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HomeMy Public PortalAbout6044 LOMA AVE_Building__ DEPARTMENT Of BUILDING AND SAFETY APPLICATION FORPERIVIIT COUNTY OFLOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR APPLICANT;TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO: PERMIT NO. BUILDING ADDRESS �_ f�A ��} RECEIVED-BY DATE OF APPL. DATE ISSUED LOCALITY Ov1 \.�.yG[R.�xa"'i /P 11:�r� �cs* / fp��/ NEAREST /I! ( !i .. _ CROSS ST. �' ` ,��, .�� B Al, , on,4,DDRESSRESS / Z, OWNER �i� ' MAIL LOCALITY 7 � VA/ � --- .ADDRESS ® !! (` NEAREST- ® I � 4 CITY11 �..�G/vc...7 NO. T(O.:3a / CROSS ST. f ZONE I;NO. OF e)- I TYP I GROUP ARCHITECT ORY TEL. PLANSFIRE _ ENGINEER .0 E BLDG. �� . / �� /'�/ ORD. NO. SETBACK LINE ADDRESS APPROVED - - TEL. BY. DATE CONTRACTOR ', � / ►� NO. USE /� / APPROVED ZONE/f BY DATE ADDRESS _ - HOUSE NUMBERING LEGAL + j) DESCRIPTION I LOT NO. 3 3 I BLOCK MAP NUMBER MELD CHECK BY 'TRACT D NO. ASSIGNED BY l? DATE N 1. OF BLOGS. CORRECTIONS SIZE OF LOT..g ® -I NOW ON LOT - - USE OF NO. OF _ EXISTING RLDG: /,,,B ,rC+y1.Gf�i I FAMILIES DESCRIPTION OF WORK NEW I�..,. ALT•ERATION ( I ADDITION o REPAIR I- _ I,DEMOLITION "--A/V 77f ` A-1).71 A ct ,4o O SO. FTNO OF t .7 SIZE J''.,/. �- ROOMS STORIES / /� /' Z EXT. WALL /.10l- ( .ROOF C,�.G�j ": I�t�I/�- rD, COVERING COVERING•� ,. , (;' USE OF STRUCTURE ' APPROVALS INSPEC OR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AE= FOUNDATION: LOCATION {/ I�f //'• f PLICATION AND STATE. THAT, THE INFORMATION GIVEN 0i,`- FORMS, MATERIALS CORRECT. - 1 .AGREE TO,COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, �I HEREON' AND WITH ALL COUNTY.ORDINANCES AND STATE BRACING, BOLTS /A LAWS REGULATING UILDINC, CONSTRUCTION. f "�' FURNACE: LOCATION, SIGNATURE OF \,f /Y4's!��lti� s6' GAS VENT, DUCTS 1 IVftA- PERMITTE LATH, INT. ADDRESS - � o LATH, EXT. � �� J�� �• v ' AUTHORIZED AGT. _ •. w � PLASTER, INT. • 76 X628• DB83 ..10-50' $ �* � P..C. $ O FEE / _ PLASTER, EXT. VALUATION' FEE $ FINAL �y f�/i r i 76A68BA CE X80910-58 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS CLI Z BUILDING AND SAFETY DIVISION'• LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GFjQL!$ rypE ROCESSED Y FOR APPLICANT TO FILL IN �CONST. BUILDING / STATISTICAL C SIFICATION SEWER MAP / ADDRESS ' Q L O f} L)E CLASS.NO. DWELL. KG UNITS I LOT NO. BLOCK N MA ER �, Q HWY.P STATE YES 1 TRACT {' f ZONE SPECIAL .t NO.OF.BLDGS CONDITIONS SIZE OF LOT --, X f ~ I NOW ON LOT _3 � USE OF .7 'woe EXISTING BLDG. (ie - - - �. BUILDING ti EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER ,1 e a u / LL FRONT ��5y/ MAIL ^ P.L. ADDRESS y � / VSJ ✓.L- ca! 19 SIDE TEL. P.L. CITY-7 fl L E c, 1 T NO. /'53�s INSPECTION RECORD ARCHITECT OR TEL. — ENGINEER NO. t ADDRESSJ/--5'? �`I ��✓S..I� '� �/�.T TEL. CONTRACTOR NO. ADDRESS DES TION OF WORK NEW DD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES ' USE OF /� STRUCTURE l�L/ LLL. ✓ SIGNATURE OF. APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION:LOCATION FORMS,MATERIALS VALUATION$ •�` FRAME: FIRE STOPS, BRACING,BOLTS FURNACE:LOCATION. FEE •$ I FEE "-I 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CR CT IO LATH,EXT. SIGNATURE OF., _ HOUSE NUMBER COR- 1)A OR- - PERMITTEE RECT AND POSTED ADDRESS � SST L - FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EpdfRE R PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH ..._ (p)P 76A638A CE#803 3-66 I ATION FOR BUILDING PE APDL C Ei!1VIIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 11 BUILDING AND SAFETY DIVISION LOCALITY ) �� y JOHN A. LAMBIE, COUNTY ENGINEER NEAREST > > COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. _ DISTRICTP TYPE P O S Y FOR APPLICANT TO FILL IN �% 71' 47 1 CONST., BUILDING STATISTICAL C A IFICATION SEWER MAP ADDRESS CLASS NO. DWELL UNITS. BKPG LOT NO. BLOCK USE ZONE MAP /( K/�1 / NO. (J TRACT 1�" I SPECIAL / / NO. OF BLDO3. CONDITIONS SIZE OF LOT NOW ON LOT USE OF I NG BLDG. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. + _ CITY i BLDG. SETBACK FROM ARCHITECT OR � TF1 • SIDE PROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS ? HIGHWAY WIDTH FROM C.L. CONTRACTO NO� + >- CL LIOC +9� CORNER CUTOFF YES NO V ADDRESS N CITY CLC SEE REVERSE SIDE FOR SPECIAL APPROVALS a DESCRIPTION OF WORK 1.1 a NEW .ADD ALTER REPAIR DEMOLISH SQ.FT. //�� NO. OF NO. OF SIZE 'QCJ STORIES MILIF_S USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION$ •00 APPROVALS DATE INSPE;Ojt!S.S1.GNATURE hhFOUNDATION, LOCATION �` e FEE$ FEE$ v FORMS, MATERIALS FRAME, FIRE STOPS,' /'�`__ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS SUILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT• ING TO WORKMEN'S COMP.N ATION INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE REST AND POSTED �^ ADDRESS d �� FI NAL JOHN F. LEWIS. PRINCIPAL STRUCT RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. M.O CASH Lji-uos 7 7-0 APR;24 1 D 11 .50, ��J 1 76A638A CE#8033-66 APPLICATION FOR ILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS d Q BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST. __ --- -DIST fLI CO -GR P TYPE P C D BY FOR APPLICANT TO FILL IN c�/ `-l% CONST. BUILDING / STATISTICAL CL SSIFICATION SEWER MAP ADDRESS �� CLASS NO.�DWELL UNITS. BK�P LOT NO. BLOCK USE ZONE NOO. �7Q• L- TRACT G L SPECIAL NO. OF BLDOS. CONDITIONS r SIZE OF LOT ,s NOW ON LOT67 USE OF F. 1 T N BLDG. SETBACK FROM Tt L. FRONT PROP. LINE OF / (STREET) OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIID-TTH FROM C.L. CITY J v +OAC/ ARCHIT CT OR EL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTO ��rr NE r�/[�p' + ADDRESS /vE NOLlclp'� / CORNER CUTOFF YES NO CITY cl` 'I SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a T NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF _ SIZE J v STORIES FAMILIES 7-� USE OF - .moi 0!��"i➢ �- i`' STRUCTURE 04 SIGNATURE OF APPLICANT - VALUATION$ ,Q0 APPROVALS DATE INSPECT 'S_SIGNATURE P.C. PMT. rr//�� � �� FOUNDATION, LOCATION p/�y�- FEE$ FEE$Q�p`- FORMS, MATERIALS G,/ N"y i`��=�.•" FRAME, FIRE STOPS,' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT �� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS "� I BUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LABOR CODC OF THE STATE OF CALIFORNI RELAT. ING TO WORKMEN'S COMP TION INSU RA CE. - LATH. EXT. SIGNATURE OF - HOUSE NUMBER COR- ` PERMITTEE RECT AND POSTED ADDRESS 3 FI NAL JOHN F. LEWIS. PRINCIPAL! TRUCTURAL tNGINEER PLAN CHECK VA ATION CK. M.O. CASH _ PERMIT VALIDATION ^ M.C, CASH L tl�o 8 1 7 6-0 APR 2 4 1 D 2 2.0 0- WORKERS' COMPENSATION DECLARATION rbtconsent e or a, or a certificate of lNokes' Compensation Insurance, APPLICATION FOR BUILDING PERMIT rtified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy'kNo. 1 Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 1OHA ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS L Date Applicant CITY ZIP �1 O LOCALITY NO. 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 hundred dollars ($100) or less.) TEL. OWNER NO. USE ZONE MAP I certify that in the performance of the work for which this V O. permit is issued, I shall not employ any person in any manner ADDRESS I� I SPECIAL d CONDITIONS so as to become subject to the Workers' pensa ion Laws. 0 CITY ZIP Date Applicant ARCHITECT OR TEL. Q' ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCES ED BY NOTICE TO APPLICANT:•If, after makin th' ertificate of � CONS . �E U Exemption, you should become subject t the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS 51� C-3 a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. I CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business �^ and Professions Code,and my license is in full force and effect. CITY CLASS BK. G PG. VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIP ION OF WORK NEW ❑ "4,560, d� El am exempt under Sec. ADD El S ► ALTER ❑ B.&P.C. for this reason REPAIR $ USE F Date: EXISTING BLDG. DEMOL ❑ Signature APPS ICAN j /, , V TEL. per/ �� FINAL/1 OWNER-BUILDER DECLARATION . PRINT W NO. o, ` �` / �q� DATEf' I hereby affirm that I am exempt from the Contractor's License ADDRESS U l , hd/�% f-l'1 i Law for the following reason (Section 7031.5, Business and FINAL �• Y 9 : ; r ;t Professions Code): PRESENT B ACCT .AV BUILDINGEl I, as owner of the property, or my employees with ADDRESS -+-. wages as their sole compensation,will do the work and C r,• i ry f / 3307 'gate= the structure is not intended or.offered for sale(Section LOCALITY pool 1 ITEMS 7044, Business and Professions Code.) MOVING TEL. CONTRACTOR NO. ❑ I, as owner of the property, am exclusively contracting TOTAL I'�'AL ,�.9® 8� with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code. 49.33 REQUIRED TOTAL SETBACK FROM EXIST. rL��� C:NE{:w CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 4f k-11GE .01E I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE. Lender's Name, P L I3OL0-110101 V 8/89 m LDMA Ref. # c Q d g11��j P_C.-Fee-$ P_ermit_Fee _r 5598 1 A o t1 Lender's Address -- — - 0 1 certify that I have read this application and state that the Issuance Fee 10 ,50 LDMA P/C# 8 above information is correct.I agree to comply with all County Investigation Fee d ordinances and State laws relating to building construction, Total Fee LDMA Perm. # a and he eby authorize representatives of this County to enter up a atb e�mentioned proper r ins c'on purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE \\\JJJ Signature of Applicant or Agen Date