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Home My Public Portal About6153 LOMA AVE_Building__ 5,DA RQ7�OR A YMATERIAL STGRAGE OR WORKONE IN THE. ROAD RIGHT OF WAY. 7BA888ACE#8088-E9_ APPLICATION FOR BUILDING PERMIT 1' COUNTY OF LOS ANGELES BUILDING _ DEPARTMENT OF COUNTY ENGINEER ADDRESS. .' BUILDING AND SAFETY DIVISION LOCALITY %> JOHN A. LAMBIE, COUNTY ENGINEER CROSS ST. CASSATT D. GRIFFIN, SUPT OF BUILDINGDISTRICTNO. OUTYPE P --� P, E BY .., ... ... . - - -- _. FOR APPLICANT.TO FILL IN 3.0.9 ` CONsr` BUILDING f I s� �f - j�q STATISTICAL.CLASSIFICATION - SEWER MAP. ADDRESS t:. 5J I`" . �qof�1iA BK PG CLASS.NO.—/—DWELL.UNITS.Si . I LOT NO. nS`v `7 a-r •BLOCK. MAP j �f - STATE - NUMBER HWY. YES. O TRACT / Q f/ '• USE ZONE SPECIAL NO.OF BLDGS. ®• + CONDITIONS ` SIZE OF'LOT. o/' { I',NOW ON LOT USE OF � E BUILDING - EXIST. Y' EXISTING BLDG. - YARD HWY STREET NAME _ •--�^ r ,{ SETBACK � WIDTH . OWNER '1 1ss,. i4 C ��q�.qC '.FRONTMAIL - P4 Lm ADDRESS. /t/ �V L�l ol� SIDE -7-,C7K.A +-7•� _,.TEL. -1.`? P:.L. . CITY /vt '�L..! / NO. .INSPECTION RECORD ARCHITECT OR - . TEL. ENGINEER NO: .ADDRESS - - _ TEL. CONTRACTOR NO.• - ADDRESS DESCRIPTION OF WORK NEW - ADD ALTER E;AIR DEMOLISH SQ. FT. .�"' / NO. NO-OF SIZE e✓ b STES ORI1 FAMILIES - USE OF STRUCTURE 1,Y C kV C1 )M li t;r&/I/ I?Ql(D,f SIGNATURE'OFAPFLICAN ,• APPROVALS 'DATE INSPECTOR'S SIGNATURE. ADDRESS, FOUNDATION: LOCATION - - - FORMS, MATERIALS VALUATION $• C�fJ.�a - I FRAME: FIRE STOPS, - - - _ BRACING,BOLTS •,+f- - 1FURNACE: LOCATION, - - - FEE- $ I FEE GAS VENT,DUCTS - - I HEREBY ACKNOWLEDGE,THAT 1 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 CONSTRUCTION. LATH,EXT. SIGNATURE OF e.g- /YI �,.� HOUSE NUMBER COR-, - - PERMITTEF I �'' RECT AND POSTED ADDRESS' FINAL 11 CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E -PLAN CHECK VALIDATION CK: M.O. CASH PERMIT VALIDATION "CK. M.O.ON CASH i DEPARTMENT OF BUILDING AND SAFETY r APPLICATION FOR PERMIT COUNTY OF LOS ANGELES Y ® ' 7 WM. J. FOX, CHIEF ENGINEER U FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING r 1 DISTRICT NO. PLAN CK.NO. PERMIT NO. , ADDRESS .�' LOCALITY RECEIVED BY DATE OrAPPL. fffEEE��/DATE 18BUED NEAREST CROSS ST. 8UILDING OWNER ADDRESS MAIL LOCALITY ADDRESS TEL NEAREST CROSS ST. CITY NO. FIRE NO.OF TYPE I GROUP ARCHITECT OR TEL ZONEPLANS ENGINEER NO• I BLDG. ORD.NO. 'ADDRESS SETBACK LINE TEL APPROVED CONTRACTOR NO, BY DATE USE APPROVED ADDRESS ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION I LOT NO. BLOCK TRACT • ,t NO.OF BLDGS. SIZE OF LOT I NOW ON LOT L'4 USE OF NO.OF I NO.OF EXISTING BLDG. FAMI UEs ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH O SQ.FT. NO. OF Z SIZE ROOMS STORIES D WALL RODE r COVERING COVERING USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS OWNER LATH,INT.: AUTHORIZED AOT. LATH,EXT.: OBS-3 7S1.1 SETS 1-47 $ P.C. S PLASTER. INT. FEE PLASTER, EXT. s VALUATION FEE FINAL a� WORKERS' COMPENSATION DECLARATION. 1 here .affirm that'I Kovdfra certinicote of consent to self I � Fls(; r re, oa certificate a' Workers',Compensation Inburance, A P P��C/lZlUO L! �®% ILDING PERMIT of a cerlrf ed'copy thereof (Sec '3800, Lab C ) _ . COUNTY, OF LOS ANGELES BUILDING AND SAFETY Policy No Company ❑ :Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS ❑ Certified copy-is filed with the county'buildmg inspec- BUILDING tion department ADDRESS Date Applicant CITY)IMPLa ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS'- (,��+�I 1 NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT IC.� x \ NOW ON LOT �. CROSS ST (This section need not be completed if the permit is for'one C/ ASSESSOR hundred dollars'($100)or less ) TRACT BLOCK' L'OT NO ✓ MAP BOOK PAGE PARCEL a' TEL USE Z NE MAP I certify that m the performance of the work,for whi t is OWNE ' ( NO NO permit is issued,'I shall not employ pay person in any saner SPECIAL so as to become subject to the Wor rs'C ensation ws aADDRESS 1� � CONDITIONS CITY - •`` ZIP XDate " APPIic NOTICE TO APPLICANT .If, after making 1 s Certificate of ARCHITEC A TEO DISTRICT_ ROUP, TYPE FIRE PROCE ED BY - L-,-y Exemption,.,you should become subject to the Workers" ENGINEE 1 1V� L.l l NO� "� (//J CONST . ZONE R-3 . Compensation provisions of,the Labor Code, you must forth- ADDRESS V •3 • with,comply with such provisions or this permit shall,be TEL STATISTICAL CLASSIFICATION APT CO deemed revoked CONTRACTOR NO - f LICENSED CONTRACTORS DECLARATION I LIC CLASS NODWELL UNITS' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)cit Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect ° CITYCLASS• BK PG 7 VALIDATION r SQF O•OF NO.OF 1 CHECK d. License Number lic Class•3. SIZ STORIES' FAMILIES' t ; 'ONE" 0 EVALUATION U Contractor Date DESCRIPTION OF WORK- (1 Z NEW ❑ , $ U I!' ADD ®' ® �\ 1 0�"8 R o ❑.I am exempt under Sec _ �, ALTER LO] 1 # °-'e 2 3 B&P C for this reason REPAIR [_] , $' I °43223 Date USE OF DEMOL ❑11 4 ; ° ° 4 3 2 2 3 Z EXISTING BLDG _ - q Q p _ APPLPRINTT EL Signature NO - FINAL r - - I O 3 V 8 Y 'OWNER-BUILDER DECLARATION DATE Q 1/ I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031 5, Business and ADDRESS FINAL „ Profess ns Code) PRESENTBy BUILDING ' �. -� ,23 ACCT I, as,owner of the property, or my employees with ADDRESS .0 _, �+�+ wages os their sole compensation,will do the work and ; �^1�• ;: a At Tab the structure is not intended or offered for sale(Section LOCALITY �L _ O 7044, Business and Professions Code) MOVING TEL ® =-3307, 189..34 CONTRACTOR NO ❑ I, as owner of the property, am exclusively contracting •,•' 1 with licensed contractors to construct the project'(Sec- , }. tion 7044, Business and Professions Code) ADDRESS # ACCT REQUIRED TOTAL SETBA K Y �, �, , ; 114 e4 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH t 7� ,I hereby affirm that there is a construction lending agency for FRONT " !! + °' "t• +' 3;307 .741•!-t tMShe performance of the work for which this permit•is issued PL i (Sec 3097, Cry C ) SIDE t '' ti t ITE " Lender's Name P L t }, �t . .TOTAL ., 931®Q9 m P C Fee S Permit fee / LDMA Ref N: ?1"CHECK -9,.t'1.0 Z t, 4 1r 7 l Lender's Address I certify that I have read this application and state that the Issuance Fee �� LDMA P/C q above information is correct I agree to comply with all County Investigation Fae 7c'�- o, ordinances and State laws relating to building construction, Total Fee /J ' LDMA Perm H $ and hereby ut orize represents of this County to enter 0000-0001 :'�il'14/4g upon' e a entioned pr ert or inspection purposes + y 3960 . 1 '"AM 43 a SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date - J RKERS'COMPENSATION DECLAf - I APPLICATION FOS BUILDING PERMIT offirm that I hove o `finite of�c 'sent.,to self s a cerfifico ry Worke. cre+fwnyfr r Insurance, oro fiedcopy thereof (Sec. , LaF �) r COUNTY OF LOS ANGELES BUILDING AND SAFETY Po",- NL. ` Company_ BUILDING Certified copy is hereby fu-'shed. FOR APPLICANT TO FILL IN ADDRESS Certified ` Q' y g p n the count building inspec- BUILDING copy is filed ton department. ADDRESS Date _Applicant CITYT ZIP LOCALITY CERTIFIC(IE OF EXEMPTION FROM WORKERS' t NO. OF BLDG5. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. ASSESSOR (This sec+Nn need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundrea dollars ($100)or less.) TEL. USE ONE MAP I certify that in the performance of the work for which this OWNE L NO. l NO pernit is issued, I shall not employ any perso in any mann SPECIAL so as to become ject to the orkers ensot ion Lo s. ADDRESS L I CONDITIONS ",Z� CITY L C.IpM ZIP Date Applican NOTICE TO APPLICANT: If, after makingthis Certificate of ARCHITEC TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY ENGINEER � N CONST. ZFIE Exemption, you should become subject to the Workers' �p 1 ) Compensation provisions of the Labor Code, you must forth- ADDRESS �p r� `� with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. NDO. deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS - I hereby off irm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION a SQ. FT. NO. OF NO. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES "� ONE 0 vALugrloN v DESCRIPTION OF WORK NEW ® / U 0:Contractor Date �Tt �� ADD $ ' , 00 I am exempt under Sec. W ALTER B.&P.C. for this reasonS `` j 9, p a' REPAIR Date: OF • • • • EXISTING • EXISTING BLDG. DEMOL Z Signature APPLICANT TEL. FINAL y/ U/ {< • • • • c OWNER-BUILDER DECLARATIONPRINT DATE /6 !( ( • 4 6 3 I hereby affirm that I am exempt from the Contractor's License ._. Law for the following reason (Section 7031.5, Business and ADDRESS 4 FINAL th • e L;. } Pr fessions Code): PRE By ""K+ I L — ' G BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' 7 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. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CK FROM CONSTRUCTION LENDING AGENCY SETBACK YARD HWY UIRED TOTAPROPALINE WIDTH 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 P.L. Lender's Name LDMA Ref. A A P.C. Fee$ Permit fee Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C# o above information is correct. I agree to comply with all County Investigation Fee 7, 2 0 ordinances and State laws relating to building construction, Total Fee Iq J J LDMA Perm. M R and hereby authorize representati es of this County to enter upo a e-mentioned perty for inspection pur oses. i f SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Dote