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Home My Public Portal About5321 NOEL DR_Building__ "AMIA APPLICATION FOR BUILDING PERMIT _ 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGROM ADDRESS BUILDING AND SAFETY DIVISION LO LI JOHN A LAMBIE COUNTY ENGINEER NEAREST CASBATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRI GR TYPE Ppsi FOR APPLICANT TO FILL IN coNsr BUILDING I SEWER MAP ADDRESS STATISTICA SSIFICATION g�I P CLASS NO DWE L NIT LOT NO BLOCK MAP STATE NUMBER 40 z HWY YES TRACT USEZONE SPECIALf n O OF BLDGS CONDITIONS SIZE OF LOT 0 NOW ON LOT USE OF EXISTINGBUILDINGEXIST SETBACK YARD HWY STREET NAME WIDTH OWNER 2% X4, S FRONT /�I MAIL P L � ADDRESS SIDE TEL P L CITY NO INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO ADDRESS // nn TEL CONTRACTOR NO DORESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ FT NO OF NO OF \ SIZE STORIES FAMILIES USE OF STRUCTURE, SIGNATURE OF APPROVALS APPLICANT ATE INSPECTOR S SIGNATURE ADDRESS 0FOUNDATION LOCATION S FORMS MATERIALS _ y ^� RAME FIRE STOPS FEE s FBRACING BOLTS 'Y'�L VALUATIONf FURNACE LOCATION g .w GAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT s� Q'r t-�— PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALE-COUNTY-ORDINANCETS A S 1 STATE LAWS`IZEGU dNG BUILDi NG RUCTION-- SIGN REO HOUSE BER COR P M17TE RECT AN POSTED ADD= IZ 21 • FINAL �-- -CLYDE N DIRLAM PRINCIPAL STRU;7URALEWffRR PLAN CIMCE VALIDATE CK. M O CASH PBBNII!VALMILTEON CK mo fCA8 ( 1274M ALG17 1 A 300 A POAD DEPT P--,PIT IS p`c :CD FOR ANY MATE ,F L S ,'-k_ c,% v,„,oK DONE IN THE ROAD RIGHT OF WAY �.A...�,�ao,... APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING ADDRESS 3 DEPARTMENT OF COUNTY ENGiNm AnOREss BUMDING AND SAFETY DMSION LOCALI JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRICT NO GRO TYPE PR CESSED BY FOR APPLICANT TO FII.I. IIsi NST BUILDING + STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 'Q s�J CLASS NO MAP 'WELL UNIT LOT NO / BLOCK NUMBER C' I / S.IWYYE YES O TRACT USE ZONE SPECIAL yNO OF BLDGS NDITIONS SIZE OF LOT]ZQ /5 NOW ON LOT USE OF EXISTING BLDG BUILDING YARD HWY STREET NAM EXIST SETBACK WIDTH OWNER-,,” FRONT C)� MAIL P L T Z ADDRESS SIDE TEL P L CITY No INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO ADDRESS TEL CONTRACTOR NO ADDRESS � DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH ballpr NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF43 APPLICANT t APPROVALS DATE iNSPECTO S SIGNATURE ADDRESS IcFOUNDATION LOCATION FORMS MATERIALS J VALUATION $ FRAME FIRE STOPS p i . + BRACING BOLTS P C E PMT FURNACE LOCATION FEE i FEGAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RE U TI 4 BUILDING rNSTRUCTION LATH EXT 1GNARE OF ~' HOUSE NUMBER COR 8TU IGNATi RECT AND POSTED PERMIADDR FINAL S—!` a � ".= CLYDE N DIRLAM PRINCIPAL STRUCTURAL E PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK N G �J,1/H J ( 8617S w31 1 A 300 ®. r NSATIG Mr- I aver cert.f.c sent to self �- -- APPLICATION FOR BUILDING PERMIT Jeb e Sr a cert. .cat.of Workers Cor�tpe Insurance or a certified copy thereof(Sec 3800 Lab COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company ❑ Certified copy .s hereby furnished FOR APPLICANT TO FILL IN BUILDING'ADDRESS RSS ❑ Certified copy.s filed with the county building.nspec BUILDINGtA. 1 tion department ADDRESS CITY Cxkv ZIP LOCALITY Date Applicant NO OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT NOW ON LOT too CROSS ST COMPENSATION INSURANCE -1 �his section need not be completed .f the permit .s for one TRACE � 2� BLOCK � LOT NO 2� ASS SOR PAGE PARCEL undred dollars ($100)or less) TEL OWNER � '}' NO �je � USE ZONE MAP r I certify that .n the performance of the work for which this permit.s issued I shall not employ any person.n any manner ADDRESS — / CONDITIONS a so as to become subject to the Workers Compensation Laws O cITY a �, ZIP Date Applicant ARCHITECT OR TEL D TRICT GROUP TYPE FIRE PROCE BY aC NOTICE TO APPLICANT If after making this Certificate of ENGINEER NO CONST ZONE Exemption you should become subject to the Workers ez Compensation provisions of the Labor Code you must forth ADDRESS —3 ti n with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT CONDO to CONTRACTOR NO deemed revoked Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO U. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER AAAP (commencing with Section 7000)of Division 3 of the Business LIC / and Professions Code and my license.s.n full force and effect CITY CLASS BK PG EO� VALIDATION SQ FT NO OF NO OF CHECK License Number L.c Class SIZE STORIES IFAMILIES ONE 23 DESCRIPTION OF WORK NEW 13111 6-S1, Contractor Date � ACCT.4 ❑1 am exempt under Sec Q S ADD R $ 3M7 473.13 ALTER B&P C for this reason L 1:11 REPAIR $ TOTAL ITEMS � - 8. 13 Date EXISTING BLDG DEMOL ❑ 478 e Signature APPLICANT TEL FINAL C� CHECK 478.1, OWNER BUILDER DECLARATION (PRINT) //7 1 NO DATE f/ t C 00 I hereby affirm that I am exempt from the Contractor s License ADDRESS 1 Law for the following reason (Section 7031 5 Business and FINA�_ Prgfess.ons Code) PRESENT BY i 7� 6/07e� I as owner of the property or my employees with BUILDING n0 _AM ADpjtESS I / wages as their sole compensation will do the work and LOCALITY , 4343 1 AM 9:17 the structure.s not intended or offered for sale(Section 7044 Business and Professions Code) MOVING TEL 1 ❑ I as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project(Sec ADDRESS ACCTA tion 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY sET XA D YARD HWY ALS PBAIINEFROM Exl D7 �.73.Q[I I hereby affirm that there.s a construction lending agency for FRONT i ITEMS the performance of the work for which this permit .s issued P L (Sec 3097 Civ C) SIDE TOTAL 573.00 PL Lender s Name LDMA CHECK W3.00 PC Fee$ 13 Permit Fee , Ref # /•LJAL IESI i 50 Lender s Address / 5 /) CHANIGG • 1 certify that I have read this application and state that the Issuance Fee ! f cJ V LDMA P/C# above information.s correct I agree to comply with all County Investigation Fee C ordinances and State laws relating to building construction Total Fes 7 o 10n LDMA Perm # 0000—Ml 10/30/89 and hereby authorize representatives of this County to enter upo �tlSg"8b ve ment y for .napectwn purposes ` (.453 1 � 2:15 iAs gQ 2 SEE REVERSE FOR EXPLANATORY LANGUAGE S. ature of Applicant ent Date