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HomeMy Public PortalAbout9503 LA ROSA DR_Building__ DEPAR OK EINEER DIVISION�OFTBUILDING YAND SAFETY BUILDING � COUNTY OF• LOS ANGELES 1 WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR OFFICE USE ONLY FOR APPLICANT TO•FILL IN , ,� ,•,�,- DISTRICT NO, PLAN CK.OR Rac.No. PERMIT NO.BUILDI ADDRESS ��, .� �°� ° c c F NG s Wr B� �t�"-C9•�I ® 2 p.�i� Fd 4. 1'l3 ° rrL� i � �A RECEIVED BY DATE OF APPL. DATE�ISSS,UUE(D LOCALITY �ry NEAREST ✓ ��. " �r�rC� i CL/—V v CROSS ST BUILDING /� / ADDRESS Q .�<' � •ice.--�. d��f � � OWNER � E ,. ir'`te�j�d� / MAIL �P, , � i'j / 1 LOCALITY /Q-lG.�._� (a-/q� / / i ADDRESS d '�+"'� e CITY�.R.��J'.IIx4`�rr�.-�"•�9 !�� C:a�A'"PL? NEAREST CF038 ST.•NO ARCHITECT OR " TEL ZONE I PPLANSFIREF TYPE GROUt+;t. ENGINEER s! NO/ �y�• ADDRESS `" SETBACK LINE y hl / OR TEL. USE APPROVED (s •• CONTRACTOR N ZONE BY DATE . HOUSE NUMBERING ADDRESS L LEGAL � MAP NUMBER NO. ASSIGNED BY - DESCRIPTION I LOT NO. BLOCK CORRECTIONS TRACT 2_0 JP PlAa c- SIZE OFLOTNO. OF BLOGS. V I Z I NOW-ON LOT UBE OF A a^� Ip rs'3g81 NO. OF MSTING I FaMales - DESCRIPTION OF WORE P i✓,s n ...9- �.r 117so7'VA C 0 N ALTERATION r o 7�c2 r�,� �,/' . REP IR I—I DEMOLITION I ADDITION I Q1 T�c+]� ^ . —Z /2 Z SO. FT. NO. OF N SIZE ROOMS STORIES EXT. WALL ROOF a� `COVERINGr. COVERING • USE OF STRUCTURE �• 1 / v 1 APPROVALS • INSPECT/ORS SIGNATURE DATE ' V FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, THAT THE INFORMATION GIS PLICATION AND STATE GIVEN IS BRACING , BOLT CORRECT. I - FURNACE: LOCATION, I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES' GAB VENT, DUCTS AND STATE,LAWS REGULATING BUILDING CONSTRUCTION.' SIGNATURE OF /� LATH, INT. PERM ITTE !!! , LATH. EXT. ADDRESS o� ' •, PLASTER, INT. `1 *� A AUTHORIZED AGT.- �' 000 PLASTER, EXT. S $ HOUSE NUMBER COR- FEE RECT AND POSTED VALUATION FEE E 00 FINAL 76AS.SBA 1355 3 9-88 I - , 78A838A DBS-3 12.54 - - APPLICATION F'OR BUIL®TING. PERMIT ]. DIVISION OF•BUILDING AND "SAFETY BUILDINGD Department of County Engineer ADDRESS .� e County.of Los Angeles LOCALITY WM.J. FOX, COUNTY ENGINEERNEARET t CASSATT D:GRIFFIN,•SUP'T OF BUILDING OROSSSST, FOR' APPLICANT TO FILL IN _ DISTRICT No. GRO TYPE SE BK MAPPG- -BUILDING. MAPI� CONST. ADDRESS cJ �•J «� NUMBER HWY-l(! STATE- YES "/N Ol^-• LOT NO.' - /a✓ - BLOCK - USE'ZONE- SPECIAL CONDITIONS TRACT ����©X '� • • �� �" NOW ON LOTS BUILDING - EXIST. SIZE OFLOT -YARD ,HWY - STREET NAME -USE OF SETBACK WIDTH EXISTING BLDG. FRONT OWNE rim" K - SIDE - - - MAILJ J� - P.-L. - '• . ADDRESS �%J `� SW 1�_l ,TEL. r�O" -1 "DWELL. I UNIT 5 INDUSTRIAL CITY /I - .'�'- NO: - .. 2 DUPLEX=UNIT 6' PUBLIC BLDG. ARCHITECT' - - TEL. - - - - I--,ENGINEER NO. ' 3, 'APT. - UNITS 7 '- ADDN.,ALT., ETC. -- ADDRESS /� - 4 COMMERCIAL' 8 -MISCEL. CONTRACTOR {/"AII - TE - INSPECTION RECORD ADDRESS DESCRIPTION OF*WORK' __ 1 rr,� NEW ADD ALTER REPAIR DEMOLISH © 1. - - - SO. FT: _ NO. OF'- - NO. OF SIZE STORIES '- FAMILIES US STR CTURE, - - zg :Ss•�e�ie r- SIGNATURE OF APPLICANT p APPROVALS ADDRESS J p, ij - - DATE INSPECTORS SIGNATURE TION- $ - - P. C. S - FOUNDA ORMS, MATERIALS LOCATION, - ` FEE FRAME• FI RE STOPS, VALUATION � � - S . 1076 BRACING-BOLTS ; FEE FURNACE: LOCATION, -GAS VENT, DUCTS - I HEREBY'-ACKNOWLEDGE THAT I HAVE- READ THIS - - - APPLICATION AND STATE THAT, THE ABOVE IS-CORRECT ' AND AGREE TO-COMPLY WITH ALL COUNTY ORDINANCES LATH,.INT. - '- AND� STATE. LAWS REGULATING -BUILDING CONSTRUC- TION. - ` LATH, EXT./0100 111 " - SIGNATURE O HOUSE NUMBER•COR- - - PERMITTE RECT AND POSTED' - - i ADDRESS' - 'FINAL', VVNi. J, FOX.'CouNTY, ENGINEER VALIDATION` by ,3�:�•Tt- �tm'16 :0 0' DEPUTY-''"! _ DEPUTY'S -BY BY ©, Imo:DEPUTY DEPUTY COUNTY OF LOS-ANGELES APPLICATION FOR _ B lJ I LD I IV G P E R M'IT DEPARTMENT OF. COUNTY ENGINEER. ;. BUILDING AND SAFETY DIVISION BUILDING FOR-APPLICANT TO FILL IN, 'r ADDRESS BUIL ADDRESS DING " , a LOCALITY:' NEAREST CITY. ZIP ,- CROSS,ST" = •�%� NO OF BLDGS ASSESSOR . SIZE OF_LOT NOW ON LOT - MAP BOOK, PAGE PARCEL, DISTRICT GROUP TYPE FIRE PROC ED BY TRACT BLOCK, LOT NO Y CONST' TEL OWN E Lp. NO STATISTICAL',CLASSIFICATION 'SEWER•MAP ADDRES CLASS NO., �- �' DWELL UNITS L ,BK�U 'fQ CITY . "'.'ZIP,! • USE ZONE MAP NO ARCHITECT EL' ✓ '.J SPECIAL GI - ' : ENGINEER' NO �C CONDITIONS ADDRES ' ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ R, ,NO'[]]', TEL C Z BLDG SETBACK FROM, ''^^ FRONT,PROP LINE OF —ISTREET) LIC NO� TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY' + . YARD. = FRONT PROP LINE s' HIGHWAY WIDTH- ' LIC CITY CLASS CONSTRUCTION LENDER O NAME AND BRANCH [Y�-C!`/�G/C1 _ BLDG SETBACK FROM ` " ;, ,U CITY '' SIDE PROP•LINE'OF (STREET) ADDRESS;,., r O SQ FT NO'OF- NO OF CHECK HIGHWAY. + YARD = T L SETBACK FROM T-'TOF EXISTING SIZE STORIES FAMILIES' ONE' 'SID ROP LINE, HIGHWAY WIDTH, ' DESCRIPTICIN'OF WORK- NEW ❑ — �. ADD, ❑ ',CORNER CUTOFF YES .❑• NO`-.E], ALTER ' IN OPEN'SPACE ' YES' .❑ ' NO ❑ REPAIR ❑ -EXISTOINGBLDG - DEMOL."❑ IN•COASTALPERMIT,•ZONE, Y.ES:'❑.:.'. NO;:,❑ ' APPLI Y T LT 'BY(SIGNATURE( 1 I HEREBY ACKNOWLEDGE,THAT I:HAVE READ THJ PLICATION AND STATE - '" , n •+ �' ? _ THAT-THE ABOVE,IS CORRECT AND.AGREE TOC Y WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUQIO 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 CALIFORNWIN RELATING TO WORKMEN S COM = - YENSATION INSURANCE - f i,'� _ `c• '1y- �,'� . SIGNATURE FINAL P' 'BY PERMITTEE DATE. ADDRESS -`= .+' C,t7f7 U '• TEL Fe $ Permit Fee CITY N - �. Issuance Fee VALUATION ����— otal Fee �-AANCHECK-VALIDATION• -cK'' M:o:.>'ca H ' � PERMIT'VX1UD TION` CK. O. CASH UL ®S 76A638A CE e6a3A B/77 '' b'�= •t`',J •:�'�.+ D "1.:.9 a0-.Q ®� DEPARTMENT OF.BUILDING AND SAFETY Y APPLICATION FOR"PERMIT COUNTY OF LOS ANGELES wm. d. FDX. CHIEF ENGINEER BhUI LDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DIBTRIC 'o. PLAN CK.NO. PERMIT NO. ADDRESS � `dJ� / �A e LOCALITY RECEIVED By DATE OF ADPL. DATE ISSUED NEAREST CROSS ST. , BUILDING 2-/ 0 / � ��• OWNER / ICY ADDREBB MAIL 2/ L` ADDRESS LOCALITY TEL. NEAREST I ` CROSS ST. TY NO. FIRE PNO.OrLANO / TYP[ GROUP� ARCHITECT OR - TEL. � ZONE PLANE ENGINEER NO. BLDG. ;.V /'ORD.NO. ADDRESS SETBACK LIN[ fJ " ��' /y� a- BYPROVED L / It" _mATE / CONTRACTOR NO. USE APPR13VZD v" ! l; ADDRESS / I ZONE BY DATE LEGAL G CORRECTIONS DESCRIPTION J L/OT NO. BLOCK k TRACT / NO.13F BLOB SIZE OF LOT X f/ a NOW ON LOTS / USE OF NO.OF NO.OF EXISTING BLDG. FAMIL168 ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION _ O A REPAIR MOVING DEMpL19H p Sq.FT. NO.OF - 2 SIZE 6 Id ROOMS STORIES - WALL ROOF COVERING I' COVERING USE OF NEW BUILDING �^ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR d DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES, FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION'. Y✓/ r��t��� � FRAME: FIRE STOPS, ^- SIGNATURE Or BRACING,BOLTS PERMITTEE - LATH, INT. AUTHORIZED AOT LATH, EXT. "V r 7GA63BA-3 2-50 $ P.C.M ' PLASTER.INT. FEE PLASTER.EXT. VALUATION FEE- 3 FINAL 1 y f"` - �QJL•+-��' /D8S-3 25M SETS B-45 DEPARTMENT OF BUILDING AND SAFER 1APPLICATION FOR PERMIT -COUNTY OF LOS ANGELES 46 WF ' D ' M. J. FOX, CHIEF' ENGINEER FOR APPLICANT TO FILL'IN FOR OFFICE USE ONLY-, BUILDING I DISTRICT/.' NOS. 6011/343 P/L�AN,-CK. NO_ PEEfRMC•IIT, NO., _ ADDRESS f O V' V1'9'3 !• / / K'3 '. LOCALITY Kms/ r� RECEIVED BY DATE-OF APPL.• s DA E•ISS ED' NEAREST CROSS ST. OF BU ILDING#I • OWNER tn� � A .ADDRESS AMAILDDRESS J e UOQ" �' LOCALITY'�e=M, `-t— C I TV ' LL �A1Iy Q�q NEAREST CITY •/\! �C-+b No. 'C'y(7 CROSS 8T. - - FIRE NO.OF TYPE• GROUP ARCHITECT._ OR / _ TEL. '- ZONE_ I PLANS ENGINEER L 6b6Yi+wjj NO. _ ,• - 'BLDG. ORD. NO. • ADDRESS .. _SETBACK LINE • APPROVED - _ • ( � Q TEL. BY - - DATE CONTRACTOR yVjA�•,J( ,6• IJ O. ^ ' USEAPPROVED ADDRESS ,p,,.�.�.ol� - ZONE / BY DATE 7 LEGAL. CORRECTIONS DESCRIPTION- I LOT NO. ' I BLOCK - TRACT' NO. OF SIZE OF LOT NOW ON LOT - USE OF I NO.OF I NO. OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW _ ALTERATION' ADDITION 'A` REPAIR _ MOVING DEMOLISH _ p- SQ. FT. NO.OF D - SIZE I �•') 'ROOMS STORIES I _ - C WALL I ROOF, - - '. - • COVERING - i COVERING USE OF NEW V ' - BUILDING' .. - • �J - • _APPROVALS I HEREBY ACKNOWLEDGE THAT I_—,HAVE, READ THIS APPLICATION AND STATE THAT THE 'ABOVEAS CORRECT .FOUNDATION:%LOCATION,, •, INSPECTOR DATE + AND AGREE TO COMPLY'WITH ALL COUNTY ORDINANCES FORMS,'MATERIAL'S ;d ,� ' AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPB, BRACING, BOLTS 81GNATURE OF -OWN ER LATH, INT.: - o AUTHORIZED AO LATH, EXT.: - - P. C. 6 PLASTER, INT. - - FEE I� PLASTER,.EXT.- " VALUATION - 'FEE FINAL �-G ge %Y� .yf --,• iCSRKERS' COMPENSATION DECLARATION hereby affirm that I have a certificgte of consent to self. A P P L I CAT I O WFOR,:BUILDING,' PERMIT irlsure, or a•certificate of Workers"Compensation Insurance, . or a certi i d cop thereof (Sec.'3800, Lab C.)` = COUNTY-OF LOS ANGELES. BUILDING-AND SAFETY• c �y� P��oli/' No.--� [o pany a L ;edified co 'is hereb furnished;_. , - '-FOR APPLICANT TO-FILL IN- ' - - BUILDING, PY Y. ADDRESS ❑ Certified copy.is filed with the c my builgi inspec- BUILDING:( a p� p Tion/dRepartment. ADDRESS -/(� h0� Lr'. ROSA I 1 V Com^ ' q -CITYZIF_ �;, � v LOCALITY' - ' Date Applicant ; NO OF BLDGS ~ CERTIFICATE OF EXEMPTION-FROM WORKER ' ' SIZE OF LOT'' " NOW ON LOT NEAREST 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` ASSESSOR'- ',hundred dollars ($100) or less.) t , y�� p ^c n TEL OWNER t t l'•F— CL3 Nct NO. USE ZONE' MAP F , -1 certify.that in the performance-of the•work for which this ��yy 1�2 �� NO. SPECIAL permit is issued; I-shall not employ any person in,any manner ADDRESS'?( _ V J 1.4D G 1 ri-- I d so as to become subject-to the Workers'Compensation Laws . CONDITIONS " / O I- , "a-- . _ , . CITY, •.1 �►'l `E 4 6 '� Zip'_ U Date"( Applicant t ARCHITECTOR•.• .TEL NOTICE TO APPLICANT: If;.after making this Certificate of _ ENGINEER NO DISTRICT GROUP TYPE FIRE . PROCESSED BY CONST.` ONE ,. Exemption, you-should become subject to the"„Wor,keFs' D / U Compensation provisions of the Labor Code, you:.must forth- ADDRESS ” ��AQ -•,'3• V a with comply with -such provisions or this permit be P Y P , P. STATISTICAL CLASSIFICATION APT•• COCONDO.' ,t deemed revoked. CONTRACTOR STS V - 2� y6r��0�• -•-•.2• .• Z_ 'LICENSED CONTRACTORS DECLARATION, 11pp C LIC CLASS NO. DWELL UNITS ; I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS IO L—_ r5)lr tr • T NO �'Z ?— LIC. SEWER-MAP (commencing with Section 7000)of Division 3 of the Business Q ,'" ` - ' • CITY-' ©�'Tr t f D CLASS ., �3, . and Professions Code;and my license'is in full force and effect. BK PG �� VALIDATION !►� SQ. FT. NO'OF NO'OF CHECK License Num r ✓ �'� 2 Lic. Class `� SIZE STORIES FAMILIES. c, VALUATION ' Contractor Date �' DESCRIPTION, •OF WORK �� \.� NEW ❑ s,- CC = �00� 'ADD' ❑. `7 pill..❑I am exempt under Se `J IrIDW e r r� ALTER ❑ B&P.C. fogy this+ ason `�0.\ 1� Or REPAIR ❑ „s Date: - USE OF, - EXISTING BLDG ,DEMOL'❑ Signature S APPLICANT _ TEL. FINAL' , E UIL R DEC RATION - (PRINT) ' ;NO` "' " I hereby affirm that I am exempt from-the Contractor's License DATE ADDRESS as"t Law'for the following reason (Section 7031.5,'Business'and " FINAL Professions Code): - PRESENT _ , „_ _- - 4 BUILDING By r ✓ _ 'i ti, " ❑ I, as owner of the property,, o� my employees with 'ADDRESS n wages as their sole compensation,will do the work and j_f l i ., the structure is not intended or offered for sale(Section LOCALITY' 7044, Business and Professions Code.) MOVING TEL ► �i f ❑ CONTRACTOR NO :L Tlr t•=': e:: I;'as owner of the property, am exclusively contracting with licensed contractors to construct the,project (Sec- - -'- - »• - ''- t_�f ICE a€ I I', - tion 7044, Business-and Professions Code.) ADDRESS REQUIRED TOTAL SETBACK'FROM- EXIST. CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP'LINE• WIDTH I hereby affirm that there is a construction lending agency for FRONT i—!t• I :/'i 7 the performance of'the'-work-for which'this'permit is,.issued - P L. (Sec. 3097,•Civ. C.).' •SIDE 1' i-i6 ':2. Lender's Name ~ .CDMA Ref. n •-, P.C'Fee S. Permit Fee L'ender's^Address ,a 1 cert67that I have.read this application and state that the Issuance Fee CDMA P/C# S 'above information,is correct. I agree to comply,with all County Investigation Fee' ordinances and State laws relating•to building construction, Total Fee CDMA Perm # a and hereby authorize representatives of this County to enter m upon the above-mentioned property fof inspection purposes. ` • "" SEE REVERSE FOR EXPLANATORY LANGUAGE Signature'of'Applicarii or Agent Date.