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Home My Public Portal About5660 MCCULLOCH AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY ; APPLICATION FOR PERMIT COUNTY OF LOS PNGELES S ® � WM. J. FOX, CHI F ENGINEER FOR APPLICAI�TT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS LOCALITY (//./f=//J"lfZ-/lS�/" �_ 7r t RECEIVED BY LDATE CF APPLL.. DATE ISSUEDG NEAREST 7/�' r? CROSS ST. BUILDING / F OWNER )�.//WzP/✓I 1 �/ �y.�.a�?-/L!L ADDRESS MAIL LOCALITY LOCALITY l/1 tJ[w - l��C.r ADDRESS '2 �(�r ,'/�i✓/��l` N n S NEAREST JI TEL CROSS ST. n[ .�_ , p CITY1 /-r Y)Z r{_c- 1�� Tf9 NO. FIRE NO.Or TYPE GROUP ARCHITECT OR/ `J TEL. ZONE PLANE — ENGINEER !N.- NO. Uljr�,r�� BLDG. / ` ORD.ND. ADDRESS {r SETBACK LINE O APPROVED CONTRACTOR !� TEL-NO. BY DATE r , USE APPROVED ADDRESS bL• ) �, ZONE -/ BY DATE LEGALDESCRIPTION L�jOT�N+O. +r ~ I BLOCK O Sv CORRECTIONS TRACT O T Q /' 7I SIZE OF LOT' NO.OF SLOGS. NOW ON LOT USE OF / !� NO.OF NO.OF EXISTING BLDG. /P•-f/'•�-L�1� -FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION w -ADDITION • O REPAIR MOVING DEMCLISH 91).FT. }7 NO.OF / SIZE /, a ROOMS—j—/ STORIES Y WALL m + � � ROOF r COVERING )rr■ ;: r_,.� c�I COVERING USE OF NEW J113N-,, BUILDINGI HEREBY ACKNOWLEDGE THAT 1 HAVE RAPPROVALS APPLICATION AND STATE THAT THE ABOVE IBFOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORFORMS■MATERIALSAND STATE LAWS REGULATING BUILDING CONS� FRAME: FIRE STOPSSIGNATURE OF f/ \ BRACING■BOLTSPERMITTE % -�1l. / '-LATH,INT.: AUTHORIZED AST LATH,EXT.: DBS-3 SOM'SETS 7-47 P.C.$ PLASTER,INT. FEE PLASTER■EXT. VALUATION EFINAL .- ` 12 �� '' DE.*Z SF•4A AS*BETELI ICA iOl`J FOR PER-MIT DEPAR,TMEN^i OF BUILDING AND SAFETY COUNTY OF LOS ANGELES "DUI WM. J. FOX, CHIEF ENGINEER , NO.OF SLOG. ORD:NO. DISTRICT NO. PLAN CK. NO. PERMIT NO, PLANS SETBACK LINE FIRE APPROVED ZONE APP ZONE BY DATE RECEIVED BY DATE OF APPL. DATE•`yISSSUU D USEZONE BY ROVED DATE ?o -9 V Y APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY O BUILDING NAME ADDRESS Z ADDRESS LOCALITY rd'U1 T f ~ L7 NEAREST CCITY CROSS S /l�/'� P. /L� 1 G� �+2STATE TE . / LICENSE NO. NOL I NAME er'/p�'�7 A �'i' � i'E., OE NAME 3 MAIL ADDRESS r'�-/ � O � ~ TEL. a -ADDRESS +!3 4.Fis° 0 � _�cp°� CITY NO. O1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS U APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. «� AND'STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LQT NO. SIZE OF LOT f SIGNATURE OF J FOWNER � � tL NO. OF SLOGS. Clu/ BLOCK NOW ON LOT AUTHORIZED AGT. �'� P C !/ j TRACT f C.� r�r CORRECTIONS D USE OF BLDGB. �p p NOW ON LOT f`"a] / e" Ckj d'f DESCRIPTION OF WORK USE OF BUILDING {` t _✓ P•t.F'� WARNING1 C n5 - u u may tb 1s vii "uu ur- War-Production Board orders. You are � 0 cautioned to consult with your local War .. ,. inq the work authorized in this permit. a NEW TYPE GROUP ALTERATION ROOMS I FAMILIES ADDITION SIZE. s_?f /r� -6 REPAIR STORIES A MOVING__ . WALL COVERING CC 10 DEMOLISH ROOF COVERING PIA A,5 . a: FINAL APPROVAL 75^ INSPECTOR'S VALUATION FEB `�"�'d DATE2�,C/ NAME lD39-3 25M BETE 6-48 tJ ~- DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR /APPLICANT TO FILL IN FOR OFFICE USE ONLY ADDRESS /---__!Cf DISTRICT NO. PLA DID.D. S MIv NO LOCALITY (Ki ��%� RECEIVED BY DATE OF APPL. DATE ISSUED e /�J NEAREST ry CA) f CROSS ST. Sd BUILDING E 1 7 OWNER , �f /i ^� ADDRESS �! MAIL ADDRESS .n�� q f LOCALITY Gfi,T lf1 ��// t./�' /� �' / �} NEAREST �. CITY .I.� GrlsS.+ NO./fr r, ��/Ir ' CRO98 5T. FIREI NO.OF I TYPE �► �'` I GROUP ARCHITECT OR � I' NO.EZONE PLANE NVA ENGINEER ///_ BLDG. ORD. NO. ADDRESS SETBACK LINE : JTEL. APPROVED fer'J,I� CONTRACTOR NO. BY DATE ` USE APPROVED ADDRESS ZCNV /� BY DATELEGAL " DESCRIPTION I LOT NO. � -'� I BLOCK CORRECTIONS y .TRACT / 0 %` G� '< l C `/� I NO. OF BLDBB. SIZE OF LOT 0a Y NOW ON LOT USE orNO. V or EX STING BLDG.//e%-E--K2iS co?u I F MILMS I ROOMS 1B DESCRIPTION OF WORD A/ NEW x ALTERATION ADDITION ' ,F O REPAIR MOVING DEMOLISH Sq. FT. NO.OF j 1 [1 D SIZE y QO ROOMS STORIES f / 1. COVERING I-Alea!'.0 / I COVERING G.-D799�Y-7# r USE OF NEW } BUILDING �..C� .:�..-�,r f:'is. '(../' _.i,•�h��. r �' �f '�`' yam✓ _ ,�y � �;L��/� ,/- _- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION., LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATIN43 BUILDING CONSTRUCTION. FRAME., FIRE STOPS, SIGNATURE OR BRACING, BOLTS OWNER ^ o LATH, INT.1 AUTHORIZED AOT LATH, EXT.' p, C.8 PLASTER, INT. FEE Co PLASTER, EXT. �. VALUATION FEE "�--FINAL c 4, ` WORKERS'COMPENSATION DECLARATION •' insuboraa certif calf&of Worke s'tCompensat on eInsuranc f A P L I CAT I M F d U I L D I N P E E T 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 F LIN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS v Date Applicant CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. 7 NEAREST COMPENSATION INSURANCE SIZE OF LOT l(I F NOW ON LOT 2, CROSS ST. (This section need not be completed if.the permit is for one99��``�� ASSESSOR hundred dollars($100)or less.) - TRACT J20 BLOCK LOT NO. MAP BOOK PAGE PARCEL TL. USE NE MAP I certify that'in the performance of the work for which this OWNER NO. permit is issued, I shall not employ any person in any manner /! �! SPECIAL so as to become subject to the Workers'Compensa ion Laws. ADDRESS nt'J ` CONDITIONS U' Date L�� Applican CITY ZIP NOTICE TO APPLICA T: If, after making this Certifi to of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O ENGINEER O• CONST. Z E 1""' Exemption, you should become- subject to the rkers' '` V Compensation provisions of the Labor Code, you must forth- ADDRESS �' ✓ v w with comply with such provisions or this permit shall be, deemed revoked. TEL. 'STATISTICAL CLAS IFICf TION APT. C NDO. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATIONLOP LIC. CLASS NO. DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS z ri 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 STORIES FAMILIES ONE a� KDOM NEW E] VALU TION�� - DESCRIPTION OF WORK rl Contractor Date ADD ❑ $ ❑ I am exempt under Sec. ALTER ❑ B.&P.C. for this reason REPAIR ❑ $ Date: USE OF DEMOL E]EXISTING BLDG. Signature APPLICANT TELFINALOWNER-BUILDER DECLARATION PRINT / r 0 DATE -� I hereby affirm that I am exempt from the Contractor's License �� y7�f Law for the following reaspn (Section 7031.5, Business and ADDRESS FI Professions Code): PRESENT z 8 4 1, A BUILDING I, as owner of the property, or my employees with ADDRESS Y tt 0 0 0 a a,J 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. ( e - 49.88 ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. , , o 0 0 4 9,8 = with licensed contractors to construct the-project (Sec- U tion 7044, Business and Professions Code). ADDRESS ( �,2 0-8 CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROPALINE WIDTH I hereby affirm that there is a construction lending agency for FRONT i 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 P.C.Fee$ Permit fee Lender's Address /`� I certify that I have read this application and state that the Issuance Fee '_V LDMA P/C# r R 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. H and hereby authorize representatives of this County to enter upon the abov -7ntioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature&App icant or Age Date