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Home My Public Portal About5549 NOEL DR_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERM °COUNTY OF LOS ANGELES '"'WILDING 1 SWM J FOX, CHIEF ENGINEER 1 FOR APPLICANT TO FML IN FOR OFFICE USE ONLY BUILDING 88 DIST RI O PVN CK NO -PERMIT NO i YV RE EIVED BY DATE OF APPL DAT B ISSUED LOCALITY ' �i11 (/Y{�(a(j�i �!s NEAREST CROSS ST I NG AlQ ADA DRESS OWNER MAIL LOCALITY [ ADDRESS Q J . NEAREST TEL I CROSS ST fl AW CITY NO ( FIRE NO OF P ARCHITECT OR TEL ZONE PLANS / ENGINEER NO BLDG O 1 SETBACK LINE ADDRESS c - APPROVED TEL BY DATE CONTRACTORNO USE APPROVED ZONE — BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION LOT NO 3 �p BLOCK qg&q6ltW MAP NUMBER -F IELD % FIELD CHECK TRACT [ b NO ASSIGNED BY- DATE-3I�y ® r ♦♦r, NO OF BLDGS CORRECTIONS �.IV 74. SIZE OF LOT y Z • I NOW ON LOT D � /-m,4 /- USE OF NO OF i"� o EXISTING BLDG FAN LIES q B �- 1FEd Laces- ,D ,[�ivs�T� DESCRIPTION OF WORK ete$t•....a...J NEW I X I ALTERATION I I ADDITION O REPAIR I DEMOLITION I I I x SQ FT J O OF !` / 2 SIZE /oL RNOOMS V STORIES ( Z EXT WALL ROOF r COVERING COVERING USE OF STRUCTURE co V d �� OC �a �e oto APPROv INSPECTOJeS SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP- FOUNDATION LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN I8 FORMS, MATERIALS ,Oj� t t -L" CORRECT I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLT8 -L- LAWS L LAWS REGULATING B 1NG CO TR TION FURNACE LOCATION, +` SIGNATURE OF GAS VENT, DUCTS PERMIITTT., P `�j�� _ _ T ADDRESS ` dp � r` �1 I . C - LATH, INT LATH, EXT 0 AUTHORIZED AGT PLASTER, INT 76AGSSA 08" 140"50 FIRE ® �� 0 /�� PLASTER, EXT VALUATION �� FINAL 7l'7LUL4L ,13 ' Y WORKERS COMPENSATION DECLARATION hereby affirm that t have o certificate of consent to self APPLICATIONinsure FOR BUILDING PERMIT insure or a certificate of Workers Compensation Insurance, _ or a certified copy thereof (Sec 3800, Lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY^ Policy No W2710598 Company Cal. Comv. 4 BUILDING ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS J- ';y I Certified copy is filed with the county building inspec- BUILDING 5549 Noel Dr. tion department 7-1-93 Virgin Roof Co. CITY Temple Cit ZIP 91780 LOCALITY Date Applicant NO OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT - NOW ON LOT CROSS ST COMPENSATION INSURANCE - ASSESSOR (This section need not be completed if the permit is for one TRACT ]BLOCK - LOT NO MAP BOOK PAGE PARCEL hundred dollars ($100)or less) TEL USE ZONEP y I certify that m OWNER Glen Hum hre NO the performance of the work for which this S } permit is issued, I shall not employ any person to any manner ADDRESS 554 Noe - /� CPE ONDITIONS d so as to become subject to the Workers Compensation Laws " O CITY TemWle CiLty ZIP 91780 Date Applicant ARCHITECT OR TEL im DISTRICT GROUP TYPE FIRE P CESSED BY 0 NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO CONST NE O Exemption you should become subject to the Workers - - - 1 ti w' Compensation provisions of the Labor Code you must forth- ADDRESS �� -3 A with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT CONDO CAP deemed revoked CONTRACTOR Virgin RoofCo. No 287-0507 �� ? LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9ADDRESS P.O. BOX 010 NO 160650 (commencing with Section 7000)of Division 3 of the Business LIC SEWER MAP J and Professions Code,and my license is it full force and effect CITY San Gabriel CLASS BK PG `4 VALIDATION 160650 SQ FT NO OF NO OF CHECK License Number Lic Class C39 SIZE 23 sac 1 FAMILIESONE _ VALUATION DESCRIPTION OF WORK Cover roof with NEW ❑ i 3421.00 Contractor Virgin Roof CO.ate 6-30-93 ADD ❑ , ❑I am exempt under Sec #30 felt then aimly Class ALTER ❑ B&P C for this reason Fibe REPAIR ❑ $ Date USE OF T EXISTING BLDG Dwelling DEMOL ❑ Signature APPLICANT TEL FINAL - PRINT OWNER-BUILDER DECLARATION (PRINT) Virgin -RoofNo 287-0907 DATE I hereby affirm that I am exempt from the Contractor s License P.O. Box 5010 San G�brlel _ - Law for the following reason-(Section 7031 5, Business and ADDRESS s FINAL Professions Code) PRESENT BY I as owner of the property, or m employees with BUILDING y P P Y� YADDRESS J wages as their sole compensation,will do the work and the structu°re is not intended or offered for sale(Section LOCALITY j,�_ go 7044, Business and Professions Code) MOVING TELI as owner/of the property am exclusively contracting CONTRACTOR NO with licensed contractors fo construct the project(Sec- ADDRESS tion 7044 Business and Professions Code) - REQUIRED TOTAL SETBACK FROM EXIST • �/jj • CONSTRUCTION LENDING AGENCY SET RA YARD HWY P P%UNE WIDTH I hereby affirm that there is a construction lending agency for FFN the performance of the work for which this permit is issued(Sec 3097, Gv C)Lender's Name Lender s Address Permit Fee LDMA Ref R I certifythat I have read this application and state that the Issuance Fee " LDMA P/C N Poo 8 above iformation is correct I agree to comply with all County Investigation Fee R ordinances and State laws relating to building construction, Total Fee $18n q7 LDMA Perm N and hereby authorize representatives of this County to enter u on thea veentioned property for inspection purposes 10-23-92 SEE REVERSE FOR EXPLANATORY LANGUAGE I dill ignature of Applicant or Agent Date