE NUMBER'COR- PERMITTEE RECT AND POSTED ADDRESS FINAL ®f�. ;,7- CLYDE � � CLYDE N. DIRLAM, PRINCIPAL STRU RAL ENGINEER PLAN CHECK VALIDATION " cK, M.O. CASH PERMT VALIDATION cK. 'M.O. CASH t , RPii 'I APPLICATION f Oq BUILDING PERMIT COUNTY OF LOS.ANGELESZ BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDINDDRESS I hereby affirm that I have a certificate of consent to self Insure, BUI`ING ADDRESS /�, ' or'a certificate of Workers' Compensation Insurance,or a certified ""_ Ka copy thereofSec 3800,Lab C) ZIP '�2i Li/-� LOCALITY , Policy NO 7" Company�-"'"- SIZE OF LCT NO OF BLDGS NOW ON LOT •❑ Certified copy is hereby furnished. , NEAREST CROSS ST ,_Certified copy Is filed with th my budding Inspection TRACT BLOCK LOT No depart ent USE ZONE MAP NO Date C L 3 Applicant ^ ASSESSOR MAP BOOK PAGE PARCEL ' SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' o E TEL NO COMPENSATION INSURANCE ��" r� WITHIN 1000 FT OF SCHOOLS YEs No (This section need not be completed if the permit Is for one hundred AD KESS 7 dollars($100)•or less.j ��L DISTRICT GROUP" T ONST FIRE ZONE, PROCESSED BY I certify II In the performance of the work for which this permit Ty l �. ��O -3 3 is issued, I shall not employ any person in any manner so as become subject t0 the Workers'Compensation Laws ARCHITECT OR ENGINEER - TEL No _ 'STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS - •CLASS NO DWELL UNITS NOTICE TO APPLIC4NT If, .after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should •become subject to:,.the Workers' N R CT f - �}NO p / SET BACK YARD HWY - PROP LINE WIDTH Compensation provisions of the Labor-Code; you must forthwith 3S O &D FRONT comply with such provisions or fhis permit shall be deemed.revoked DRESS r -YC05 V� P L LICENSED,CONTRACTORS DECLARATION � I� a "_Za SIDE ILJ LIC f.LA � P L I'hereby affirm':that I am'licensed underprovisions of Chapter 9 (� SEWER MAP >_ (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES d Professions Code,a my.11 rise Is In full force and a fe NEW SK PG O License N b 3` �SL LIC OIBSS DE IPTION OF W RK ADD. ❑ VALUATION , V Contractor Date 0 LL ALTER ❑ $ ;3sz)o 0/ ElI am exempt under Sec D REPAIR El $ U B.&PC.for this reason DEMOL ❑ LDMA P/C# LU Date USE OF EXISTING BLDG URM ❑ CLCL Signature y ? APPLICANT(PRINT) TEL NO LDMA Perm-# p, -�••;."8 ❑ I, as owner of the property, or my employees with wages as Z their sole compensation, will do the work•and the structure-is ADDRESS - Fit;� y_ !_`• not intended or offered for sale (Section 7044, Business and FINAL DATE 7 _ Q �— _}�_ Professions Code) 000. WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �� J : i .l TEN6 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN'THE / J ❑ I, as'owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDESFINAL BY 1�1 !Y!j') licensed contractors to construct the project (Section 7044, ! _ v t LL 1'37 m 4L Business and Professions Code)' YES 1:1 NO❑ %��`a� '•" 13I'n�i•'I WILL THE INTENDED USE OF THE BUIDLING BV THE APPLICANT OR,FUTURE BUILDING ' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR L_,rifWIE S !j GUIDELINES I hereby affirm that there Is a construction lending agency for YES❑ NO❑ ' a the performance of the work for which this permit Is Issued(Sec pp I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING '! t ° !11_7 3097, CIV.C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, U !��!-L�'�j� '"'Z 7' TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD 2611 0 Lender's Address 0 OWNER OR AGENT o I cert fy that I have read this application and state under penalty O of rj ry that the above Information is correct I agree to comply PC FEE PERMIT FEE (t. Wnn ordinances and'State laws relating to building CD hor¢e representatives of this County ISSUANCE FEE ��above-mentioned property for inspe on pu oses �,1/ o � INVESTIGATION FEE TOTAL FEE iwe of Mp�nt«Main SEE REVERSE FOR EXPLANATORY*LANGUAGE