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Home My Public Portal About9708 LEMON AVE_Building__ I I DMSION OF BUILDING AND SAFETY �j Department of County Engineer Q`� County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICA TION BUIL FOR'APPLICANT FILL IN j ADD EISS ?�� G• F��/790�/ �Ye BUILDING / LOCALITY �pZ, ADDRESS 60 NEAREST LOCALITY CROSS ST. NEAREST, //�/ DISTRICT NO. PLwN CK. OR REO. No. PERMIT NO. CROSS STT. J / i Com^ .-------- aJ OWNE RE EIVED BY DATE OF APPL. DATE ISSUED MAILD e� el_ �— —,3 ADDRES G.G/�/�`•'�--•� ' USE ZONE' NO. OF TYPE I GROUP FIRE ZONE _ TEL. PLANS CITY NO.� A`/ ARCHITECT OR TEL. ZONING DATED ENGINEER NO. APPROVED BY- ABUILDING ADDRESS SETBACK LINE: TEL. APPROVED DATE CONTRACTOR NO. BY. • HOUSE NUMBERING ADDRESS LEGAL / MAP NUMBER NO. ASSIGNED BY DESCRIPTION LOT NO. BLOCK / DATE I CORRECTIONS I INSPECTOR TRACT _5ah v�_�f�j�`� NO. OF SIZE OF LOT 13.� �1 I NOW ON LOTS `USE OF FA OF LI I (�h-7-6 C /�/tel EXISTING BLDG. FAMILIES /� C7!/� f� p DESCRIPTION OF WORK �— ,15-4fCG - 761-1A/ IC�5_!6 — E Q'n q� Z NEW ALTERATION ADDITION /-/'/ T / �La r REPAIR DEMOLITION SQ. FT.FT. 2 Q�NO OF IZ SIZE (J ROOMS STORIES EXT. ALL ROOF W COVER NG I COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE / FOUNDATION- LOCATION y�] I/ FORMS, MATERIALS 7i 6—Q 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS Q 1 AGREE TO COMP Y WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, v AND STATE LAWS RE L'TING BUILDING CON TRUCTION. GAS VENT, DUCTS SIGNATURE O LATH, INT. PERMITTE /✓ - LATH, EXT. ADDRES PLASTER, INT. ORIZED.AG - P. C.$ PLASTER, EXT. - FEE HOUSE NUMBER COR- RECT AND POSTED VALUATIONFEE FINAL 76A698A DBS 3 2-83 _ / WORKERS' COMPENSATION DECLARATIQN .; hereby.affirm that I have'a certificate of consent to self 3 APPLICATION _ F O -B.U,I L D I N G PERMIT , -gwe, or a certificate of Workers' Compensation Insurance, - y certified copy thereof (Sec 3800, Lab C ) - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company- ---- BUILDING. • 0 Certified copy 3s hereby futmshed a FOR'•APPLICANT TO FILL IN ADDRESS �'� _ G ' i ,❑ Certified copy is filed with the county building inspec- BUILDING tion department ADDRESS ? CITY . L�LI�� ZIP LOCALITY Date Applicant 3N0 OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT �• 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 f N hundred dollars,($100) or less ) TEL OWNER• `I U• NO _ USE ZONE' MAP' . I certify that in the performance'of,the'work for which this NO " a SPECIAL _ permit is issued, I shall'not employ any person in any manner ADDRESS Z CONDITIONS D_ so as to become subject io the Workers'Compensation LawsO i CITY ZIP Q U Date Applicant ARCHITECT,OR TEL .,� � � ENGINEER°� Fit-6. .DISTRICT GROUP TYPE, FIRE ROCESSED BY'_ O NOTICE TO APPLICANT If, after making this Certificate of ' (�• NO CONS ZONE H Exemption, you should become,subject' ton the Workers' . � j U Compensation provisions of the Labor•Code, you must forth- -* - ADDRESS;• r "' - f Y ' � 5,oc( P-3 �- - � r a with comply with such provisions or this permit shall be " TEL STATISTICAL CLASSIFICATION APT CONDO to deemed revoked - - i '� _ CONTRACTOR NO - -•.• - - 8 - - Z LIC R CLASS NO DWELL UNITS' 'T.g LICENSED CONTRACTORS DECLARATIONJ;, ,, ; , - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS _ NO SEWER MAP +• i _3,#,°i. (commencing with Section 7000)of Division 3 of the Business LIC and Professions Code,and my license 3s•3n full force and effect CITY CLASS BK PG �A4t� ,JAN SQ'FT /��•� NO OF ) NO OF, CHECK _ License Number Lic Class SIZE �fOl!7 STORIES 1 FAMILIES ONE a-� VALUATION TOTAL .. 1-_a } Contractor t Date - DESCRIPTION OF WORK NEW ❑ �jt CHECK qct `� f ADD ► 'E]I am exempt under Sec f HANG !t41 t ALTER ❑ D�O,'� B 8P C•for this reason REPAIR ❑ $ Date ' USE OF - I �yr�,�3i - ! 7 i EXISTING BLDG DEMOL ❑ 0GO0_�Ji �i��;. 7!I APPLICANT TEL ' 1 } y Signature FINAL.' F - +�14�: i�C� 4 OWNER-BUILDER DECLARATION (PRINT) NO- DATE 2(�1 r I hereby affirm that I am exempt from the Contractor's License ` Law for the following'reason•(Section 7031 5, Business and ADDRESS FINAL Professions Code)- PRESENT By ❑ I, as owner of the property, or my employees with BUILDING ADDRESSs wages as their sole compensation,will do the work and - - „ t p{• •Ta F the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code ) MOVING TEL `��; 3 .•+ `• ! � • £t+ ❑ I;as owner of the property, am exclusively contracting CONTRACTOR NO i ITEMS with licensed contractors to construct the project (Sec- / 1 ITEMS tion 7044, Business and Professions Code.) ADDRESS ft�r -` v t�r ` ,.`,i, j I I-AL - 432 .23 REQUIRED.. - TOTAL SETBACK FROM EXIST r i �:HEit•Tat YARD '-HWY f, 71 - CONSTRUCTION LENDING AGENCY "` SET BACK PROP LINE WIDTH _ �`Le '- 1 hereby affirm that there is a construction lending agency for FRONT • - the performance of the work for which this permit is issued PL ,� _; _{ L•1 -F CHANGE (Sec 3097, Civ C ) SIDE. Lender's Name �y a 3-C I- 3-+' $ 3a C/• _ d LDMA 4Z@ # �!h �I�1+t�"L U 1 i%.4 /V5 P C Fee$-439 Permit Fee / Lender's Address i r - JC �; j ;67� .1 Alit �,e!!c a I certify that,I have read this application and state that the / Issuance Fee t - LDMA P/C'# 8 above information is correct I agree to comply with all County Investigation Fee' _ ordinances'and State laws relating to building construction, Total Fee LDMA�Perm ' a and hereby authorize representatives of this County to enter _ -r upon the al3ove-me n d property'for inspection purposes I' h•J ` SEE REVERSE FOR EXPLANATORY LANGUAGE Signa oe f Applicant or Agent Dat