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HomeMy Public PortalAbout9123, 9123 1/2, 9125, 9125 1/2 LAS TUNAS DR_Building__ APR 9 76ASS8AC...'1805•7.58 APB UCAT 1 0 FOR B U I L W N G ,PERMIT .�a�•,`�. BUILDING AND SAFETY DIVISION BUILDING ADDRESS '7/1,3 S E� :,� a Department of.County Engineer til County of LOS Angeles LOCALITY,` j JOHN A. L'AMBIE. COUNTY ENGINEER NEAREST IL CASSATT D.GRIFFIN, SUPT.OF BUILDING,, CRUSS ST. DISTRICT NO. RO P .TYPE SEWER MAP FOR APPLICANT TO FILL' IN. I ,_BK t•PG: ' BUILDING .ry e,y ® . - CONST, BUILDIDRESS ••�• vim ¢ n -yL k�L„ STATISTICAL/CL�ASSIFICATION' CLASS. NO..%�' DWELL.UNITS LOT NO BLOCK MAP MB yy STATE v,Z NUMBER.- r-+r�(9�J" �' HWY' ` YES O � TRACT :�7 �-' �,'y USE-'ZONE SPECIAL NO. OFBLDGS.- r; ... CONDITIONS.', - SIZE OF LOT -�� �1. f X01 NOW ON LOT .USE OF 'EXISTING BLDG. BUIJ_DING - - EXIST,. -YARD HWY STREET NAME SETBACK WIDTH - $ OWNER FRONT. s N MAIL F pp - . L.: - � -e'e-- - -r I RI ," ,*le_.4T _PZ ADDRESS 1 ��P��a1'1 LL` SIDEIL . CITY I Q S ct a e.`Z� C1.- oARC - ,;-INSPECTION RECORD ENGIiNEERITE T OR V e. G� - .NOAEI/ -9-7412 6c-7� ' ADDRES j4ql '' 6 L(14 a � � _ ��s .j r 't^ . TEL. t'v. 4��R�C •CONTRACTOR -�J�jJ'T'I e Y NO. •. - - '�'Scjl es"i .a tie 4 C1 'n a�a cam. ADDRESS DESCRIPTION OF WORE -:PAA r _ Ime t NEW ✓-ADD ALTER REPAIR DEMOLISH - SQ. F`I'. NO. OF ` NO. OF' j 1��e, -7 (�.I< �i'o �,. SIZE JD STORIES./ - FAMILIES - ' USE OF STRUCTUREix Q- e. ,C-) e-I � d3 se .LAC at�5� d APPROVALS ll SIGNATURE OF APPLICANT -� DATE INSP ICTOR'S SIGNATURE ADDRESS/ (OJ FOUNDATION: LOCATION FORMS, MATERIALS '. .I. .5Z P . 9 FRAME: FIRE STOPS. _ �� V r L .BRACING, BOLTS- ' VALUATION FURNACE: LOCATION.GAS VENT. DUCTS IAT ACKNOWLEDGE THAT I HAVE READ THIS AP- LA'.TH. INT. PLICATION AND STAT THAT TWE ABOVE IS CORRECT AND AGREE TO COMPLY TH-AL UNTY ORDINANCES AND LATH, EXT - STATE LAWS REG AT ILOING CONSTRUCTION . — SIGNATURE OF HOUSE NUMBER COR- - PERMITTEE RECT AND POSTED- ADDRESS FINAL JOHN.A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRU rURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. cASH PERMIT VALIDATION K: M.O. CASH (1) 'L 'C.0 6 9 5 3APR 8 1. 6 . 1 7:.t.� 0 Ain L34-0-0ACo 7 4 �0. 4 APR22 i !� APPLICATION FOR. COUNTY OF LOS ANGELES ("BUILDING PERMIT DEPARTMENT BUILD NG AND AFETY DNIS ON ENGINEER s • BUILDINGW�3' •- FOR APPLICANT TO FILL IN ADDRESS BUILOING ADDRESS LOCALITY CITY -� / CIA zip W7930 NEAREST ' CROSS ST. NO:OF BLDGS. ASSESSOR SIZE OF LOTo�d'ZIX (�,NOW ON LOT MAP BOOK _PAGE 4,,gCEL _ DISTRICT jGaR70UPTYPE FIRE PROC SSED BY TRACT QJ - BLOCK LOT NO. Z2CONST,' ZONE TEL^��7 -71 .� OWNER ��� NO•�Gp STATISTICAL CLASSIFICATION SEWER MAP J /^ ADDRESS !2Sr /�f 1741- . CLASS NO. WELL.UNITS BK PG JJ USE ZONE MAP CITY /e ZIP NO. �d •U . ARCHITECT OR. TEL. SPECIAL ENGINEER NO, CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR NT TEL.20S- U BL DG.SETBACK FROM // ` O NO' FRONT PROP.LINE OF (STREET) ADDRESS /� Z, Gjf//.,� NO / HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY LIC. FRONT PROP. LINE HIGHWAY WIDTH / { CLASS _ CONSTRUCTION LENDItR } NAME AND BRANCH a BLDG.SETBACK FROM ADDRESS CITY SIDEPROP•LINEOF (STREET) SQ. FT. NO. OF NO. OF CHECK HIGHWAY } YARD =TOTAL SETBACK FROM TYPE OF EXISTING W SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH C=) DE CRIPTION OF WORK - NEW + AO.. N ADD CORNER CUTOFF YES ❑ NO ❑ z i Urs• ) LTER ✓.. REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OFDEMOL El - IN COASTAL PERMIT ZONE YES ❑ - NO ❑ EXISTING BLDG.. (/ s f c"_�] 7 ` AP PRINT)N.T �Y� `©NJ ! / NOI�4fJ 3i17 o X1rfr�r�o�y��s�J t���a�l �� BY (SIGNATU l���G 01`v �.J� d/�y`+' J IREBY KNOWLEDGE THAT I(/HAVE READ TN APPLICATION AND S .THAT THE ABOVE IS COR ECT AN E TO COMPLY WITHALL ORDINANCES AND LAW REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DING THE WORK AUTHORIZED - HEREBY I WILL NOT EM LOY A PERSON IN VIOLATION OF.THE LABOR CODE OF THE' STATE F CALIFORNIA IN RELATING TO WORKMEN'S COMPEN) TION %J/UURfANCE. URE /,/( SIGNATFINAL BY E PRMIT DATE AD ESS �� NO710J P.C. Fee$ Permit Fee Cl Y Issuance-Fee VALUATION Total Fee Z_— PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH 76A638A CE0803B.12/75 - v ^caw i JUL 1 — 1957 < �. �� �•�,�` 76A638 VA tS03•.10-56 APPLICATION FO RB V I L®I N G PE R ,T BUILDING AND SAFETY DIVISION. BUILDING ��� QUO - Department of County Engineer ADDRESS v County of Los Angeles LOCALITY Uwu} JOHN A. LAMBIE. COUNTY ENGINEER NEAREST qu 4 CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. 3 DISTRICT NO. GROUP TYPE SEWER MAP 2 FOR APPLICANT TO FILL IN _ BK - G �" [CONST.BUILD I —ADDRESSING STATISTICAL CLASSIFICATION A LOT NO. b �2� BLOCK CLASS. NO. DWELL.UNITS I S MAP STATE YES �¢ ,.qs NUMBER HWY TRACT _A aF.! USE ZONE SPECIAL - _ . 5�y� '✓ NO. OF BLDGS. CONDITIONS.. SIZE OF L �i . I ✓ I NOW ON Tt11 USE OF t p t� 1l/g� c �� -• 7 EXISTING BLDG. {l+'T e /Z!/�J - BUILDING EXIST. 'v! g/� a YARD. HWY - STREET NAME OWNER . /Y' PYee, A A-A SETBACK - WIDTH QZ // (',{ _ ,] �* // FRONT .MAIL - ADDR'EESSS; /(CJI/P'/Gf4W 1/�f(!�L'64l`A1 ,/"SJp SIDE CITY NY"ti �DeAlA C-A I ( NO.-S/, b9,11 F' L. �— INSPECTION RECORD - ARCHITECT OR LI ea e� TEL. / ENGINEER /�/d'{{�t�`Cp,I C{�E, t�fdSl Gp�S:.%NO. /j/ �� �,J'J I ,1p� gyp{ E /�/0 SFNlV (6rs➢ � S.a. C�t�i ADDRESS -�-:' 'nom Vii!"WY i1�! (` TEL.��/7,03V ry ` /� �LS CONTRACTOR yj -C -xr /' "NO. ,r�/� /,d3� me!q.,✓ [lCY LCr'lC.. ADDRESS'/[.�.J r3 .:. )4i' *Y;'tI / i 6 "r DESCRIPTION OF WORK NEW .ADD. ALTER REPAIR DEMOLISH SQ. FT./�cetNO. OF / NO.OF SIZE i. y"dl .�. +3 STORIES f FAMILIES ' USE Tv . % OFOSTIRU TUBE '',f) ���� C—A L,.LtI-{3 41-t41-t6%,P L_, . %'u-�. APPROVALS SIGNATUA OF ` p APPLICANT s,,�� DATE INSPECTOR'S SIGNATURE F ' ADDRESS r �•z"�"s.Q4/L�_b't� ti�,rt^"y,: -1�/ FORMSTMATERIALSION (-7[S.7 �.S? $ /- r To 6 P.C. $ Q(J FRAME: FIRE STOPS. �� 6 d �_ FEE _BRACING. BOLTS d+' VALUATIO,N�O0 FURNACE: LOCATION. � GAS VENT, DUCTS' ' FEE y 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- - LATH. INT. PLICATION AND STATE T AT THE ABOVE IS CORRECT AND z AGREE TO COMPLY WMT ALL COUNTY OREIINANCES AND LATHEXT STATE LAWS REGu7LA'TING U DING . . NSTRUCTION. ' SIGNATURE OF d HOUSE NUMBER COR- PERMITTEE RECT AND POSTED A ADDRESS' Ham' FINAL 4 }r '•—s JOHN A.LAMBIE.COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ' -G 1 �� .F,6A698A,CE#805.10.56 APPLICATION F®. , BUILDING PERMIT .. , _BUILDING AND-SAFETY DIVISION BUILDING Department of County Engineer" ADDRESS •. County.of1os Angeles LOCALITY JOHN A. LAMBIE. COUNTY. ENGINEER NEAREST ' CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST,- DISTRICT��NO+- GROUP,. TYPE ///fff��� SEWER. MAP •FOR APPLICANT TO FILL IN J SK PG I CONST.' BUILDING ADDRESS STATISTICAL CLASSIFICATION I /' J LOT NO.'' BLOCK CLASS. NO. DWELL. UNITS - MAP STATE YES .NO NUMBER' - HW.Y - TRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT 3.. USE OF EXISTING BLDG. - BUILDING EXIST. SETBACK YARD , HWY - STREET NAME- WIDTH` OWNER - FRONT MAIL - P. L. ADDRESS SIDE TEL. P. L. NO• ARCHITECT OR TEL. INSPECTION RECORD ARC - �� - ENGINEER - NO. - - - ADDRESS - .TEL. CONTRACTOR NO. - - .ADDRESS - - - DESCRIPTION OF WORK NEW .ADD ALTER REPAIR DEMOLISH - •• SQ, FT. NO. OF _ NO.OF SIZE STORIES-. FAMILIES- - -USE OF STRUCTURE F /> �J - .APPROVALS DATEINSPECTON•S SIGNATURE ADDRESS - FOUNDATION: LOCATION FORMS, MATERIALS, $ P. C. S : FRAME: FIRE STOPS.. - FEE BRACING, BOLTS. ' $ ..,,FURNACE: LOCATION. ' VALUATION FEE GAS VENT. DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT- - PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - AGREE TO COMPLY H ALL UNTY R INANCES.AND -' .STATE LAWS R U T NG ILDI ONSTRUCTION. LATH. EXT. SIGNATURE OF HOUSE.NUMBER COR- - PERMITTEE P RECT AND POSTED ADDRESS �-3 FINAL - JOHN A. LAMBIE. COUNTY ENGINEER, CLYDE N: DIRLAM. PRINCIPAL STRUCTURAL ENGINEER ' PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH Aug;o 7 6. ,JUi 3 1 :5 0 �® J „_-;A P P L I CATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT OF COUNTY 'ENGINEER BUILDING AND AFETY DIVISION BUILDING . .- FOR APPLICANT TO FILL IN ADDRESS /2 BUILDING J ADDRESS (i. /'Z� /U LOCALITY /•� �!�` ZIP ��j NEAREST i .CITY // 11//,�•�r'yOO�� CROSS ST. SSOR SIZE_ OF LOT �7<W��1 WOON LOTS MAPEBOOK PAGE PARCEL f, DISTRICT IGROUPITYPE FIRE P CESSED BY tt�� ,i. CON TRACT 6. BLOCK LOT N 86-21,q ` ^Z--? - OWNER r�Or� _ � �:` NO 86 2• .TI AL CLASSIFICATION SEWER AP ADDRESS- ` / �2`. ,�s az- - {�/� CLASS NO -DWELL,UN.ITS BK PG CITY \ Zip �,/U l0 USE ZONEFMAP . ARCHITECT OR - TEL. „�� ECIALENGINEER NO• NDITIONS ADDRESS Q�'` /fie-- ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NOTE ❑ CONTRACTOR r NOL�L'U BLDG.SETBACK FROM _ 7�/u Jap FRONT PROP.LINE OF (STREET) LIC ADDRESS `/123 �[l4,4 NO 3,73 7p7 GHWAY } YARD. = TOTAL SETBACK FROM TYPE OF EXISTING LIC. - FRONT PROP. LINE. HIGHWAY WIDTH CITY :�'-� - CLASS _ CONSTRUCTION LENDER + C� NAME.AND BRANCH DG.SETBACK FROM O ADDRESS CITY SID PR9P._L+?4 (STREET) G> SQ. FT, NO. OF NO. OF CHECK HIGHWAY } YARD = TOTAL SETBACK F TYPE.OF EXISTING I= SIZE STORIES FAMILIES ONE SIDE PROP. LINE WAY WIDTH DESCRIPTION OF WORK NEW } rn ADD CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ REPAIR IN OPEN SPACE YES ❑ NO ❑ USE OF / IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLD �Cjf¢ DEMOL ❑ / APPLICANT , TEL \�,1 `/� /L_ -✓J d�/J� (PRI NT) .,� N 0.OJ 3/ G4 29C•�7/'-J BY (SIG Z HEREBY ACK WLEDGE THAT I HAVE READ IS APPLICATION Jr a p7 /�/ ,,- Gyc�a fy' �� A D STATE T TME ABOVE IS CORRECT A A EE-TO COMPLY ' ' V”'- (� ♦Q- i' ITH AL RDINANCES AND 5 REGULATING BUILDING CON- 5 Ni.OI CERTIFY T AT IN OING THE WORK AUTHORIZED /L+/WL C?� HEREBY 1 WILL NOT EMP OY ANY PERSON IN VIOLATION OF THE ,. LABOR CODE OF THE TAT OF CALIFORNIA IN RELATING TO �� WORKMEN'S COMPE NSA dON NS UR NCE. ; = / SIGNATURE'OFFINAL B PERM �" DATE DID ESS (lAl C NO ���`� P.C. Fee$ , Permit Fee 4fJ (j Issuance fee VALUATION$ Total Fee % Q -PLAN CHECK VALIDATION CK. M.O. CA PERMIT VALID ION CK. M.O. CASH 7 3 �3EG 10 2.3 U 7.2 0 ' {(.`t D of 2.t`. } 24 i �., 76A638A CE0803B 12/75 l� t, -APPLICATION 'FOR COUNTY OF' LOS ANGELES DEPARTMENT OF COUNTY ENGINEER .;IRF: - ''BUILD NG PERMIT ' BUILDING AND SAFETY-DIVISION BUILDING FOR A•�PPLICANT TO FILL IN d ADDRESSBUILD'NG. ,O� -S -- ADD ESS ..I of C. LOCALITY / �. CITY'!`•m 1 4G CT J'/-' ' Z_I P C NEAREST (13 - :- .... CROSS ST. O.SIP In C"O d. i4j6.OF'BLOGS. .ASSESSOR ' SIZE OF LOT a1 (301 NOW ON LOT 'MAP BOOK PAGE RCEL ji ^x -1 s� .? , - DISTRICT. GROUP TYPE FIR PRO SSED BY ^, :�_@ '� ��Z .� CONS ZON TRAC BLOCK LOT NO. L� /' �} !`; ..:t'_• .. JJv .,� ti TEL. - .r- � _:5. 0�. / - .. OWNER U ,tU ' (�C•"gyp NO 'STATISTICAL CLASSIFICATION SEWER AP ot ADDRESS `• - ••_(_'y •- „` '�° 7 CLASS NOCI-22--DWELL,UNITS B PG ^ Tl 7�( USE ZONE MAP CITY .�C /n Z� C.Gl ZIP NO. O• ARCHITECT OR TEL. �,. SPECIAL ENGINEER - NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL.REQUIRED YES❑ NO❑ CONTRACTORT L• BLOC SETBACK FROM O FRO T.PROP.LINE OF (STREET) LIC. 'ADDRESS '- NO. NIGH AY + YARD .c TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH _CITY .CLASS _ CONSTRUCTION LENDER + NAME AND BRANCH BLDG. ACK.FROM ADDRESS CITY SIDE PROP. (STREET) SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBA FROM TYPE OF EXISTING W SIZE STORIES FAMILIES ONE SIDE PROP. LIN!!,, HIGHWAY WIDTH DE SCRIPTION OF WORK NEW ❑ + _ a \R��N Cr r G r(dN 1N Gr DSL ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ likREPAIR 'INOPEN SPACE YES ❑ NO R ❑ ` USE OF EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. AP TE PRIN ANT ./. a ICL I NO�f S-34.a O✓� f��T/v D! d B Y (SIGNATURE): �p �-�� -- A EREBY ACKN LEDGE THAT I HAVE READ THIS APPLICATION - aGt6j �'i TATE THAT E ABOVE IS CORRECT AND AGREE TO COMPLY /V 'F ii .if• ' ALL ORDINANCES AND LAWS REGULATING, BUILDING CON- S , '� TION. I CERTIFY THAT IN DOING THE WORK AUTHOR] ED ' .:,4�VY•, '� m Y I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - - CODE OF THE STATE OF CALIFORNIA IN RELATING TO EN'S COMPENSATION NSATION INSURANCE.E. . / r TURE OF - - FINAL �/ B.Y a TTEE V _ DATE ADDRESS—. TEL.�.� C� No. �6� '3q P.C. Fee$ Permi ee Issuance Fee ATION - f/(/ --.� Total Fee 7 PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATI M.O. CASH 3 :7 510 jUL 30 9.0 0 ��. 7GA63BA CE#803B 12/75 / 76A618A CE 1803 3-69 APPLICATION FOR BUILDING PERM" �I COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS c BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. p OR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE CON PR OC E (PRINT OR TYPE ONLY) D ING �j nom_ STATISTICAL CLASSIFIC SEWER MAP SS /.- / K G CLASS NO. � LL.UNITS BK - PG O. 02 BLOCK USE ZONE MAP a 10 Q 2 N0. �� �y 7 J SPECIAL NO. OF BLDGS. ��// CONDITIONS OF LOT NOW ON LOT F " ING BLDG d y -� BLDG. SETBACK FROM q T L FRONT PROP. LINE OF (STREET) R �%' / if _ TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL S� , GHWAY WIDTH FROMSS /'�,JJ (/ fit, Y +TEC OR TEL. BLDG.SETBASTREET) EER N0. SIDE PROP. LINE OFTYPE OF EXISTING SETBACK HI + YARD = TOTAL SS HIGHWAY WIDTH FROM C.L. TEL. ` G + _ CONTRACTO 4 G C >„ ADDRESS�•�1' � NO CORNER CUTOFF YES ❑ NO E] 0 CITY Q 'd c,' CLASS (3 SEE REVERSE SIDE FOR SPECIAL APP OVfjLS CONSTRUCTION LENDER I NAME AND BRANCH UJI ADDRESS / N SQ. FT. NO. OF NO. OF ❑ Z SIZE STORIES FAMILIES NEW - USE OF ADD ❑ STRUCTURE ., G(! �iL� ALTER CAL, 4�bag /�.� REPAIR ❑ t` SIGNATURE OF DEMOL ❑ APPLICANT 2 /7 VALUATIO Gam— APPROVALS DATE INSPECTOR'S SIG ATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ DO FORMS MATERIALS (£% I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VE DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURqCE. LATH, EXT. SIGNATURE 0NUMBER CORRECT PERMITTEE AND POSTED ADDRESS FINAL *IV7 U L JOHN F. LEWIS, PRINCIPAL SnRTURALENG]NEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION M.O. CASH Ar- 337 -� JM 16 � D Q.00 N F R �t ' LDING. PERMIT APPLICATIO O COUNTY OF.LOS ANGELES BUILDING AND-SAFETY WORKER'S COMPENSATION DECLARATION FOR-APPLICANT TO FILL IN BUILDING ADD E " BUILDING ADDRESS ,t. / � I hereby affirm that I have a,certificate of consent to self;insure,, �f� � ora certificate of.Workers' Compensation Insurance,ora certified. copy thereof(Sec..3800,Lab,C.) Z� LO C CITY Policy No Company L ' CALITY r 'SIZE F LOT NO.OF.BLDG-&NOW ON LOT r �Z• ' El Certified copy is hereby'furnished.. NEAREST C O ST ROSS El certified'copy is filed wit _he county building.inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO, ASSESSOR MAP.BOOK - PAGE - PARCEL, Dat' — SPECIAL CONDITIONS '- OWNER. -. _ � -. .. TEL O. CERTIFICATE OF EXEMPTION FROM WORKERS' ;YEs No COMPENSATION INSURANCE '?'g [ WITHIN 1000.FT OF SCHOOL? (This section need not be completed if the permit is for one'hundred ADDR DISTRICT GROUP 'l'YP CONST. FIRE ZONE PROCESSED BY dollars ($1.00) or less.) CITY ZIP I certify that in the performance of dhe work for which this permit. is issued, 1 Shall not employ any person in any'manner so, as to ARCHITECT OR ENGINEER- - _ -• - TEL NO. _ become Subject t0 the Workers' m Copensation Laws: �—— �— STATISTICAL CLASSIFICATION APT CONDO q��. (/� / e? {/ _ - ADDRESS CLASS NO. �"� DWELL UNITS Date LQ Je �iApplicant NOTICE TO APPLICANT.'. If, after makirig this Certificate `of. /' REQUIRED TOTAL SETBACK FROM EXIST, Exemption, you should +become subject to ; the Workers CONTRACTOR TEL_NO:3 `� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor.Code, you must forthwith- 3iFRONT comply with such provisions-or this permit shall be,d_eemed revoked. ADDRESS IC.N0. - P,L- ✓i•� SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions'of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE. NO.OF STORIES. NO.OF FAMILIES Professions Code,*and my license is in full force and effect. NEW BK PG License Number Lic.Class DESCRIPTION OF WORK. ADD ❑ VALUATION 0 Contractor Date / e_�,�_�r !� ALTER ❑ $ U ElI am exempt under Sec. REPAIR ❑ $ 23 O B.BP.C. for this reason DEMOL ❑ LDMA P/C# 8 0 C� ' iI USE OF EXISTING BLDG ❑ RCCT.mT Date. . URM d - - n Signature Z 1303 `►0. 0 z. APPLICANT(PRINT)_ TEL LDMA Perm# _ I, as owne f the property, or;:my,employees with'wages as their sole compensation, will.do the work and the structure is ADDRESS ACCT.a FINAL DATE' ~1111"��, n not intended or offered for sale.(Section 7044, Business and • ^I�'/�. p .7A�3 70.80 PfOfeSSIOr1S Code.), WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUSMATERIAL.. �.�'�� IS` J {e�[+ ❑ I, as owner of the property, am exclusively contracting with AAMOUNTSOR A TURE SPECIFIED TONING THE HAZARDOUS MATERIALS NFORMATMATERIAL EQUAL TIION GUIDE?AER THAN THE, FINAL BY LL JJ j 2 ITEMS licensed cVES El NO❑contractors to construct the project (Section 7044; _., Business and Professions Code.) � '� �� TOTAL �..�� p+`-�'0 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A.PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ` - - (.'EHEC 12120 CONSTRUCTION.LENDING AGENCY COAST,AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR 4I1L41� {n'� GUIDELINES. _ .. .- o OV I hereby.affirm that there is a Construction.lending agency for YES❑ No El CHANGE a the performance.otthe Work for Which this permit IS issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMDPERMITTING- --• - - ' 3097, CIV.C.) CHECKLIST.IUNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH2.20.140 CONCERNING HAZARDOUS' " �JVV��001 1A/�C IOC Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. �}UU 1`, /7 IL Lender's Address !�(/y� 7 {`}��'�, JYt O OWNER OR AGENT - .• n 2/9+ �1 A , !0 O 01 certify that I,have read this application and state'under penalty P.C.FEE" ,I�-(� ' of perjury that the above information,is correct.I agree to comply �0 .VPERMIT FEE N , with all county ordinances and State laws relating to building < construction, and her y authorize representatives of this County. ASSUANCE FEE to enter upon th ye-mentioned property for inspection purposes. Q • E �i INVESTIGATION FEE TOTAL FEE.- .v _ o . signature Applicant or Agent "Dare . SEE REVERSE FOR,EXPLANATORY LANGUAGE WORKERS'.COMPENSATION DECLARATION \�. I FipreFy aff{'m that I have a certificate of consent to self AP P L ICAT•I O�. FOS:., U I L.D I:N G PERMIT tir�,4ure, or a certificate of�Workers, Compensation Insurance,- or a certified copy thervo, Sec 3800,`lab.C.). ,, COUNTY OF LOS'ANGELES BUILDING AND SAFETY- ' Policy-No Company BUILDINGS C' ❑ Certified copy is hereby furnished: / FOR ARPLICANT TO FILL IN ADDRESS �• El- Certified co 'is j� h .r, BUILDING copy .filed with the county:building inspec- t " tion department. ADDRESS - y. `. .;ice' Date A licant ' ZIP LOCALITY. CITY'. .. PP N . OF,BLDGS. NEAREST,. CERTIFICATE''OF EXEMPTION FROM WORKERS' SIZE OF LOT' NOW ON LOT CROSS ST. COMPENSATION1.INSU RANCE ASSESSOR O ' (This section need not be'completed`if,'the permit is for one TRACT BLOCK LOT NO: MAP BOOK PAGE. PARCEL hundred dollars ($100)or less:) • . TEL. r OWNER. GL NO. USE=ZONE MAP NO I certify that,in the perform once*of the work for which'this SPECIAL } permit is'issu,ed; I shall,not emplay any person in any manner •ADDRESS. v CONDITIONS' Q_ so as to become subject•to the Workers' Compensation Laws. q� _ CITY d/i''+ p f 0 Date Applicant 'ARCHITECT R TEL. DISTRICT GRCLIP TYPE FIRE PR ED BY 0 NOTICE TO APPLICANT: If,,after making.this,Certificate of ENGINEER NO. '= CONST ZO E , Exemption, you should .became subject'to. the -Workers: ADDRESS Q �'�T d LU Compensation provisions of the,Labor Code,•you must forth- " N with` comply"with such provisions or this permit shall'be NO STATISTICAL.CLASSIFICATION= APT. NDO. Z deemed revoked. CONTRACTOR LICENSED CONTRACTORS DECLARATION ' LIC. CLASS NO.�a .DWELL. UNITS 1 hereby affirm that l am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section-7000)'of I)Nision,3 of the Business LIC. and'Professions Code,:and my license is in fu(I force and effect.. CIN' CLASS BK,.-. PG. VALIDATION SQ. FT: NO. OF.. NO. OF CHECK License Number lic: Class• SIZE STORIES" FAMILIES ' ONE ,� i VALUATION �� Contractor Date DESCION OF WORK s � M, NEW ❑ ; ElI am exempt,under Sec. / �� l ALTER ❑ BAP.C. for this reason v REPAIR ❑ $ USE UP DEMOL ❑ Date:' EXISTING BLDG. Signature FINAL— APPLICANT TEL. OWNER-BUILDER DECLARATION (PRINT), NO. DATE: f 1 hereby affirm that I am exempt from the Contractor's License. Law for the following reason (Section 7031. ,`Business and ADDRESS FINA Proffee ons Code): PRESENT By , LJ I, 'as owner`of the.property, or:m em to ees"with iL BUILDING y Y P Y. ADDRESS l; ,:tt wages as their sole compensation,will do the-work and the structure is not intended or offered for sale(Section LOCALITY 7044,�Business and Professions Code.) MOVING TEL. - ❑ I, as owner of*the property,.am exclusively contracting CONTRACTOR NO. a with licensed contractors to-construct the project (Sec ADDRESS c L r• tion 7044, Business and Profess ians.Code.) ` ' ' nREQUIRED. 1' CONSTROCTION LENDING AGENCY SETT BACK OTA PROP.ALINEFRO WIDTH YARD 'HWY Thereby affirm that there ts;a construction lending agency for FRONT T M ; the,performance of-the work for which'this permit is issued • P:L• (Sec. 3097, Civ. C.): - - SIDE- P. Lender's'Name. ;" ir.Z- Atl ! LDMA Ref. # tt m P.C. Fee$ i Permit.Fee �� e 3 Lender's Address C certify that I have read this application and state that'the Issuance Fee �" �� LDMA P/C# i{'3 8 above information is c r ct. I agree to.comply.with aIf County I.Jestigation Fee r z _•, ordinances and Sta la s relating to.building construction, Toral Fee �� LDMA Perm. # a: and her4bA author ze r Pres at es of this County to,enter m upon th •a ove- ent' ned r rty;for.inspection purposes. a d SEE.REVERSE,FOR EXPLANATORY LANGUAGE Sig' toe of Applicant or gent Date © . 3 APPLICATION FOR: BUILDING PERMIT -COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATIONDECLARATION FOR APPLICANT TO FILL IN BU1JqING ADDRES .1 hereby affirm that I.have.a certificate of'consent to self insure, BUILDI ADDRESS e� /� or a certificate of Workers'Compensation Insurance,or a certified � ~� copy thereof (Sec.3800,.Lab.C.) CITY ZIP � � - LOCAL Policy No. Company _ SI OF LOT - t NO.OF BL .S.NOW.ON LOT - ❑ Certified Copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building Inspection TRACT BLOCK LOT NO. r dept en. USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL /r�/ Data► SPECIAL CONDITIONSY- CERTIFICATE OF EXEMPTION FROM WORKERS' owNE p COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL?' ves No (This section need not be completed if the permit is"for one hundred ADDRESS e 01ca,A.f C DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less:) � •` ���"'""'((( _ • CITY ZIP: - I certify that in the performance of the work for which this permit is issued, I shall not'employ any person in any manner so as to ARCHITECT-OR ENGINEER TEL NO. �� become uN to the Workers' ICg'mpensation Laws. O. _ - .STATISTICAL CLASSIFICATION. ' ; APT CONDO JDate Applicant " leo e76 - ADDRESS- - - - ASS NO.- DW NITS " ^ CL ELL U +' NOT E APPLICANT' If, after making this Certificate of � / REQUIRED TOTAL SETBACK FROM EXIST, EXe pti0 y0U- Should become a Subject t0 the Workers' TRAC R — TEL NO.---_--; SET BACK YARD HWY - PROP LINE WIDTH Compensation provisions of the Labor,Code;.you must forthwith _ ZS FRONT comply with such;provisions'or this permit shall be deemed revoked. ADD20 LIC.No: -P-L 23 LICENSED CONTRACTORS DECLARATION SIDE ACCTeB _ .(7 _. / /' _LIC:C SS P L 'e I hereby affirm that 1 am licensed underproyisions of Chapter 9 G SEWER MAP � 9 8 (commencing with Section 7000)of Division 3 of the Business and" . SQ.FT.-SIZE - NO.OF STORIES NO:OF FAMILIES- AQ S . i ITEMS 1��tl�� Professions Code,an y license is in full force and effect. NEW ❑ BK PG Gt,.l �. License Number ?+ Lic.Classd DESCRIPTIONOFWORK ADD: •• ❑ -'VALUATION O Contractor I Date '3 7iLTER :B' TOTAL :176 a 6°�°U 7fi � I am exemp under Sea REPAIR El $ ,�^QQ1�, 0 BAP.C.for this reason DEMOL ❑ .LDMA P/C# /b / 9 Ili Date: - 'USE OF EXISTING BLDG. - ,URM ❑ - -i - D_ co /ldSignature APPLICAN (P INT TEL O LDMA Perm# kCT.4 z as owner of the property, or my employees with wages as '�� Z their sole compensation,.will do the work and'the structure is ADDR X0�y3- 2�77 n q not-intended or offered for sale (Section 7044, Business and ^ !7 FINAL DATE r a 3.�W dl�. 7 Professions Code.) WILL THE APPLICANT AR FUTURE BUILDING OCCUPANT-HANDLE AHAZARDOUS MATERIAL - , �, ' � IT OR A MIXTURE CONTAINING.A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE y�i{(' !�^y as owner of the property, am exclusively contracting Wlth AMOUNTS SPECI,F.I,E�D THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY Tt1TRC 1LJ a d licensed contractors to construct the project (Section 7044, YES❑ No 4 Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE,BUILDING -- ' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH. -"'� � 7��oo � CONSTRUCTION LENDING,AGENCY .COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR - GUIDELINES. ` ! V / .00 I hereby.affirm that there is a construction lending agency for YI s❑ NqE )= x I N the performance of the work for which this permit Is ISSued'(Sec. - I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING •_ 3097,CIV.C.) -CHECKLIST. UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE _ _ ��0-00 $/�q5" a TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS _ . 'Lender's Name MAT;E�L/°S��PORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. - �' - _ 17:.CJ + A�! e Q,'' o Lender's Address ?�i�.� 1 6t O OWNER OR AGENT' - .... o I certify that I have read this application and state under penalty P.C.FE 'PERMIT FEE' //'/r 4 of.perjury that the above information Is correct.I agree to comply �y nf. o with all county ordinances and State laws relating to building CJ m construction,and hereby authorize representatives of this County - - ISSUANCE FEE - to ent r u n the above mentione .property for inspecti urpo 7• INVESTIGATION FEE TOTAL FEEID l sign tura of AP ant gent Oa • - / N / SEE REVERSE FOR'EXPLANATORY,LANGUAGE - APPLICATION FOR BUILDING PERMIT y s COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING ADDRESS �. WORKER'S COMPENSATION DECLARATION FORAPPLICANTI O FILL IN BUILD ADDRESS / �- I'hereDy affirm Ghat f have a certificate of consent.to self,insure, //` A IVA or a certificate of Workers'Compensation Insurance,or a;certified '�opY thereof(Sec 3800,Lab.C.) �ry C ZIP LOCALITY--- U Policy N0. '' Company' SIZE QF LOT NO.OF B GS.NOW ON LOOT L ❑ Certified copy is hereby furnished. ! ' NEAREST CROSS ST ❑ Certified co is filed with the count buildin in ection TRACT BLOC LOT NO: ss�� PY Y 9 P - ♦ ;� /� USE ZONE MAP NO. department. ASSESSOR MAP BOOK PAGE PARCEL it Date Applicant. t+:' -SPECIAL CONDITIONS •,. CERTIFICATE OF EXEMPTION FROM WORKERS' owNF r f TEL.NOli­ yyITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE .J� r ADDR 4 (This Section need r4Gt be Completed if the permit is for One hundred = 1ei DISTRICT GROUP TYPE CONST,' FIRE ZONE PROCES BY., dollars($100)or less.) cl�C--+ zip I certify that in he performance of the wor for which this pe�mit� / s ; : ]� Afi s issued, I Sha enl to an rso an nehSo as t0 ARCHITECT R ENGINEER TEL.NO. ' i P...Y Y becom jt Workers' O pen n STATISTICALCLASSIFICATION CON . ADDRESS - -- CLASS NO. DWELL UNITS A DO a Date PPlicant OT E TO PPLICANT. 1, ter .making this.Certificate Of `' REQUIRED TOTAL SETBACK FROM EXIST Exemp On, Ou'should, a ome subject t0 the Workers' CONTRACTOR. 'TEL.NO. SETBACK YARD HWY ° PROP,LINE WIDTH Compe sation provisions of the tabor,Code, you must forthwith FRONT Comply with such provisions or this permit`shall be deemed revoked. ADDRESS LIC.NO.' P IL . SIDE LICENSED•CONTRACTORS DECLARATION Cm - LIC.CLASS p L• U I hereby affirm that I am licensed under provisions of Chapter 9 SEWER.MAP SQ.-FT.S ZE NO.OFSTORES NO.OF FAMILIES- (commencing.with Section 7000)of Division 3 of the,Business and; O, .Professions Code,and my license is In full force and effect.. NEW ❑ BK PG v DESCRIPTION OF WORK ADDLLJ ,License Number Lic.Class VALUATION ti Contractor Date ALTER ❑ $ '� z ❑_ I.am exempt under Sea REPAIR ❑_ B.&P.C.for this reason DEMOL ❑ CDMA P/C fi USE OF EXISTING BLDG. Date: URM. ❑ Signature P APPLICANT(PRINT). TEL.NO. CDMA Perm it ' 9 Z ❑ 1,as owner of the. roperty, or my employees with wages as p ADDRESS •I`e B their sole.compensation,will do the work and the structure is- •. - ' FINAL DATE - not intended or offered for sale (Section 7044, Business and. - � ,1_j�7 Profession Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIALz 'A J { ❑ I, as.owner.of theproperty, am eXCIU$IVe1 contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q S 1 11. 1- Y g THE AMOUNTS SPECIFI THE HAZARDOUS MATERIALS INFORMATION GUIDE? FI licensed contractors to construct'the,project'.(Section 7044, N j 1 ITA 75 YES❑ NO Business and Professions Code.) ` WILL THE INTENDED USE OF THE BUILDING BY THE.APPLICANT OR FUTURE.BUILDING CHECK, C' . OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ 1 4 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. -CHANGE I hereby affirm that there is a construction:lending agency for YES❑ :NO the performance Of the work for which this permit is issued(Sec. I HAVE READ'THE"HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMO 3097,CIV.C.). PERMITTIN )HECI(CLISUNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES -s-. r- -ai>COUNTYC , TLTER 2.20 TIONS 2'20.t00THROUGH 2.20.140 CONCERNING. - - - 411�jI. I --131„I '.'' �t w�l ,e" ILender's Name HAZARD( S ORTI A FOR OBTAININGAFERMIT FROM THE SCAQMD. Lender's Address 099121` 1. AN o �r I certify that I have read this application and state that the above P.C.FEE PERMIT FEE information is correct. I'•agree to comply with .all county QZFi ordinances and St laws relating to building construction,and ' ¢. hereb Uthonz represent sof this County SO Mer on ISSUANCE FEE - the a o me o "d pro for inspection purpos . 13 INVESTIGATION FEE TOTAL FEE '� Sig. of IiceM or Agent. g �( 1. ' SEE REVERSE FOR EXPLANATORY LANGUAGE 4