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Home My Public Portal About10153 NADINE ST_Building__ 0 a-41 76ABSBA CE#808 8 88 APPLICATION FOR BUILDING PE MIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGIIJEER ADDRESS - BUIMING AND SAFETY DIVISION LOCALITY / JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST j DIST` CT ORO P TYPE ESSED B FOR APPLICANT TO FILL IN (/ CO ADDREISS �Q�5 n TG, STATISTICAL CLASSIFICATION ` WEIR MAP �� CLASS NO�DWELL UNITS LOT NO Z BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED TRACT �L 2-4± 3rMAP HIGHWAY STATE MAJOR SECOND L CAL NO OF BLDGS NO (CIRCLE) SIZE OF LOT 2 2,Q NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG We o OWNER ID Ll 6O NO(�1'Q� B I DING YARD HWY STRE NAME EXIST SETBACK WIDTH ADDRESS IDJ S? /NC FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE P L ADDRESS /�� //�� L CONTRACTOR&1 PiW A/� No AT 9-1201 V ADDRESS 1 � - r� W 1 Q DESCRIPTION OF WORK W IL NEW ADD ALTER REPAIR DEMOLISH _ N SQ FT NO OF NO OF "�I� ¢ Z SIZE a STORIES / FAMILIES USE OF STRUCTURE SIGNATURE OF T APPLICANT VALUATION $ Iwo 0 A ROVALS DATE INSPECTOR S SIGNATURE PMT FOUNDATION LOCATION FEE $ ~^ FEE $ / FORMS MATERIALS FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S C MPENSATION INSURANCE LATH EXT -Z�� SIGNATURE OFWIL FHOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL .� JOHN ��+F��LEWIS �PRINCIPALS C RAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PEUMU VAWYATIO CK mo CASH 2176;3Ate 4 iD 11.50- 1 As ss APPLICATION FOR BUILDING PERMIT 1 DIVISION OF SUWING AND SAFETY pDDRllB D° = odd L !Heeled LOCALITY T WM J FOX COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OR BUILDING C 088 ST Arden DISTRICT NO GROUP SPE 8 K MA Pd FOR JLMCANT TO FILL IN 1 NST BUILDING ADDRESS E sNBa i ne Stili NUMABER STATE YBB N USE ZONE SPECIAL LOT NO BLOCK �I CONDITIONS TRACT 22438 A051 No OF Citlia SIZE OF LOT NOW ON LOTS BB BUILDING YARD NWY STREET NAME WIIDTTH USE OF FRONT (STING SLOG P OWNER Kemeth F, Williams BIDE MAIL ��++ Q ADDRESS CI 3 C TRACT DWELL. I UNIT + S INDUSTRIAL CITY Toy Tp 1 DWELL I UNIT 6 PUBLIC BLDG ARCHITECT OR TEL 2 DUPLEX I UNIT 7 ADON ALT ETC. ENGINEER NO 3 APT -A-UNITS 8 M18CEL DDRE88 4 1 COMMERCIAL TEL CONTRACTOR NO r v e.Fr=P=0N MOBD ADDRESS 1. A DESCR�TION OF WORK NEW X ADD ALTER REPAIR DEMOLISH v : OF Q FT 151,31 8TCRIKB FAMILIES USE OF STRUCTURE Standart Plan 98 - SIGNATUR OF APPL APPROVALS ADDRESS _jjj C DATE INSPECTOR 8 SIGNATURE P r-plrK FFORMSTMATEION ION15=000 BRAC8_50 FRAMFIRE BOLTS FIRE STOPS _ VALUATION ; 34.00 FURNACE LOCATION I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT DUCTS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT I AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT fl AND STATE LAWS REGULATING BUILDING CONSTRUC O TION LATH EXT SIGNATURE- HOUSE NUMBER COR PBRMITTEB RECT AND POSTED 11 f ADDRESSfe"_,4=,CjZkFINAL , WM J FOX COUNTY ENGINEER VALIDATION C N DIRLAM CHIEF BLDG INSPECTOR L 6 2 2 1 U-1 YAR2016 850A91 E _ _ LqC06222V; MAR20 1 3400 a 7 -� CITY OF TEMPLE CI BO APPLICATION FOR BUIL ING PERMIT COUNTY OF LOS ANGELES gUILDIDDRES3 Q DEPARTTN1Vl M OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BuI muo CROSS ST DIyp ROUP TYPE P CESSED BY FOR APPLICANT TO MIN CSJ/ CONST BUILDING 116 ` STATISTICAL CLASSIFICATION SEWER MAP ADDRESSV ��jj // K CLASS NO DWELL UNITS LOT NO BLOCK MAP NUMBER C' 6d —/ STATHWYE YES O TRACT n USE ZONE SPECIAL SIZE OF LOT�� NO OF BLDGS I / CONDITIONS NOW ON LOT I USE OF EXISTING B BUILDING EXIST T SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT �Q C rr P L ADDRESS SIDE ARCHITECT O TEL P L ENGINEER NO INSPECTION RECORD ADDRESS e r CONTRACT^/ O br,, V ADDRESS / 0 D CRIMON OF WORK a` ' '�s ri d 4 h ADD ALTER REPAIR DEMOLISH / I ��I SQ L NO OF NO OF i �/ t i r` `•~��'� ? SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF !�Tj APPLICANT VALUATIONS v O APPROVALS DAT INSPECTOR S SIGNATURE P C !'O PMT /27 FOUNDATION LOCATION FEE �► FEE $ FORMS MATERIALS c/ FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH INT EMPLOY ANY PERSON IN ANY MANNER 80 AS TO BECOME SUBUECT TO THE WORKMEN 3 COMPENSATION S OF ALIFORNIA LATH EXT SIGNATURE HOUSE NUMBER COR PERMITTEE RECT AND POSTED v ADDRE3 FINAL CLYDE N DIRLAM 9RINCIPAL5TR URAL ENGINEER PLAN CB= VALIDATION 0 M o CASH PERM VALIDATION M o CASH ;,09 4 8 5 0 JUL _323D 300 M UI09 4 8 6%-04 JUS 3 1 D 1200 i APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to selr Insure ;Q;S SDR R Q i N E S-h i �iu or a certificate of Workers Compensation Insurance or a certified copy thereof(sec 3800 Lab C) CITY p L Cr c-t aPq i`l 8 O LocALITY, PolicyNo CompanySIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy is hereby furnished b-14 0 S F NEAREST CROSS Or OF ❑ Certified copy is filed with the county building inspectionBLOCK LOT O USE ZONE MAP NO department Date Applicant ASSESSOR MAP By PAGE0-1c' -n SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS OWNER 1_ �1111n RU61�NDr1A-t 1,q* —�Lo(p� YES No COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? ADDRESS (This Section need not be completed rf the permit Is for one hundred 10 1 5 3 ((Prfl 1 ifir S+ DISTRICT I GROUP ITMOONSTIFIREZONE PROCESSED BY dollars(:100)or lees) CITY Z1 1 oertlfy that In the performance of the work for which this permit � C4 `� Is hsued I shall not employ any person In any manner so as to ARCHITECT OR ENGINEER Tt1 No Y VVV become subject to the Workers Compensation Laws N 1R 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 to the Workers CONTRACTOR r(l j- TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwith comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO FRONT PL LICENSED CONTRACTORS DECLARATION Cm LIC CLASS SIDE a PL Q I hereby affirm that I am licensed under provisions of Chapter 9 80 FT SIZE NO OF STORES NO OF FAMILIE8 SEWER MAP C (commencing with Section 7000)of Division 3 of the Business and NEW ❑ BK PG , Professions Code and my license Is in full force and effect License Number Uc Clams DESMPTIF WORK c 0'Yl ADD ❑ VALUATIONgo Poo. a Contractor Date ` L ALTER ❑ # r z ❑ 1 am exempt under Sec REPAIR ❑ B APC for this reason USE OF EXISTING BLDG DEMOL ❑ LOMA Pro e Date URM ❑ �,r8ignature APPLICANT(PRINT) TEL NO LDMA Perm e 3 1 as owner of the property or my employees with wages ss s Al Pl N R,U r.kirk M 0 N rR Cid O 30,01—14 their sole compensation will do the work and the strictures 6DDREWO - _ not Intended or offered for sale (Section 7044 Business and D S 2- 011710 FINAL DA < _ ProfessiWsCode) VALLTNEAPPLJCANTORFUTUREBWLDWOOCCUFRNTHANDLEAHAZARD0USMATMIAL l?j412..., ❑ 1 as owner of the property am exclusively contracting with AMOUNTSr LDXTURE lo THE� uuSATERIAL�INFORMA7TO TWNGUIDDE?GREATER� FINAL BY '� 1_ "- licensed contractors to construct the Project (Section 7044 YES❑ No R& �. Business and Pro [one Code) WILL THE INTENDED I=OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING " COAST AIR QUALITY MA AGMEENT o�(SCAG ADM)WE 13M �No TMCHEC10IST CONSTRUCTION LENDING AGENCY FOR QUI DeINES - 1 hereby affirm that there is a Construction lending agency for YES❑ No an the performance of the work for which this permit Is Issued(Sec I HHIwE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD , 3097 Cry C) PLRRI ITITING CHECKLIST I WaDERIBTAND MY REOUIRBAENTS UNDER THE LOS ANGELES COUR NTYCODF-Tn ECHAPMZ�ffiNs DTIOaSD100THROUco GH2ao74aNCERNM Lenders Name HAZARDOUS AND FOR OBTAINING A PERMr FROM THESCAOMD Lenders AddreLS R RTING ss o I certify that I have read this application and state that the above $ Information Is correct I agree to comply with all county PC FEE PERMIT Fee (� ordinances and State laws relating to building construction and hereby authorize representatives of this County to enter upon ISSUANCE FEE the abo Rend e�d pro�pe`rty for Inspection pu a 2 INVESTIGATION FEE TOTAL FEE 9Y�AaAwAo�+vAfe OM • jj SEE REVERSE FOR EXPLANATORY LANCIUAOE