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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