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Home My Public Portal About9955 LA ROSA DR_Building__ DIVISION OF BUILDING AND SAFETY I _1 .®,�- Department of County Engineer Comty of Los Angeles APPLICATION WM. a. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO:' PLAN CK. ORREO.NO: PERMIT NO. ADDRESS Lit? 3p � y RECEIVED BY DATE OFAPPL PATE ISSUED LOCALITY A 5�2 NEARGBT J ) R099 BL BUILDING Q ADDRESS OWNER (1/J y/ MAIL _ J LOCALITY ADDRESS ��j (�,(Ij NEAREST CROSS ST. CITY FIREE NO.N9OF TYPE �J 9RQUP ZON ARCHITECT OR TEL PlA ENGINEER NO. BLDG. / ORD. NO. SETBACK LINE ADDRESS �I USE APPROVED CONTRACTOR w NDLLU 6 1i37 ZONE BY HOUSE NUMBERING DATE I ADDRESS C4 Jf MAP NUMBER NO, ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION I LOT NO. BLOCK TRACT NO. OF BLDG& SIZE OF LOT NOW ONLOT USE OF NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK A 0 NEW ALTERATIpN ADDITION D REPAIR DEMOLITION r 9q.FT. NO. OF SIZE ROOMS BTORIEB EXT. WALL ROOF COVERING COVERING USE OF STRUCTURE ro t u D INSPECTION FOR APPROVALS OCCUPANCYA9 INSPECTOR'S SIGNATURE DATE FOUNDATION: LDCATION FORMS, MATERIALS IS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS C CORRECT. BRACING, AND STATE THAT THE INFORMATION GIVEN 19 F 9. BRACING,, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDINGFURNACE: LOCATION, CONSTRUCTION. GAN VENT, DUCTS SIGNATURE OF /1✓ LATH, INT. T PERMITE 44 /Ym'w+aa N. , a 4 LATH. EXT. ADORES J}�//' AUTHORIZED AST. I� I� w✓ PLASTER, INT. PLASTER, EXT. 0�0�� FEE 4100 HOUSE NUMBER COR- B RECT AND POSTED / /,� VALUATION FEE ! FINAL / . �' 0 24/x✓ 76A636A D853 1-52 � � °°'; " "I BET APPLIEATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY BUILDING COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NO.OF BLDG. ORD.NO. DISTRICT/tJO. PLAN CK. NO. PERMIT NO. PLANS I SETBACK LINK / 2 FIRE APPROVED DIST? i 3 /• l 4 ZONE BY DATH R�ECAEIVED!BY/ DATE OF APPL. DATE SSUED USE APPROVED /� ZOHE / BY APPLICANT FILL IN HEAVILY OUTLINEED PORTION C BUILDING 1 O NAME ADDRESS 64 W Z ADDRESS _I LOCALITY NEARE U W CITE' '�+V CROSS 8 . IZ < STATELICENSE NO. nil l NO. NE NAME A ((//N�� )LK/�A�.�C✓�/� Z MAIL O NAME 3 ADDRESS 2 � O TEL. < ADDRESS CITY NO. H = CITY I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS U APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE /�NO. / �q/ NO. �/�[y AND STATE LAWS REGULATING BUIL rN CONSTRUCTION. 0 LOT NOT. y,,,___J...JJJ�A ".( _I SIZE OF LOT .JV/I��•I SIGNATURE RE OF / �i� J� NO. OF SLOGS. / OWNER J lV Y/ < 6 AUTHORIZED AG SLOCK 9t 3 NOW ON LOT D - � ' U TRAM G�� /x CORRECTIONS D USE OF BLDG{. - /II�i1�i�.lA `y✓ $ f L[�/C�� NOW ON LOT DESCRIPTION OF WORKUSE BU Or, Lv ua AS Aix BV aB This conn LH L_ i ar Production Bosrd orders• Youf c, ' -- - - -<< wlm •;our toc War A Production9oadOifi M14lug work au oii lin thin para tl z D NEW TYPE - K' I GROUP V r NO.OF NO.OF ALTERATION ROOMS FAMILIES ADDITION SIZE 3 / . REPAIR STORIES '��s''4/� ww�__ __ MOVING —WALL COVERING,00,'&� /� DEMOLISH ROOF COVERING s 00 P.C S7 FINAL APPROVAL INSPECTOR'S VALUATIONPEB NAME 7.......OE#.o,.SGO APPLICATION FOR BUILDING PE MIT COUNTY OF LOS.ANGELES BUIADDLDING [Xi DEPARTMENT OF COUNTY.ENGINEER BUILDING. AND SAFETY DIVISION (LOCALITY JOHN A:•LAMBIE, COUNTY ENGINEER NEAREST T WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST _ DISTRICT, ,O GROUP TYPE SSED BYp - FOR APPLICANT TO FILL IN U �j I I CONS, BUILDING qq •� STATISTICAL CLASSIFICATION -.I SE ER MAP ADDRESS d � 1 - CLASS. NO.-V_ O. DWELL. UNITS' LOT NO. V d Z+ BLOCK NUMAPMBER STATEHWYES O' TRACT , USE.ZONE SPECIAL , NO. OF'BLDGS. CONDITIONS SIZE OF LOT d J Q NOW ON LOT USE OF EXISTING BLDG. BUILDING YARD HWY TRE NAME EXI6'6. ' �^� TEL. SETBACK WIDTH OWNER ,/v7� NO. FP. Lo ADDRESS C S SIDE ARCHITECT TEL. P.L. ENGINEER NO. INSPECTION RECORD }. ADDRESS 1 TEL _4 O CONTRACTOR NO L C ADDRESS 3 '1 O DESCRIPTION OF WORK W d NEW Ahd ALTER REPAIR DEMOLISH SO. NO, OF NOUOF SIZE FT. /�/_ STORIES L FAMIIUIES Z f0 USE OF STRUCTURE -'Q�174/ .SIGNATURE OF APPLICANT // �q - - VALUATION$ (Q Q Q bit ' APPROVALS DATE INSPE,Oft'S.SIGNATURE I{I{ ty FOUNDATION: LOCATION- / FEE $ �� 1 1 FEE $ . a FORMS. MATERIALS / FRAM E: F IRE STOPS. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 'BRACING. BOLTS AND STATE THAT THE ABOVE IS'CORRECT AND AGREE TO COMPLY FURNACE: lO CATION. - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BFTO I THE WORK-FOR WHICH CERTIFY THAT IN THE PERFORMANCE OF THE WORK-FOR WHICHTHIS PERMIT IS ISSUED I SHALL NOT LATH, INT. (f EMPLOY ANY PERSON/,IN ANY MANNER.50.AS'TO BECOME-SU Bl1 ECT I ` q TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA, L_�.'J�'J/ 11 ..elI LATH.EXT. (O J Ki, /9 f�' SIGNATURE OF I HOUSE NUMBER COR- PERMITTEFRECT AND POSTED % ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUG. URAL ENGINEER PLAN CHECK VALIDATION CIL M.o,, GASH - ; PERMIT VALIDATION c M.o. CnsH UC'o 8 04 9 "tA 5 1 C % v APPLICATION FOR BUILDING PERMIT COUNLY•OF LOS ANGELES • BUILDING AND SAFETY LDING A RE55 - v WORKER'S COMPENSATION DECLARATION " • .- 'FOR APPVPANTTO FILCIN I hereby-affirm that.Lhave a certificate•of consent to self insure, BWLDING ADD r QUI or a.certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec 3800,Lab..C), CITY z P . N. ` ." LOCALITY p Policy No. - ° ".. Come anY _ .: 2 'SIZE LOT - NO.OF BLD .NOW-ON LOTAc .NEAREST CROSS SL c ❑-Cer4fied:copy`isshereby furnished. '' - .� - '❑ Certifietl copy Is filed with the county building inspection TRACT - BLOCK - LOT NO. - .- - USE ZONE MAP NO _ .. department. - - Date Applicant ASSESSOR MAP BOOK - PAGE- PARCEL - v SPECIAL CONDITIONSf. CERTIFICATE OF EXEMPTION FROM WORKERS' O*R T N - .. COMPENSATION INSURANCE I �•�` l(' I � 'J � wITHIN t000 FT.of scr+ooL� xes' No i '+ - ADDRE S .(This section neetl not be completed if the permit is for one hundred r tlOafS"(5100)Or 1255.) � - 1' DISTRICT GROUP i TYP ONST. FIRE ZONE PROCESSEDBV y. P ` . . P CIT - ZIP 1. i�• .. -i Icertlt that in the performance of the work:for which his permit / 3 is Issued, I shall not employ any pers IT y manner 5o as to ARG ITEGT' ENGINEER TEL NO., - _ v beOO "BU jec e Workers om S STATISTICAL CLASSIFICATION '- APT CONDO Date Applicant ' ADDRESS CLASS NO DWELL UNITS NOACE 70 APPLICANT,' If; after making this;C rtificate of .REQUIRED TOTAL SETBACK FROM " EXIST Exemption,, you should beeOme Subject to the -Workers' W R R T j SET BACK' ^ygRO .HWV PROP LINE"' '�± WIDTH Compensation provisions of the Labor Code, you must'forthwith .FRONT comply with such provisions or this permit shall be deemed revoked. ADD L l P L LICENSED CONTRACTORS.DECLARATIONCITq V SIDE 1 I hereby,affirm that I am licensed uriVerprowslons of 6hapar,9. - SEWER MAP ' (commencing with Section 7000)of Division 3 of the Business and 5 .FT SIZE N .OF STORIES NO.OF FAMILIIES Professions.0 e,? Tie - e'Is In full force ❑ BK PG �• License N4C'C ��-�--� Lia Class DE jJO . WOW /�f .❑ vALUgTI .h/? .• Q /Y bontractor Date • 2 '� a `I am exempt under Sec. y ❑RgPC.for this reason « - L ❑ LDMA.P/C•aW.Date: USE,OF EXIS IN BLDG. , �❑'_SlgnaNm -• APPLI NTRINr ( .. - LDMAPer ms.. -' , Z ( 4 2 a ❑ as owner of the property or my employees with wages as ) r O rif I T a . their sole compensation, will do theworkand the structure is. ADDR - not Intended or offered for Sale (Section 7044; RUsiness and I `'_J - FINAL D T']E Q ['I I j r SIJ "r -� Professions,Cade.) - - - - - ,, - GlUFTHE APPLICANT.OR FUTURE BUILDING OCCUPANT,HANDLE A HAZARDOUS'MATERIAL r�I OR A MIXTURE COMM G A HAZARDOUS MATERIAILEOUAL TO OR GREATER THAN THE -❑ j a5 owner of'the property, am 2%CWSIV21y contracting Wlth AMOUNTS SPECIFIED THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 1 ````r y ' , .licensed Contractors t0 construct the project (Section 7044, YES❑ NO ' f+�l(IL '1L Business'and,Professions Code.) �. . • S WILL THE.INTENDED USE OF.THE SUIDUI G.BY THE APPLICANT ORFUTURE BW LDING -- •t - C " •_ .+ .. - _ OCCUPANT REQUIRE APERMIT FOR CONSTRUCTION OR MOOIFlCATION FROM THE SOUTH T I� HF t�5 , J �I. CONSTRUCTION LENDING AGENCY COAST O ST AIR SOUAUTY MANAGE ENT DISTRICT(SCAOMD SEE PERMITTING CHECKLIST FOR I hereby.affirm•.that there is.a construction lending agencyfor YES"❑ rioJd�., - < HR, ' 141 , . - . N the performance of the work for which this permit is issued(Sec.' - - ----- 3C97, ; 3097,C.IV:D:) "I HAVEREADT HA RDOUS MATERIALS INFORMATION GUIDE AND,THE SOAOMD PERMITTING m CHECKLI51. DE ND MY F, IREMENTS UNDER THE LOS ANGELES COUNTY CODE+ _ ,, TITL 2'CH 5 C I N52.20.100 THROUGH 2.20 140 CONCERNING HAZARDOUS (� J1C- T�' Lender's Name' • MATE ALS O TAINING A PERMIT FROM THE SCAOMD. - > o r- Lender's Address .. .. - _ nI�A II AMI 1r T-1_ IlLIUI i I .'I ownE.c- e T ++�� i.s_ o I certify-that I have read this application and state under penalty- Of'perjury.that the above information i5 Correct. I agree t0 comply - P.C.FEE PERMIT FEE , with.all-count ordinances and State laws relating to building m cbnat ctibn nd ' by authorize TepreSentativ25 df.this County + ISSUANCE FEE ,/0•, ' to ent up e - i n d property for lnsp qqo� r . ' r L INVESTIGATION FEE A' NOTAL FEEii? SEE REVERSE FOR EXPLANATORY LANGUAGE' " ,