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Home My Public Portal About10703 MILOANN ST_Building__ DEPARTMENT OF COUNTY ENGINEER BUILDING DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES i WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SU!'T OF BUIL 1146 FOR APPLICANT TO FILL IN DISTRICT NO. PLAN OFFICE USE ONLY ADDRESS U D 1&® Ama. PLANN 9CK. .� E No. /LPERMIT N O. 5 37 LOCALITY �/�II�L (RECEIVED BY D TE O AP.PyL. DATE ISSUED NEAREST I1 IIY1PIOPlUILDING ,�:.0\nom.-.,ca CROSS ST _ / / / z OWNER ...,X99- P .1 d /S v 1 1 ADDRESS /to -7 D `��1�,. ADDRESS a4 0 , �r LOCALITY ' �✓ �V TEL., NEAREST CITY /1 No . i 9#3 CROSS ST.. ARCHITECT OR TEL. FIRE ZONE 1 I PLANS- �I TYPE- - I 'GP 7 ENGINEER NO. ' BLDG. O D4/N O. ADDRESS SETBACK LINEUSE " CONTRACTORr I . •V NO. J ZONE BYPROVED DATE '° HOUSE NUMBERING ADDRESS LEGAL I MAP NUMBER V s-1NO. ASSIGPYED BY DESCRIPTION LOT NO. BLOCK 7 �� CORRECTIONS TRACT '/ NO. OF SIZE OF LOT I} a I NO ON LOTS Itl om f USE OF NO. OF EXISTING BLDG. FAMILIE DE TION OF WOM O - NEW ALTERATION ADDITION B REPAIR DEMOLITION I I D 1' Q. FT. p NO. OF SIZE ! ROOMS SA STORIES ALL ROOF COV R NG I W I COVER NG • USE OF STRUCTURE, C I� i APPROVALS INSPECTOR'S SIGNATURE DATE 7 ,S. FOUNDATION:LOCATION ' FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN Is'! BRACING, BOLTS CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES1I FURNACE:LOCATION, v AND STATE LAWS VENT, DUCTS GULATING BUILDING CONSTRUCTION. ' GAS v SIGNATURE OF d fes? /�� LATH, INT. ' ? FERMII TEe �Y �n �' � �� /_ •,�el LATH. EXT. ADDRESS ) �,r'��` !I PLASTER, INT. AUTHORIZED AGT. _ G`''r� f fC�l r� PLASTER, EXT. FEE* E , HOUSE NUMBER COR- �••-•I- RECT AN POSTED VALUATION FEE ffi `� �`° FINAL s A.J.r�• i0,. '�� I .,r 76A898A 0893 9-98 _ _ 76A638A CEk803 5-66 APPLICATION FO 'BUILDI G PERMIT COUNTY OF LOS ANGELES ABUILDING DDRESS t DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY 'p m e Cit JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSAUP•T.OF BUILDING CROSS ST. El MOnte DIS j3IICT NO. 11WUP TYPE PR ES BY FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 1070 Mlloam St. CLASS NO..p .DWELL UNITS -` BK / PGV LOT NO. 19BLOCK OSE ZONE NOP '1 \/ TRACT SPECIAL N0. OF SLOGS. CONDITIONS SIZE OF LOT 6 NOW ON LOT USE OF r E ISTING BLDG. BLDG. SETBACK FROM ! TEL. FRONT PROP. LINE OF (STREET) OWNER sa3zrador, Carrilln NO. TYPE OF EXISTING SETBACK HIGHWAY + , YARD = TOTAL ADDRESS 30203 WOW= Sts HIGHWAY WIDTH . FROM C.L. /7 O + CITY c BLDG. SETBACK FROM ARCHITECT OR _ TE E N'G'NEER act rNOL X2210 SIDE PROP. LINE OF (STREET) Q TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 571 E.-Firestone iBlvd. S Ga HIGHWAY WIDTH FROM C.L. TEL. r� O + /O !O O CONTRACTOR NO SP -2210 ADDRESS t LO 190179-C I CORNER CUTOFF YES ❑ NO 0 V CITY c� s5 53 SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORKull NEW 1111 ADD ALTER REPAIR DEMOLISH _ N (I _ /rr� SQ.FT. NO. OF NO. OF I✓' r"" �(/ / 1'' l5 - !f C nd I f l. '%.Til l/ B !�'y'P f' .SZ..,j SIZE 'pIS1TMrO'•RIES FAMILIES •`1 l,J I USE OF STRU TURE NG POLL ` J' STAND � #12 y'�) �i.� S I G N A T E • '�� APPLI A r VALVA ON$375 2 0.00 � APPROVALS DATE INSPECTOR'S SIGNATURE P.C. G PMT. FOUNDATION, LOCATION S FEE$ FORMS, MATERIALS FIRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 1 BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE,. LOCATION .WITH ALL COUNTY ORDINANCES AND STATE LAWS ULATING I GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOI E WORK AUTHORIZED HEREB •I LL NOT EMPLOY ANY P SO IN VIOLA- LIATH. INT. , • TION OF THE LA R EIIII OF THE STAT OF LI RNIA REL ING TO WORK 'S PENSATION INS NC . i LATH. EXT. =SIGNATU F HOUSE NUMBER COR- g ,p'j ' �' �•� �� •PE4t .'i MITT E _ I RECT AND POSTED f.1 I ADDRESS F I NAL 0 r Ir W ' JOHN F. LEWIS. PRIWCIPAL S RAL ENGINEER PLAN CHECK VAIJDATION CK. M.O. CASH _ I PERMIT VALIDATION SO M.O CASH LACO7. 3 6 3c%-o FEE828 2 1 D 3.75^' -Lk-r--i7 3 6 4% F8 2 8 1 D 1 5.00- 1 e � - WORKERS'COMPENSATION DECLARATION ereby o that I have certificate of consent to self certificate i APPLICATION F OR U I L D I N G P E RM I T ure, or a certificate of Workers'Compensation Insurance, ertified copy there (Se a�8�0 �ab YnO COUNTY OF LOS ANGELES BUILDING AND SAFETY CeFtified copy is hereby furnished. BUILDING ` FOR APPLICANT TO FILL IN ,; ADDRESS 9:0_2 Certified copy is filed with the county building inspec- BUILDING tion ep rtment. ADDRESS Q LOCALITY City NEAREST to 5 Applicant ZIP CROSS ST. CERTIFI TE OF EXEMPTION FROM WORKERS' / NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 6 NOW ON LOT MAP BOOK IPAGE PARCEL, is section need not be completed if the permit is for one USE ZONE MAP ndred dollars($100.)or less.) TRACT BLOCK LOT NO. _ NO. 5 TEL. SPECIAL �- IL ertify that in the performance of the work for which this OWNER r CONDITIONS 0 mit is issued,I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY as to become subject to the Workers'Compensation Laws. ADDRESS CONST: ZONE �_ L'G to Applicant CITY ZIP STA ISTICAL CLASSIFI TION PT. ICONDO. V TICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. mption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL.UNITS tal L. �hpensation provisions of the Labor Code, you must forth- ADDRESS SEWER.MAP comply with such provisions or this permit shall be ,e med revoked. CONTRACTOR T BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION r reby affirm that I am licensed under provisions of Chapter 9 ADDRESS t0 L• VALUATION mmencing with Section 7000)of Division 3 of the Business and IC. essions Code,and my license is in full force and effect. CITY CLASS $ 400 ,SQ.FT �7 NO F NO.OF CHECK rise Numb __2 SIZE L STORIES FAMILIES A ONE .1 Al vvlr\ra �trocate g' .DESCRIPTION OF WORK NEW ❑ I am exempt under Sec. I 7 ADD ALTER ❑' FINAL B-.BP.C.for this reason REPAIR ❑ DATE USE OF DEMOL By / Date: EXISTING BLDG. ❑ AL �r f Signature APPLICANT T _ 11 OWNER-BUILDER DECLARATION PRINT NO reby affirm that I am exempt from the Contractor's License �•� r for the following reason (Section 7031.5, Business and ADDRESS J L �. ® r 1 0 6 5 A fessions Code): PRESENT BUILDING `t n o l o 0 2 3 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and o the structure is not intended or offered for sale(Section LOCALITY 2 U 1.45 7044, Business and Professions'Code). MOVING TEL. 1. 5 63I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS C �,0 5 G tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY" SETBACK YARD HWY PROP. LINE WIDTH Loll 0 b A reby affirm that there is a construction lending agency for FRONT performance of the work'for which this permit is issued P.L. c. 3097, Civ. C.). SIDE 2 E 63 0 0 der's Name T o n s P.C.Fee$ Permit Fee der's Address t r rti that I have read this application and state that the • fY PP Issuance � we information is correct. I agree to comply with.all Countyestigation Fee Inv inances and State laws relating to building construction, Total Fee hereby authorize representatives f this County to enter n the ve-me 'oned property inspection purpo es. L(� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant 6r Agent a 11 ®s