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Home My Public Portal About9918 NADINE ST_Building__ Tew°°ewDee•s°"°APPLICATION FOR BUILDING PERMIT 1 DMSION OF BUILDING AND SAFETY ADDRESS Depo=tment of County Engineer County of Los Angeles LOCALITY WM.J. FOX.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. FOR APPLICANT O FII.L DISTRICT NO. GROUP � BBV�ER MAP G CONST. BUILDING / MAP a 0 STATE ADDRESS NUMBER HWY YES NO LOT NO. BLOCK USB ZONE SPECIAL CONDITIONS TRACT DO SIZE OR LOT D NOW ON LOTS BUILDING YARD NWY STREET NAME EXIST. SETBACK WIDTH USE OF FRONT EXISTING BLDG. P L OWNER SIDE P.L. MAIL ADDREAR If O TRACT.DWELL. 1 UNIT S INDUSTRIAL I TEL. 1 DWELL. 1 UNIT CITY NO. 6 PUBLIC BLDG.' ARCHITECT OR TEL, 2. DUPLEX 1-UNIT ADDN..ALT.. ETC. ENGINEER NO. 3 APT. UNITS 8 M19CBL. ADDRESS 4 COMMERCIAL TEL. INSPECTION RECORD CONTRACTOR NO. ADDRESS r""50 L DESCRIPTION OF WORK NEW ADD ALTS REPAIR DEMOLISH SQ. FT. NO.OF NO.OF ( ✓✓ SIZE ATORIES FAMILIES - U E F BTRU TUR SIGNATURE OF pg APPLICANT APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE $ FOUNDATION: LOCATION 7s. P.C. s FORMS, MATERIALS FEE FRAME: FIRE STOPS. S BRACING,BOLTS VALUATION FEB I FURNACE:LOCATION. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT- AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH, EXT. SIGNATURE R HOUSE NUMBER COR- PERMITTfi RECT AND POSTED ADDRESSJK FINAL WM.J.FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM.CHIEF BLDG. INSPECTOR jCo 0 0 NOV 1.7 1 1 .0 0 �, t DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES 'IDING . WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN OK.NO. PERMIT No. 4 BUILDING J V T f ADDRESS S/� �.®� Q / LOCALITY T G O RECEIVED BY DATE OF ADPL. DATE 188UED NEAREST L k ,` ` A C,I BUILDING 2_ Aegg 4b Al OWNER • • / ADDRESSMAIL ' ` 1 ADDRESS S 6`/ �/ LOCALITY S C DI NEAREST TEL. �L C OSS HT. `/• e- HO.WFIRE a.or ARCHITEOTOR TEL 4 ZONE PLANS ENGINEERNO. BLOB. / wl �ADD SETBACK LINE OAPPRVED CONTRACTOR � NO `' BY DATE �1 USED ADD �. �� (yf �`..�tr ZONE BY DATE LEGAL CORRECTIONS DEBORIPTION /SLOT NO. �Z. BLOCK TRACT (/ In z— �J1 {� y NO.OF BLDGB. SIZE OF LOT V ^ 6 L NOW ON LOT USE OF NO.OF O.OF "'STI MO ILfE. ROOMS^ '(� ' DESCRIPTION OF WORK NEW ALTERATION ADDITION y O A REPAIR MOVING DEMOLIHH ,p B So. ZE ROOMS STORIES D 1+ D r WALL ROOF COVERING COVERIND USE OF NEW BUILDING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS,CORRECT BPE TOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION A_ND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS.MATERIALS r FRAME: FIRE STOPS. SIGNATURE OF r, BRACING,BOM PERMITTE 0- At, LATH, INT. AUTHORIZED AOT LATH, EXT. 76A63BA-3 748 $ p,C.N PLASTER,INT. FEE I I • PLASTER.EXT. B VALUATION FEE "�izO FINAL & 0 WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or o certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.); Policy No� —6-1 Company S'Ti4_ E• T0N4 COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is'hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING ter• tion department. ADDRESS 0//V E: Date :? O"7 7Applicant (..4—J CITY E .4E C!/ ZIP I 8 d LOCALITY i CERTIFICATE OF EXEMPTION FROM OR S' F40.OF BLDGS. NEAREST , COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK l0T NO. MAP BOOK pq PARCEL TEL. USE ZONE MAP I certify that in the performance of the work for which this OWNER USO/� NO. n NO permit is issued, I shall not employ any person in any manner K ✓/ SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS / '' CONDITIONS CITY ZIP Date Applicant ARCHITECT OR - TEL. NOTICE TO APPLICA .. NT: If, after making this Certificate of DISTRICT GROUP TYPE .FIRE BY Exemption, you should become subject to the Workers' ENGINEER NOCONST Compensation provisions of the Labor Code, you must forth- ADDRESS 5D� 3 ✓✓✓�//SS with comply with such provisions or this permit shall be //�� STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR K/� 1� NO. LICENSED CONTRACTORS DECLARATION LIC. �a 3 CLASS NO. DWELL. UNITS - I hereby affirm that 1 am licensed under provisions of Chapter 9, ADDRESS6W6 l NO. SEWER MAP(commencing with Section 7000)of Division 3 of the Business and LIC ,y Professions Code, and my license is infull force and effect. CITY CLASS C 3 VALIDATION (� �p SO. FT. I�d NO.OF NO.OF. CHECK BK. PG. d License Number_Ya3�7 07 Lic.Class C---3 9 SIZE �/ STORIES FAMILIES� ONE p _ ` VALUATION 8 — — 90 DESCRIPTION OF WORK GZ'�` ADD $ Contractor �.[�/�rA /I'/lt!F Date ,,ll 1 am exempt under Sec. Aft-,LT– A 64Z2A ^ ALTER B.BP.C. for this reason �ty �/7 f.— S LSO EPAIR s IN USE OF (1)EXISTING BLDG. DEMOL Z Signature APPLICANT TEL. FINAL v / O NER- ER LARATION PRINT NO. DATE G I hereby off irm that I am exempt4ebm the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRESENTB BUILDING 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and i r� the structure is not intended or offered for sale(Section ' LOCALITY ' – 7044,.Business and Professions Code). MOVING TEL. !1 m � I, as.owner of the property, am exclusively contracting CONTRACTOR NO. CHECK 1, er f, with licensed contractors to construct the project (Sec- lots_'K 168 o v.. tion 7044, Business and Professions Code). ADDRESS , __ REQUIRED TOTAL C•HAVrE CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP, 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. Z- ; , (Sec. 3097, Civ. C.)• SIDE (�i�fi_ 1:(:(-1� L. 3/89 P.L. +bs -+ Lender's Name 161 r 1 A111 1e.3 LDMA Ref. N Lender's Address P C Fee$ Permit Fee I certify that I have read this application and state that the Issuance Fee i LDMA P/C If above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, t'� R and hereby authorize representatives of this County to enter Torol Fee LDMA Perm. 0. UP on eabove-mentioned erty for' spection purposes.c� SEE REVERSE FOR EXPLANATORY LANGUAGE Sig of Adicant or Agent Dote