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Home My Public Portal About10715 MILOANN ST_Building__ #►P P L I CATION FOR �";( OUNTY OF.LOS ANGELE ENGINEER B U I L'D I N G PERMIT DEPARTMENT BUILD NAND SAFETY DIVISION BUILDING h FOR APPLICANT TO FILL IN ADDRESS BUILDING 'J+ e ADDRESS (� LOCALITY Q CITY::;r �i, Zip NEAREST CROSS ST. N .OF EILDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICTGROUP TYPE FIRE C ED BY / NST. ZVE .n TRACT 7 (Q BLOCK/ LOT NO. o� j f �g '/ OWNERTE /�-QS (� /t� NOL 'OhZ' STATISTICAL CLASSIFICATION ADDRESS �/V /� 22 OWELL,UNITS SEWER AG NO. MA CITY Z Q CL ZIP 0``// NE NOP ARCHITECT O TEL / � SPECIAL ENGINEER 6 lid I S N / CONDITIONS ADDRESS t rV ' ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL CONTRACTORCA L� j JNO 3�=a�S6 BLDG,SETBACK FROM yy LIC. `, FRONT PROP.LINE OF (STREET) ADDRESS. /Cb WW NO. �7 HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY62 beyid y LIC. FRONT PROP. LINE HIGHWAY WIDTH O F� CLASS _ CONSTRUCTION LENDER 13 + NAME AND BRANCH per• BLDG,SETBACK FROM Q ADDRESS CITY SIDE PROP.LINE OF (STREET) t7 SQ. F NO. OF NO. OF / CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING I= CD SIZ STORIES/ FAMILIES / ONE SIDE PROP. LINE HIGHWAY WIDTH =1 IDESCRIPTION OF WORK 1c 0. NEW + ti � C)G y��e.h� r, ADD CORNER CUTOFF YES ❑ NO ❑ J FG. •1 ALTER ❑ I REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF �^ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG, S �` DEMOL C] A P P LI CANT TE (PRINT) NOL ,d• I 1,v }/ /'LD f`••;�.� q s~O BY (SIGNATURE) 0_&t;qtr I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY . WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S :OMP E NS ION INSURANCE. .SIGNATURE OF uC_. FINAL 7 BY f •�✓L`•,� PERMITTEEr DATE / (� NO ADDRESS (//�,, �ms.+ TE CITY 0&�kme�qq'' p•C. Fee$ / Permit Fee f, . 'd�"�Z° Issuance Fee VALUATION$ Total Fee PLAN CHECK V ATION CK. M.O. CASH PE V LIDATION CK. O. CASH 2 33-9:W / 3 .Q: : 1 3.G 76AGSBA CIE*809113 12/75 �,;� 4 1 :B 2 '17 5 I - DANT OF COUNTY ENGINEER BUILDING --fie DIVISIONSION SION 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.OR REC.No. PERMIT NO. BUILDING ADDRESS I L b N ' 6 LOCALITY ' RECEIVED BY DATE OF APPL. DATE ISSUED CROSS ST I Q7n �1'Y �+ 1i\ A —,-S7--5Z BUILDING ADDRESS �J'Q / �l YS� .�t� OWNER : � i� MAIL �p LOCALITY ADDRESS �" ' NEAREST CITY sk tq TO CROSS ST. ARCHITECT OR TEL. FIRE NO. OF TYPE GROUP ENGINEER NO. ZONE PLANS .7 BLDG. ADDRESS �T SETBACK LINE USE CONTRACTO , S l 1 NO.� ZONE APPROVED AT �L�`�A[� ADDRESS HOUSE'NUMBERING c�a`J LEGALI I MAP NUMBER Q NO. ASSIGNED N BY DESCRIPTIOLOT NO. BLOCK � CORRECTIONS TRACT nj NO. OF BLDGS. SIZE OF LOT U C NOW ON LOT USE OF NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK O - RE AIR I �DEMOLITION I—I ALTERATIONADDITION � 2 a r Q. FT. NO.OF CoSIZE ROOMS ` STORIES EXT.WALLP ROOF COVERING ' L.j L q't`r COVERING USE OF STRUCTTURF APPROVALS INSP OR'S SIGNATURE DATE FOUNDATION:LOCATION FORMS, MATERIALS G' 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 ORDINANCES FURNACE:LOCATION. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT. DUCTS SIGNATURE OF AV.I:' L� LATH, INT. PERM17PER ADDRESS o� I LATH. EXT. PLASTER, INT. AUTHORIZED AGT. _ N ' $ P. C. 8 .- PLASTER, EXT. C7 ' HOUSE NUMBER COR- / 7 I FEE - RECT AND POSTED VALUATION FEE S !1.(tj r FINAL 76A63SA 0283 5-02 APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, R LF��+ �d� or a certificate of Workers'Compensation Insurance,or a certified zIP /"J Co (4re�sof Sec.3800,Lab rI)C� 011-780 LOCALITY /��flee/ J Poll d"', �� `' """'F'en� I E OF LOT ' Nil.OF BLDGS.NOW ON LOT ' �s ► ` v NEAREST CROSS ST ❑ Certified copy is hereby furnished. ."id , da, Certified copy is file ith a county ullding inspection TRACT BLOCK L NO. USEZONE MAP NO. de2l me t. Date I� Apple ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS ER T NO. CERTIFICATE OF EltEl'JI ON M O KERI )n WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE ADig i (This section need not be completed if the permit is for one hundred S DISTRICT GROUP TYNST' FIRE ZONE CESSED BY dollars($hat or less.) ,��1 y k- T I certify that in the performance of the work for which this permit �E Y�/1 Is Issued, I shall not employ any person in any manner so as to ITECT R E GINEER TEL NO. I ?> %*V� become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT., If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' #RACT.0)RTEL NO. SETBACK YARD HWY PROPLINE WIDTH Compensation provisions of the Labor Code,you must forthwith FRONT 14.4 comply with such provisions or this permit shall be deemed revoked. ESS LIC.N PL LICENSED CONTRACTORS DECLARATION Irw LIC.CLASS SIDE O I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and FT SIZE O.OF O ES NO.OF FAMILIES C Professions Code,a my license is in full force a effect. NEW VA PG U1713 N er ic.C11 0-3 DE CRIPiION OF ADD 0� Date poll- WT ALTERlot ❑ �'1r� REPAIR ❑ ❑ 1 Bmexempt under Sec. BA C.for this reason ` DEMOL ❑ LDMA P/C N Date: USE , ISTI BLDG. URM ❑ Signature A L A (PRINT) T LDMA Perm a ❑ I,as owner of the property, or my employees with wages as ADR f KN L O ACCT a T, their sole compensation,will do the work and the structure is p. { ,-� not intended or offered for sale (Section 7044, Business and Fly- j�l�� 105.25 ProfeSSIOrIS Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERVIL J { ITEMS ❑ I, as owner of theproperty, am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN a L Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL licensed contractors to construct the project (Section 7044, YES❑ NO❑ ' TOTAL 1.(35-25 Business and Professions Code.) q r �r WILL THE INTENDED USE OF THE BUILDING 13Y 11Y THE APPLICANT OR FUTURE BUILDING �� ,�� I5 a i:1 OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY TTI MANAGEMENT DISTRICT(SCAOMD)SEE PERMING CHECKLIST e E .1313 113 1 hereby affirm that there is a construction lending agency for YES El NO 11U(f}PI'19v] the performance of the Work for Which this permit Is Issued(See. 'PERMITTING READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES � �T-s�rlrll}q 6/ / )� � Lenders Name COUNTY CODE,TITLEZCHAPTER 2.20 SECTIONS 220AWTHR000H 2.2D.140 CONCERNING 00 CID01 Ci/ / HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. a Lenders Address OWNER«„MIENT 1125 a AM 8: 27 0 o I certify that I have read this application and state that the above PC.FEE PERMIT FEE information is correct. I agree to comply with all county ordinances and State laws relating to building construction,and hereby authorize representatives of this unty to enter upon ISSUANCE FEE, abo entione for inspe do purposes. ,o INVESTIGATION FEE TOTAL FEE w n a SEE REVERSE FOR EXPLANATORY LANGUAGE