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Home My Public Portal About5615 NOEL DR_Building__ 0 1 vt�� 76A636A CE#603263 APPLICATION FOR BUILDING PERMIT I COUNTY OF LOS ANGELES ADDRESS 6 Noel DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY Tem le t JOHN A LAMBIE•COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRIC I'GROUPTNPE P ESSED BY FOR APPLICANT TO FILL IN CONST BUILDING ` STAYTISTICAL CLASSI ICATION S ER MAP ADDRESS BK PG CLASS NO DWELL UNITS "rte ' LOT NO BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED A El TRACT /j� 41ZMAP HIGHWAY NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF ( 1 CONDITIONS EXISTING BLDG residence TEL OWNER R. Mansour NO BUILDING YARD HWYSTREET N E EXIST SETBACK WIDTH ADDRESS same FRONT ARCHITECT OR TEL P L 124 ENGINEER NO "SIDE r P L ADDRESS O CONTRACTO lc Installers TNEo 442-123.1. _ V OC ADDRESS 10920 Fi. Grand , 10 DESCRIPTION OF WORK hi d N NEW' ADD ALTS REPAIR DEMOLISH ? SQ FT NO OF NO OF SIZE STORIES FAMILIES USE OFI STRUCTURE install air cond. thra wall , no P-1pttrinal SIGNATURE OF APPLICANT , VALUATION $ { 1 •88 APPROVALS DATE�r INSPECTOR S SIGNATURE P C PMT FOUNDATION LOCATION t s FEE $ �- FEE $ 0� FORMS MATERIALS I t Y FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS r 1 f AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION I 4 f I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 1 1 I BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK q AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT I' 1Y1 TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT INC TO WORKMEN ION INSURA&,& � cc\\^]^--I`{//- LATH EXT SIGNATURE OF HOUSE NUMBER COR ' PERMITTEE RECT AND POSTED �y r ADDRESS FINAL J JOHN F LEWIS P INCIPAL STI AL 9ING142VER r PLAN CHECK VALIDATION CK M O CASH ' PERM VALIDATION CK M O CASH 8 5 3 W 1-AT 14 1 D 4.00 tvrsrON OF SIIbDeparbsent alCamt AND SAFar�r Engimer �6,95� BUILDIN t� WM Casuft of JAM ""Im J FO C, COUNTY ENGINEER APMCAITON �o FOR APPLiCRNZ TO FILL IN ADDRESS wDDREBs 159 /6-� 4. r BUILDING //� LOCALITY ADDRESS U� __ r �:..� 1�.-a � � �S LOCALITY CRO88 ST � CRO88 8T U DISTRICT NO PLA.CK OR RKa.No ERMIT NO -7S OWNER + J?'06&Lfpjpulym Bw DAT OF AP 0)1".2//IBSU Ib 6J MAIL y ^� �s • 5 ADDRESS / - �&-nTuNa's Dv- // USE ZONE O OR PE GR P F E I wp f6l. TO 74 4 /y b, ��/ PLAN � ENGINARCHO�/' /"► C I 5 N t ArPROVKD BY- r BUILDING Q ORO o DD EBB Lei P^ r SETBACK LIN :24o e/ TEL APPROVED ZI-DATE CONTRACTOR NO BY, SE NUMBERING ADDRESS QO /s LEGAL MAP NUMBER •!� NO ASSIGNED DESCRIPTION LOT NO BLOCK TRACT //� DATE COO INSP ,�✓ size OF Lor�J ` NOOW oN L"r 0 - alcn N USE OF XIsT G B DG FA L EB �` +�•� �^ DFSC dMON OF Wong NEW - ALTERATION ADDITION IQ�.. n.7� .v 7- wI I J: REPAIR -l-1 DEMOLITION S NO or ZEA 113-r 0 ROOMS STORIES / I EXT WALL ROOF QQ I I COVERING I COV�ING�.7 Ce Ells+ USE OF STRUCTURE 3 S APPaov INSPECTOR SIGNATURE DATE FOUNDATION LOCATION RMS MATERIALS FO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS, CORRECT PLICATION AND STATE THAT THE INFORMATION GIVEN 18 BRACING, BOLTS IO 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION, AND STATE LAWS ULATING BUILDING CONSTRUCTION GAS VENT DUCTS ca /O SIGNATURE OF , LATH, INT PERMITT , i LATH. EXT ADDREB PLABTLER INT .� AUTHORIZED AST � O PLAST�t, BXT $ /2 200--- FEB • HOUSE NUMBER COR- RECT AND POSTED VALUATION FEE •3V FINAL 4 76A666^ D66 i IN68 . - - APPLICATION FOR BUILDING PERMIT 1-1 COUNTY OF LOS ANGELES BUILDING AND SAFETY i WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDR S I hereby affirm that I have a certificate of consent to self insure BUILDING ADDRESS Y l I or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) CITY ZIP D Policy No Company 'ems le `�A" P LOCALITY SIZE OF LO NO OF BLDGS NOW ON LOT ❑ Certified copy is hereby furnished NEAREST CROSS 9T - ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO department USE ZONE MAP NO, 7 y Date Applicant OWN&ASSESSP BOO PAG PARCEL )e_1 / SPECIAL CONDITIONS I CERTIFICATE OF EXEMPTION FROM WORKERS OWNER TEL NO , COMPENSATION INSURANCE k � • '�G ��N O 3 F.3'` * WITHIN 1000 FT OF SCHOOL" YES i� NO (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST FIRE ZFJf11� 0 ESSED BY dollars($100)or less) CITY ZIP )e_3 I certify that in the performance of the work for which this permit 'LJ %/{-- 3 Is Issued I shall riot employ any person In any manner so as t0 ARCHITECT OR ENGINEER TEL NO become subject to the Workers Compensation Laws STATISTICAL CLASSIFICATION w /�P� - CONDO J Date Applicant ADDRESS CLASS NO � DWELL UNITS 11 ` ■T NOTICE TO APPLICANT If after making this Certificate of REQUIRED TOTAL SET ROM EXIST, aI j Exemption you Should become subject to the Workers CONTRACTOR ) TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwith �2GQjL(/L/ FRONT i ', comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL • O LICENSED CONTRACTORS DECLARATION SIDE CITY LIC CLASS PL CHECK • ■j1j F I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP CHANGE i. (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES NEW 13CHANGETIF7NGE BK PG ■`'I'T Professions Code and my license is in full force and effect d License Number LIC Class DESCRIPTION OF WORK App 00 VALUATION Poo. 0 Contractor Date h doz 13.-&Aje wa4 ALTER ❑ $ 14 ,7000000-0391 8/17/970 2,1 $ MICX39 7�0 IJI am exempt under Sec f REPAIR ❑ B&P C for this reason �f 1+ DEMOL ❑ U LpMq PIC# Date it / a 93 USE OF EXISTING EFG URM ❑ _ 0- 713 _71311 I=EP11 �__.�11 W �,(,61gnature APPLICANT(PRINT) TEL NO LOMA Perm# r3 Z L"J I as owner of the property or my employees h wages as 0 TOTAL 113 ®00 their sole compensation will do the work and the structure Is ADDRESS + not intended or offered for sale (Section 7044 Business and FINAL DATE G oo,%p HECK ;y■f!_I Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL {L� C 1 ORA MIXTURE CO NING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q _ �,Hrlhlr$ •LI� ❑ l 8S owner of the property am exclusively contracting With AMOUNTS SPECIFI ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY licensed contractors to construct the project (Section 7044 YES❑ No Business and Professions Code) ' WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ('1{'��1fi fs+'r 4 /i /�- 4 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH LI000 001 + CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR a 941-17 0;� GUIDELINES I hereby affirm that there is a construction lending agency for ves❑ No Lam]/ j ■i+ m the performance of the work for which this permit Is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 1 3097 CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE CM TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lenders Name MATERIALS RTING�BjVING A PERMIT FROM THE SGAOMq q Lenders AddressOWNER'OR AGENT C c I certify that I have read this application and state under penalty 0 of perjury that the above Information is correct I agree to comply PC FEE v'O, ,f-0PERMIT Q a with all county ordinances and State laws relating to building m construction and hereby authorize representatives of this County ISSUANCE FEE_ 9 m to enter pon the above-mentioned property for Inspection purposes AWr7h�dar� 6 D INVESTIGATION FEE TOTAL � saren�re cvn a Ap•n� Gm• • SEE REVERSE FOR EXPLANATORY LANGUAGE +