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HomeMy Public PortalAbout10671 LORA ST_Building__ DEPARTMENT OF BUILDING AND-SAFETY tirri.tc.ti i tVty r Vic r�tuv111 COUNTY OF LOS ANGELES , WM.J.FOX.CHIEF ENGINEER NOV � 2 19 S v M.UIN G NO. OFBLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. ' f PLANS SETBACK LINE .•�v�✓�' � 1 � j_ FIRE APPROVED n / vJ (p . ZONE BY ''//// DATE / R�ECCEE VVEDD BY DATE OF APPL. DRAT-9_1ISS,UE�7DUSE � ZONE BAYDATEJ VPROVED f�✓��� �f `✓��( /���� ' 1 l J�l APPLICANT F■IL(L� IN HEAVILY OUTLINED �y�POJRTION ONLY BUILDIK O C NAME /� /> �j��w9 ADDRESS (/ J a ,� � WZ ADDRESS D 1q .2 i.a h R P 1,E L LOCALITY Z W CITY AIA l CROSSS T. b � A If": ' e R STATE LICENSE NO. N C NAME .JG./ f'�' f..� 6 /✓j7` 0 NAME �-r19_� 4! l1�1'1 -�• 3 ADDRESS ADDRESS J ® J �. r7 CITY Y TEL. NO.- E Z CITY �,?� �� I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS O APPLICATION AND STATE THAT THE ABOVE IB' CORRECT U STATE C}�+ d Q TEL. �4///rL� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. .rb / NO. ."..�' AND STATE LAWS REGULATING BUILDING CONSTRUCTION. •G LOT NO. �® SIZE OF LOT/�•/f F3! SIGNATURE OWNER OFL��'L JF NO..OF BLDGS. y j 40. BLOCK NOW ON LOT AUTHORIZED.AG wW u f J w TRACT c:. , CORRECTIONS r E f' D USE OF BLDGS. �� �� ,�//r/ NOW ON LOT �• C� O �d IBJ (/illA .a�. A/ 1 DESCRIRRON O"ORK SE OF U 11 n BUILDING U 5 i Z . z a NEW TYPE i y/ GROUP NO. OF .- NO. OF ALTERATION ROOMS FAMILIES / ADDITION SIZE l G REPAIR STORIES MOVING WALL COVERING. AsR/?D+GQi?/@; DEMOLISH ROOF COVERING:1.1r/11414 $ P.C.;co' b t� ; FINAL APPRO FEE r� „iyr S G INSPECTO ' r!� VALUATION v �O �- FEB /G�J DATE ���� T I NAMES rY R€!':e,ilVi7i s^.SR.HETS �'ICASIO . AFFL -:� •.. DEPARTMENT OF BUILDING AND SAFETY .Y'Va6 d.J1Y6Li858L :.: -COUNTY OF LOS ANGELES WM..J'..FOX, CHIEF ENGINEER NO.O \ BLDG. ` ORD:NO. DISTRICT NO.- PLAN CK. NO. PERMIT NO. ( :, PLANS SETBACK LIN 7 0 FIRE 'APPROVED / ZONEA\ BY DATE RECEIVE .'n6 BY DATE OF APPLDATE ISSUED USE / ZONE Y 1 BY DATE DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY � BUILDING 3 0 2 ,� a S T► E NAME ADDRESS OE . w i ADDRESS LOdAUTY U' NEAREST C a U Z CITY CROSS 8 J /7FL .L/� f- / Q STATE TEL. LICENSE NO. NO.' NAME (2- , 1. 14 Z MAIL A NAME 3 ADDRESS 10 I S 2. 11 VF ; O ADDRESS /, CITY C NO.' FET A ef t1 Z CITU I HEREBY ACKNOWLEDGE THAT I -HAVE•READ THIS APPLICATION-AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO.COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO.. �J AND-STATE LAWS REGULATING BUILDING CONSTRUCTION. C SI LQT NO. ,- SIZE OF LOT /� L� GNATURE OF OWNER NO. OF BLDGAUTHORIZEDBLOCK NOW ON LOT AGT. - L /da W TRACT 2 L J S �— �! CORRECTIONS D USE OF BLDGS. / l :NOW ON LOT _�j/Lt_�•� f'•�� !r %//-� r. �J�7 /.%'�' JI/v' .' DESCRIPTION OF WORK USE OF . i BUILDING /F -.- i 1✓r 1 N51 IS , This„c sou imn_may-.ba in violation.of arw- ro - ciim--;becrr, orders. Y014.sre I Il..la'L,'. O Lmwe u ..N,,.w.•a •• .�!I,ys.' 1 , T ProrhRtibdB6ordQffice efore comm nc- ing the work authorized-.in this permit. D r NEW TYPE 1 GROUP NO.OF NO.OF ALTERATION ROOMS FAMILIES •+ ADDITION SIZE 'f7 '2_ L4. REPAIR STORIES .MOVING WALL COVERING . S�aTb r r n DEMOLISH ROOF COVERING C O en P. FINAL APPROVAL FEE INSPECTOR'S ,,00ff� VALUATION �+ VT O D FE6 $ U a DATE- I NAME a WORKERS'COMPENSATION DECLARATION I hereby affirm that'I have a certificate of consent (o self insure,-or a cwtificate o'f Workers'Compensation Insurance, APPLICATION FOR' BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No: Company BUILDING Certifiedicopy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING ° tion department. ADDRESS s � , S Date Applicant CITY7 ,, - /) ZIP 9V / GD LOCALITY. CERTIFICATE OF EXEMPTION FROM WORKERS' O.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS W. (This section need not be completed if the permit is for one ' R hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL c� ' USE ZONE MAP / A - d I certify that in the performance of the work for which this OWNER 1 NO. permit is issued, I shall not employ any person in any manner �+—'- SPECIAL A. so as to become subject to the Workers'Compensation Laws. ADDRESS / 0 /� S L / CONDITIONS �y �Q i h /� !) Ak 12 /) CITY ,4 }` ZIP 7 J Date Applicant —T ARCHITECT OR TEL• DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of .ENGINEER NO. CONST. ZONE Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. I 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. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ.FT / NO.OF NO.OF CHECK License Number Lic.Class SIZE /�a STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK 4- B/t/1 NEW ❑ $ �bN 7 ADD ❑.: ❑ I am exempt under Sec. LL /'� t U/7 ALTER ❑ +�. B.&P.C. for this r rJ�r /�? v1 EPAIR ❑ $ USE OF ElDae _ EXISTING BLDG. DEMOL Signature APPLICANT TEL. FINAL .., OWNER-BU DER DECLARATION (PRINT) NO. DAT I hereby affirm that I am exempt from the Contractor's License / Law for the following reason (Section 7031.5, Business and ADDRESS FI Professions Code): PRESENT B BUILDING 1, as owner of the property, or my employees with ADDRESS 1401 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. 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). EQ CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP. LINE WIDTH 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 'o P.L. Lender's Name LDMA Ref,# t P.C. Fee$ Permit Fee - Lender's Address r I certify that I have read this application and state that the Issuance Fee o, LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm.# and hereby authorize representatives of this County to enter I upon the above-mentione erty for in ctiorhpur oses. A SEE REVERSE FOR EXPLANATORY LANGUAGE ✓ �-�� ©t / Signatur of Applicon r Age Date /