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HomeMy Public PortalAbout5225 PAL MAL AVE_Building__ f,. ,BA838ACE#908-9-37 A•PPL.ICATION FOR BUILDING PERMT 1 COUNTY OF LOS ANGELES BUILDING A a DEPARTMENT OF COUNTY ENGINEER ADDRESS �. 5 BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. - DISTRICT NO. G SEWER MAP FOR APPLICANT TO FJI L IN �— I TYPE & � BUILDINGCONST. ADDRESS �A � Al.J /� Jyp1 0 STATISTICALC SIFICATION LOT Nd. � ^� ' `CLASS.NO DWELL.UNITS BLOCK MAP / STATE HWY. YES O TRACT �/OS' USS ZB NE SPECIAL NO.OF SIZE OF LOT D D I NOW ON LOTS /!J� ONDITIONS ! � Qv USE OF EXISTING BLDG. BUILDING EXIST. PSETBACK YARD HWY TREET NAME WIDTH ADDRESS ( _~ ' l,��MAIL 1SIDE //o r! • TEL •mgr++� ' P.L- CITY CITY _ !9j ANO. a .t!-1� t ARCHITECT/611TEL. GV. -/ --rfINSPECTION RECORD ENGINEER NO. ' ADDRESS �[ TEL �. CONTRACTOR (iv—iLJr�-� NO. ADDRESS DESCRIPTION OF WORK c NEW ADD ALTER� EPAIR DEMOLISH r �- SQ.FT.) NO. NO.OF I n 1 SIZE 43 STORIES FAMILIES U OF STRU URE ' SIGNURE OF �J] APPROVALS. APP I CANT EI..,�. .•_r� DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION � y� FORMS.MATERIALS j•y �� P.C. $ B FJ FRAME: FIRE STOPS, FEE BRACING,BOLTS VALUATION FURNACE: LOCATION, .. _., ... ..., .........., :._ _ - FEE GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCESAND STATE LAWS REGULATING BU1L'DI• G COaagqN..STRUCTIO .� LATH,EXT. 1. SIGNATURETI /// HOUSE NUMBER COR- PERMITTE laEECTANDPOSTED ADDRESS - ° +�` FINAL OHN A.LAMBIE.COUNTY ENGINEE •PA-/, Myal t. CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION `CK, %Wo. SN f PERMIT VALIDATION C& M.O. C"H LAC2 8 2 0 8 APR 11 IA 2.0 0 ®.• ✓ DEPARTMENT OF BUILDING AND SAFETY I j-�1�%iGATION FOR PERMIT Q[JN 'Y OF LOS ANGELES Q . 1 �. BUILDING WM..I.FOX, CHIEF$NGINEER NO. OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE // r �� •® ( _ 7}+ FIRE APPROVED I �`•. t� �, 7 D ✓ O ZONE BY / DATE RECEIVED BY DATE OF APPL. DATE ISSUED`- USE �tf /` APPROVED �t, ZONED ( 1 BY DATE ' �/ �ti�^o l fl/ !L��.1• `' /` I/S APPLICANT .FILL IN:.HEAVILY OUTLINED PORTION•ONLY O E NAME y ADDRESS Q " f^l�n�f F Z ADDRESS LOCALITY are I Z ' NEAREST _ W CITY CROSS ST. / ,f "•s Q STATE TEL. ^ LICENSE NO. NO. W NAME fames Mu11sral l a, Z. MAIL O NAME Pacific Go J: ADDRESS514-3 Sunset BZ d t 1- O 4 ADDRESS 5143 Sunset Blvdo CITY Los Angele-s No`' mo 11146" Z CITY Los Anp-eles 2.7;_ 1 HEREBY ACKNOWLEDGE THAT 1 HAV@ READ THIS \�1� O APPLICATION AND. STATE THAT THE ABOVE' IS' CORRECT U• STATE TEL. MoAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE.r�NO.' 79398 NO. lYl� :111461 AND STATE LAWS REGU ING�BUILDING CONSTRUCTION. O LOT NO. 3 SIZE OF LOT 5O .X 1' V. il!DOWNER NATURE OF NO. OF BLDGS. ad• BLOCK �� NOW ON LOTnQYj@' AUTHORIZED AGT. a� �W TRACT 1205• CO NS O USE OF BLDGS. NOW ON.LOT- ------ DESCRIPTION OF WORK USE OF BUILDING ranitianne V l% � t✓ o �r .Z�_�..� n� ="'�' ��IT�"f\ !/UJ.h � ,S!:4;1%1�-- I�4111 - I I . rl /.Ail . .G-�i o �G ���%'`�ter,e'i' ,✓`��`.�.�'�.•��.., Z r NEW $ TYPE y, GROUP / NO. OF NO. OF -ALTERATION'* ROOMS 5 FAMILIES' ADDITION SIZE 24 X 37 REPAIR STORIES one , MOVING WALL COVERING DEMOLISH ROOF COVERING COM O shingle $ �q 00 P.C.$ ! 0 FINAL APPROVAL -- FEE $ / d'U ✓ice / INSPECTOR'S VALUATION FEE I - DATE /�I NAME f AAF / -NMI," ropmeA 66#803 a-go APPLICATION FOR I3UIL®ING PERMIT 1 COUNTY OF LOS ANGELES BUILDING Z al DEPARTMENT OF COUNTY ENGINEER ADDRES -BUILDING AND SAFETY DIVISION LOCALIT JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. / Cr DISTRI O. GROUP- I TYPE �j PRO FOR APPLICANT TO FILL IN CONST.- BUILDINGy-- STATISTICAL SSI FI CATION I SEWER MAP ADDRESS,^1 est GC,.I` Jj�{ (K„/ 3p CLASS.NO. DWELL.UNITS LOT NO. BLOCK MAP STATE ,YES ,.q NUMBER HWY. TRACT rs� (/ USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT © r NOW ON LOT _ USE OFA y?- EXISTING BLDG. j+'d_ BUILDING EXIST.~ SETBACK YARD HWY STREET NAME WIDTH OWNER �.A_-t t ? I nl C 1 C.w{'�:/-s oil FRONT .�j hI 1 �-✓ /``�v P.L. !2 ADDRESS �( �,�y�1 .,:6' f SIDE N& 1rroe�® P.L. ARCHITECT OR �" TEL. •" INSPECTION RECORD ENGINEER r?,g iA/7 NO. ADDRESS M: , ti'I-�m /,�,� v/ TEL. r J 0-' CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK ADD ALTER REPAIR DEMOLISH SQ. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRU UREcv- SIGNATURE OFAPPROVALS APPLICANT �-.I!4".•r"-i.�.., 1 _ /.►-.1'i}�!-P_� �Y ATE INSPFGTOR'S' ATURE ADDRESS A' FOUNDATION: LOCATION VMEMMEEMIgig FORMS,MATERIALS ' A $ P.C. S FRAME: FIRE STOPS. .-�/ FEE BRACING,BOLTS �I � 5 VALUATION•' a S n FURNACE: LOCATION, FEE OZ• GAS VENT.DUCTS �+ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT. / I / PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL.COUNTY ORDINANCES AND LATH.EXT. STATE LAWS RE TIN BUILDING .0 STRUC,,TION. SIGNATURE HOUSE NUMBER COR- PERMI RECT AND POSTED ADDRESS FINAL -.3, Z% CLYDE N.DIRLAM.PRINCIPAL STRUCTURAL EN PLAN CHECS VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH/ � (`�7 4 3 3 .;UN 3 1 R 1 2.Q 0 WORKF�PDMPENSATION DECLARATION r t '� reiebaffirr`tfstlf 14iave a certificate of consent to self ?insure, or a certificate of Workers'Compensation Insurance, APPLICATION FOR BUILDING PERMIT I or a certified copy thereof (Sec. 3800, Lab. C.1 49Go S�q;�_ '�'anlD COUNTY OF LOS ANGELES' BUILDING AND SAFETY Policy No.100 CompanySEERRIRRIII— ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING �•2 n ADDRESS Certified copy is filed with the county building inspec- BUILDING S:� 2 �� /- tion department. ADDRESS t L` rl Date Applicant CITY PJ-G t ` ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed If the permit is for oneASSESSOR 22 hundred dollars($100)or less.) TRACT 0BLOCK LOT NO. MAP BOOK PAGE PARCEL u N a No. 3 7SOg USE ZONE MAP I certify that in the performance of-the work for which this OWNER NO. permit is issued, I shall not employ any person in any manner ADDRESS /�S �13 a VZ SPECIAL so as to become subject to the Workers'Compensation Laws. CONDITIONS p Date Applicant CITY ZIP NOTICE TO APPLICANT: If, after making'this Certificate of ARCHITECT OR TEL. DISTRICT I G OUP TYPfE FIRE PROCESSED BY O ENGINEER NO. CONST, Z NE Exemption, you should become subject to the Workers' � (,) Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATON APT. �NDO. N deemed revoked. CONTRACTOR � 7-G 77 Z CONTRACTOR W€il9El2� �u.l�t.rtie-. LICENSED CONTRACTORS DECLARATION 1� ./ LIC, CLASS I` DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS / S � [!`i•/`�o R NO. S7 J 3 (commencing with Section 7000)of Division 3 of the Business and LIC• SEWER MAP Professions Code, and my license is in full force and effect. CITY 12L'A�J/� CLASS 3 BK PG VALIDATION a SQ. FT. p NO.OF NO OF CHECK License Number �� ��3 Lic.Class `� SIZE .� /d STORIES r FAMILIES I ONE Cld DESCRIPTION OF WORK NEW ❑ VALU TIOf -74Q Contractor 1a� ►Kt:t(�J ��r'T•��ate �'� -"+ � � � ADD ® ; (Q� I am exempt under Sec. �El)(1 oOr( lief lZ/�.' �oot'1• ❑ , ALTER B.BP.C. for this reason REPAIR ❑ $ USE OF Date' EXISTING BLDG. DEMOL C] Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT VINC4Iv ! 01NOZ NO. 3 775.09 DAT I hereby affirm that I am exempt from the Contractor's License ADDRESS Sz 2 S pFl/L 11 FI 1 3 0.0 A Low for the following reason (Section 7031.5, Business and • Professions Code): PRE ENTIRRIRREREREIRRIERRE # 0 0 0 0 0 1 ❑ I, as owner of the property, or my employees with BUILDING I - 209.25 ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ® 0 0 2 0 9 2 5 5 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. 12 12"8 8 +: with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK L NEFR 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 P.L. Lender's Name LDMA Ref. fl , m P.C. Fee$ Permit Fee t Lender's Address o I certify that I have read this application and state that the Issuance Fee 0 LIMA P/C ff g above information is correct. I agree to comply with all County Investigation Fee °q ordinances and State laws relating to building construction, Total Fee I LDMA Perm.N 0 and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. �, /�, �.•� f'Q -g c S SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date