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HomeMy Public PortalAbout5730 NOEL DR_Building__ D9-3 25m SK" 0." v APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDING WM.J. FOX, CHIEF ENGINEER NO. OF' BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE 2 3 FIRE APPROVED / J ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USE APPROVED ZONE ' BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY 1% BUILDING / V C -1 O E NAME ADDRESS / v I- ILI W Z ADDRESS LOCALITY t F = Z NEAREST U W CITY CROSS ST. w Q STATE T L. t�A LICENSE NO. O. E NAME W EONAME z MAIL 3 ADDRESS 1.. O TBL. �- Q ADDRESS CITY NO. IY 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS O CITY air APPLICATION AND STATE THAT THK ABOVE 19 CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LOT NO. 72-6 I SIZE OF LOT S® X 110 SIGNATURE OF p OWNER J F ` N. OF BLDGS. IL BLOCK NOW ON LOT Z AUTHORIZED ACT. D F TRACT 45' 6 CORRECT ONS G USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK USE OF BUILDING A _ ods O z a 1 r NEW TYPE I GROUP J NO. OF NO. OF ALTERATION ROOMS FAMILIES ADDITION SIZE / I REPAIR STORIES MOVING WALL COVERING G« DEMOLISH ROOF COVERING ' P.C.s FINAL APPROV�I. 1 FEE /////1//��,', $ {/ // _� INS NAME f/ f VALUATION 00 FEE��� 1�/ D$PARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' N WM J FOX CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT NO PLAN CK NO PERMIT NO BUILDING ADDRBBB �w LOCALITY RECEIVED BY DATE OF APPL DATE IBSUEO CROSS ST. BUILDING OWNER Y 64.E /P s ADDRESS MAIL , t © / LOCALITY ADDRESS Y ,�w A e T NEAREBT T CITY / EM PI b- �,/� / � NO CROW BT ARCHITECT OR TEL ZONE PLANE TYPE GROUPr , ENGINEER NO V BLDG ORD NO ADDRESS SETBACK LINE t .01 APPROVED CONTRACTOR pL BY DATE U APPROVED ADDRESS ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO TRACT el S 7 Z- SIZE OF LOTS ® I NO OF BLDGB NOW ON LOT ,CpUSE TI p /D IrAMNo OF NOOOF E IST NG BLD /r _ DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH rT NO Or i B 2E ROOMS , STORIES D WALL oar r COVERING COVERING BUILDING C� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS I APPROVALS APPLIOATION AND STATE THAT THE ABOVE IB CORRECT r FOUNDATIONI LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRE BTOP96 SIGNATURE O BRACING BOLTS PERMITTE / LATH INT AUTHORIZED AOT LATH EXT 7&AGM^9 7 49 PLASTER INT jPO * FEE PLASTER EXT VALUATION / / FEE FINAL r- 76A888A CE#808 9 87 APPLICATION F BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS aJ` BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE/ COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUP T OF BUILDING CROSS ST DISTRICT NO —GR TYP P O BY FOR APPLICANT TO FILL IN — coNSr Print ort e only) " ' O BUILDING ,� STATISTICAL C SIFICATION S ER MAP ADDRESS �� 1� CLASS NO DWELL UNITS BK PG LOT NO BLOCK USE ZONE MAP NO TRA CT SPECIAL CONDITIONS NO OF BLDGS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) OWNER iv NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRES . ® HIGHWAY WIDTH FROM C L + CITY BLDG SETBACK FROM USE OR TEL �� SIDEPROP LINEOF (STREET) ENGINEER NO / TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL + _ CONTRA NO CD ADDRE NO CORNER CUTOFF YES ❑ NO ❑ cl CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK ti z_ NEW ADD ALTER REPAIR DEMOLISH SQ FT N NO OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATIONS —v APPROVALS DATE INSPECTOR S SIGNATURE P C PMT FOUNDATION LOCATION FEE$ FEE$ I FORMS MATERIALS FRAME FIRE STOPS 1 HER7, ESY ACKN WLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT E ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRU ION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA TION OF THE LABOR ODE OF THE STATE OF CALIFORNIA RELAT LATH INT ING TO WORKMEN S C PENSATION INSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK M O CASH ( 302. 4 94 X16 1 D 9.00- 76A698A CE#809162 APPLICATION FOR BUILDING PE fIT COUNTY OF LOS ANGELES BUILDING /I DEPARTMENT OF COUNTY ENGngm ADDRESS BU=ING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICTGRO TYPE P SSED BY O FOR APPLICANT TO FILL IN s;�J CONST BUILDINGSTATISTICAL CLASSIFICATION SE ER MAP y , ADDRESS . ff l'+— let may 30 � CLASS NO 7' DWELL UNITS BK LOT NO & , Q BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE TRACTMAP HIGHWAY SIZE OF LOT K/ 7 NNO OF OW ON LOTS NO (CIRCLE) STATE MAJOR SECOND CAL USE ZONE SPECIAL USE /-p CONDITIONS EXISTING BLDG �� TEL OWNER W �7 c� D NO Tl, BUILDING YARD HWY TREE NAME EXIST SETBACK WIDTH ADDRESS -4WD Al 7_ ARCHITECT OR TEL P L ENGINEER NO SIDE P ADDRESS O TEL V CONTRACTOR NO ad ADDRESS C H DESCRIPTION OF WORK W oa NEW ALTER REPAIR DEMOLISH Z SQ FT NO OFNO OF SIZE STORIES FAMILIES USE OF STRUCTURE a SIGNATURE OF APPLICANT VALUATION$ f� APPROVALS DATE INSPECTOR S SIGNATURE PC PMT FOUNDATION LOCATION FEE $ FEE $ / 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 WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN COMPENSATION INSURANCE LATH EXT SIGNATURE OF �A HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS N !c�_ft >t FINAL O �� JOHN F LEWIS PRINCIPAL STRUCTURAL PLAN CHECK VALIDATION CK Mo cnsH _ ENG EER PEMWT VALIDATION CK MO SH LAC04 2 9 4% SEP13 1 A 400- . •r" ( WORKERS COMPENSATION DECLARATION affirm that I have certificate consent to self APPLICATION FOR BUILDING P E RM I T insuresure o or a certificate of Workers Compensation ation Insurance or'Wcertifie*opy thereof(Sec 3800 Lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company J: Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDINGSS � ' •\ d Certified copy is filed with the county building mspec BUILDING / yO a 7 JJJIV tion department ADDR Dare pplicant CI Ad ZIP LOCALITY NO OF BLDGS NEAREST RTIFI TE OF r-xEmPTicAFROM RKERS 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 I LOT NO MAP BOOK PAGE PARCEL hundred dollars ($100)or less) TEL / OWNER J NO USE ZONMAP © „ I certify that in the performance of the work for which this 1J[� NO permit is issued I shall not employ any person in any mannerADDRESS „� CONDSPECIITIONS a. so as to become subject to the Workers Compensation Laws O CITY ZIP U Date Applicant l ARCHITECT OR TELDISTRICT GROUP TYPE FIRE PROCESSED BY Q NOTICE TO APPLICANT If after making this Certificate of ENGINEER NO CONS ZONE V Exemption you should become subject to the Workers C 3 Compensation provisions of the Labor Code you must forth ADDRESS J 3 3 a with comply with such provisions or this permit shall beTEL STATISTICAL C IFICATION APT CONDI H deemed revoked CONTRALTO NOL 1— S� Z LICENSED CONTRACTORS DECLARATION LIC �� 7 CLASS NO DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE (commencing with Section 7000)of Division 3 of the Business LIC SEWER MAP and Professions Code and my license is in full force and effect P CITY CLASS BK PG VALIDATION ,'�•r 3 V Lic Classes SQ 9 NO OF NO OF CHECK License Num er SIZE STORIES FAMILIES ONE VALUATION Contracto to 1' DESCRIPTION OF WORK /— NEW ❑ s / ❑I am exempt under Sec Y ADD , ALTER B 8P C for this reason �- REPAIR ❑ $ Date USE OF EXISTING BLDG DEMOL ❑ Signature APPLICANT TEL FINAL DATE OWNER BUILDER DECLARATION (PRINT) NO40 I hereby affirm that I am exempt from the Contractor s License ADDRESS Law for the following reason (Section 7031 5 Business and FINAL Professions Code) PRESENT By 3307 218.6? ❑ I as owner of the property or my employees with BUILDING wages as their sole compensation will do the work and , the structure is not intended or offered for sale(Section LOCALITY '�� r �3 7044 Business and Professions Code) MOVING TEL ❑ 1 as owner of the property am exclusively contracting CONTRACTOR NO CHEM 218.63 with licensed contractors to construct the project(Sec ADDRESS (' e tion 7044 Business and Professions Code) ti UOTAL SETBACK FROM EXIST 00 CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP LINE 1 hereby affirm that there is a construction lending agency for FRONT ° 1 6�14�89 the performance of the work for which this permit is issued PL d° (sec3097 Civ c) SIDE f 3968 1 AH10:01 Lender s Name V LDMA Ref 0 Lender s Address PC Fee$ Permit Fee //�� ► oI certify that I have read this application and state that the Issuance Fee V LDMA P2 M above information is rrect I agree to comply with all County Investigation Fee ordinances and St a I relating to building construction Total Fee 0?. �. �� LDMA Perm fi and hereby outho z presentatrves of this County to enter upon the a inspection purposes a ! $EE REVERSE FOR EXPLANATORY LANGUAGE n Signature'ErIVAppIrcont bf Agent 43ate