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Home My Public Portal About5530 MCCULLOCH AVE_Building__ . ► DIVISION.OF BUILDING AND SAFETY U i L�D I�i G Department of LCountyAn Eagiaeer �j Cow of Los An . C S APPLICATION WM- J- FO7C; COUNTY ENGINEER ."'... .. FOR APPLICANT TO FILL IN ADDRESS BUILDING LOCALITY A ADDRESS NEAREST LOCALITY yr CROSS ST. .a r �� .-Y1. C ODISTRI T NO.- PLAN CCK.OR REC..No. PERMIT NO. EAR SS ST. .� '� �.td � s � �' s i RECEIVE BY• DATE OF APPL. DATE ISSUED OWNERMAIL ADDRESS.LSO` r G l'.s��..�% "y c'i„ °� (/% � •1�—�J J3 USE ZONEsNO. OF E GROUP FIREs9NS. CITY TEL NO. .r- I PLANS' I ARCHITECT ORTEL. 'ZONING /' ,Y / emsTOO ENGINEER d _I rl � NO. AppRown BY s['e� !I BUILDING ��yy ADDRESS �u etr- d� l SETBACK LINE: M W CONTRACTOR tw� NO. BY.ROVFD X HOUSE NUMBERING .ADDRESS Pt�-& �� ,y.) LEGAL MAP NUMBER NO. ASSIGNED BY DESCRIPTION LOT NO. . L.3# BLOCK I � DATE � CORRECTIONS I INSPECTOR IV TRACT p� , ��. ��.2.3 i f► /� NO. OF BLDG . SIZE OF LOT / +�•6 I NOW ON LOTS I USE OR —MISTING BLDG. l"L w FAMILIES 2 7- ' DESCRIPTION OF WORK ve X NEW ALTERATIONADDITION I r • REPAIR- DEMOLITION ! I I SQ..FT. '7 q7w• NO. OF SIZE ROOMS STORIES EXT. WALL / m" I'-t�^�c OOF I COVERING �u'brE`.fta s:`C�VERING USE OF STRUCT RE 8� I fVa�k [3.131.! �'R.i'.R' •-!'. �� y APPROVALS T 14L& INSPECT R'S SIGNATURE DAT FOUNDATION: LOCATION i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FORMS, MATERIALS PLICATION AND STATE THATTHE INFORMATION GIVEN IS FRAME: FIRE STOPS" �'4;l'nr� � � /t/ CORRECT. BRACING, BOLTS C ( ?'Y 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATIN BUILDING CONSTRUCTION. GAS VENT, DUCTS P�rf SIGNATURE OF marts•'1 LATH, INT. f�/f�`�[�•/[:�,`� �j/ PERMITTE ee• �g�an (��t.iA-. ADGRESs .p�v +► (/�A•r�+A. a•--�"ts LATH, EXT. gl�YGlnit: j 3'! TJ PLASTER, INT. /✓� �ZS —Jr AUTHORIZED AGT. C Q� P. C.S D O PLASTER. EXT. FEE HOUSE NUMBER COR- P CT AND POSTED LVALULATIONFEE %""�""I, FINAL � L r -7 • 'S 76ASSSA 008 3 2-58 _ _. "r . . .......,.... - - •. - ` tt�'• +J ENSATION DECLARATION ?^^' . m that I have a certificate of consent to self "L'71tsiR"., or a certificate of Workers'Compensation Insurance, APPLICATION FOR BUILDING PERMIT u or a certified copy thereof(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPL1,CANjJO FILL IN ADDRESS C Ce r ified copy is filed with the county building inspec- BUILDING f' /� Darti dep rtment. ADDRESS196 � /Oo Applican CITY ?9 I ZIP % O LOCALITY CE IFICATE OF EXEMPffON FROM WORKERS' O.OF BLDGS. NEAREST "t, COMPENSATION INSURANCE SIZE OF LO, C7�! NOW ON LOT CRO55 ST. (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR hundred dollars($100)or less.) MAP BOOK PAGE PARCEL TEL. f) �j USE ZONE I MAP �1 I certify that'in the performance of the work for which this OWNE / , !l " + N '1` ' ft3 ///� NO. 3 D-,Z7 permit is issued, I shall not employ any person in any manner ADDRESS �r a �}`� K �?j SPECIAL �• so as t9. come subject to the Workers-,Com ensation Laws. ,c- CONDITIONS O Daft Applicant CITYA/C L /, ZIP U NOT E T APPL CANT: If, afte m king thls Certificate of AR ECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' EN INEER NO. CONST ZONE 17- Compensation provisions of the Labor Code, you must forth- ADDRESS " '0 +` 3 W with comply with such provisions or this permit shall be deemed revoked. TEL. STATISTICAL CLASSIFICATION APT. 2DO. (q CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS Z 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. `�� VALIDATION SQ.FT. JILI I NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE nn VALUATION � -- Contractor Date DESCRIPTION OF WORK '�C/ NEW $ A �✓ ADD ❑ V V ❑I am exempt under Sec. ❑ ALTER B.BP.C. for this reason 1� ( REPAIR ❑ $ _ Date: USE OF EXISTING BLDG.` ! ��J DEMOL ❑ Signature APPLICANTTEL SS FINAL PRINT N � =1 a OWNER-BUILDER DECLARATION _ DATE I hereby affirm that I am exempt from the Contractor's License //��' 17 8 Q 1 .A Law for the following reason (Section 7031.5, Business and ADDRESSc Y, 4 FINA Profes ' s Code): PREbENT :#-o,0 0 0 0,1 BUILDING I, as owner of the property, or myemployees with ADDRESS Ao,° 9 61 7 5 wages as their sole compensation,will do the work and 9 6 7 5= 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. (]$3 1 "8 7 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY ED TOTAL SETBACK WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # P.C. Fee$ Permit Fee c Lender's Address _ 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 i q ordinances and State laws relating to building construction, Total Fee $ .76 and hereby authorize representatives of this County to enter LDMA Perm.# g upo he aboT-71 ioned property fo inspection urpose . m - SEE REVERSE FOR EXPLANATORY LANGUAGE ig ature c App icant or Agent D to s W,qRKERS'COMPENSATION DECLARATION ' insure, or acertif ca affirm that te of Workers'Compensation eInsuran e, APPLICATION FOR BUILDING PERMIT or a certified copy thereof(Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING Certified Certified copy is hereby furnished. FOR APPLICANT �TO FILL INc ADDRESS 3G J�CGCte /(och Q-oQ ❑ Certified copy is filed with the county building inspec- BUILDING t'2-a O I'(C /1 c9 G tion department. I ADDRESS �7J� ^C . Date Applicant CITY F H PLF- 4=11Y o ZIP -1 D LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS. NEAREST a ((o G COMPENSATION INSURANCE SIZE OF LOT ?C 'b4 NOw ON LOT CROSS ST. Q t11 S G C" (This section need not be completed if the permit is for one TRACT w` �� fQ2d BLOCK LOT NO. ASSESSOR hundred dollars($100)or less.) MAP BOOK PAGEPARCEL I certify that in the performance of the work for which this OWNER W. �JJU5�J6tD NO:2-W^S2� USE'Z E NOP 0.� -73 permit is issued, I shall riot employ any person in any manner / CIAL Vi CONDIT so as to bec me subject to the or ADDRESS O AAC"IA BVI IONS rs'C pensation Laws. 0 ` CITY 6A44 G Ar11pu L ZIP 9 t77 Ir 0 Date/f �/ Applica IX NOTICE O APP (CANT: If, a er making this Certificate of ARCHITECT OR rr TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 Exemption, you should become subject to the Workers' ENGINEER I�AVCGq NO.(K-6 31+0 CON�S1. ZONE U Compensation provisions of the Labor Code, you must forth- ADDRESS .3. ( F. FlOf'e If / - Qnca-.eQo� ✓` �] ' �! —31 I+J wi(h comply with such provisions or this permit shall be0= deemed revoked. ( TEL. STATISTICAL CLASSIFICATION APT. 196NDO. z CONTRACTOR Iti W IMP r NO.Z S,� LICENSED CONTRACTORS DECLARATIONLIC, CLASS NO.. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 1 ADDRESS 59 WLC OL3 abo vQ 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 SQ.FT. INO.OFNO.OF CHECK License Number Lic.Class 1 SIZE TORIES FAMILIES ONE VALVA ION Contractor Date t DESCRIPTION OF WORK COPT gA+ I-CgL NEW ❑ $ S4C�r)n ADD ❑ pill.❑I am exempt under Sec. C�A.R-4k�r� 7a T3Ls7&D8 ALTER B.BP.C. for this reason REPAIR ❑ $ 9 O 9 7 7 A Date: USE OING BLDG. '1 (G �r'O M ��S • DEMOL ❑ _MZ0 0 0,0 0,1 Signature APPLICANT TEL. FINAL O N R-BUI DER ECLARATION i PRINT) NO. DATE-'...., - j. 1.� J o 6 7 S O O I hereby affirm that I am exempt from the Contractor's License Law for-the following reason (Section 7031.5, Business and ADDRESS FINAL'.!' i o 0 0 ']$,O _ Professions Code): R N By ;'' y = TL1 BUILDING - I, as owner of the property, or my employees with ADDRESS r L. i - �.� 1 Q24-88 wages as their sole com ensation,will do the work and 9 P the structure is not intended or offered for sale(Section LOCALITY ' l«// ;`rt•':' l •`%' 7044; Business and Professions.Code). MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP,LINE WIDTH I hereby affirm that there is a construction.lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name ' LDMA Ref. q Lender's Address I P.C.Fee$ Permit Fee ( v I certify that I have read this application and state that the Issuance Fee �u S U LDMA P/C q above information is correct. I agree to comply with all County Investigation Fee - 0/� p ordinances and State laws relating to building construction, j Total Fee 10 3 and hereby authorize representatives of this County to enter LDMA Perm.q up7thbove- ent' ned property for inspe Ion purp sea. ` SEE REVERSE FOR EXPLANATORY LANGUAGE dr tgnat r of A II o enf oto WORKERS' COMPENSATION DECLARATION hereby affirm that I have r certificate of consent to self P Ap p L l CATION FOR-.'BUILDING P E RM I T 'I sure, or a certificate of Workers' Compensation Insurance, . or a certifled copy thereof(Sec. 38005 Ute/ q� COUNTY"OF LOS ANGELES BUILDING AND SAFETY Policy No. Compohy BUILDING �- ❑ Certified copy is hereby furnished., FOR-APPLICANT TO FILL IN ADDRESS ❑ Certified dopy is filed with the county building inspec- FADDRE s dC�v tion department. /7 ��C� Date-�SApplicant tL IP" C l� ZIP LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEM ION FR WORKERS.;'- NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section heed not be completed if the permit is for one BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)at less.) USE'ZONE MAP 'jO�al�S NO.Z�f S�JT' NO. I certify that in the,performance of the work for which this SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS a so as to become subject to the Workers'Compensation Laws. O' CITY ZIP U Date -Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after,making.this•Certificate of ENGINEER NO. ,! CONST. ZONE O0 ' Exemption, you, should become subject• t the ,Workers' i \ �/ �. :t J a Compprovisions rovisions of the Labor Code, you must forth- .ADDRESS J Q V with comply with such provisions or this permit shall be TEL-G Q STATISTICAL CLASSIF TION APT. CONDO. Cn deemed revoked.. CONTRACTOR' Gf^ `•�1�4�f NO. ��27•/ - Z LICENSED CONTRACTORS DECLARATION LIC. �+G CLASS NO. _DWELL. UNITS I hereby affirm that I am'licensed under provisions of Chapter9 ADDRESS 3�Z /�P�y r Qd NO. �� /! . (commencing with•,SectionWe.Division 3 of.the Business LIC. Q SEWER MAP. I CITY /Cay« CLASS C--� and Professions Code;.and is in full force and effect. BK. PG. ., •� VALIDATION ' ��<+ SQ. FT. NO. OF NO.OF CHECK License•Ntjmber_ ! Lic. Class J / SIZE STORIES. FAMILIES ONE ❑ Contract Q DESCRIPTION OF WORK 2e,-Od.04 NEW VALUATION m ; :/ acro , !. / ADD LJ , ❑I aexempt under Sec. � �' eo/"! OSi��oh S'/�!!i a-�. . •• ALTER ❑ B.&P.C. for this„reasap REPAIR ❑ $ D.cte: USE OF _ EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT), NO. DATE % I hereby off irm'that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Busiries§ and i ADDRESS FINA Z Professions Cade): PRESENT' By 0 I, cis owner of the property,. or my employees BUILDING 'with ADDRESS i' 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. CONTRACTOR NO. ❑ •I,as owner of the property,.cm exclusively contracting „ with licensed-contractors to construct the project (Sec- I gDDRESS }=` : E-30 •�- tion 7044, Business and Professions Code.) � I _ ' •• '' r C REQUIRED TOTAL SETBACK FROM EXIST. ' -” :t vv CONSTRUCTION LENDING AGENCY j 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 PA. - �'l�•`' (Sec. 3097, Civ. C.). SIDE PA: 'Lender•'s Namer- 5 LDMA Ref.# Lender's Address P.C. Fee$ Permit Fee `1 ,I certify that I.have read this application and state"that the Issuance Fee LDMA P/C above information is correct. I agree-t6 comply with all County Investigation Fee ; ordinances and State laws relating to building construction, Total Fee LDMA Perm. # and hereby auth 'ze representative of this County to enter upon -mentions rop5WfaVnspectiopurposes. ses 6" Ita g SEE REVERSE FOR EXPLANATORY LANGUAGE ' ignatureApplican "Agent Date