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Home My Public Portal About10702 MILOANN ST_Building__ MER DEPARTMENT OF COUNTY ENGINDEPARTMENT` - DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT of BUILDING FOR APPLICANT TO FILL IN FOR OFFICE. USE ONLY DISTRICT NO. PUN CK.DR RBC.No. PERMIT NO. BUILMIN ADDRESSG o �i ��, ' S b 33 7 LOCALITY- a : RECEIVED BY DATE OFAPPL. DATEISSUED N EAASREEST S ST. = e AIS o At / LL— Q' �� ADDREBUILDSS G -0 OWNER Z l � MAILLOCALITY ADDPESSR-71 Y NEAREST TEL. �r f CROSS ST. 1CJ7��Ms�a CITY O Y i 87 ARCHITECT OR TEL. FARE NO. OF TYPE -`�- GROUP. ENGINEER NO. ZONE I PLANS I / - ADDRESS SETBACK LINETEL- USE CONTRACTOR I S N U(' NO. ;` ZONE ~r BYPROVED . .o�DAT aar'7� HOUSE NUMBERING q ADDRESS LEGAL MAP NUMBER 5'I NO. ASSIGNED BY DESCRIPTION I LOT NO. I BLOCK � CORRECTIONS TRACT SIZE OF LOT O I NO. ON LOTS V USE OF NO. OF EXISTING BLDG. FAM.Lte DESCRIPTION OF WORK o - NW ALTERATION EP DEMOLITION MOLITION ADDITION i Q r R SQ. FT. y NO.OF SIZE J ROOMS STORIES I COVir INI COVER NG O USE OF STRUCTURE �S . �,- APPROVALS INSPE R'S SIGNATURE DATE FOUNDATION:LOCATION FORMS;MATERIALS I HEREBY ACKNOWT EDGE THAT I HAVE READ THIS PLICATION AND STATE THAT THE INFORMATION GIVEN AP- S FRAME: FIRE STOPS, CORRECT. � BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAW7EGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS ? SIGNATURB OF a STs LATH, INT. PERMITTEEl J� R ADDRESS LATH. EXT. —e a � ? s. Y PLASTER, INT. AUTHORIZED AQT. i _ PLASTER, EXT. $ FEE E HOUSE BER COR= ..�� 7 Q D RE&ANNUDMPOSTED . . VALUATION FEE $ (ji `- FINAL �/' •�/� � -.;w ol 76A688A 0882 9-63 WORKERS'COMPENSATION DECLARATION insure, or acertificate affI have a certificate of irm of Workers'Compensation eInsuran elf APPLICATION F®R BUILDING PERMIT orka certified copy thereof(Sec. 3800, Lab. C.) •, COUNTY OF'LOS ANGELES BUILDING AND SAFETY Policy No. N/A Company N/ABUILDING /'� . Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Lam �/} ❑ Certified copy is filed with the county building inspec- BUILDING 10702 Miloann tion department. ADDRESS Date N/A. Applicant N/A CITY Tmle. City zip b1780 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. �!J (This section need not be completed if the permit is for oneASSESSOR TRACT 17867' BLOCK LOT NO. MAP BOOKPAGE PARCEL hundred dollars($100)or less.) 'TEL. OWNER Edwin'0.' Crain NO.448-2760 usE PE MAP I certify that'in the performance of the work for which this NO. permit is Issued, I shall not employ any person in any manner " , SPECIAL •f so as to becomeADDRESS 1?subject to the Workers'Compensation Laws. Mil [CONDITIONS O Date ?7- " Applicants -`O'"`^ ��,- c—u,. CITY Temple zip 91780 NOTICE TO APPLICANT: If, after makirig'this Certificate of ARCHITECT OR TEL. DISTRICT G UP TYPE• FIRE P CESSEDBY O Exemption, you should become subject to the Workers' ENGINEER Home Owner_____,._.NO.448-2760 i NST. Z9NE (-- Compensation provisions of the Labor Code, you must forth- ADDRESS same CIS above,a ' W with comply with such provisions or this permit shall be I U-' deemed revoked. —TEL. STATISTICAL CLASSIFIC TION APT. NDO. U)CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION i LIC, - CLASS NO. �/ DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS No.None (commencing with Section 7000)of Division 3 of the Business and LIC ; I SEWER MAP Professions Code, and my license is In full force and effect. i CITY CLASS BK.' O VALIDATION SQF NO.OF NO.OF CHECK License Number N/A Lic.Class N/A SIZE. 5X22 STORIES IFAMILIES 1 ONE VALUATION �ii DESCRIPTION OF WORK'Remove aluminum NEW ❑ Contractor N/A Date N/A ADD I�$ 3 s 500.00 ❑1 am exempt under Sec. N/A re lace with ❑ • ALTER � '� • B.BP.C. for this reason .N/A wood align with roof, REPAIR ❑;' $ USE OF N/A Date: N/A ❑ EXISTING BLDG. ReS'dental DEMOL •' 'z 7 7 9.7 A Signature -N/A- APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT Edwin 0. Crain No.448-2760 DATE # o o e o o ,I hereby affirm that I am exempt from the Contractor's License ADDRESS 10702 Miloann Tem le C FINAL ° ° b 8 b 3 Law for the following reason (Section 7031.5, Business and Professions Code): By �./. -o o:o 68.6 3 E BUILDING ® I, as owner of the property, or my employees with ADDRESS 3 —87 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 L NE WIDTROM H 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 N/A 8 f.:•4 LDMA Ref. # m N/A P.C.Fee$ Permit Fee ,. Lender's Address I certify that I have read this application and state that the Issuance Fee �� LDMA P/C N above information is correct. I agree to comply with all,County Investigation Fee q ordinances and State laws relating to building construction, Total Fee U)MA Perm. q $ and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. u ' `f SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Applicant or Agent Date WORKERS'COMPENSATION DECLARATION PERMIT. I hereby affirm that I have a;certificate of consent to self ®�ION FOR ®� insure, or a certificate of WorkeYs'.Compensation Insurance, APPLICO� or a certified copy thereof(Sec. 1800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company'.. Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ❑ Certified copy is filed with the county building inspec- BUILDINGi tion department. I ADDRESS az. 4IL I J�fid f Date Applicant CITY Clr� ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT "CROSS (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. USE ZONE MAP I certify that'in the performance of the work for which this OWNER �s (2 .WIL NO. NO _ permit is issued;'I shall not employ any person in any manner ADDRESS Q I Z t a�tA Gf I CONDITIONS SPECIAL so as to become subject to the Workers'Compensation Laws. •r- U Date Applicant CITY UIA f4 ZIP ; NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL, u DISTRICT GRpUP TYPE FIRE PROCESSED BY Q ER NO. // V Exemption, you should become subject to the Workers' ENGINECONST. ZONE /j`/ + Compensation provisions of the Labor Code, you must forth- ADDRESS ��Q La( with comply with such provisions or this permit shall be lJ TEL. / r. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO.94v—ea Z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. /� DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSI (� f f' { ILIO, `7GnS^ (commencing with Section 7000)of Division 3 of the Business and rj ,y�� [ yyLIC SEWER MAP Professions Code,and my license is in full force and effect. CITY G!i //'/O4)£ CV— /r CLASS �'.� BK PG VALIDATION License Number.3 �9 9 Lic.Class_ ' SZ FT. TOO. E NO.OF CHECK 0-130-13i SIZE STORIES FAMILIES ONE �f VALUATION",06 Contractor � ) S Date `1�A-`9- DESCRIPTION OF WORK D ADD ❑ $ L ❑ I am exempt under Sec. ollfidl �/j ALTER ❑ B.BP.C. for this reason r6/ / REPAIR ❑ I $ ;27 9 3,1 A USE OF #•0 0 0 0 0;1 at ' EXISTING BLDG. DEMOL ❑ ' Signature APPLICANT TEL. FINAL •.1 0 0 5 9 2 5 OWNER-BUILDER DEC R ION PRINT NO. DAT I hereby affirm that I am exempt from the Contractor's License ADDRESS FIN •' — 59.255 Low for the following reason (Section 7031.5, Business and Professions Code): p IT o9, 1 6-87 ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work andM. the structure Is not intended or offered for sale(Section LOCALITY •7044, Business and Professions Code). MOVING TEL. ❑ 1, 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 7.r LDMq Ref. ft Lender's Address P.C. Fee$ Permit Fee 10, I certify that I have read this application and state that the Issuance Fee ( V '. IDN A P/C ff above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter LDMA Perm.R upon the ove- gtioned operty for inspection purposes. G?" qr /I- SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ApphfapKor Agent Date