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Home My Public Portal About5734 NOEL DR_Building__ N6 4 h BUILDING BUILDING ✓ I� r� ADDRESS ♦ c' APPLICATION —LOCALITYCi NEAR EBT DIVISION OF BUILDING AND SAFETY CROss er Department'of county Engineer DISTRICT NO RECEIPT NO PERMIT NO county of Los Angeles J- .33 40t* WM J FOX, COUNTY ENGINEER BROUP DATE RECEIVED DAT ISSUED i CABSATT D GRIFFIN SUP T OF BUILDING FOR APPLICANT TO FILL IN TYPE CONST RECEIVED BY OWNER Q J MAIL H i V� NUMBER �OO STATE Y NO ADDRESS v Da TEL.220, USE ON6 SPECIAL CONDITIONS ARCHITECT OR TEL. ENGINEER NC. BUILDING YARD HWY STREET NAME EXIST SETBACK WIDTH ADDRESS FRONT Z O CONTRACTOR NO BIDE P L. ..WDRESS BUILDING ,( /✓ DATE CORRECTIONS _ INSPECTOR -ADDRESS 3 Da/( / 1. y .r as-O- Gew C O aC LOT NO S _.$"D 1 L-d — BLOCK TRACTNo or SIZE OF LOT 0 fo NOW ON LOTS f�� USE OF S 3S G. 'I S S � 4&4AC C. EXISTING O �c aq DESCRTION OF WORK IP a NEW - ADD ALTER REPAIR DEMOLISH = 8a FT NO OF NO OF - t_ 1� g��-' r SIZE STORIES FAMILIES Use OF BT UCTURE NO OF P 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION AND STATE9"47-IK S BUILDING CONSTRUCTION FORMS MATERIALS FRAME FIRE STOPS, SIGNATURE BRACING BOLTS PERMITTE FURNACE LOCATION ADORES �� OAS VENT DUCTS I LATH INT AUTHORIZED AST LATH EXT / O �— P C C HOUSE NUMBER COR /� O G/ FEE RECT AND POSTED VALUATION REE FINAL 7"Gaew DBS 3 32 sa APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN I her8by affirm that I have a certificate of consent to self Insure BUILDING ADDRESS 5734 0 ORK AVS or a certificate of Workers Compensation Insurance or a certified js copy thereof(Sac 3800 Lab C) CIT;-1 LP LE GIT , GA LOCALITY L ' Policy NO Company SIZE OF LOT I NO OF SLOGS NOW ON LOT 13Certified copyIs hereby furnished I f 1®0 NEAREST CROSS ST LIQ O / woev. ❑ Certified�copy Is pled with the county twlkfing Inspection T�6 nt L 6 zKLOC7Z LOT NO •7 -S USE ZONE MAP NQ depDate Applicant ASSESSOR MAP BOOK ; PARCEL ^I 143 36 1 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS OWNER a-t�jlar.. N YES NO COMPENSATION INSURANCE CCrN,1 �} wlTtuN T000 FT of SCHOOL? (This section need not be completed d the permit Is for one hundred ADDRESS �37r/r Tk* 11 S 13 DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100)or less) AA hp I certify that 1n the performance of the work for which this permit crIAL�Al O pq�„ I C�� 7JP 01 Q,0 �jJf1 7� Is Issued I shall not employ artZK5:� o as to ARCHITECT OR ENGINEER TEL NO bject the Workers ` . I �, 62421,V STATISTICAL CLASSIFICATION APT CONDO Date - AppllcaM ADDRESS N � �1 �,s1� CLASS NO �� DWELL UNITS N0 AF61C4NT If en making this Certificate of /�/-&%,r,(1 ## ' rte'-N 1*, ��1 REQUIRED TOTAL SETBACK FROM EXIST Exemption you Should become subject to the Workers CO TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwith Ad 9 FRONT comply with such provisions or this permit shall be deemed revoked AD E PL _ LICENSED CONTRACTORS DECLARATION 12 , A fig SIDE LIC class P L _ I hereby affirm that I am licensed underprovlslons of Chapter 9 � SEWER MAP _ �_ (commencing with Section 7000)of Division 3 of the Business and FT NO OF RIES P(O OF FAMILIES - a Professions Code my license Is In full force and effect MS. $ NEW ❑ BK 4 PG 3/ __C3 �1r _c$ LIOense Num LIO CIes8 SCRIPPIEN OF jyI ADD W►LuanON , j ITEM_ Q Contractor Date f ALTER ❑ 1^ �Il�(��. �.�- uF� ❑ I am exempt under Sec Y REPAIR ❑ $ //� 0 ('SEC K �Lc c.Z BBPC for this reason v` DEMO ❑ ,4, � vE _I LOAAA P/C• Date USE OF EXISTING BLDG URM 13SI AK - a Signature EDRUE (PAINT/ TEL NO LOMA Perm• � Ci /+iC/ a ❑ 1 as owner of the property or my employees with wages as $ j62- aw C 1 All not rote or offersole ed for sale ((SSectron 7044 the ss andZ17AG 1' S .�rf e r��LCW I M kl FINAL DATE R Il �t Professions Code) PPLICANT OR FUTURE BUILDING OCCURWT HANDLE A HAZARDOUS MATERIAL2 ^'� `T❑ 1 as Owner of the property am exclusively contracting withURE CONOUNNO A HAZARDOUS MATERIAL EOUAL TO OR GREATER THAN THE �yIKrensed contractors to construct the project (Section 7044SP o 1:1 ON THE HAZARDOUS MATERW S NFORMIITION GlADE4 FINAL BY _.�L_ 1110sNO❑ rBUSImBSs enol Profe88IOrls Code) emEADED USE OF THE BUIOLNG BV THE APPLICANT OR FUTURE BULLINGI�G Q REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY �ALITM MANAGEMENT DISTRICT ISCAOMDI SEE PERMITTNG CHECXUST FOR Ti iTAL 1412 . I hereby affirm that there 1s a construction lending agency for a the performance of the work for which this permit is Issued(Sec YES 13 No❑ {NEMC K 141'- .2.` 1 HANE READ THE HAZARDOUSMATERIALS IWORMATKINGUIDE AND THE SCAOMD PERMTTNG _ 3097 CN C) CHECKUST I UNDERSTAND MV REOUIREMENTS UNDER THE LOS ANGELES COUNTY CODE �/�`� r Ulf TITLE 2 CHAPTER 2 20 Lender S Name MATERIALS REPORTING AND FOR OBMNNG A m 2 20 1W THROUGH Z20 FROM4THSCAOMD CONCERNING W12ARDOU3 �.T7T'71'1�7C. Ltl Lender s Address OWNER OR HENT S I certify that I have read this application and state under penalty 0000-J311i $ of penury that the above Information 1s correct I agree to comply PC FEE �� PERMIT FEE �- R with all county ordinances and State laws relating to building T2c;6U 1 AM1111 construction and hereby authorize representatives of this County Q IRSUANCE FEE �/ toip enter I on the above mentioned Property for Inspection pu s a e m �Z s INVESTIGATION FEE TOTAL FEE // Wddft 01 A011=9 a A,W OM SEE REVERSE FOR EXPLANATORY LANGUAGE