The URL can be used to link to this page

Home My Public Portal About5309 NOEL DR_Building_3/1/1976_ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES ButNG ADDRESS 30 OF_L DEPARTMENT OF COUNTY ENGINEER CIT t 0-1TV ZIP 9171F0 BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIZE OF LOT p NOW ON LOT ADDRESS t.J TRACT `� a BLOCKKL' FLAO I / LOCALITY TELNEAREST OWNER AJ7?1,0JJ 'T fC' NO a f CROSSST O ASSESSOR ADDRESS N CL /fV C MAP BOOK PAGE PARCEL CITY :9#0 9%#/3R/F4. ZIP 7/�.,775 DISTRICT GROUP TYPE FIRE P ESS BY � Z ARCHITECT OR TEL CONST ENGINEER OIVAJr`le NO STATISTICAL CLASSIFICATION SEWER MAP 4 ADDRESS TEL CLASS NO DWELL UNITS BK f"'TEL CONTRACTOR NOZONE MAP O elly 1 NO ADDRESS NO LIC r b SPECIAL CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBAjtk FROM FRONT PROPI LINE OF F (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ FT Ji� .� NO OF NO OF CHECK HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE a DESCRIPTION OF WORK NEW ❑ - O ADD BLDG SETBACK M O s� SIDE PROP LINE OF (STREET) ALTER ❑ TO AL sErBAtK FROM TYP EXISTING 67 HIGHWAY + YARD = SIDE PROP LINE HIGHWAY DTH y USE OF 0U ! C O/y REPAIR ❑ Z EXISTING BLDG Qu R{'TM f00 DEMOL ❑ + APPRINTVJT N7N0 M r 1 LOME N O NO Z.ES"I?&TEL CORNER CUTOFF YES ❑ NO ❑ OMC 1 O 14 IN OPEN SPACE YES ❑ NO ❑ BY)SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION D / .�� a 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ( 0� THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES s 1l AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF 1 THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE �� Gf 1 s SIGNATURE O�%6,, _ PERMITTEE ADDRESS FINAL TEL DATE CITY NO PC MAKE CHECKS PAYABLE E FEE $ FEET HARVEY T_BRANDY COUNTY ENGINEER • PLAN CHECK VALIDATION cm r o CASH PERMIT VALIDATION CK M O CASH 4 311f-I mm► 28 1 1) 21.75 ,&,L3 ®s 76A63BA CE#803 3 75 t _J�b WORKERS COMPENSATION DECLARATION I hereinsure orafcertifcateof WorkersrtCompensatonent Insuran to elf APPLICATION FOR BUILDING PERMIT fora certified copy �th�ereeooff Sic 3800 Lob C )/ /�� COUNTY OF LOS ANGELES BUILDING AND SAFETY r Policy No j,�vri-Co�mJpany 4`AY�y`f51�L uiGTl�9 ' Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS CArtified copy is filed with the county building inspec BUILDING tion pa ent /� t ADDRESS rj /�A/0'ar L_ ^� Date rr Applicant �I�A d a_99/> _s CITY 60,' ZIP / C/ LOCALITY E I ICATE OF EXEMPTION FROM WORKERS — F BLDGS NEAREST t COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for one TRACT BLOCK LOT NO ASSESSOR hundred dollars($100)or less ) MAP BOOK PAGE PARCEL_ NO I certify that in the performance of the work for which this OWNER /�/ ALO SE ZONE MAP permit is issued 1 shall not employ any person in any manner SPECIAL - d so as to become subject to the Workers Compensation laws ADDRESS CONDITIONS V Date Applicant CITY ZIP O NOTICE TO APPLICANT If offer making this Certificate of ARCHITECT OR TEL DISTRICT I GROUP I TYPE CONST ENGINEER NO FIRE FI 7SD BY O� Exemption you should become subject to the Workers sy 15 Compensation provisions of the Labor Code you must forth ADDRESSi _ 9116 with comply with such provisions or this permit shall beA rG L 67 / STATISTICAL CLASSIFICATION APT deemed revoked CONTRACTOR `5 _ LICENSED CONTRACTORS DECLARATIONLIC _ CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 3111 A NO ZO,S! (commencing with Section 7000)of Division 3 of the Business and SEWER MAP Professions Code and my license is in full force and effect CITYC CLASS S BK M PG 6.3 VALIDATION SQ FT NO OF NO OF CHECK ZV License Number ` Lic Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ADD [3 $ I am exempt under Sec ALTER ❑ , B&P C for this reason REPAIR ❑ $ USE OF Date EXISTING BLDG DEMIOL Signature APPLICANT TEL FINAL OWNER BUILDER DECLARATION PRINT NO DATE ,-1 hereby affirm that I am exempt from the Contractor s License ADDRESS - FIN 13771 A Law for the following reason (Section 7031 5 Business and Professions Code) MENT # • • • • • 1 BUILDING _ ( • • 6 Q 5 0 I as owner of the property or my employees with ADDRESS wages as Weir sole compensation will do the work and the structure is not intended or offered for sale(Section LOCALITY = 7044 Business and Professions Code) - MOVING TEL • • • 6 Q 5 0 5 I as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec ADDRESS 0 107-86 tion 7044 Business and Professions Code) REQUIRED TOTAL SETBACK _ _ 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 (Sec 3097 Civ C ) SIDE ;g P L _ Q Lender s Name P C Fee$ Permit Fee LDMA Ref N Lender s Address 0 { I certify that I have read this application and state that the Issuance Fee .s10 LDMA P/C k above information is correct 1 agree to comply with all County Investigation Fee ordinances and State laws relating to building construction _ Total Fee A4 A r%S-0 LDMA Perm N d and hereby authorize representatives of this County to enter upon the above mentioned property for inspection purposes ^ O 7 6 BE REVERSE FOR EXPLANATORY LANGUAGE NO SignaturoR Applicant or M Date O i + WORKERi'COMPENSATION DECLARATION huebo ae{caffirm rt that I have certificate of consent self APPLICATION FOR BUILDING PERMIT insure or ertificate of Workers Compensation Insurance ,or a certified copy thereof(Sec 3800 Lab C ) n B P I y No ompany3//P�L�n/t�, �. Sa'4 `0 W 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 \r tidepartment '- ADDRESS 1b } Date Applicant_�L�(1�A), CITY ZIP —/ b ��/� LOCALITY _ CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS - NEAREST JE COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS S7 (This section need not be completed if the permit is for one TRACT BLOCK LOT NO ASSESSOR hundred dollars($100)or less) MAP BOOK PAGE PARCEL TEL USE ONE MAP OWNER I certify that in the performance of the work for which this eeV a �n NO $ — NO } permit is issued I shall not employ any person in any manner ADDRESS v� ,�v Q _ SPECIAL d. so as to become subject to the Workers Compensation Laws �,1 CONDITIONS O Date Applicant CITY e � ZIP 0E O NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE D BY O Exemption you should become subject to the Workers ENGINEER Uf �I NO 8q 00 CON'ST/ ZONE U Compensation provisions of the Labor Code you must forth ADDRESS SQ (f rG[ robw v, .7 Y d with comply with such provisions or this permit shall be rA deemed revoked a to NO 414 _ I LiSTATISTICAL C IFI TION APT CO DO Z CONTRACTOR �+ LICENSED CONTRACTORS DECLARATION . LIC CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS L V[ NO B SEWER MAP (commencing with Section 7000)of Division 3 of the Business and //�� LIC /� Professions Code and my license is in full force and effect CITY WVI.1 A CLASS .BK /� PG 63 VALIDATION SQ FT NO OF NO OF CHECK License Number Lic Class SIZE STORIES FAMILIES ONE VALUATIONSQ QQD _ Contractor Date DESCRIPTION OF WORK - - NEW ❑ ADD $ , A-34a0A 1 am exempt under Sec Yl ALTER B&P C for this reason REPAIR s # • • • • 23 Date USE OF STUNG BLDG reSt C Gc� DEMOL 1 - 35700 Signature OWNER BUILDER DECLARATION APPLICANT rr NO -295--7 l5- uA • • 3 5 7 0 0 5 I hereby affirm that I am exempt from the Contractor s License �s 1 1 15-85 Law for the following reason (Section 7031 5 Business and ADDRESS �� OCl vl FI Professions Code) - - I as owner of the property or my employees with BUILDING ADDRESS wages as their sole compensation will f o the work and -1413 the structure is not intended or offered for sale(Section LOCALITY (y/G 7044 Business and Professions Code) - MOVING TEL - ' y `. I as owner of the property am exclusively contracting CONTRACTOR NO � � 3,�'1 with licensed contractors to construct the project(Sec ADDRESS 3� tion 7044 Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY BACK YARD HWY PROP LINE WIDTH 3 7 7 A 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 # • • • • • 1 PL e Lender s Name 1 - 47175 a LDMA Ref M Lender s Address P C Fee S M Pe e� I certify that I have read this application and state that the d I uance Fee TDMA P/C r lop, 0 0 • • 4 71 7 5 above information is correct I agree to comply with all County Investigation Fee ' 107-86 ordinances and State laws relating to building construction f Fee LDMA perm M U U and reby authorize representatives of this County to enter up! apove entionecoproperty,for inspection ur ses c / f SEE REVERSE FOR EXPLANATORY LANGUAGE Signal re of Applicant t I grate - — O