HomeMy Public PortalAbout5575 NOEL DR_Building__ DMSION OF BUMDING AND SAFETY `�
1 �y COMUT OF LOS ANGE st
., „WILLIAM J FOX. COUNTY ENGINEER APPLICATION
CA88ATT D GRIFFIN. SUP T OR BUILDING
FOR APPLICANT TO FU L IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO PLANCK OR Raa No PERMIT NO
ADDRESS L O 7� ��
LOCALITY L+ 1 I'LL—, RECEIVED B DATE OF A PLL DRAT ISSUED
CROSS ST. yJ (/V
L7 ADDRESS
OWNER � �7 �
ADDRESS �� ���/'MAIL LOCALITY 6C/
TEL NEAREST D�
CITY �e CROSS 8T Zj
ARCHITECT OR TEL fLuw NO OFI TYPfi.�.�� GROUP
�
ENGINEER NO 6o PLANS �+ f�L -
ADDRBLDG
ESS SETBACK LINE
CONTRALTOt 1441,1--ft,C-ni-- I p/1) USE APPROVED
,/ /� p (/'� ZONE BY DATE
ADDRESS 7 '/ ars/ *LEGALS' 6g� .o�ty/`4 MAP NUMBER HOUSE�Numa
DESCRIPTION LOT NO r BLOCK � OO� NO ASSIGNED BY
16116 CORRECTIONS
TRACT
NO OR BLDGS � Ael
SIZE OF LOT o �/3 0 NOW ON LOT '�
USE OF NO OF
EXISTING BLDGRAMILItIB 0�,,.f �`
- DON OF W= O —
NEW ALTERATION I ADDITION
REPAIR DEMOLITION �-/- r
SQ FT NO OR
SIZE D D ROOMS STORIES �/
CROV RING [✓ C COI 17
COWALL VERING Wo0O 1#1)i
USE OF STRUCTURE
W ' J./il/
2 ®p / C
OVAIA
INSPECTO 8 SIGNATURE DATE
FOUNDATION LOCATION
FORMS, MATERIALS /2 S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRE STOPS
PLICATION AND STATE THAT THE INFORMATION GIVEN 18' BRACING BOLTS
CORA REE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION � / /2 /
AND STATE LAWSGULATING BUILDING CONSTRUCTION GAS VENT DUCTS
r
SIGNATURE OF LATH, INT A
PERMITTIlli 4
�+
Q ` LATH EXT G
ADDR f
PLASTER, INT
L76AW8A
PLASTER EXT
/D� FEEHOUSENUMBERCOR-RECT AND POSTED iLUATIONFEE le FINAL DBS S S-52 '
1
79A:BA'CH#80210se APPLICATION FOR BUILDING PERMIT 1 _
COUNTY OF LOS ANGELES ADDRESS /
DEPARTMENT OF COUNTY ENGRIEEB
BUILDING AND SAFETY DIMON LOCALITY
JOHN A LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRI NO GRO P TYpE VSEW.ER
FOR APPLICANT TO FILL IN coN
ADDRESS
+T d-7`s/� d a STATISTICAL C SIFICATION AP
CLASS NOq WELL UNI
LOT NO �+ BLOCK MAPNUMBER p� Q Sl j ATE I ES O
TRACT USE ZONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT (OOX �jo��d I NOW ON LOT _
USEOF
EXISTING BLDG E+s/ /�e�� BUILDING
SETBACYARD HWY STREET NAME WIDTH
OWNER MAILr /1 S FRONT o/
ADDRESSS✓7� IJEG /G
�y� d �9 SIDE
CITY �pz'6 j NO/7T/W P L
RECORD
ARCHITECT OR TEL II�iSPECTION
ENGINEER NO
ADDRESS �
+ TEL 'sy
CONTRACTOR
NO
ADDRESS _ -
DESCRIPTION OF wom .2 S
NEW ADD ALTER - REPAIR DEMOLISH
SQ FT NO OF ' NO OF
SIZE 500 ORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT APPROVALS DATE INSPECTOR S SIGNATURE
ADDRESS S375r Q FOUNDATION
ORMS LOCATION
RIALS
VALUATIONS �-� FRAME FIRESTOPS.
ommuspWAR BRACING BOLTS � / r y
FEEFEE PMT
FGAS VENT DURNACE UCTS N. Z Z 3
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS COR AND
AGREE TO COMPLY WIT L COUNTY DIN S AND
STATE LAWS IN BUILDIN O CTION LATH EXT ��
SIGNATURE HOUSE NUMBER COR- r`
PERMITTE RECT AND POSTED r
1
ADDRES FINAL Z /
CLYDE N DIRLAM PRINCIPAL S URAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PF.RNIIT VALIDATION o M o cweN
7852 0V? 0 1 A
1240 � ,,
_WORKERS COMPENSATION DECLARATION
y iald+A thgt I have a certificate of consent to self APPLICATION FORBUILDING PERMIT'
"IE , or a certificate of Workers Compensation Insuionce
or a certified copy thereof(Sec 38W Lab C )
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No Company
Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING
ADDRESS
❑ Certified copy is filed with the county building inspec BUILDING -516-
tion department ADDRESS a°
Date Applicant CITYry` ZIP 7 a LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS �SGa NO OF BLDGS NEAREST
SIZE OF LOT
COMPENSATION INSURANCE NOW ON LOT CROSS ST J11VAA .- G(
(This section need not be completed if the permit is for one TRA �� BLOCK LOT NO ASSESSOR a AG PARCEL
hundred dollars($100)or less ) `P BOOK
OWNER 'A TEL NO USE ZONE MAP '
I certify that in the performance of the work for which this NO
permit is issued I shall not employ any person in any manner ADDRESS ( SPECIAL i
so as to—be-come subject to the Wo ers CoAk m sat n Law CONDITIONS
Date 71P 0
pplicant CITY ZIP /
NOTIC O AP I NT If after king this C tificate of ARCHITECT R ` TEL DISTRICT G UP NST FIRE ,ZONE PROCESSED BY O
Exam n yo should becom ubject to th Workers ENGINEER i NO \l
Compensation provisions of the after?
Code you must forth- ADDRESS S v W
with comply with such provisions or this permit shall be U-`
deemed revoked TEL STATISTICAL CLASSIFI ATION APTJONDO N
CONTRACTOR NO Z
LICENSED CONTRACTORS DECLARATION ^ LIC CLASS NO DWELL UNITS
1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER P
(commencing with Section 7000)of Division 3 of the Business and LIC '01
Professions Code and my license is in full force and effect CITY CLASS SK VALIDATION
SO FT NONO OF CHECK
License Number Lic Class SIZE STORIES FAMILIES ONE
VALLIATION �7
Contractor Date DESCRIPTION OF WORK ADD
❑I am exempt under Sec q ALTER ❑ o
t
B&P C for this reason REPAIR ❑ s
USE OF
Date EXISTING BLDG S/ DEMOL
Signature APPLICANTTEL FINAL Q 4.6 A
OWNER BUILDER DECLARATION PRINT NO DA
I hereby affirm that I am exempt from the Contractor s License ADDRESS J~ s [f # • o • o o
Law for the following reason (Section 7031 5 Business and NAL
i
Professions Code) T BY o273.75
BUILDING
I as owner of the property or my employees with ADDRESS =
wages as their sole compensation,will do the work and LOCALITY .r/� i i • 0 2 7 3.7 5 5
the structure is not intended or offered for sole(Section L
7044 Business and Professions Code) MOVING TEL i 07 1 2t-88
❑ 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)
CK FROM
CONSTRUCTION LENDING AGENCY SETBACK YARD HWY TOTALP 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 t
PL
Lender s Name
Lender s Address
PC Fee S Permit Fee
LDMA Ref e
I certify that I have read this application and state that the Issuance Fee [ r J ..P/C M
g above information is correct I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction Total Fee3 3Y LDMA Perm ff
N an ereby authorize representatives of this County to enter
u _41
he abo boned property for inspection purposes
71-Ift ill"
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature q APPlimnt or Agent to