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Home My Public Portal About10259 NADINE ST_Building__ DEPAMIENT OF SIIIMING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® ' WM d FOX CNIEF ENGINEER FOR APPLICANT TO FILL INNA AGGGGSGS — FOR OFFICE IISE,ONLY Q n • DISTRIC�O PLAN CK O PERMIT NO ADDsull-RESS f�jJ//✓t �� LOCALITY C 4F- /TI RECEIVE Dim OFAPPL DATE ISSUED NEARESTlor IL OWNER /t//6L/#f tv DRESS MAIL / /F /,�/ v�Q, A B LOCALITY 1 ADDRESS 7 • �"✓/d ,1 Imo. G NEAREST 1' CI TEL. / f7 CROSS ST FIRE NO OF TYPE GROUP ARCHITECT All TEL ZONE PLANE ENGINEER NO r'\ BLDG ORD NO ADDRESS `rte SETBACK LINE APPROVED v � CONTRACTOR '�//—`� NOL BY DATE UBE APPROVED ADDRE �_ ZONE�02 BY DATE LEGAL BLOCK CORRECTIONB DESCRIPTION L�OQT NO', � v / TRACT V p f"' Q ;L 10 NO OF BLTS SIZE OF LOT i� JC NOW ON LOT 411)1116 UBE OF NO OF NO OF EX113TINO BLDG FAMIt.118 ROOMS 1 DE SCRIPTION OF WORK - NEW /� ALTERATION ADDITION O B REPAIR MOVING DEMOLISH p :0 Fr n ND OF / - SIZE 2 ROOMS STORIES r WALL 19Y'VC C C 10 RODF COVERING CDVERINO USE OF NEW BUILDING • 1 HERBBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT 1 FOR O TE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION AND STATE LAWS REGULATING BUILDING CC BT UCTIO•� FORME MATERIALS FRAME FIRE STOPS, SIGNATURE OF K/�// � BRACING BOLTS PERMITTE .1044- w LATH INT AUTHORIZED AGT- h Q / LATH, EXT 76A69BA 9 7 49 $ /` PCS /0 � PLASTER INT FEE I PLASTER EXT VALUATION p/ FINAL FEE DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES I L ® I G WM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ADDRESS 9��i✓C ��" OIBTRI"O PLAN CK O PERMIT NO ;2 Z7 LOCALITY LF ITl RECEIVE DATE OFAPPL DATE INUED NEAREST 6 v� / 11 OWNER BUILDING '1 �' I MAIL7 /�. '/ n ADDRESS f- ADDREBB I d I • 'Yl v/,�� +� LOCALITY d- REBT 1 r L� / TEE- T�i"3�� cnowar r ARDHITECT O --- TEL ZONE PLOAN8 Z TYPE GROUP ENGINEER NO BLDS � ORD NO D SETBACK LINE 0'4 � G APPROVED TEL. I CONTRACTOR "�/�—" NPL. BY DATE USEAPPROVED ADORE i ZONE BY DATE DESCRIPTION LOT NO BLOCK Q CORRECTIONS TRACT lo',00' a ` ;!fW-413 � x ` fl NO OF BLDGB SIZE OF LOT NOW ON LOT USE OF NO OF NO OF XI O B F MILIMB ROOMS 1 DESCRIPTION OF WORK Y NEW +� rALTERATION ADDITION C B REPAIR MOVING of DEMOLISH O Sq FT /1 2 NO OF ' SIZE /G ROOMS STORIES 1. WALLSt'v C C O ROOF COVERING COVERING UB[OF NEW BUILDING 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT I SPECTOR D TE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION AND STATE LAWS REGULATING BUILDING CONBT UCTIO FORME MATERIALS_ FRAME FIREOLTS �v SIGNATURE OF (//f�// • � BRACING BOLTS PERMITTICIE LATH INT AUTHORIZED AOT Q LATH, EXT 76we>38w a 7 49 �` F E Nr G PLASTER 1®CT d , O B VALUATION FEE v v I FINAL %�d�y APPLICATION FOR BUILDING PERMIT �1 Y ry " 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 self Insure PBUILDINGADDREBSG;por a certificate oflW�orkers Compensation Insurance or a certified Oav,1r PJAW L s -copy ICythereof(See 38M Lab Co-.�— C, Ive rm �� C L ' I zIP �'718,'b LocALltr—� C� Pd NOT 4-cD Company r„ SIZE OF LOT NO OF SLOGS NOW ON LOTIV ❑ Certified copy Is hereby furnished t NEAREST CROSS ST certified copy Is filed with the county buildinginspection TRWryO� } BLOCK ` �T/ n-, I USE ZONE MAP NO ASSESSOR MAK PARCEL / p � �T SPECIAL CON DITIONS Ik_1 OF EXEMPTION FROM WORKERSI YES NO COMPENSATION INSURANCE ADDRESS Pe—Y1 !7 7 WITHIN tow FT OF SCHOOL? (This section need not be completed If the permit is for one hundred NO}.s AJ)1 Jv6 ST DISTRICT GROUP TYPE CONST FIRE ZONE PWCESSEe BY Idlers(; or lees) CITY I ZIP I certify that m the performance of the work for which this permit ',79 L r C-IT 1 p 7 & Is Issued I shall not employ any person In any manner so as w ARCHITECT OR ENGINEER TEL.NO become subject to the Workers Compensation Laws /A Z y �' '� STATISTICAL CLASSIFICATION / APT CONDO Date Applicant [ADDRESS CLASS NODWELL UNITS NOTICE TO APPLICANT If after makin this Certificate of W A SAN 1)JPWAX"'Exam tlOm g O OR TEL NO REQUIRED TOTAL SETBACK FROM EXIST p you should become subject to the Workers SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwith FRONTcompy with such provisions or this permit shall be deemed revoked DDR LU,g NO 7 PL LICENSED CONTRACTORS DECLARATION c UC PILE �-- a C I hereby affirm that I am licensed under provisions of Chapter 9 FT SIZENO OF STORES NO OF FAMILIES SEWER MAP tii�7 454 + So (commencing With Section 70110)of Division 9 of the Business and NEW ❑ l Professions Code and my license ain full force and effect &a I I BK Pe License Number Lic Class ` J DESCRI N OF WORK ADD VALUATION , nn , 1 ITEr W I d d �I a v,S 'V® TI ITAL I 4' 95 4.2 Contractor Date � ALTER ❑ ,– _ ❑ I am exempt under Sec BD S REPAIR ❑ $ CHECK 45, ?_ B&PC for this reason DEMOL ❑ LOMA Pro s l HANGE OIC USE OF EXISTINAPLDO et�c%vJcs URM ❑ �� IJ Signature APPLICANT(FRONT) / TEL No LDMA P9Im a 0000-0001 7/ 2/911 ❑ 1 as owner of the property or my employees with wages as /tr'✓CF Ce /� Zy� their sole compensation Will do the work and the structure Is ADDRESS F 1949 1 Ar 8.1i not Intended or offered for sale (Section 7044 Business and P /- 7E 1/ / 910. Pro Ions Code) W ILLTHEAPPLICANTORFUTUREBUILDINGOCCUPANTHANDLEAHAZARDOUSMATEIIAL THAN ❑ 1 as owner of the property am exclusively contracting with T MIXTURE li�fllD ON HAZARDOUSNG A TEnws�WFORMATTO TIION GREATER FINAL f , .> 13 ` ticerren contractors to construct the project (section 7044 „ES❑ NO� Business and Professions Code) 1 t WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING „ -J { ! { OCCUPANT REOUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH CONSTRUCTION LENDING AGENCY COWAIRS MANAGEMENT DISTRICT 1scAMDI SEE PEw"No Cmma IST NES I hereby affirm that there Is a construction lending agency for YES❑ No 10 the performance of the work for which this permit is issued(Sec t..i C-, CJ9097 GV('i) IHAVE PERMIT INC EM WrsT I THE UNDEFWAP�RMr IRB ENTNS�UN�iµBCTH DLJ Lenders Name COUNT 01 E TalAL NSG INC A OUGH r22ROM ETH INI••a. _J MD Lenders Address CM E CRwIMNr 0 1 certify that I have read this application and state that the above PC FEE PERMIT FEE '' 3 Information is correct I agree to comply with all county ! rr� ordinances and State laws relating to building construction and c� 74 0 hereby authoroe repreilentatives of this County to enter upon ISSUANCE FEE Iq the above-mentioned r1y inspection purposes a• ® Cly INVESTIGATION FEE TOTAL FEE O nj aIAAl.faAlril oar �j►-L� ry -4D 1 SEE REVERSE FOR EXPLANATORY LANOUA r- - APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY + WORKER S COMPENSATION DECLARATION DRESS FOR APPLICANT TO FILL IN eumoiNG ADDRESS I hereby affirm that I have a certificate of consent to SO insure �ILD�asl /1�6 S or a certificate of Workers Compensation Insurance or a certifiedIVA Q s copy thereof(Sec 9800 Lab C) C M /'e 4 ZIP /7 rb LOCAL AL icy No Company SIZE OF LOT NO OF BLDGS NOW ON LOT ]' ❑ Certified copy Is hereby furnished ao If 12-0 Z NEST CROSS ST ❑ Certified copy Is filed with the county budding Inspection TRACTBLOCK USE ZONE MAP NO LOT� department W 11/ Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS aw*v-A & R e —9 7 WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE ADDRESS DISTRICT GROUP TYPE FIRE ZONE CESSE (This section need not be completed If the permit Is for one hundred /jh/f s c�bsT dollars($100)or less) I certify that In the performance of the work for which this permit CITY s rn ok G( ZIP BY /' �b �i D -� 3 H Is Issued I shall not employ any person In any manner so as to ARCHITECT OR EN01 EER TEL NO J become subject to the Workers Compensation Laws rj✓� I I 7.. / '� STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS / CLASS NO DWELL UNITS NOTICE TO APPLICANT If after making this Certificate ofrADDRESS W REOUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers R TEL NO SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwithcomply with such provisions or this permit shall be deemed revoked LIC NO FRONT PLLICENSED CONTRACTORS DECLARATION LIC CLASS SIDE a PL p 1 hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP f� (commencing with Section 7000)of Division 9 of the Business and SO FT DIZE NO OF STORES NO OF FAMILIES C Professions Code and my license is In full force and effect NEVA ❑ BK PG License Number LIC Class DESCRIPTION OF WORK ADD ❑ VALUATION , Contractor Date ALTER ❑ $ z ❑ 1 am exempt under Sec REPAIR ❑ $ _ B&PC for this reason DEMOL X LOMA P/C tl Date USE OF EXISTING BLDG URM ❑ Signature APPLICANT(PRM TEL NO LDMA PbmR tl Z ❑ 1 as owner of the property or my employees with wages as p their sole compensation will do the work and the structure Is ADDRESS F AC R I T not Intended or offered for sale (Section 7044 Business and FINALDpTe CO� Professions Code) WILLTHEAPPLICANTORFUTURE BUILDING OCCUWRNrWWDLEAWIZARDOUSLtATBNLL L7/ �/ —r / viii V4 t ❑ I a8 owner o}the am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EOUAL TO OR GREATER THAN r Property IY 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY `�j t ITEM: licensed contractors to construct the project (Section 7094 YES❑ No❑ /�+ Business and Professions Code) v TI ITAL 84.:.00 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING THESOUTH CONSTRUCTION LENDING AGENCY Ca a AIR QUALITY�raA�E+T DISTRICT(SQAOMO)SEEOR MODIFICATIONvmi�NG CHECKLIST 1 HECK 88 5L FOR GUIDELIRai$ I hereby affirm that there Is a construction lending agency for YEs❑ ND❑ {RANGE Cc the performance of the work for which this permit is Issued(Sec 1 HAVE READ THE HI Z IDOUS MATERIALS INFORMATION WIDE AND THE SCAOMD 9097 CIV C) PERMITTING CHECKLIST I UNDERSTAND MY REOU1REMENT8 UNDER THE IAS ANGELES ERNING Lender's Name �HALWDO�EW�8REPORTINHAPTER GAMFFORO IDULM NINOA PERMIT 8G 0 r C '1 OD��!—BOJ 1 ../..7t SLI Lenders Address „,1„aRA,QW 25$8 1 AM Q1 cerbfy that 1 have read this application and state that the above information is correct I agree to comply with all county PC FEE PERMIT FEE -75-1 -0-0 0 Cj ordinances and State laws relatin building construction and V hereby authorize re n this my t0 enter upon ISSUANCE FEE the above-me n proAA ps r i on pu� i INVESTIGATION FEE TOTAL FEE cadFloi % t SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT �1 f COUNTY OF LOS ANGELES I BUILDING AND SAFETY WORKER 8 COMPENSATION DECLARATION FOR APPLICANT TO PILL IN BUILDING ADDRESS L I hereby affirm that I have a certificate of consent to self Insure BUILDING ADDRESS 1 9 L_ or a Certificate of Workers Compensation Insurance or a certified O��y �� /N� S/ Dopy thereof(sec sSOo Lab c) cm N,,PI_G ZIP /79'0 — �� Company SIZE OF LOT NO OF NOW ON LOT ❑ Certified copy Is hereby furnished /P.O NEAREST CROSS ST ❑ ceruffeii copy is filed with the county building Inspection TRACT BLOCK LOT NO USE ZONE MAP NO department I Dale Applicant ASSESSOR MAP BOOK RAGEPARC0. SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS "�D tr1/Iatrp �� TEL _ YES NO COMPENSATION INSURANCE Z'"ADDRESS WITHIN 70110 FT OF SCHOOL? (This Section need not be completed If the permit M for one hundred /Jv i r DISTRICT GROUP TYPE NST FIRE ZONE OCESS BY dollars(6or lees) C ZIP ` 5s D� I oerbfy that in the performance of the work for which this permit 6 cr.► /{ /7 'L` //IJ- Is issued I shall not employ any person In any manner so as to MCHITECT OR ENGINEER I TEL.NO become subject to the Workers Compensation Uwe A. I -23LS 7 STATISTICAL CLASSIFICATION APT DO Date Applicant ADDRESS I CLASS NO DWELL UNITS NOTICE TO APPLICANT If after making this Certificate Of J. W Ibq REOUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers CONTRACTOR TEL NO SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL LICENSED CONTRACTORS DECLARATION CITY LIC CLASS SIDE a 1 hereby affirm that I am licensed under provisions of Chapter 9 PSEWER MAP (commencing with section 7000)of Division 3 of the Business and SO FT SIZE NO OF STdiES NO OF FAMILIES Profeeskms Code and my license Is In full force and I NEW ❑ BK PG License Number LIC Class IPTION OF WORK ADD ❑ YALUA N 00W;tw , Contractor Date /� ALTER 13 $ O' z ❑ I am exempt under sec U� REPAIR ❑ $ B VC for this reason DEMOL ❑ LDMA PIC e Date USE OF EXISTING BLDG URM ❑ Signature APPLICANT(PRIAM TEL NO LDMA Perm S 1 ❑ 1 as owner of tis property or my employees with Wages as their sole compensation will do the work and the structure ha ADDRESS F AC C s not intended or offered for Sale (Section 7044 Business and FlNALDA G ��7 r8 T Professions Code) WILLTHEAPPUCANrORFUTUREBWLDINOOCCUPANTFMNDLEAHALWDOUBMATMIAL OLt ❑ I ea owner Of the property em exclusively OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ' 1 ITEM_ IkXhs o er fathe to construct the project conectiOng7wi THE AMOUNTS SPECIFIED ONTHE HAZARDOUS MATHNLLSINFORMATION GUIDE? FINAL BY > Business and Protesaions Code) TEs❑ NoJO TUBAL 58 ®75 WILL THE INTOdDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING Ij mho 7=' OCCURWTR80UIREAPENUTFORCONSTTRUCTIONORMODIFICATION FROMTHESOUTH r N(„+H CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT MCAQMM SEE PERMITTING CHECKLIST i CHANGE MR QUIDELINES I hereby affirm that there Is a construction lending agency for rE1❑ No Ek the performance of the work for which this permit Is Issued(Sec 3097 Cir C) IHNE FEW THE PERMIh11NG ECKU lsi UND MA ND MY INFORMATION MTMIDE ANGEUSS D I.endersName F1A�ZARDO EN�AxLB GAN NIB THS 001—OQ01 7/1Q.9�1 Lenders Address0�011AGW 17,4 1 AM ° 1U I car*that I have read this application and state that the above PC FEE PERMR FEE Information Is correct I agree to comply with all county O=n=and laws relating to building construction and hereby autho repress tits County to miter upon ISSUANCE FEE the a red pro on purposes �� INVESTIGATION FEE TOTAL FEE ft or SEE REVERS POR EXPLANATM LANGUAGE WOR ERS �MPENSATION DECLARATION r bffirrh9t"1 Hdve a certificate of consent to SelfgppLICATION FOR BUIL®ING PERMIT ora certificate of Workers Compensation Insuranceertified copy thereof(Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY No Company Certified copy is hereby furnishedFOR APPLICANT TO FILL IN BUILDING Certified copy is Bled with the county building i^spec BUILDING ADDRESS tion department ADDRESS :Sr IF cM /7L Date Applicant CITY7ern 02ZINO P G LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT X / NO ON LOT NEAREST CROSS ST P- Pn fr COMPENSATION INSURANCE (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 E WAV- ,e y TEL USE ZONE I certify that in the performance of the work for whi this OWNER NO NO permit is issued 1 shall not employ any persogeffi any ye ' i SPECIAL t so as to become subject to the Workers Co ensati ADDRESS p •S i CONDITIONS 0 Date Applicant CITY�'�m 1,e C ZIP 17 fJ � ARCHITECT OR TEL NOTICE APPLICANT If offer ma n this rtificafe of ! DISTRICT GROUP TYPE FIRE D BY O g ENGINEER SC LF No 1/�/ Exemption you should become subject to a Workers CONS_Tjr ZONE U Compensation provisions of the labor Code y�u must forth ADDRESS f}J�YI� /4s V-Q [08 3 with comply with such provisions or this permit shall be , 10". deemed revoked CONTRACTOR E 7e�"�y77 STATISTICAL CLASSIFICATION CONDO Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ✓n ir 14 f Dtre NO (Commencing with Section 7000)of Division 3 of the Business and LIQ SEWER MAP Professions Code and my license is in full force and effect CITY CLASS SK PG VALIDATION SQNO OF NO OF 0 CHECK License Number Lic Class SIZEFT v STORIES FAMILIES -eS� ONE VALUATION I am exempt under See ®1�'6 Contractor Date DESCRIPTION WORK NEW J ADD : Poo. `I(J B&P C for this reason 1-1 WO 1AIA!J ALTERREPAIR a Date USE EXISTING BLDG f�u DEMOL • • 1 0 6i 1 3��' Signature APPLICANT OWNER BUILDER DECLARATION I�ir NO `7�.1il77 ATE O 9 0 71-88 I hereby affirm that I am exempt from the Contractor s License ADDRESS b /q /�Cp ` D Law for the following reason (Section 7031 5 Business and FI Professions Code) Ql BUILDING lel I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and LOCALITY the structure is not intended or offered for sale(Section i 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) CONSTRUCTION LENDING AGENCY BACK YARD HWY TOTAL RSETBACK FROM EX15T OP 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 PL Lender s Name m P C Fee= Permit Fee LDMA Ref tY 1 Lender s Address • I certify that I have read this application and state that the Issuance Fes ..P/C M polo. R above information is correct I agree to comply with all County Investigation Fee $ ordinances and State laws relating to building construction Total Fee TDMA Perm N R and hereby authorize repr entatives of this County to enter upon the above ention pr rty for inspection purposes o lit9 5@ REVERIE FOR EXPLANATORY LANGUAGE Signatureof Appli nt or Ag nt to J -�