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HomeMy Public PortalAbout8748 LONGDEN AVE_Building__ WoORKERS'COMPENSATION DECLARATION + rebyi certificate that I havecertificate of consent to self APPLICATION FOR . BUILDING - PERMIT insure, or a a certificate of Worr kers' Compensation Insurance, or 9-certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. CompanyBUILDING P �c ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS / (/ ❑ Certified copy is filed with the county building inspec- BUILDING n,1�j t 1 ` tion department. ADDRESS 3 1 q a c D iQ A V Date Applicant CITY SAIV A&R) e L ZIP_ c1 7 76— LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' r / NO. OF BLDGS. ! NEAREST- COMPENSATION INSURANCE SIZE OF LOT 4 J �S ) lC NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one . ASSESSOR hundred dollars ($100)or.less.) TRACT O BLOCK LOT NO. ' MAP BOOK PAGE PARCEL TEL. USE NE [SPPEN,AL OWNER T N /Y1 tll�TT L lv j7 I certify that in the performance of the work for which this permit is issued, I'shall not employ any person in any manner ^'so as to become subjectto the Workers'Compensation Laws. ADDRESS Gfa�v t7 � 11�s DITIONS O Date ApPlica CITY .5/q Iv rG. ZIP �.� 7 .09 NOTI TO PPLICANT: If, 'aftei making this CerTifica of ARCHITEC70R TEL. DISTRICT GROUP TYPE. _ FIRE ESSED.BY ENGIAJEER NO. Exemption, you should become subject to 'the-'Wo ers' . CONST. ZONE (� Compensation provisions of the Labor Code,• ou must forth- �, D O 3 _ p p y ADDRESS 6 - >G� with comply..with-such provisions or this permit shall be - TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR NO. / LICENSED CONTRACTORS DECLARATION, LIC. CLASS NO. �/ DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and _. LIC. SEWER �/ Professions Code, and my license is in full force and effect. CITY CLASS BKJ PG 12 / VALIDATION SO. FT.r� NO. OF NO. OF CHECK License Number Lic.Class SIZE �(� STORIES FAMILIES ONE �,D VALUATION Contractor Date DESCRIPTION OF WORK rr�r..�C ,06fM N NEW' ❑ $ ! / ' ❑ 1 am exempt under Sec. -p-� ADD , ALTER B.&P.C. for this reason REPAIR ❑ s Date: USE OF EXISTING BLDG. '-4 6_5 DEMOL ❑ Signature APPLICANTTEL. FINAL OWNER-BUILDER DECLARATION (PRINT) �A1M !,r NO. S 4, G DATE I hereby affirm that I am•exempt from The Contractor's License 7 T ZvN6 pIN AV6 Law for the following reason (Section 7031.5, Business and ADDRESS T FIN 'Professions Code): PRESENT By• 2 5 2 6 6 A BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and # 0 0 0 0 0 1 the structure is not intended or offered for sale(Section LOCALITYPoo. 7044, Business and Professions Code). MOVING TEL. - I ° 1-3 i,2 5 ❑ CONTRACTOR NO. ° ° 1 3/L 2 5 I, as owner of the property, am exclusively contracting = with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 8 1 8 8 6 .CONSTRUCTION LENDING AGENCY SET BACKK YARD HWY TOTAL SETBACK LINE WIDTH WIDTH 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 o 1a317,5__ LDMA Ref. N - P.C. Fee$ Permit Fee ' . . .. Lender's Address �[/ . - :.I certify that_I have read this application and state that the _. _ - Issuance Fee r- � LDMA P/C# - . above information is correct. I agree to comply with all County Investigation Fee n ordinances and State laws relating to building construction, Total Fee ,� � � LDMA Perm. N u and hereby authorize representatives of this County to enter upon the above- do , d property for inspection purposes. aSEE REVERSE FOR EXPLANATORY LANGUAGE o c' Signature of Applicont Agent Dot e 7aAasa�o80-Ss-sSAPPLICATION FOR BUILDING PERMIT DIVISION OF BUILDING AND SAFETY' eco cla!° Department of County i nglnsor CauntT of Loa Angeles LOCALITY WM.J. FOX. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN SUPT Or BUILOINO CROSS ST. DISTRICT 0. GROUP _ptr f sER MAA FOR Ay'P/P�L{ICANTT/TJO/�FIILL I'M ,Gp /7 I o•+sT. I � P �l �► ADDRESI 81 / (_' z.!1//'Y /{./ NU4 ER G, frTj{ YBfT (:�p� ' J Vf ONE T►ECIAL - LOT NO. [�(/ _1 BLOCK fJ/11/, -�+�017iCN4 TRACT / �� NO. OF BLOGl. �? 3U:LOiN6 i E7C/ET. 112E OF LOT t /� �/ �• I NOW UN LOr r� SETBACK Y'�'� HWY STREET NAVE W1CTH USE OF EXISTING BLDG. - Z FRONTL. IDE OWNER �. 'iSJ/� �LI�IJ .i'�: P-L. _ MAIL AD F-�[,.���� icI 01 TRACT DW13L I UNITI I "�� TEL. OW,ELL I UNIt S ` 1N DUlTRIAL NO. I B I PUBLIC BLDG. ARCNITt"LT OR TEL. 2 OUPLCX 1 UNIT ENGINCER NO. 7 ADDH.- ALT.. ETC. -IN3 APT. UNIT ' $ MISCEL ADDRESS + COMMERCIAL seL. 1). -rx, na Drr^TTntq RFC'QRn ADDRESS • �1� DESCRIPTION OF WORK NEW ADD 01/LTER REPAIR DEMOLISH iC• FT./�J.. // NO. OFr NO. OF ST STORIL7 'FA MIL1E4 USE�Of STRUCTUR Z f� SIGNATURE OF {/ APPLICANT e i APPROVALS r _ A AODREIB T / DATE :SZ.7ECTCw i Vr.ZA�':G I s FOUNDATION:L---ATION - P.C. S FORMS. MATLAi LS /.[n/ // 'n FEE FRAME: FIR:STOPS. VALUATION f/ �� / D % c+ BRACING. BOLTS - , PEE / FURNACE:LOCATION. u-T �•n'eR vrsn T�111 GAS VENT.4VCT8 I NIR LEY ACKkCWLCD^.- T. S I J �I-PLi�.�TiJN A TE THAI THE ABOV •S CORRECT AND AGREE TO OMP WITH ALL COUNT ORDINANCE'S LATH. !HT. I - ANO STATE S R ULATING BUILD 4 COHSTRUC- - TION. LATH. EXT. SIGNATVR►E OF �� ►iOUSE NUMBER COR- PERMITTE �.� RECT ANC PC'STED ADORES / FINAL — -7 71. ���►'*� WM.J. F-,6.C NTY NGINitR VALIDAYIO_d C. N. CIRLAM.CHI[F BLDa. INSPNCTOR .r ti 7 8 0- DCC 12 1 2.00 LIMMON OF BUII.DING AND SAFf.-TY � �ff U��� Dopartmont of County Engineor i ADO Al A��uB ; County of Loa Angolea '41 WM. J. FOX, COUNTY ENGINEER i APPLICATION �7 BUILDING FOR APPLICANT TO FILL IN ADOnXSG E• n BUILDING41ry / 7 LOCALITYSIG 1 L NEAREST LOCALITY CROSS 6'T. -- DISTRICT NO. PUM Cc. o> REG No. PVRA41T N•O. CR 88 8T J / ! RECEIVED BY DATY OF APDL DA TISSUE �s OWNER i /J /) ,.jl �l / ADDRESS U6/6-('ONQ NO. OF TY P6 J GROUP FIRd 3AN6 'i�I / '-/��c� - ✓ NO,• I PLANS 1-��— I I ' ARCHII-ICC'1'OR TEL. J, ZONING /T/ •DyfnD [NGINEIrR NO A►t•I�OV[D B's•- �L/ s BUILDING /, •� ADDRESS BCTBACK LIN[I coNTRACTOR�1/,_<r-)�''/ r•. HOUSE NUMBERING ADDRESS MAP NUMBERLIEGAL _ Nr) ASSIGNED B'Y /^f i DESCRIPTION LOT O d� 321 RLOC•K I �t•�rt I 4 DATE CORRP,CTIONS I INSPICCTOIR TRACT �. is ryry NO. OF BLD68. BIZ[OF LOT JJ�C J �O NOW ON LOT I I FXI'sTtve3 Pt nA JIra /4.L��it I t♦w/L1 E•J R___� 1 1 DESCRIPTION OF WORK _ a o . z NEW VrALT£RATION ADDITION I I r REPAIR OLITION I 1 8G. FT. NO OF SIZE 2 ✓ ROOMS 9TORIE6 sro•r+ EXT. WALL /�) v�= .'1 ROOF - COVERIN6 ✓V — COVERING i Cl,.STRUCTUR[ � I I APPROVALS INSPECTOR'S SIGNATURE VATIC ^� FOUNDATIONt LOCAT70 _ FORM:._-M�TERIAI_g {`� ! f I I 1 Y.CRrU*i ACXNC)WLEJi•E THAT I .PAVE REAoj TH18 AP- _ — - PLICATION AND {TATE Tri AT T}iH iI�Fvni.t,:T' C.':L:i 1 _ FRAMEt FIRE STOPS. CORRECT. � � BRACING. BOLTS I _ AGREE TO CO tT WIt)1 ALL COVNII• �"Vii:;1;:CES FURNACES LOCATION. n..;� :STATE LA MC A ULA TINUQUILOINQrCON317tUCTICN. GAS VENT, DUCTS �r`•~ SIGNATURE O ( t�•i'� LATH, INT. •""( ty PERMITTE F =LATH, EXT. _ AUTHO Ii ACT. _;� PLASTER. INT. PILASTER. EXT. TES•a . HOUSE Numern con- RECT AND POSTED - :�,•�, a VALUATION FEE a �-- FINAL •r'; !?;f r',t•lf.� / , t 7aA*3eA 086 8 2-68 - sill=w mill III DEPARTMENT OF BUILDING AND SAFETY j APPLICATION FOR PERMIT 3. COUNTY OF LOS ANGELES (� WM. J. rox. CHIEF ENOINCER HU 9 LOING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY J / DISTRICT NO. I PLAJ1 CK.NO. PERMIT NO. a' BUILDING -7"�� 1�( _ ' Q��]( LOCALITY �t ` ( i�j l RECEIVED 0Y OATL Or APPL DATE ISSUED NEAR CI7T ���� !/ G C7// CR B ST �Y1 � 'fir 1 BUILDINO ADORC89 •� �/ 4 /+ r'�/i [--I0 /YG I � -AIL �[�� �, r• , LOCALITY NEAREST CITY �r/aMI+/\_�I.I T . I CPOBa ST. �L FIR[ NO,01 TYPE OROUP ; ARCHITECT OR r , TCL- ZONE PLANS ..l- ENGINEER NO SLDO. gRO.NO. ADDR[ EIETIIACK LIN[ \ APPROVED CONTRACT'1R NO. �� \' ,J 1 I i TEL By DWT[ _ t • C'�, LINE APPROVED _; AOOR[?ti ZONE ,2� NY DAT[ LIECALDE1lCRIPTION LOT NO. 0 C K c.i O CO CTIOH8 _ _ ' e7 At:, Lo7" TRACT . —� f�i. r-^ S 7 . NO.OF SI-DDS. SIZE Or LOT O 7 C...- I NOW ON LOT USE OP ? NO.Or I NO.OF �` �-/ `v" rx_i=NO Lon, � t r .,--tf1 DESCRIPTION OF WORK. NCW ALTERATION I ADDITION __ O PCPAtiq .I MOVING ! DE:-IGLIBH f G BO.rT. NO.Dr nn/ J' BIZC OEM ROOMS / BTDQI[S �, r.: r/c/' /t/ /JI P7 UT WALL flo0i COVERIMO I COVERING nuILDINo !„1 /�[:ll-' /�1✓ �� r-F' Or fv F. /VJ9lLS- MINI J b r� RAp?R7 -_ 1 HCRCQY ACKNOWLCODC TH\T 1 NAVE PEAO THIO VFI .P�'fi�7V �N S7 ISI - APPLICATION AND STAT[ THAT THE A80VC is CORRECT rOUNOATIONt LOCA T70?f INSPECTOR DAT[ - AND AORCC TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS I ' AND STATE LAWS REOULATINO GUILDIP40 CONSTRUCTION. 7 ' f�:.>•iC: -fes_e?^.^g.,- /�1�/,. 910 NATURE Or GRACING.BOLTP ! r F} :/(,� k- - PCRMITY[r - 4 ` /� LATH. INT. AUTHORIZED AOT �i i /704n //_ C- - LATH. EJ . t b/� < L♦. - /'-� / 7Lwa]DA-e II-IIS $ �� P C.6 PL"rrR.IMT. �� � • HX FC[ �� PLANTER.kXT. _ VALUATION Q r[c 1 FINAL A.� 31 DEPARTMENT OF BUILDING AND SAFETY APPLICAT1027 FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. cHILr ENo1NCCR BURLDING FOR APPLICANT TO FILL .^ri FOR OMCE USE ONLY i^ DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILOIHO AD..CSB •`-��' LOCALITY L1r ncpxtvco BY DATE ^Cr APPAL(. /DATE ISBUCD NEARCHT R SB OWNER ADDRESS MAIL B • ^,,l/ LOCALITYME PrErr / r✓�. r TEL. CROSS 9T. w/-F L- C ITY No. rIRE ND.Or TYPE OROUP^"T'� ARCHITECT OR V t ZOITE ..r. PLANS �L.. CNOINC[ff O. / S LD O, ORO.NO. I� ®_ AODpre_.: BCTSACK LINO 7 i y _ APPROVED By CONTRACTO T[L i { NO. US DATEE AReRQViD ADDREfIB ' US2DNC /�I BY DATE LEGALr DESCRIPTION LOT NO. &-j-gL$� 3 CC7fi8ECTICHS TRACT iJ r 1 71 0S. SIZEOrLOT �5 Jl4 WL USE or I NO.or I £ NG.ar 3 7(ISTINO SLOG I'Ar../�/c! ROOMS { DESCRIPTIO' OF WORK t NCW ALTERATION r I ADDSTION I I O r 1 rrAIR I MOVINO i IA_ DEMOLISH p so.". NO.Or Z SIZE ROOMS STORIES WALL I RCCr COVERING CGVERINO USE Or NCW NUILOINO _ I HEREBY ACK?/:WLLDOC THAT 1 HAVE READ THIS' A-PPROVALS i APPLICATION ANO STATE" 7H A V i CORRECT C 10 ST i EINR TOR DATE - N ATtON LOCATION AND AORtt TO COMP WITH lL CDUN ORDINANCES rrO D / AND OTATZ LAWS REO• T BU7LDINO ONSTR UCTION. rORMB.MATERIALS rRAMCt rIRE STOefl. ;'- BIOHATURC t'7V �/ BRACING.BZ3L-3 PERMITTE '� l�i-i LATH, INT. _ AUTMORIZEO AOT 41 L:TS:, F7 1M633A-3 91*9 S P.C.S . Pl-tiBTCR.INT. - p � � rtE �i o..P..�._.._. I � rtE c V FINAL[47�XtMW4 1►CG�� ���►�r L� 8-� i CJ! DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES g:p a fj WM. J. FOX. CHI[r ENGINEER �J L 100 e FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT NO. PLJLN CK.NO. PERMIT IMOL. ' BUILDING So �1 i• ADDRESS ---v � � "'�i� l//l +T J •• - �/ G.-{ LOCALIT� 1'` �1_ � ,, C � RECEIVED �LIY OATOT ADPL. DATE I9®CJCD NEAR CI L CROBB IS-[1!T Y/r, - AOORE 13 I Q W6 DE QWN[R �h� I� r�7�1✓-� ADDRESS t 1 j.• 1 MAILr• LOCALITYfi l TELA a NEAREST C i C11LHIf T. t "� CITY J�vY� ,� Air•��C HO. - rIRC NO.Or TYP GROILI ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. - �\�1J SLOG. — CFt .NO. ' _ ADDRESS ll BCTCACK LIN[ T L ^ APPROVED CONTRACTOR \ , _ NpL a DATE USE APPR'uVLZ ADDRESS ZONC By OAT[ LEGALZ�y Q Q CORRECTIONS P DEaCRITION LD'T NO. L- �1 BLOCK TRACT �?-i-- I NO.Or RLOOs- SIZE Or LOT ` ( NMV CN LCT UB[Or �Y, r NO.Or m3.or r7 EXISTING BLOO } +-��- r�uruCf RIIAMS l S DESCRIPTION OF WORK NEW ALTERATION ADD ITI Cr. O REPAIR MOVING I OEMOLJ9N p Op.M /I NO.Cr I 2 SIZE •T�•� ROOMS /' 6T041L9 t WALL _l =• = � ��•.-- ..c t. -, _- WWW USE orNlrw - G U 1 LO I N G `tri Y`-.L, n 1, ••+ ' � T 1 HEREBY ACKNCWLCDGC THAT 1 HAVE PEAD THIS APPROVALS APPL'CATION AND GTATC 'I Hs, ThE A2CVL !S CORRECT FOUNDATtCNl LOCATION INSPECTOR DATE Alt? AOP[C TO COMPLY WI TH ALL COUNTY O-OINANCEB roRMB.MATERIALS I ^ ''v AND GTATM LAWS RCGULATINO BUILDING CONSTRUCTION. •1�a. r RAMC, rIRC 9TCr8. BIO NATURE Or �1 ^ BRAC I NO.BULTI��_, 1 lei' PCRMITTC[—_ j\ ii LATH, INT. AUTHORIZED AGT LATH, EXT. 70-&30A•3 7.49 $ P.C.Q PLASsTCR.INT. Y rE[ y PLASTER.LXT. 1 VALUATION r[[ u FIAlALMAXIMUM ACCO%, USHM - E-3Jr•�� . t DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT s® _ WVJ\ Y Cl F LVJ !'11\VL.LES b El p Q 6'1, 13 q&a ,&, �� ( ,1 • ` WM. J. F'0X. CHteF CNOtNCCR 89 � Q 16 � © l7 �d FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY I BUtlDINO .� DISTRC�D. i PLAN CK.NO. I PERMIT - S , _ Aooa£as I3 �y 53 C LOCALITY `_ , ,4 • C CD BY DATE OF APDL. DAT[ISSUED 1 CRC6"- 11 Bu1LDIND�'1 GwNCRo ` `/ M F� ^I I' ' r 7 J ADDRE81! _L_I, f C�!7 - MA11_ n ADDRESS C1 3 ( �-- _ . - LOCALITY v ` TEL ' 6 NEAREST CITY No CROSS ST. AV 0 FIRE NO.Or TY�FT. GROUP AAjj7tCHITECT OR TEL. ZONE I PLAft EI?�NE£R NO. BLDG. ORO.NO. ADDRESS lA '��" BETRACK LINE �•�,; APPROVED'CON F7A CTORCO�, BY �l { /,L` �t^�`-�-• DAT>�d 1 USE (,{� APPROVED ADDRESS ZONE By BY DATE DESCRIPTION 1 LOTNIXY/ I BLOCK �l✓v CORRECTION TRACT c l t/ V // NO OF BLOCS- /` 812EOFLOT .G� �� �� y0 I NOW ON LOT � c,.,9�:G �� / (- lam • > FLS ol USE OF NO.OF NO.OF r EX 18TINO BLDG, I F,.,,�•c� ' DESCRIP ION OF WORK NEW ALTERATION 14 ADDITION _REPAIR MOVING 'I DCMOLIa.I I � — �c1 - /"•� ' r .FT. No.OF B SOIZE ' L ROOMS BTOAtra % �2 � -s✓f•�;�) l i 'HALL ROOF r COV CRINO 5'ZZe-eQ I cERINO +•'' use or NEW % �1 BUILDING _5//i., C !?i ,+► fvig n /=i^_ 7 Eq 1 NERCJY ACKNOWLEDGE THAT I HAVE READ THIS pUAROVT S { 6o�Jl APPLICATION AND 8TATC TNA. THE ABG'/C 19 CCRRLCT FOUNDATIONS LOCATION-- Ih BPEDTOR AND ACRE[ TO COMPLY WITH ALL COUNTY ORDINANCiS FORME.MATERIALS jLl{� ••� I ) ` / {I td AC7D STATE LAWN REGUL.ATINP BUILDING CONSTRUCTION.. FRAMES FIRE STOPS. .� ! /• •�'�- 1910NATUR[Or - 1 BRACING.BOLTS PERMITTCC— r_ ✓L x i-�:-"'�'-��—��•c.•b!.� , � 1 LATH, INT. AUTHORIZED AGT —•• LATH, EXT. 080-2 A..5E i PLASTER.INT.13 ` D9D-S ?O".9LT= �iJ7 P.C.S r' / �yI FCC _ w PLASTER.[XT. 1, _✓ ✓ O VALUATION /y C1'!AL - f ��'�LbCA,- tom•_ s 1 /il