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HomeMy Public PortalAbout5702 NOEL DR_Building__ 7GAr898A CES#809 12/89 �/� ��� I( �f,�� APPLICATION FOR BUIL6, NG PERNI�IT� �� COUNTY OF LOS ANGELES ASSESSOR v . DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING _ rj JOHN A LAMBIE COUNTY ENGINEER ADDRESS i COLEMAN W JENKINS SUP T OF BUILDING LOCALITY ' FOR APPLICANT TO FILL IN NEAREST / N of ` ' r of t n CROSS ST % 6+ BUILDING DISTRICT GROUP TYPE R D B ADDRESS a .r, CONST 6 i ,� J # �� STATISTICAL CLASSIFICATION ++ S E P LOT NO BLOCK CLASS NO DWELL UNITS:!!— SK PG TRACT USE ONE MAP i NO OF BLDGS A i NO G/ SIZE OF LOT NOW ON LO L. �,YY / SPECIAL USE OF CONDITIONS 1 EXISTING BLDG /O OWNER EL S j 'Q N BLDG SETBACK FROM ADDRESS r-w FRONTPROP LINEOF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY 64 HIGHWAY WIDTH FROM C L ARCHITECT OR TEL �� lQ � .. . +N ©/ _ ENGINEER NO BLDG SETBACK FROM ADDRESS Vff SIDEPROP LINEOF (STREET) TEL TYPED EXISTING SETBACK HIGHWAY + YARD `= TOTAL CONTRACTOR NO HIGHWAY WIDTH FROM C L LIC ADDRESS NO '� +t (l CITY CILASS CORNER CUTOFF X YES ❑ NO V NAM CONSTRUCTION BRANCH DER PL( C7 SEE REVERSE SIDE FOR SPECIAL APPROVALS t; ADDRESS W CL SO FT NO OF NO OF NEW ❑ ~ dPr Z SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE - ALTER SIGNATURE OF REPAIR❑ •� APPLICANT DEMOL VALUATION S O' \ APPROVALS DATE INSPECTOR S SIGNATURE P C PMT FOUNDATION LOCATION FEES FEE S FORMS MATERIALS FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS -10 STRUCTI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR CODE OF THE STA F CALIFORNIA I LATING TO WORKMEN S COMPENSATIO INSU 'ARCS `- LATH EXT SIGNATURE OF HOUSE NUMBER OR ``�� PERMITTEE RECT AND PO ED Y ADDRESS FINAL PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS PRINCIPAL STRUCTURAL EN ER PERM VALIDATION CK NO CASH - - l Ar^5 5 7 2F- .WN26 1 D 6.00- 1 1 066 3 CBNI Errs l0 46 a r— i 4� - -' J j DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES v ' D ' WM J FOX, CHIEF ENGINEER NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DIBTRIC PLANCK NO PERMIT NO BUILDING / ADDRESS �O S ©/IF ��`_ LOCALI (ry 4L( F RE D BY DATE OF APPL DATE ISSUED NEAR � 3 -y CROBST /9, - NO /; OWNER / C SQw ADOREI98 /y(Q MAIL /n/ II r L/ LIA LOCALITY ADDRESS `74 /7 TEL NEAREST NO _ CROSB BT FIRE NO OF TYPEGROUP AROHITEOT OR TEL. ZONE NO ENCIN[[R s NO BLDG ORD NO ADDRESS SETBACK LINE o TEL_ APPROVED CONTRACTOR NO BY DATE USE APPROVED ADDRESS ZONE BY DATE LEGAL DESCRIPTION LAO 0FJ Yo BLOCK CORRECTIONS TRACT G.�g NO OF BLOBS 81ZE OF LOT✓ D NOW ON LOT USE OF NO OF ND OF EXISTING BLDG d AlOf RAMILI[6 RDOMB DESCRIPTION OF WORK NEW ^ ALTERATION ADDITION O REPAIR MOVING DEMOLISH A Q B ZE �� ROOMS STORIES rT No ory WALL . ! car r COVERING LA^TiK COVERING p 4-tt-?- - Uum or BUILDIINOEW A B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS AND HTATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRE BTOPB 81GNATURE OR BRACING BOLTS OWNER LATH INT I AUTHORIZED LATH EXT P C • PLASTER INT I e FEE G PLASTER EXT VALUATION `�' FEE ��` FINALd6AS WORKERS COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING P E RM I T 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 NJ&a /�Company Sar P. I /-� EI BUILDING (� 9 D.2 Oak 4ue Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS ✓ C��. , fE Certified copy is filed with the county budding inspec FADDRESS Z kL tion department t qZ Applicant •»Q ZIP O LOCALITY y NO OF BLDGS NEAREST CERTI ICATE OF EXEMPTION FROM WORKERS SIZE OF LOT NOW ON LOT 2- CROSS ST 1 11 t OL COMPENSATION INSURANCE ) ASSESSOR , (This section need not be completed If the permit is for one TRACT`[ S IBLOCK LOT NO MAP BOOT( PAGE I PARCEL hundred dollars ($100)or less) . TEL OWNER $ V 1 V_4 NO G.S — USE ZONE MAP NO I certify that in the performance of the work for which this SPECIAL I permit is issued I shall not employ any person in any manner ADDRESS S7 D �. 2 I CONDITIONS - a so as to become subject to the Workers Compensation Laws .v. ^` , _, O CITY ( ( zip / S V Date Applicant ARCHITECT OR .�.^ TEL DISTRGROUP TYPE FIRE PROCESSED BY OC NOTICE TO APPLICANT If after making this Certificate of ENGINEER NO TYPE ZONE O Exemption you should become subject to the Workers 5- ` 1 O� 123 t 2 ��^ Compensation provisions of the Labor Code you must forth ADDRESS c� W. with comply with such provisions or this permit shall be /1 q-0 OC-44 TEL �7 STATISTICAL CLASSIFICATION APT CONDO Z deemed revoked CONTRACTOR l_ LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDR s 8 NO511 3 7? SEWER MAP (commencing with Section 7000)of Division 3 of the BusinessCITY LIC /f �, 3� and Professions Code and my license Is in full force and effect W t M OP CLASS BK PG VALIDATION SQ NO OF NO OF CHECK License Number C1 3 7 7 Lic Class G _3q SIZE J O O STORIES FAMILIES ONE VALUATION Pf ractor DESCRIPTION OF WLO-RK� -. 1200 D ❑❑ $ l (,0 am exempt under Sec 'e "� "� V W ALTER ❑B SPC for this reason s,r s't- 1 'a� `0 4' REPAIR $' USE OF EMO ❑ Date EXISTING BL Q G'O DL Signature APPLICANT TEL � FINAL 1 OWNER BUILDER DECLARATION (PRINT) a a u� DATE - AI�T•i ADDRESS FINAL I hereby affirm that I am exempt from the Contractor s License v a R a Law for the following reason (Section 7031 5 Business and 330714,,■(�,► Professions Code) ESENT _ By _ BUILDING 1 ITEMS r ❑ I as owner of the property or my employees with ADDRESS19 wages as their sole compensation will do the work and , ?0_ ( TOTAL- 143 463 the structure is not intended or offered for sale(Section LOCALITY " 7044 Business and Professions Code) MOVING TEL143 } ❑ I as owner of the property am exclusively contracting CONTRACTOR NO WECK • with licensed contractors to construct the project(Sec ADDRESS E 011 tion 7044 Business and Professions Code) UIREDTOTCONSTRUCTION LENDING AGENCY SET BACK YARD HWY A PROP LINE I�N SETBACK EXIST - I hereby affirm that there Is a construction lending agency for FRONT -QQQ1 12/ 8M the performance of the work for which this permit is Issued P Li (sec 3097 Civ c) PIl. 6926 1 AM11:00 Lender s Name PC Fee$ Permit Fee 1 LDMA Ref M Lender s Address ,,)) I certify that I have read this application and state that the Issuance Fee 2'1. 75 LDMA P/C ff13 y - R above Information is correct I agree to campply with all County Investigation Fee 1�� (p:3ordinances and State jaws relating to building construction Total Fee LDMA Perm M and hereby authorize representatives of this County to enter upon th bove mentioned property for Inspection purposes n t� � / RE REVERSE FOR EXPLANATORY LANGUAGE r Signature of Applicant or Agent to