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Home My Public Portal About9750 LEMON AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPtICAN-T TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS O eman hv ,.L DEPARTMENT OF COUNTY ENGINEER CITY / ZIP PO 49 BUILDING AND SAFETY DIVISION NO.OF SLOGS BUILDING SIZE OF LOT NOW ON LOT ADDRESS .S4ry752.f)N) 1�4W 40,o TRACT] d C BLOCK LOT NO LOCALITY .j. TEL NEAREST �f OWNE [) Y`/j� NO „�'�% CROSS ST I �/ '�V ASSESSOR ADDRESS le5l Ze mvn _ MAP BOOK PAGE PARCEL- _ DISTRICT 1GROUPITYPE FIRE PROCESSED BY - CITYZIP ZONE - CONST' - `J ARCHITECT OR TEL 1� ENGINEER a WN NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS /CLASS NO ,I- -DWELL UNITS BK PG CONTRACTOR TEL yv NO USE ZONE MAP % LIC NO ADDRESS - NO SPE IAL LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH B)1/ H 6 BLDG,SETBACK FROM - y FRONT PROP.LI NE OF (STREET) a ADDRESS CITYO HIGHWAY YARD TOTAL SETBACK FROM TYPE OF EXISTING U SO -FT - NO OF NO. OF CHECK -- FRONT PROP LINE HIGHWAY WIDTH Cr SIZE STORIES FAMILIES ONE CD U ❑ t = DESCRIPTION OF WORK �Qa/•�y B/7 NEW - N ADD - BLDG-SETBACK FRO (STREET) Z Of �, SIDE PROP. LINE OF _ ALTER ❑ _ TAL SETBACK FROM TYPE OF EXISTING HIGHWAY t YARD — USE OF REPAIR❑ IDE PROP LINE HIGHWAY WIDTH _ t = EXISTING BLDG- DEMOL ❑ APPLICANT TEL -- CORNER CUTOFF YE NO ❑ (PRINT)— - ! N0. BY (SIGNATUR IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION $ Qr CATEGORICAL EXEMPTION YEO NO ❑ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY - IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED, _ IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE PERMISIGNATUR ADDRESS 7_7S' VS.,fr A&W N/_ atil.Fj'i.•J��e--,,/ FINAL - BY ' 44 J TEL. DATE q a C I TY'_' r(,Qom )• N O. '�/C y r a '1,IlvE C 11L-(,hS P,I)ABLE 10 FEE FEE HARVEY T. SRANDT, COUNTY_ ENGINEER "PLAN CHECK ;72 ATION K M O CASH PERMIT VALIDATION CK M o CASH r 175,E,,;,-__ �l a 76A638A CE 0803 - BUILD NG � ' � ' ADDREISS f 7 lA o _ APPLICATION LOCALITY -� ,� �� DIVISION OF BUILDING AND SAFETY NEAREST CRD99 ST. Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO. County of Los Angeles 4=3 xk2 WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CASSATT D. GRIFFIN, 9UP'T OF BUILDING e'1 —12 P FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY ISSUED BY OWNER �� -7� 5 _ MAP MAIL p. NUMBER �/ V �l SATE �' �WY O ADDRESS9 7 V b L� /b� USE ZONE SPECIAL EL. CONDITIONS / CITY NO. ARCHITECT OR TEL d ENGINEER NO. BUILDING YARD HWY STREET NAME EXIST. ADDRESS : SETBACK WIDTH �_ • FRONTTEL P. CONTRACTOR N13.� —•Y0 4-V SPIDLE ADDRESS 3.rW fir - DATE R(/CORRECTIONS �y INSPECTOR BUILDING ADDRE99 y-rO .9.6a.,ON/ dA�,Lr 5 A'11- 'r,11- 'r, LOT NO. BLOCK TRACT f� ) / / NO. OF SLOGS. /C 6 !/Yl�'I}�P, SIZE OF LOT Ll" Z/� I NOW ON LOT • ter USE OF - G✓�IF'n/PI✓I'i' /P C��r EXISTING BLDG. ke.S11tt1ce, DESCRIPTION OF, WORK °� NEW ADD V ALTER V1 REPAIR DEMOLISH - t yam. Z BO. FT. NO. OF NO.OF �n I� r SIZE STORIES FAMILIES USE OF STRUCTURE �Aile-91;& Nd /�.0-Isla S7e�yc� yL �� '- NO.OF •EV/I �/" C- �� t Q EMPLOYEE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- GAO ME• /IJ !/� �� !d 9!/?^.1'LO,E PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'BSIGNATURE DATE CORRECT. IAGREE T06COMPLY WITH ALL ,COUNTY 13RDINANCEB FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. - FORMS,MATERIALS "�/j ` FRAME: FIRE STOPB, 4—2y 91GMATUR F BRACING,BOLTS _ PERMITTE FURNACE: LOCATION, GAS VENT,DUCTS ADDR H�9 • ° " LATH, INT. AUTHORIZED AOT. LATH, EXT. $ /J /� M CA-e� P.C. HOUSE NUMBER COR- 7 FEE RECT AND POSTED VALUATION S FEE «JFINAL 7GA638A DBS 3 12-63 ' DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES B 1 C ® i N f WM. J. FOX. CHIEF ENGINEER �a FOR,APPLICANT TO FILL IN FOR OFFICE USE, JONLY •` Lam{ L 'L 4- DISTRICT NO, PLAN PERMIT NO. BUILDNG ADDRESS LOCALITY q� �f� �+ 4` /REECCjEIVED BY DATE OFAPPL. DATE ISSUED CROSS STNEAREST (JU¢ .5-0Z,—,5z) � ! B — UILDING 7 OWNER A !',TL'{� a � p� � Z:#�h� � ADDRESS ADDRESS m�� , �MAIL LOCALITY I �c 6 C NEAREST CITY Lno J'yp`�N� i`? E NO. eri� �� CROSS BT. i ARCHITECT OR � TEL.pi ZONE--- PLAN; TYPE , / GROUP / ENGINEER . T{ �3 Q , NO. COLq%� BLDG. O SETBACK LINE O ADDRESS, 7 ' Q� �f y �j APPROVED CONTRACTOR 6 0d fkt TP' NO.♦~,a{i�,,(I�� ..�1 BY DATE {� y - USE - APPROVED F� ADDRESS erg j LEGAL TRACT' 1'�1N 1,t7jq - / BY / ZONEDATE - CORRECTIONS DESCRIPTTII1N �OffDZob 3 N'lr� N LCy;�ND C ,iJ I NO.OF SIZE OF LOT i�� 4� �Wa I -NOW ON LOOTS LQ USE OFEXISTING BLDG.f�.Y NR N0't 6r' I ❑F I NO.OF .7 FAM FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION A REPAIR MOVING DEMOLISH 6q.FT. t� NO.OFf SIZE ROOMS D �9 a 1 STORIES WALL ��jI) ROOF r r COVERING �'�+ Vy'�.. ! COVERING USE OF NEW /j c � � �� BUILDING // qy +/' Q� �.,Q ��.,n/�';y3' I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT , FOUNDATIONI: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE AWB REGULATING BUILDING CONSTRUCTION. ,yam rrR l FRAME: G,BOL S SIGNATUREOF� a ��4 BRACINBOLT . PERMITTEE y � LATH, INT. ' AUTHORIZED AGT LATH, EXT. 76A638A 9-48 - DBS-3 SOM SETS $ P.C. PLASTER, INT. FEE 'T— PLASTER,EXT. � � t FINAL VALUATION —� FEE e WORKERS'COMPENSATION DECLARATION I hereby pw that I have d'cert ficate of consent APPLICATION,: FOR -BUILDING. . PERMIT w ' �ri$ureT_%•'aa ctificate of Workers' Compensation Insuran ' or a certified copy thereof (Sec 3800, Lab C ) ' - , COUNTY OF L'OS--ANGELES' BUILDING'AND SAFETY Policy No Compahy "_ _ ET copy is hereby furnished FOR APPLICANT TO FILL•IN BUILDING j ADDRESS_ Certified copy is filed with the county building inspec- BUILDING r ^ tion department p' ADDRESS L.�M'6�/ 4 ✓1 r Date Applicant'! CITYLT rZZIP - LOCALITY 4 CERTIFICATE OF"EXEMPTION.'FROM WORKERS' NO OF BLDGS NEAREST " COMPENSATION•INSURANCE SIZE OF LOT 6 NOW ON LOT- CROSS ST (This sectionmeed not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL TEL, USE Z E . MAPr + I certify that in'the performance of the work"for which this OWNER /�!�� NONO'= , permit is issued, I'shall not employ any person,m any manner VT SPECIAL so as to become subject to the'Workers'Compens n Laws - ADDRESS F - G, ��v� CONDITIONS Z }.. CITY C b f/9 ZIP o o ! Date Applicant ARCHITECT OR• TEL u NOTICE TO APPLICANT If, after making this Cerirficate of DISTRICs, GROUP' TYPE FIRE PROCESSED BY Exemption, you should, become subject to the Workers' R, ENGINEER IVO CONST ZONE Compensation•provisions of the Labor Code, you must,forth- ADDRESS• ' " ' Y �i with comply with such`'provisions or ,this permit shall be f deemed revoked STATISTICAL CLASSIFIC TION APT ONDO _ CONTRACTOR N _ LICENSED CONTRACTORS DECLARATION '' LIC CLASS NO DWELL UNITS ` I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS` NO (commencing•viith•Section 7000)of,Division 3 of,the Business andLIC SEWER MAP Professions Code, and my license is m full force grid effect CITY " s CLASS BK VALIDATION PG } SQ'FT l ,.NO OF NO OF= r CHECK CL'+ License Number Lic Class' STORIES FAMILIES ,ONE 0.- _ El VALVA ONS O U' F Contractor J Date DESCRIPTION OF WORK rJEW • V a �t/�►�/t F��►►L j2oar Y ADD, ® $ 01", I am exempt under Sec ALTER' x ® LU B 8P•C 'for this reason I G N �/ , REPAIR• : 0- Date «� USE OF, - -="� Z EXISTING BLDG "a DEMOL Z Signature' APPLICANT tTEL ." FINAL 474. OWNER-BUILDER DECLARATION. PRINT No DATE I here affirm that I,am exempt from the Contractor's License / FI Law or the following reason (Section 7031 5,^Business and ADDRESS C��,off' vL ii• Pr essions Code) - P E N BUILDING., $ I, as owner of the-property, or my employees with ADDRESS," : .T,g t " wages as their sole compensation will do the work and '- . / �, e .- the structure is not intended or offered for sale(Section LOCALITY d =� �' ` "'` U� 298 53 7044, Business an&P.rofessions Code) MOVING TEL j r�r�� I, as owner of the property, am exclusively'contiacting CONTRACTOR NO - ': i S 1 C11J ; with licensed contractors to construct the prolect (Ser- z . S' i " V m 50 ADDRESS �.`- y•. k TINA,L r tion 7044, Business and Professions Code)' REQUIRED, TOTAL SETBACK s f 21,e4I CONSTRUCTION LENDING AGENCY SEi BACK •YARD' HWY PROP LINE WIDTH'' " .• �G�'r� z. ,I hereby affirm that there is a construction lending agency for FRONT �' n • •:�"'" ; L' [HSVG .I]I the performonce.`•of the work for which this permit is issued P L' w, "t` 1` .~" (Sec 3097, Civ, `C ) SIDE Lender's`Name PL 4 I +_u}{u� if flu • LDMA Ref '# � `� — i m Lender's Address - P C Fee$ Perm ii Fee t `}, ,� IJi�74 r,�",' 1 AM! r - I certify that I have redd this application and state that the .,Fee w +c kDA&A,P/C�-# above information is correct I agree to comply with all County Investigation Fee 0 9 o :ordinances and.State laws relating to building construction, Total Fee, LDMA Perm and hereby authorize representatives of this County to enter _ upon the above- boned`prop y for inspection'purposes SEE REVERSE FOR EXPLANATORY LANGUAGE' Signature of phcant or ent ;" Date _ ."