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Home My Public Portal About4904 MCCLINTOCK AVE_Building__ ,PEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ' COUNTY OF LOSANGELES £S g U 1 L D 1 N C; WM. J. FOX. CHIEF ENGINEER r FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING '" r DISTRICT NO. PLAN CK_NO. PERMIT NO. ADDRESS ' LOCALITY . ` PTfJ RECEIV*Rd!BY DATE CFAPPL. DAT�jE�[ISSUED NEA EST .11/►`� R CRO: ST. _ BUILDING 49� < OWNER /-./� ADDRESS / MAIL ' / p/ r ,o�f►�I LOCALITY ADDRESS r.l t ✓CJl 11rrC1� s NEAREST CITY O I/ WC 1 1.laf'J NOL. CROSS ST. FIRE NO.OF TYPE GROUP.` ARCHITECT OR TEL. ZONE PLANB ENGINEER NO. r BLDG. ADDRESS SETBACK LINE TEL. / APPROVED CONTRACTOR NO. BY DATE USE /) IAPPROVED ADDRESS ZONBY DATE LEGAL e-).c, a j CORRECTIONS r DESCRIPTION LOT NO. BLOCK TRACT / `� NO.OF BLDGB. ✓ J w SIZE OF LOT .D X�X 5n I NOW ON LCT USE OF NO.OF NG.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW A ALTERATION ADDITION. O REPAIRMOVING DEMOLISH O Bq.FT w NO.13F Z 51ZE � RODMB STORIES y WALL ROOF r COVERING I COVERING USE OF BUILDING W �iQi(i 1 HEREBY ACKNOWLEDGEP THAT 1 HAVE READ THIS APPROV n APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIOHNC LOCATION J11 PELT TE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS -� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME, FIRE STOPS, SIGNATURE OF� { 'f4 Lo' BRACING.BOLTS ZIP PERMITTE �'� LATH. INT. AUTHORIZED AOT- LATH, EXT. 76AS38A 9-48 PLASTER.INT. 009-3 SOM SETS P.C.$ _ FEE PLASTER,EXT. VALUATION FEE /�► (1� FINAL JJJ+J'A!L71"X"L4 T QF ISUiLU NG AND SAFETY r%OXL rzau as a COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. 6UILDING df `t`�'� � i;} ADDRESS !! I \ Xv "' I_�:lff�1 RECEIVED BY DATE OF^PPL. DATE ISSUED I kLAREST r 2 CROBBST OWNER�'CL_J �/l�. .(�) (�_a�_/ ADDREI984— MAIL .�7� /� f 1 ADDREBB ��j. C' J1!ti l �/I� ,� LOCALITY d-C.,e. �lr� NEAREST-�~ TEL. CROBB ST. v , , FIRE ND.OF TY� GROUP ARCHITECT OR i� TEL. ! ZONE PLANE ENGINEER NO. ` BLDG. 2-0 ORD.NO. ADDRESS SETBACK LINE i APPROVED TEL.CONTRACTOR NO. t BY OWTE USE APPROVED ADDRESS ZONE �,� BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. jj - BLOCK TRACT ��`�/ (J r i �•IY/I j �`' 'r CG NO.OF BLOBS. // f SIZE OF LOT//[J,j"1/ e k �.X5 I NOW ON LOT USE OF � + I NO.DF /I NO.OF �7 } EXI9TINGBLDG."=c': r)1 1/ _ FAMILILB ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION Cmmr s - REPAIR MOVING DEMOLISH �� 1�+�d1�F C=f"Q_J/Pcr+.']'" p 94•FT. L NO.OF `2 SIZE �• _ ) ROOMS STORIES q yZC40_0.p, Rd gy= Gs A7°' WALLK COVERING ,��f ',� (�}] f I Door USE OF NEW A BUILDING t— ' ' .d _ .®O AIM /7 3�v d7e r+2. ,/ifs*,()C= e-'07 7'4%e,. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION,AT LOCATION �1BPEOTOR) DATTE r FORME.MATERIALS �"'lY7P''•'�= f✓s�f`�'.'!7 ( •L AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME.FIRE STOPS. N `/ '6 Jam• SIGNATURE OF '" i _ BRACING.BOLTS PERMITTEE r' ,r Gf' .I.l. r. a i LATH, INT. / AUTHORIZED AOT �• I -• LATH. EXT. 7'1 74BA63MA-3 a-so $ P.D,G PLASTER.INT. FEE PLASTER,EXT. VALUATION !0 Ja FEE / FINAL I'�y�I, ...• !o-� S'/ r DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ` COUNTY OF LOS ANGELES fn� ®� [ ,� WM. J. FOX, CHIEF ENGINEER �`i! FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. N PERMIT NO. BUILDING ��yy I' d6 r /►Y f7 ADDRESS ,--� ' l V �? t ( "i�'-� i / t0 ' LOCALITY j 1 1 :�t `; i'+ 4 -RVED BY DATE OF ADPL. DATE ISSUED C. 1. i- 777/// S� , NEAREST I :Y `�/_ T1s. �� CROSS 5T. BUILDING ADDRESS ��O J� �r �j��/✓�p C +, OWNER / - /J fir' . fav _ MAIL (! n / Cr,: %— r LOCALITY �)� ADDRESS %�� { t �� i-G']�i:I t '� �' NEAREST 1. a . . r: • �- TEL CROSS ST. CITY ;,) ": /•moi NO. FIRENO. OF TYPE // I GROUP ARCHITECT OR ! TEL. ZONE PLAN8 ENGINEER ✓ NO. BLDG. ORD. NO. SETBACK LINE ADDRESS APPROVED TSL. BY DATE CONTRACTOR NO. USE APPROVED ZONE BY DATE ADDRESS HOUSE NUMBERING LEGAL f DESCRIPTION I LOT NO. BLOCK MAP NUMBER FIELD CHECK BY TRACT NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT NOW ON LOT USE OF I NO. OF EXISTING BLDG. FAMILIES — DESCRIPTION OF WORK NEW I p} I ALTERATION I I ADDITION I 1 REPAIR I I DEMOLITION I I I Z SQ. FT. r NO. OF SIZE (/ Q ROOMS ( STORIES ; EXT. WALLO /v ROOF C' COVERING /V I COVERING USE OF STRUCTURE LERAPPROVALS INSPECTOR'S SIGNATURE DATE REBY ACKNOWLEDGE THAT I HAVE READ THi8 AP- 1 FOUNDATION: LOCATION ION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS T. REE TO COMPLY WITH THE CORRECTIONS LISTED ' FRAME:FIRE STOPS, q HE AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS / —2'epq� f't T•`•�. REGULATING BUILDING CONSTRUCTION. FURNACE:LOCATION, URE OF GAS VENT, DUCTS RMII'�EE r ^ LATH, INT. S ,+ 1 LATH, EXT. RIZED AGT. � m rr:. PLASTER, INT. CSR 10 0 ] P. C. $FEE _ trPLASTER, EXT. ION c FEE FI AL I �f• � WORKERS'COMPFNISATION-DECLARATION '44. ,a herceby affirm that,I haver certificate of consent to self APPLICATION FOR BUILD 1111 G PERMIT insure,-cry certificate of Workers'Compensation Insurance, or a cgrt�ed copy thereof(Sec. 3800, Lob. C.) w/ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING -IQ tion department. ADDRESS I n` y/'� Date Applicant CITY �' ZIP ��v LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NCI 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 TRACT BLOCK LOT NO. ASSESSOR hundred dollars($100)or less.) TEL- !' MAP BOOK PAGE PARCEL OWNER 3� USG` O W e No 5619 q�f� I U ZONE MAP I certify that in the performance of the work for which this //�� r, I NO. permit is issued, I shall not employ an erson in any manner ADDRESS !4010q tl�I}�( SPECIAL t so as to be ome bject to the Work s Compen 'on Laws. CONDITIONS �j CITY ZIP 1 ' Date J '"Applica' NOTICE APP CANT: If, aft making'this Certificate of ARCHITECT OR/+ Cook TEL. DISTRICT G UP TYPE, FIRE PROCESSED BY O Exemption,'you should become subject to the Workers' ENGINEER G L (;e10 C.. NO. �j r� �j CONS,T. / NE Compensation provisions of the Labor Code, you must forth- ADDRESS V W, with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APL. NDO: V) deemed revoked.. CONTRACTOR NO. r/ Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that*)am licensed under provisions of Chapter 9 ADDRESS NO. SEWER P (commencing with Section)'MM)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 g STORIES FAMILIES ONE DESCRIPTION OF WORK' a5 O�Om NEW VALUATI N Contractor Date $ ❑I am exempt under Sec. w0.1 Ic, n ADD , # 0 0 a 0 1 1 ALTER �•• 2932930 B.BP.C. for this reason Lau-11uL lr 0 Yn REPAIR ❑ $ L �/] e 0 2 9 3 9 O v Date: USE OF• DEMO' (/CV! EXISTING BLDG. - ❑ Si nature APPLICANT ( ' TEL. i f, rpt FINAL 0 7.2 6�`$8 ;j g PRINT'Cif 5 0L�a I'�- NO.'�Td'a 1 ?Ja^ OWNER-BUILDER DECLARATION /�yy LL`` DATF� I hereby affirm that-I am'exempt from the Contractor's License ADDRESS "1 CfU L T.0 FIN Low for the following reason (Section 7031.5, Business and 7yaZ Professions Code): PRESENT BY C BUILDING ❑ I, as owner of the property, ormy employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sole(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I N I, as owner of theproperty,am exclusive) contracting CONTRACTOR NO. �l Y g A056;5A with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). # 0 0 0,e 0;1 REQUIRED TOTAL SETBACK FROM _ I` CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH ."%1 .- 32&62 I hereby affirm that there,is a construction.lending agency for FRONT ` the performance of the work for which this permit is issued P.L. 3 2 6 2 c=i (Sec.3097, Civ. C.). SIDE o"o P.L. 0 a311 -88 Lender's Name I LDMA Ref. # �•'• D P.C.Fee$ 3 PeA/F.d,Z c •''', ,` ;20566A Lender's Address 14 1I certify that I have read this application and state that the Issua ce F TDMA P/C# ' # e o °t: 2 3 g above.information is correct. I agree to comply with all County Investigation Fee ao ordinances and State laws relating to building construction, .k ot �ab 2' LDMA Perm.# - V1I ° o49.08 $, 'and hereby authorize representatives of this County,to enter N, upon above-me ned pr ert for inspection urpo s. �� ° 49;08 „ O ,.J� SEE REVERSE FOR EXPLANATORY LANGUAGE A ` Signature of Applicant or Agent Do l'• ,4y WORKERS'COMP1551SATIO0DECLARATION it relsy affirm that I have certificate of consent to self APPLICATION FOR BUILDING P E RM I T insure, or•a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) �COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. . Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS .� ❑ Certified copy is filed with the county building inspec- BUILDING fd tion department. ADDRESS 1 G� L Ag. 01f Date Applicant CITY ZIP q 1_0 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' O.OF BLDGS. Ft[ NEAREST ' COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT 1 CROSS ST. (This section need not be completed if the'permit is for one TBLOCK LOT NO. ASSESSOR TRACT hundred dollars($100)or less.) MAP BOOK PAGE PARCEL TEL. USE ZONE ' MAP I certify that'in the performance of the work for which this OWNER NO. Z�hjL NO. permit is issued, I shall not em to an y SPECIAL p y y person in an manner ADDRESS it so as to become subject to the Workers'Compensation Laws. ` ` CONDITIONS O CITY I�e: ZIP 01 1� U Date Applicant ARCHITECT ORISTEL. c�, NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER y NO. �J�a � DISTRICT GROUP TYPE FIRE PR SED BY O Exemption; you. should become subject to the Workers, ENGINEER ZONE 17- Compensation provisions of the Labor Code, you must forth- ADDRESS 6Q, / O� �t.3 J�*�JjAeI4 ' with comply with such provisions or this permit shall be TEL, STATISTICAL CLASSIFICATION AP. CONDO. Com!) deemed revoked: CONTRACTOR NO.. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL: UNITS R r 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 MAP Professions Code,and my license is in full force and effect. CITY CLASSBK VALIDATION SQ. FT. NO.OF NO.OF CHECK Llcense.Number Lic.Class SIZE STORIES FAMILIES ONE i r- VALUATION DESCRIPTION OF WORK NEIN C] Contrdctor Date $ ADD ❑ I am exempt under Sec.- q ALTER ❑ 8.8P.C. for this reason aYl / REPAIR ❑ $ Date: 0 6,'l.7 A USE OF DEMOL ❑ EXISTING BLDG. # e o o'e e Signature APPLICANT TEL. FINAL J ;1 o•,e 4A 5 0 OWNER-BUILDER DECLARATION. PRINT NO. DAT �Z� ' I hereby affirm that I am exempt from the Contractor's License o o'o 4 Q 5.0 5 Law for the following reason (Section 7031.5;Business and ADDRESS FI , Professions Code): B 0 9.0 7—8 8 ❑ BUILDING I, as-owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and 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). CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL SETBACK NEER WIDTA 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 a O OO LDMA Ref. # m •' P.C.Fee$ ' permit Fee Lender's Address pop.I certify that I have read this application and state that the Issuance Fee LDMA P/C# ` g above information Is correct.;I agree to comply with all County Investigation Fee aq ordinances and'State laws relating to building construction, Total Fee O LAMA perm.# $ i and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. $ I SEE REVERSE FOR EXPLANATORY LANGUAGE m it Signature of Applicant or Agent Date ';' ;WORKERS-C'OMP&JSATIO\\N�bECLARATION tee affirm that I have a certificate of consent to self insure,,,or a cer4tficate of Workers'Compensation Insurance, APPLICATION. FOR BUILDING PERMIT or a certified copy thereof(Sec. 3800; Lab. C.) COUNTY OF'LOS ANGELES BUILDING AND SAFETY. _Com an Policy No.. �, P Y BUILDING nn - ❑.r Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS t'J ❑ Certified Zopy is filed with the county building inspec- BUILDING Jq [ L ` tion department. % ADDRESS `f 1 I ('� Date Applicant CITY 1 Cii ■ . e Ci zip LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' N ....OF BLD NEAREST J 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)oTRACT BLOCK LOT NO.r'less.) MAP BOOK PAGE PARCEL TEL.I certify that'in the performance,of the. work for which this OWNER �i� 4 LL OLA32 'NO.7 Z 3 US NEJ Not' permit is issued,I shall not employ any person in any manner - ADDRESS (} m C �' // SPECIAL t so as to ecom subject to the Work rs'Compensation Laws. Q + CONDITIONS U IT�OAPLiCANT: CITY eV)) �4 ZIP 1 1 1 Date Applican ARCHITECT OR�r v NO. S r41 12 0 NOTICE If, 'aft :'makin'g this Certificate of l,� DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become sublect to the Workers' ENGINEER `( CONST. ZONE V Compensation.provisions of the Labor Code, you must forth- ADDRESS Zs 01LrpU • .'U . with ,comply with such provisions or this permit shall be TEL, STATISTICAL CLASSIFICATION APT. deemed revoked.• CONTRACTOR NO4 r_ . LICENSED CONTRACTORS DECLARATION• LIC,. . .. . JC CLASS NO. DWELL..UNITS I hereby affirm that I am licensed under provisions of Chapter 9' j ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER P Professions Code, and my,license-is,in full force and effect.' I' CITY °� ! CLASS. BK VALIDATION ` ' I SQ. FTr � NO.OF NO.OF CHECK License Number Lic.Class 1 SIZE STORIES FAMILIES ONE NEW Z` ❑ S A Tb // O! DESCRIPTION OF WORK Contractor Dafe + + ADD ❑ I am exempt under Sec. _0LL DK' ' ALTER ❑ B.BP.C. for thts'reasonREPAIR ❑ $ USE OF Date: EXISTING BLDG. r '�o DEMO' • ❑ Signature APPLICANT ,! a NO. 'f`[L' FINAL OWNER-BUILDER DECLARATION' DAT � t/ ;2 p 4 9.4 A I hereby affirm that I am exempt.from the Contractor'sticense ( Os(.- uV\C I� ° / _ Law for the following reason (Section 7031.5, Business and ADDRESS `•C L 1 i (� {U C FE L Professions Code): PR E �. ` # o a o 0 0 1 �( BUILDING KU �l 1, as owner of the property, or my employees with. ADDRESS •( o 987.38 wages as their sole compensation,will do the work and. $,�'3$_ the structure is not intended or offered for sale(Section LOCALITY ® i o 0 0_ 5 7044,•Business and Professions Code).' MOVING TEL. .❑ t,as owner of the property,am exclusively contracting CONTRACTOR NO. y 0 R 2 2—8 8 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH the perherebyaffirm formancehat there is a of the work for which this nperma9s issued for FRONT �k �.• }. ti (Sec. 3097, Civ.'C.). SIDE P.L. Lender's Name LDMA Ref.,q m P.C.Fee$ Permit Fee , Lender's Address �l I certify that I have-read this application and state that.the Issuance Fee •'V U) P/C q g above information is correct. I agree to comply with-all County Investigation Fee 2 gordinances and State laws relating to building construction, Total Fee . LDMA Perm.q and here authorize representatives of this County to enter I upon th ove-menti d property for inspection urpos s. a A Zi; • SEE REVERSE FOR EXPLANATORY LANGUAGE {` Signature of Applicant or Agent Date