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Home My Public Portal About9532 LEMON AVE_Building__ TEMPLE CI`T'Y IJ �76A 63BA CE 1x803 2-63 APPLICATI.ON FOR BUILDING PERMIT ' - COUNTY OF LOS ANGELES _ BUILDING -DEPARTMENT OF COUNTY-ENGINEER ADDRESS �3 BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINLER NEAREST, _ ' WILLIAM A JENSEN, SUPT OF BUILDING .CROSS ST DISTRICT NO - GROUP/1-TYPE CESSED•BY' FOR'APPLICANT'TO FILL IN CONST BUILDING - STATISTICAL CLASSIFICATION EWER MAP ADDRESS BK G CLASS No _17DWELL UNITS LOT-,NO BLOCK WATER ' • ,�}}JJ CERTIFICATE NOT REQUIRED • RECEIVED TRACT C1• MAP HIGHWAY' STATE MAJOR SECOND, LOCA NO OF BLDGS NO (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE ISPECIAL USE OFCONDITIONS ' .EXISTING BLDG �/ �� ° w TEL OWNER %NO BUILDING YARD HWY S EET NAME EXIST SETBACK - .WIDTH ADDRES ,�� (✓' FRONT J ARCHITECT OR TEL P L ENGINEER NO SIDE F i • a P L ADDRESS ' TEL - I Q CONTRACTOR t ADDRESS I V DESCRIPTION OF WORK a i Z NEW ADD ALTER REPAIR DEMOLISH SQ FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE s v I SIGNATURE APPLICANT - - VALUATION $ D R APPROVALS DATE INSPECTOR'S GNATURE P CPMT -7Jo FOUNDATION LOCATION - , FEE $ FEE $ /� FORMS, MATERIALS FRAME FIRE STOPS /�J /O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS !v Pf _ AND STATE THAT THE-ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL 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 _q A TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN,S:COMPENSATION INSURANCE LATH EXT' ` SIGNATUREHOUSE NUMBER COR- PERMITTEE RE CT AND POSTED 'ADDRESFINAL )�_ ' JOHN F LEWIS PRINCIPAL ST &TURAL ENGINEER PLAN CHECK VALIDATION , cK MO CASH _ PERMIT VALIDATION cK M O CASH :Q O. 9 a SEP 1'2 -1 D ;7F7l7!er � �.r 78A838A CE#803 8.63 APPLICATION FOR BUILDING PERMIT LI - COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS S i DISTRICT NO GROUP PE PROCESSED BY FOR APPLICANT TO FILL IN _ ONST BUILDING STATISTICAL CLASSIFICATION' SEWER MAP ADDRESS s r BKPG M CLASS NO DWELL UNITS' - /9 LOT NO Ave BLOCK• WATER CERTIFICATE NOT REQUIRED El RECEIVED ❑ TRACT MAP ��0 HIGHWAY STATE MAJOR SECOND LOCAL NO OF BLDGS (CIRCLE) SIZE OF LOT NOW ON LOTUSE ZONE SPECIAL USE OF CONDITIONS ' EXISTING BLDG iw TEL OWNER"t, NO BUI DING EXIST YARD HWY STREET NAME SE BACK WIDTH ADDRESS FRONT ARCHITECT OR TEL P L G.�C ENGINEER NO SIDE P L ADDRESS - a TO CONTRACTO NCEL ' fV ADDRESS v 0 DESCRIPTION OF WORK 6,7 O U 1 t A d NEW ADD ALTS REPAIR DEMOLISH _/ ` .�.— %n SQ FT N00 OF NO OF SIZE STORIES FAMILIES / USE OF it STRUCTURE �(� '"�� A/'- •ar fi"'a"Q�G61��/il � SIGNATURE 051),/- -APPLICANT APPLICANT VALUATION APPROVALS DATE INSPECT 5, IGNATURE PC PMT FOUNDATION LOCATION /J►.G' FEE $ FEE $ Z?� FORMS, MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH INT A TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN S COMPENSATION INSURAE LATH EXT SIGNATUREO C HOUSE NUMBER COR- - PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRINCIPAL STRAL ENGINEER PLAN,CHECK VALIDATION CK M O CASH PERMIT VALIDATION(! CK M O CASH LAL0 9 2 7 3 JUN 2 6 1 D 2 2.5 0~ Z i DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES L ® ' WM. J. FOX. CHIEF ENGINEER fF FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. NG ' - S 4`'- f 53 LOCALITY RECEIVED BY DATE OF APPL. DATE i I, ` SS 1 13UILDING ADDRESS �Qe—,M �G LOCALITY L I' Ca Sf_ TEL. CROSS ST. e-s-s-G - `tom/ Q • C NO. FIRE NO.OF TYPE GROUP'T ARCHITECT OR TEL. ZONE .�� PLANB,.-� ENGINEER NO. _ / BLDG. - r �I _ �Jn ORD.NO. ADDRESS /1e— SETBACK'LINE �� Y t i� l�'� �L7 • I APPROVED TEL. CONTRACTOR NO. BY DATE_ USE APPROVED ADDRESS - }�� / ZONE �q� BY - DATE LEGAL \/ DESCRIPTION / LOTNO./ t BLOCK 2 vj✓ CORRECTIONS !' TRACT NO.OF SLOGS. � 3 SIZE OF LOT ld x I NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG. 4 I A/ FAMILIEs ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH SQ.FT. NO OF Z SIZE' ROOM9 STORIES y WALL ROOF _ _ ',r - r. - r COVERING '�'�� I COVERING USE OF NEW C - -- BUILDING ss ` e>j4ln a- t• ft 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATMATERIALSION': LOCATION, R INSPECTOR DATE AND STATE LAWS REDO UILDINO CONSTRUCTION. FORMS. FRAME: FIRE STOPS, SIGNATUREIF BRACING,BOLTS PERMITTE 1 LATH, INT. AUTHORIZED AGT LATH, EXT. 76A638A 9-48 DSS-3 SOM SETS $ P.C.yl PLASTER,INT. FEEIS 1 PLASTER,EXT. ,VALUATION (� _� FEE APPLICATION FOR COUNTY OF LOS ANGELES U I L D I N G PERMIT DEPARTMENT BUILD NG AND SAFETY DIVISION ER BUILDING ' FOR APPLICANT TO FILL IN ADDRESS BUILOING - , ADDRESS32 LOCA LIT ' NEAREST CITY l ZIP CROSS ST �. •- - O OF BLDGS - ASSESSOR -- - SIZE OF LOT OW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P OCES�' D BY ^'�//yy Z TRACT /V�/ BLOCK LOT TEL OWNER ,.,Q NO. STATISTICAL CLASSIFICATION _ /% �>� - _ SEWER MAP .ADDRESS - CLASS NO DWELL UNITS M BK' G USE ZONE MAP CITY ZIP- _ _N ) NO ARCHITECT OR TEL. SPECIAL ENGINEER NO CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES NO ❑ CONTRACTOR rTELao BLDG SETBACK FROM C FRONT PROP LI NE OF (STREET) LI ADORES LI 9 79 HIGHWAY + YARD - TOTAL SETBACK FROM TYPEOF H GHWAY EXISTING CITY LIC n FRONT PROP -LINE - ASS 1. _ CONSTRUCTION LENDER + a NAME AND BRANCH BLDG SETBACK FROM O ADDRESS - - - _ CITY - SIDE PROP. LINEOF (STREET) G> SQ FT NO OF NO. OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM_ TYPE OF EXISTING fY� SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH O DESCRIPTION OF WORK NEW + Y 43 •+ / DD ❑ CORNER CUTOFF YES ❑ NO ❑ Z ALTER4-1 ❑ - —REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OFEMOL-❑ IN COASTAL PERMIT ZONE "'YES ❑ - NO ❑ -EXISTING BLDG. � APPLICANT TEL �� 7- .>b -(PRINT) NO ' BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED - -- HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - + LABOR CODE OF TME TATE OF CALIFORNIA I EATING TO WORKMEN'S COMPEN TI N INSURANCE - r• - - SIGNATURE OF FINAL �� ^X76 BY PERMITTEE DATE G - ' ADDRES TEL;-S'o P.C.Fee$' Permit Fee CITY NO Issuance Fee VALUATION$ .C.4- /'/ - - - - •- y / VVV Total Fee _PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CASH 76A638A CE#8038 12/74 - 0 8 2 h�•;'�t 25 1 V 1 2'0 `" �`�S r1 Vr MKERS'COMPENSATION DECLARATION _ F hereby affirm that I have a certificate of consent to self insure, or'a certificate of Workers' Compensation Insurance, APPLICATION F®R BUILDING PERMIT or a certified copy thereof (Sec 380,°L6b C ) :•� = - COUNTY OF LOS ANGELESBUILDING AND SAFETY Policy No Company - . Certified copy is hereby furnished FOR APPLICANT TO FILL IN A ILDIN � ❑ Certi yi #opy is filed with the county building inspec- BUILDING tioriidepartrrient ADDRESS tj rJ Date Applicant CITY 1 ZIP ,O/ � LOCALITY / CERTIFICATE OF EXEMPTION'FROM WORKERS' O OF BLDGS NEAREST COMPENSATIONINSURANCE SIZE OF LOT ' NOW ON LOT CROSS ST (This'section need not be completed if the permit is for,one - ASSESSOR ; hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL - TEL (,certify that in the performance of'the work for which this OWNER NO USE ZgNE NOP . permit is issued, I shall not employ any person in any manner /f{(��'`J(� .1. SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS r Date Applicant CITY - ZIP ARCHITECT OR TEL NOTICE TO'APPLICANT• If, after making this Certificate o DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers ENGINEER- NO ,/ CONST ZONE V •Compensation provisions of the Labor Code, you must forth- 4Y W with comply with such provisions or this permit shall be ADDRESS — 0-1 deemed revoked. TEL STATISTICAL CLASSIFICATION A CONDO fn CONTRACTOR , O 3 Z 'LICENSED CONTRACTORS DECLARATION I . NO 14 DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS .r - p6�3/% - (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 , moi. VALIDATION //� SQ NO OF NO OF CHECK License Number T �/ / L Class` SIZEFT STORIES FAMILIES ONE VAS ATION _ Contractor a t/!l> �4,,A) -Date DESCRIPTION OF WORK NEW ❑ ADD $ r}J�7 I _ I am'exempt under Sec ALTE ❑ R ❑ B&P C-for this reason (} — REPAIR ❑ $ Date 7 USE OF - /� EXISTING BLDG DEMOL ❑ Signature APPLICANT- TEL- FINAL OWNER-BUILDER DECLA ATION PRINT NO DATE/I 8 36 q I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS FIN # e i°it Professions Code) PR B ElBUILDING 4 049. 88 I, as owner of the property, or my employees with ADDRESS o4 9.8$&wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY, ' 1 1 $ 8 7® r, "7044,'Business and Professions Code) MOVING TEL ❑ j, 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) REQUIRED TOTAL SETBACK 1(um EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE 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 Lender's Name PC Fee E Permit Fee 321 ,5 LDMA Ref # , Lender's Address 1 I certify that j,have read this application and state that the Issuance Fee LD MA P%C# oabove information is correct I agree to comply with all County Investigation Fee o ordinances and State jaws relating to building construction, Total Fee R and hereby authorize representatives of this County to enter LDMA Perm # m upon the oveimentt ned operjy for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE n §44ure of Applicant or Agent Date WORKERS' COMPENSATION DECLARATION ; hereby affirm that I havecertificate of consent to self APPLICATION -F O R I U I L D I N G PERMIT insure, or a c�rtrficate of Workers' Compensation Insurance,„ or a certified copy thereof'(Sec 3800, Lab C ) r COUNTY OF LOS ANGELES BUILDING'AND SAFETY Policy NoGY e4°j� Company 3 �"�F) 9 Cert�if 'coBUILDING py a hereby furnished FOR APPLICANT TO FILL dN ADDRESS Ceriffied'co is filed with the count building inspec-Y 9 P BUILDING tion department n � jj?� ADDRESS Date /` Applicant CITY ZIP LOCALITY icant 0 CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less) TRACT ..r�BLOCK LOT NO / MAP BOOK PAG PARCELTEL .< OWNER / .fit NO�z/J4.7 % U ONE �SF AP �. I certify that in the'performance of the work for which this q O permit is issued, I shall not employ any person m any manner ADDRESS J�-/,`�t /Kew ��'." �2 ECIAL Q so as to'become subject to the Workers'Compensation Laws f ONDITIONS CITY r c,t^ ZIP � - - ��' Date Applicant - 0 ARCHITECT OR TEL NOTICE TO APPLICANT If, after making this Certificate of DISTRICT GROUP TYPE FIRE SSED BY Exemption, you should become subject ,to the Workers' ENGINEER NO , �� CONST ZONE UJ Compensation provisions of the Labor Code; you must forth- ADDRESS �(JJG� CL with comply with such provisions or this permit shall be ,[ -TEL y,� STATISTICAL CLASSIFICATION APT CONDO Z deemed revoked CONTRACTOR` ,600 CJ�+��; NO (�u�t✓ — _ LICENSED CONTRACTORS DECLARATION - LICNO / CLASS NO DWELL UNITS I hereby affirm that I om-licensed under provisions of Chapter 9 ADDRESS t I l 4/5 (commencing with Section 7000)of Division 3 of.the Business and LIC -SEWER P Professions Code, ohd my license'is in full force and effect CITY-' � � " CLASS �0 // VALIDATION r !� r= -� SQ FT NO OF NO OF CHECK BK �PG - License Number ` ! -� Lic Glass `� SIZE STORIES FAMILIES ONE kr VALUATION Contractor Date . �Y DESCRIPTION rOF/WORK &"� a1,9A%1e� NEW ❑ $ X7AX 11 1!0'1 AA GTtdO /Ji�+X 46XW-V- ADD ❑ I am exempt under Sec - - ❑ ALTER B BPC for this reason H 4,,,GO /t .4,0 �� REPAIR s Date USE OF EXISTING BLDG DEMOL ❑ APPLICANT ii TEL Signature OWNER-BUILDER DECLARATION PRINT I�leC rpp lu. NO ITO V a?� FINDATAL I hereby affirm that I am exempt from the Contractor's License ADDRESS �.5 f A�+�.Ce>� �/� '�� Law for the following reason (Section 7031 5, Business-and FIN Professions Code) PRESENT B ± BUILDING j, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions Code) MOVING _ TEL _ ❑ j, as owner of the property, am exclusively contracting CONTRACTOR^ NO with licensed contractors to construct the project (Sec- ADDRESS O4 6 A tion 7044, Business'and Professions Code) , REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK• YARD HWY PROP LINE WIDTH o o.o 0 0 I hereby affirm that there is a construction lending agency for FRONTN°'1 ,9 0,,5,� the performance of the work for which this permit is issued P L y, •e `9 ,C,Q 5 O (Sec 3097, Civ'C ) SIDE t PL ` `0 a 1-7`y 88 Lender's Name LDMA Ref # L m P C Fee$ Permit Fee Lender's Address �Q I certify that I have read this,application and state that the Issuance Fee �' ✓ LDMA P/C'# ,• oabove information is correct I agree to comply with all County Investigation Fee o ordinances and State laws celating'to building construction, Total Fee 162'✓ t/ LDMq Perm # R and hereby authorize representatives of this County to enter U pon the abovezXnentioped property for inspection purposes � SEE REVERSE FOR EXPLANATORY LANGUAGE Sign;tu 716Applicant or Agent Date