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Home My Public Portal About10200 NADINE ST_Building__ 7SA898A CE#809289 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AIA / )� r, DEPARTMENT OF COUNTY ENGIIVEER ADDRESS �V TME BUILDING AND SAFETY DMSION LOCALITY !sL Ar JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTR CT NO ROUP TYPE P ED BY FOR APPLICANT TO FILL IN CONST BUILDING D STATISTICAL CLASSIFICATION SE KR MAP ADDRESS CLASS NO DWELL UNITS LOT NO BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED TRACT MAP eod HIGHwAT t NO OF OL NO NO OA'V (CIRCLE) STATE MAJOR SECOND O A SIZE OF LOT J X NOW ON LOT USE ZONE APECIAL USE OF � CONDITIONS EXISTING BLDG OWNER 0>WII�� No- �� BUILDING YARD HWY STREET AME W�DTTIi ADDRESS/�Ji(00 I,Ij� )tN T FRONT ARCHITECT OR TEL P L l ENGINEER We NO SIDE P L ADDRESS TEL Ala& 0 CONTRACTOR NO ADDRESS ow, OGO F DEscRIPTIaN of WORK �/ h)A NEW ADD ALTER REPAIR DEMOLISH H Z SO FT NO OFNO OF , Wwpaw 404"t-l. SIZE STORIES FAMILIES USE OF STR CTURE eNCL C/� IIA�� ^~ ` SIGNATURE OF tf V MtZ OLVOKo IAJ APPLICANT VALUATION$ oa f DO OXXA P,49 TQ T#e.JAB •►(' d r, APPROVALS DATE INSPECTOR s SIAATURE PC FOUNDATION LOCATION FEE $ �"� FEE $ FORMS MATERIALS ��l '6¢ .16 FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS O AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPS SATIO I S ANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR C' PERMITTED •••+++�� RECT AND POSTED `7 ADDRESS FINAL JOHN F LEWIS PRINCIPAL STRUCTURAL ENG ER y PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o cwsH L{C,o 5 8 2 4% FEB 2 4 1 d 6 0 0 N DEPARTIONT OF BUILDING AND SAFETY APPLICATION FOR MRSIIT COUNTY OF LOS ANGELES I L ® I G VM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE UBE ONLY BUILDING DISTRICT NO PLAN CK NO PERMIT NO ADDRESS O + ,ice 4 7 Z LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED MIAMI= rJ�/ / OWNER i ADDRESSMIL ADDRESS IO OO LOCALITY NEAREST TEL. CSS BTCITY 94 L FIRE NO OF TYPE GROUP ENCHITsR OR NOL. ZONE PLANS %-./ I =— OLDS AV- APPROVED L ORD NO DD SETBACK LINE APPROVED CONTRACTOR Np. BY DATE UBE APPROVED ME= ZONE BY DATE D LEGAL NC LOT NO !� BLOCK ESC TRACT �7 c � � NO OF BLDOB SIZE OF LOT .7 NOW ON LOT UBE OF D NO OF NO OF IMOOMB N OF WORK NEW ALTERATION ADDITION o B REPAIR /� MOVING DEMOLISHNo p or so ZE !/ ROOMB STORIES WALLROOF COVERING COVERING UBE OF NEW GUILDINO S� I HEREBY �CK DOE THAT 1 HAVE READ THIN APPROVALS APPLICATION AN ATE THAT THE ABOVE IS CORRECT INBPEOTOR DATE AND AGREE TO C Y WITH ALL COUNTY ORDINANOW FOU Mop MAI LOCATION AND STATE LA ES O BU IMO CONSTRUCTION MB+MATERIALS FRAME FIRE OTOPB+ SIGNATURE OF BRACING BOLTS PERMITTE LATH INT AUTHOR I AOT LATH, EXT 76w63M 3 s sa $ .Q� P O s PLASTER INT 2 FEE PLANTER EXT VALUATION FEE 2 FINAL /— DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PE DUT COUNTY OF LOS ANGELES lJ 11. D I N G wm J rox CHIEF ENGINEER FOR APPLICANT TO FELL IN FOR OFFICE USE ONLY BUILDINO DIBTRTNO PLAIN AI OK.NO PERMIT NO ADDRESS /) 1�/`/} LOCALITY cM L� RE06 DATE Or APPL DATE INUED en�ST.NEAREST iv .3110' s) OWNER WILL"�� " y6�I�� /Y ADD BIBS G AD '9.�/%� F' /�' T.✓/�Ir ,aR LOCALITY [� NEAREST AROHITEOTrime NO Or r TYPE / OROUP ENGINEER `�' NCI" �.. ZONE PLANS AZ_ SLDO ORD NO SETBACK LINE APPROVED CONTRACTOR M o` BY DATE USEAPPROVED A D ZONE BY DATE LE DEB RIPPTTION LOT NO i BLOCK Now TRACT Ard 6 8 r BL SIZe Or LOT.4 /)v NOW ON L TB A USE Or �� NO OF � NO Or E 1 1 O 11 1, 00 DESCBIIpTION OF WORK NEW ALTERATION ADDITION C >0 REPAIR I� MOVING DEMOLISH O No Or 9 ZE c/:2 q /� ROOMS STORIES ' r WALLRoor COV RING S*0 ` ` 0 COVERING #,e® *4y UBE Or NEW BUILDING A al I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONS LOCATION 1 EOTOR PATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS AND STATE LAWS REGULATING BUILDING 00TRUOTI ' FRAME FIRE SIGNATURE Or � BRACING BOLT PERMITTER 4";is LATNPINT AUTHORIZED AOT oil. A �1 FEE LATH. FOff 76w6saA a T+49 � •vo% 10 1457;0 PLASTER INT �/J PLASTBR EXT VALUATION FEE(/�/�- FINAL /� Y1 APPLICATION FUILDING PERMIT COUNTY OF LOS ANGELES- Y; ' �- tp BUILDING AND SAFETY WORKER StOMPENSATION DECLARATION ► FOR AfffPPl T TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure i �E �n�� or a certificate of Workers Compensation Insurance or a certified LP / copy thereof(Sec 3800 Lab C) k Policy No Company SIZE OF LAIIT NO OF BLDG&NOW ON LOT ❑ Certified copy Is hereby furnished . A NEW-EST CR IF c ❑ Certified copy Is filed with the county budding Inspection BLOCK LOT NO USE ZONE1 - G department Y 7,0 a73 Date Applicant ASSESSOR MAP BOOK PAGE I in f'ARCELz �,/ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS a!BIRI TEL ,° COMPENSATION INSURANCE * WITHIN 1000 FT OF SCHOOLS YES No (This section need not be completed If the permit Is for one hundred ADDRESS M� dollars($1001 Or less) � VY DISTRICT GROUP TYPE CONST FIRE�ZONE PROCESSED BY I certify that In the performance of the work for which this permit CITY ZIP > 3 CCT Is Issued I shall not employ any person In any manner so as to tleC subJ Ct to the Works C �mpe atl� Laws ENGIN R TEL O r STATISTICAL CLASSIFICATION ri CON .89 Dat Applicant ADDRESS., � /' CLASS NO DWELL UNITS NOTICE TO APPLKANT If after making this rtd,,te of Qn A1C CA REQUIRED TOTAL FROM EX Exemption you should become subject to the Workers CONTRACTOR TEL NO s SET BACK YARD HWY P .E9 Compensation provisions of the Labor Code you must forthwith , 1 comply with such provisions or this permit shall be deemed revoked 89 IM ADDRESS LIC NO PPL LICENSED CONTRACTORS DECLARATION SIDE ,I CITY LIC CLASS P L I hereby affirm that I am licensed underprovlsions of Chapter 9 • SEWER 0000- r►/ g (commencing with Section 7000)of Division 3 of the Business and FT SI NO OF STORIES NO OF FAMILIES NEW ❑ BK PG I.RWI.1- 1 g�iG193 Professions Code and my license Is In full force and effect License Number LID Cis DE F11 ON WORK ADD e VALUATI N �p 000" 9159 1 AM 7:45 8Contractor Data ALTER $ ❑ I am exempt under Sec memobsL, Exnkr. REPAIR ❑ $ B&PC for this reason DEMOL Ir LDMA PIC# W Date USE OF EXISTING BLDG Fv URM ❑ � W Ignature (FLNNT� TEL O LDMA Perm# r1 tT.T Z as owner of the property or my employees wdh wages as their sole compensation will do the work and the structure IB R S 0 2307 101.50 riot Intended or offered for sale (Section 7044 Business and �� r • . FINAL DATE a Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL V � 1 I 1 Gt 1+J ❑ I 89 OWmBr Of the property em exclusively contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EOUAL TO OR GREATER THAN THE ,? AMDUNiB sPECIFIED�IJ THE HAZARDOUS MATERIALSINFORMAnoN GUIDE? FINAL BY r > jUT 101...0 licensed contractors to construct the project (Section 7044 NqW Business and Professions Code) "�s 13 to v.513 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY GUIDELINES QUALITYMENr DISTRICT(sCAQMD)SEE PERMITTING CHECKLIST FOR CHANGE ■OG I hereby affirm that there is a construction lending agency for YES❑ w the performance of the work for which this permit Is Issued(Sec IRX/E READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING Afti<M—AflrJi 4/iA/0'S N 3097 Civ C) CHECKLIST 1 UNDERSTAND MY REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE V VVVI.0--WW��VV •7 .LII/7..F Lender a Name PO 20 SE OR 208DAMIN 20 100 THROUGH 2 M CONCERNING HAZARDOUS Lenders Address $590 1 Alii 9.. 571 G OWNER OR AeE/R g I Cerny that I have read the application and State Under comply P C FEE /012 O/2 60 PERMIT FEE O of pequry that the above information Is correct I agree to comply $ with all county ordinances and State laws relating to building Ion and hereby authorize representatives of this County ISSUANCE FEE toe po he eve mentioned property for Inspection rposes INVESTIGATION FEE TOTAL� FEE/,P. • SEE REVERSE FOR EXPLANATORY LANGUAGE