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HomeMy Public PortalAbout9860 LEMON AVE_Building__ A ROAD DEFT. IS -REQUIREII - -} v FOR ANY MAFERIAL St^i',A:,E OZ.weRK DONE IN THE ROAD RIGHT OF WAY. Isc 7GA4�cz#eoseAo, APPLICATION F'OR , 'BUILDING `-PERMIT . Zt COUNTY OF LOS:ANGELES BUILDING f� D AMUILDIENT OF COUNTY ENGINEER ADDRESS f ING AND SAFETY, DIVISION, LOCALITY OHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN SUPT OF BUILDING CROSS-ST - DISTRICT�N 'GROU _ -'YS BY FOR APPLICANT 'TO FILL IN ' CONST:, BUILD G STATISTICAL CLASSIFICATION SEWER MAP ADD E �' - I - BK _ CLASS NO % DWELL UNITS - ,y LOT-NO' - BLOCK •IAPof O O• .STATE NUMBER I- HWY• YES - O ` USS ZONE ' I NO OF BLDGS r �f TRACT BL CONDITION 9j r 'J x�,,, ,a 9� SIZE.OF LOT -` J NOW ON LOT K USE OF EXISTING P.LDj BUILDING - EXIST. _ - SETBACK' YARD REET NAME WIDTH OWNER FRONT' 7' _ MAILP L O- ADORE 1r11 ,Y'(,�a-P ,�. F DE TEL CITY99 - NO 'INSPECTION RECORD- ARCHITECT OR TEL ENGINEER NO - ADDRESS 1 - TEL CONTRACTOR NO ADDRESS DESCET F WORK NEW A D PAIR DEMOLISH �;�� SQ FT F! NO OF I J-•1 _w7. -- SIZE ES FAMILIES o _ ice_c3 / C/!J' L- /ar 7VZh USE OF � �J STRUCTURE SIGNATURE OFAPPLICANT APPROVALS DATE - INSPECTOR'S IGNATURE .ADDRESS FOUNDATION. LOCATION _ - DFORMS,MATERIALS /��7VALUATION FBRACING BOLTS AME FIRE S PC - PMT 'J FURNACE LOCATION, FEE S' FEE $ GAS VENT,DUCTS, 74 �,�`,AFf�•,�P„�* '� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- e LATH,INT. �!A PLICATION AND STATE THAT THE ABOVE IS CORRECT AND 42 AGREE TO COMPLY WITH ALL-COUNTY'ORDINANCES AND - STATE LAWS R ING B ING CONSTRUCTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- IGNATE RECT AND POSTED• fir- ,rA-��'/��/f ADDRESS' FINAL CLYDE N. DIRLAM, PRINCIPAL S URAL ENGINEER PLAN CHECK'VALIDATION- CK. M.O. CASH PERMIT VALIDATION CK. M 0, •CASH M5 711 S JAN'2 7 AP c?rrUT t5; [,-ECU, ,R D' �. FOR,AN DONE IN lriE " =:_.t ', V; I:K k��D `hIGliT' OF WAY. 7QA"e„CezaOsa_en_ APPLICATION:fFOR. BUI,LrDI'NG" PERMIT -� COUNTY OF, LOS` ANGELES= BUILDING DEPARTENT OF COUNTY ENGINEER ADDRESS M PVUbING AND'SAFETY DMSION, LOCALITY `JOHN A.,LAMBIE„COUNTY-ENGINEER- NEAREST 1 - CROSS'ST. - t 1CASSATT D. GRIFFIN SUPT OF'BUIL61NG DISTRICT"NO', OUP TYPE' FR SSED BY FOR`,APPLIC_ ANT'TO FILL`IN CONST. - BUILDINGSTATISTICAL CLASSIFICATION" , SE ER,MAP. - ADDRESSct� P CLASS.NO • DWELL'UNITS - - LOT;NO� NUM ER ��✓ V -3• ` ' HWYE•,• YES' NO TRACT 1 USE ZONE - SPECIAL' �•' NO OF BLDGS - w CONDITIONS' - SIZE OF•LOT - NOW ON LOT _ /' USE OF t l r EXISTING BLD - - BUILDING' EXIST. - 'SETBACK YARD HWY. - T EET NAME' WIDTH OWNER ' - •,x FRONT tl 1111 ' MAIL• S' - P L - •�. AIDL, r--SIDE TEL cin No `: , INSPECTION-RECORD ARCH ECT OR TEL. _ENGINEER' - NO' ADDRESS ' TEL CONTRACTOR NO ADDRESS D CRIPTION-OF, WORK' NEW' ADD- SALTER REPAIR' DEMOLISH SQ_FT.� ANO OF!__- NO-.QE—_,- SIZE ,STORIES FAMILIE - - - 1L En U ESTE M'— STRUCTURE OF � � � ,J�, ” STRUCTURE - t U r .S Tl/ L•I1�D T•F!r(GS H n SiG`"TURE•OF: Y- APPLICANT''- - APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS' - - FOUNDATION LOCATION -?• FORMS, MATERIALS CJ VALUATION '$ �4 FRAME: FIRE STOPS,_ BRACING, BOLTS P C PMT -FURNACE- LOCATION, FEE' $ -FEE $' a GAS-VENT, DUCTS A HEREBY-ACKNOWLEDGE THAT 1 HAVE READ THIS AP_ LATH, INT-•, 9 ` P-LICAT•ION AND STATE THAT THE ABOVE IS CORRECT AND_ AGREE.TO-COMPLY-`WI H ALL COUNTY ORDINANCES AND STATE L'.AWS _ U ING•' DING, CONSTRUCTION. LATH, EXT• SIGNATURE O HOUSE NUMBER COR- - PERMITTE - RECT AND POSTED ADDRES FINAL CLYDE N ,'DIRLAM„PRINCIPAL ST RAL ENGINEER. PLAN.PC ECB VALIDATION CK 'MO. CASH PERMIT VALIDATION °K -m-0 : 4-' Ii ' _ ' rte , -s. - - ,f '- ', _ _ .• s" - _ OS 76A613B ! -, 4E#og3 IREV 6/78) ,.;� A APPLICATION FOR' BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY"U LDING _ FOR APPLICANT TO FILL IN ADDRESS LDING Cl C) ADIDRESS 60 L�1'!)a►'1 �j ve- LOCALITY p NEAREST jj�� CITY /=Y,C..& � OL. ZIP -1 �� CROSS ST Z NO OF BLDGS ASSESSOR SIZE OF LOT CO� K Z W NOW ON LOT ' MAP BOOK AGE- PARCEL 5a q1 DISTRICT GROUPTYPE FIRE ROC SED BY TRACT Q' G� I BLOiCK LO LOT 2 �y V D CONST' : 7p�JE , OWNER 50 CC �`Qc#�1 �dVM NO 447- G"11 c�5 G p STATISTICAL CLASSIFICATION EWER M P ADDRESS {�+GO �. QdJ /T�� CLASS NO DWELL UNITS BK� PG CITY x ZIP o,tOO( G ARCHITECT OR 1_ TEL A,..`141,6 VALUATION $ { �O• O ; ENGINEER BG�y t^T' �G � i •-i'(�, Np�fQ�f�j 'f 4 ,/� ' ETBACK ADDRESS -1•v 1 7 E. LehtONJ � 1, � BRONTSPROP LINEOFROFI 9`- TEL (STREET) CONTRACTOR NO HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO / LIC + At��i (� O CITY CLASS CONSTRUCTION L ER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF � (STREET( HIGHWAY + YARD - TOT �SETBACKFROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH SO FT NO OF NO OF CHECK + _ v SIZE o702 STORIES FAMILIES ONE 29 DESCRIPTION OF_WORK 6�l 1T 5111_ iL NEW ❑ PC Fee$ Permit Fee {0 m4 tT c, Gca+ Waal s.,LCt jt, S t% ADD X - ❑ Issuance Fee g rim, - & 1 1+% 2ZG� �( 4-v ALTER 1 3 Lc �`t' REPAIR ❑ Total Fee USE OF L $ DEMOL EXISTING BLDG b Well ❑ 17/� P 14a7-ht-"4 2 rAlk APPLICANT (PRNT) cV{!Lrfc& NO'445 1440 Q NO 7'L G BY(SIGNATURE( Q ' ' I HEREBY ACKNOWLEDGE THAT I HAVE•READ THIS APPLICATION AND STATE Y ' •THAT THE ABOVE IS CORRECT AND AGREE-TO COMPLY WITH ALL ORDINANCES ) r' W AND LAWS REGULATING BUILDING.CONSTRUCTION ICERTIFY THAT IN DOING THE, ': ( 2 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY,ANY PERSON IN VIOLATION'OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM z - 2A 6'9.'6'A PENSATION INSURANCE - •t # O,O O`O OSIGNFY 1. PERMTTEESO �_- � I °,1 O Fx O O ADDRESS `- y� h UTEL� CITY NO 'Imp ap Q&Q 1 / 9 USE ZONE MAP•'-• "S ©� Q f N( SPECIAL - P " L :'} r CONDITIONS_/E FINAL BY• ` L W d DATE �, WORKERS' COMPENSATION DECLARATION I hereby affirm that I'have a certificate of consent to,-self insure, or a certificate,of Workers, Compensation lnsurance', A P P L I CAT I O N, -F O R.,.,B U I L D I.N C., P- RMI T ora certified copy thereof (Sec, Lab C ) ' .y I ., . -- COUNTY-OF LOS ANGELES BUILDING AND SAFETY. Policy No 23077'0 - Conipdny• ''State Comp Ins BUILDING ❑ "Certified-copy is hereby furnished FOR APPLICANT TO FILL`IN• y ADDRESS ro - 0 : Certified copy is filed with the county building'inspec- BUILDING - ADDRESS•s - r " tion,department ' qr ` rY- 'fem T'e-`Cit ZIP LOCALITY' Date A lica'nr a S _ PP NO.OF y � � NEAREST CERTIFICATE OF EXEMPTION FROM OR S'' SIZE OF LOT NOW ON LOT-,';.• CROSS ST COMPENSATION INSURANCE Y- ASSESSOR (This section rieed,not kie completed the permit is for one TRACT - " "`• BLOCK LOT NO' MAP gpOK. • - PAGE PARCEL ',t-- ' ,hundred dollars ($100) or,-less,) '• - 1 - _ TEL • " l ••f °'• " OWNER, $r ce Young 818 NO `447.-6091 USE'zoNEMAP, :I•certifi that in the performance of',the workfoNOr which this _° , permit,.is issued; I shall not employ'any person in any manner -ADDRESS ,9860 E.•Lemon '• SPECIAL- a CONDITIONS so as to_'become'sublec{to the-Workers',Compensation Laws ' -� . - .- O e ,-s, ro t' iCITY•; Temple, Cit - ZIP 9.1007: " • _ , U -Date Applicant L - ARCHITECT OR TEL - NOTICE..TO,APPLICANT ,If, afterr,makm this Certificate of - - ENGINEER_; ;NO DISTRICT., G UP TYPE FIRE , PROCESSED BY r g CONST Z NE 0 Exemption; Fyou;should .become subject To the .Workers' ; ,�j '- L Compensation•provisiorivof'the Labor Code,-you musi.forth- ADDRESS- - J with ,comply ,with such'provisions or this-permit shall be TEL STATISTICAL CLASSIFICATION A CONDO N deemed revoked , CONTRACTOR MOntebe1lo Rf . NO 722-6975 : z LICENSED'„CONTRACTORS DECLARATION.'4A t WLIC CLASS NO DWELL UNITS r ” ADDRESS 868 Truck ay r NO 248852 I hereby affirm that I am licensed under provisions of-Chapter 9 SEWER MAP . (commencing with-Sectio'n 7000)of Division 3;of the-Business" ,y clrY Montebello LIC C-39. ' and Professioris Code,and my,license is°Trifull force and effect •• BK PG• ' � VALIDATION• t , SQ-FT� _ NO OF NO OF -CHECK, License. Omber 248852'• Lic Cla—" C=39 SIZE. STORIES FAMILIES ONE, _ VALUATION ConTr or Pres Date, =8/31/91 DESCRIPTION OF WORK 1 NEW-i ❑ $ 1525.00 j ADD ❑ El am exempt under•Sec` Rerpof w/ 13 'sq cl`a'ss "A pop" '+ 8 8P C for,this reason 1 erg as,s $ ing es. Ope. ALTER' ❑ I $ - •- REPAIR; Date USE OF yq —.d.--P. EXISTING=BLDG - _ — - �r9^--b sa-DEMOL❑ Signature APPLICANT( �MOntebell0 Rfg., Co.',Ndnc: - FINAL OWNER-BUILDER DECLARATION _ DATE n ' I hereby affirm that,I am exempt from the Contractor's License" Law forj'the follow,ing'reason.(Secthon.7031 5; Business and ADDRESS' 868 Tkuck Wa` FINAill t"✓7r' `t - P-rofessons,Code){1.. PRESENT _, By, -ACC f BUILDING y� F11•li l'a 8 ❑ I, as owner'of the?property; or--my' employees•with ' ADDRESS wages as Their sole compensation;will do the w&k•and - ~' - - - 3307-`-_: ^ :'� ' •uv th'e structure is noteintended•or offered for sale(Section LOCALITY 7044, Business and Professions Code ) MOVING' JEL .. , _ _• ,. 1'1�� a- -•'i. . CONTRACTOR NO, ❑ I, as owner of the`property,.cjm exclusively contracting f(�1� _ 49 a -Bi-6 TOTAL--- with licensed•contractors-to-construct the p'rolect (Sec- - 9 ' tion 7044,-Business and Professions-Code ) ADDRESS CHECK "" jtt3•G��REQUIRED— TOTAL SETBACKwFROM. EXIST- , ����•�� CONSTRUCTION LENDING AGENCY SET BACK YARD',, HWY PROP LINE WIDTH ;`•�` ;i "' eLE1J ;�: I hereby affirm that there is b construction lending agency"for FRONT i'.v the,performance.of'the.work for which this permit is issued' P IL -r' (Sec'3097, Civ G ) r '. •SIDE Lender's Name -PL �arM�1(� -. - • - .,_ ._ _ Y J LDMA Ref #� 617_ .l, Pm: 4+ P C Fee$' Permit Fee 1i� 39.38 _ - �' •��, ` Lender's Address -10.50• , o- I certify that 1-have read this application and ;tate' that the Issuance Fee 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 h 49•88 e' LDMA Perm # sand hereby authorize representairves.of this County to enter ' upon th bove-mentioned'property,for trispection purposes 1019189 SEE REVERSE FOR EXPLANATORY LANGUAGE, T SignatureA ant or Agent ' Date, - a