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HomeMy Public PortalAbout5344 PARMERTON AVE_Building__ PLICATION FOR COUNTY OF LOS ANGELES II DEPARTMENT OF COUNTY ENGINEER u `s' UILDING PERMIT _ BUILDING AND SAFETY DIVSION _ PARCHITECTOR OR APPLICANT TO FILL IN ADDRESS ~ G S 53 T� LOCALITY g I� ^ NEAREST CITY- L ZIP CROSS ST �Lpp NO OF BLDGS - ASSESSOR LOT V V NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE •PROCESSED BY BLOCK LOT NO _ n CONST ZONE r A&_rlt4FZ7 TEL N0443-5"57 �•�� ~_ i ••� 3 2?iZuD21G.kL— STATISTICAL CLASSIF�ATION - SEWERMAP SS 5394 P/1 CIASS NO DWELL UNITS BK _ PG CE ZIP - USkZOr�E MAP i ECT OR TEL /) yEER NOCONDITIONS SS 6 '�•e ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL CONTRACTOR NO BLDG SETBACK FROM LIC FRONT PROP LINEOF ISTREETI ADDRESS 17 NO /3 J -TOTAL SETBACK FROM TVPEOF EXISTING LIC HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH CITY F CLASS —1 - - CONSTRUCTION LENDER + NAME AND BRANCH Cj14 p.' BLDG SETBACK FROM O ADDRESS CITY SIDE PROP LINE OF ISTREETI C..1 qp TOTAL SETBACK FROM TYPE OF EXISTING SQ FT L /3 STORIIS FAO IOLIES ONECHEC _ HIGHWAY + YARD SIDE PROP LINE HIGHWAY WIDTH 0 SIZE DESCRIPTION OF WORKAJJ NEW ❑ + U App 'CORN ER CUTOFF VES ❑ NO ❑ a N ALTER IN OPEN SPACE YES ❑ NO ❑ Z REPAIR USE OF .1�` IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXIST ING BLDG �/ / DEMOL APPLICANT TEL (PRINT( O ED, ` �s LK', '�" 4.--� BY(SIGNATURE) •-�" L HEREBY AO EDGE IS THAT I HAVE READ THAMTTCAHON AND STATE •, hY I 4- THAT CKN THE ABOVE IS ORRECT AND AGREE TO COMPLY WITH ALL ORDINANCE AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAI IN DOING THE y WORK AUTHORIZED HEREBY I WILL NOT EMFLOY ANY PERSON IN VIOLATION OF _ THE LABOR C*THEF CALIFORNIA IN TING TO WORKMEN SCOMPEtbAiION I \\?YSIGNATURE FINAL /L - / BY PERMITTEE DATE ADDRTEL ESS/,// CITY " �7-7---' L�77 NO �S PC Fee E . Permit Fee p Issuance Fee VALUATIONyDO Q lD3 Total Fee PLAN CHECK LIDATION CK M o CASH PERMIT VALIDATION cK moCASH 8J."IT 10. -1 0 1 03.00 7BA636A CE/603A 6"S ^ n ^ ! I DEPARTMENT OF BUILDING AND SAFET OR PERMIT♦ COUNTY OF LOS ANGELES �9—�—�L` ® e N G !� „ WM J FOX, CHIEF ENGINEER ` !� �9 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ BUILDING - DISTRICT NO PLAN CK NO '" PERMIT NO ADDRESS b P . 57 1 _ 7C$�!�G. 3 LOCATY LI .L O 'IPnp1e City, ' al„Torr,a � RE E`V D BY ' DATE OF APPL DATE IBBU[DI ceoee ST Blackley Street '`;a I ` 3 • Ql a+sla L.6Msfa q ADDREBB B ILDING ti (1 • ^� OWNER S uau CruO• '• 1' `l AMAIL DDREBB 8286 PA LN Ep DRIVE _+ L09 AN 41.CAU LOCALITY J /C R — • NEA08REST 9T CITY NO ' 'ARCHITECT OR TEL FIR[ NO OF TYP GRT CUP s ' ZONE �—jPLANS _ �I I• y rJ ENGINEER \ NOWILDO ~ADDREBB ` ' r SET AI 66� CK LINE I 0. 0�L ,, .APPROVED CONTRACTOR •'' la C. VO11142j �C N1 a?�� BY. ' ' I ' f DATE use /A�-} ( APPROVED //J �. < Y ADDRESS $266 PALMER�ORIVIL '!I LOS ANGELES 41,CA ZONAE ' /� 1 BY - "{� DATE3 44F LEGAL DESCR PTION I LOT fi�f�Aj. BLOCK ♦• yp f� C� ECTIONS,.,,� . j f TRACT I IV I O ' ' , • x Y^ - ' F OF BLDGB - + Y SIZE OF LOT (,n y inn _I ,NO NOW_ON LOT Nonp sr♦ I C USE OFNO OF NO OF EXISTING BLDG FAMI-Ma ROOMS += DESCRIPTION OF WORK EWA LT[RATION ADDITION 'O 4 x t p REPAIR MOVING DEMOLISH p SIZE 1294 V ROOMS• ,6 STORIES 1 WALLiao4r I ROOF No. 1 RC• COVERING p pG- COVERING }��n USE OF NEW . • . . r BUILDING Si e Family Residence , DYan No,: 2 S APPROVALS 1 HEREBY 'ACKNOWLEDGE THAT 1 HAVE'READ THIS ' APPLICATIOW AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION,' BPECTOR ,} DATE- AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,-MATERIALS 1•/�L317 IQI� AND BTATE'LAWS REGULATINGS yBUILDING CONSTRUCTION FRAME FIRE TOPS, SIGNATURE OF &"lla Qllita cSquara�8nc. BRACING, BOLTS OWN E44 I _ LATH, INT • � t AUTHORIZED AOT / y yV44J6. LATH. EXT , 10 PC ® PLASTER,JNT Tt 4' 2 /• �. J ' fi)800.00 yV. f FEE 5.00 PLASTER. EXT" VALUATION ) FEE 20.00 JFINAL WORKERS COMPENSATION DECLARATION hereby affirm that have a certificate of consent to ,elf # APPLICATION FO BUILDING (PERMIT , insure or o certificata'of Workers Compensbon Insurance or ' d rtrfi / y thereof (Sec 3800, / COUNTY OF LOS^ANGELES BUILDING AND SAFET Po isiI rtified copy is hereby furnished 2,�.1•— — -1 ' ---- FOR APPLICANT TO FILL IN r BUILDING- ADDRESS Certified copy is filed with the county budding insp_c 1 BU RDING n - Liondepartment _ d ADDRESS `/�� - - LOCALITY NEAREST Date Applicant CITY- / ZIP - CROSS ST 10 CERTIFICATE OF EXEMPTION FROM WORKERS '' i NO OF BLDGS ASSESSOR - COMPENSATION INSURANCE -- s SIZE OF LOT 6 O X•/D - - NOW ON LOT / MAP BOOK PAGE —JP (This section need not be completed if the permit is for oneTRACT 1�� BLOCK LOT NO dollars ($100) or less@ t F Z MAP NO r TEL SPECIAL • r t d I certify that in the performance of Ille�work for which this OWNER G N ` CONDITIONS ' . O DISTRICT GROUP TYPE FIRE` BY permit is issued shall t to the o any parson in any manner - 1_^ Oy CONST ZO V ADDRESS J T so as)o become subject to the Workers Compensation laws •� Date Applicant -x ' CITY 1 Q VF ZIP STATISTICAL CLASSIFICATION `- APT_ CONDO V i• ARCHITECT OR -_ .-_ - _ _ TEL .. NOTICE TO APPLICANT If after making this Certificate rs ENGINEER NO CLASS NO' ryl DWELL UNITS_ 1A Exemption you should hecomersublect to ihe'Workers N Compensation provisions of the Labor Code you must forth - ADDRESS SEWER MAP Z with comply with such provisions or this,permit'shall be _ -deemed revoked - -, CONTRACTOR TEL /r -Tl) BK aG r VALIDATION LICENSED CONTRACTORS DECLARATION `` LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS-1 r0 q6W NO li- Z• VALUATION - (commencing with Section 7000)of Division 3 of the Business and 1 O©O Professions Code find my license is in full force and effect CITY Q LIC LIC .3 S D ' s� -�/t L� SO FT �*� NO OF NO OF , CHECK Lice nse Number B-1-21644 Lic Class_ _ 1 SIZE V STORIES ' FAMILIES ONE S y Contractor i DESCRIPTION OF WORK NEW to n •_ - �•� ADD sm '� 1• - - - I am exempt from the bcenrequirements as I am ,tensed architect or a registered professional engineers _ _ LTER Q FINAL - ❑ DATE -Z - acting m my professional capacity (Section 7051 ti y REPAIR � T Business and Professions Code) _ 1 USE01VFINAL EXIS BLDG r- DEMQL _� By Lic.or Reg No Date APPLICANT TEL �. OWNER BUILDER DECLARATION a,. �• PRINT •• - - NO I hereby affirm that I am exempt from the Contractors License Law for the following reason (Section 7031 5 Business,and ADDRESS - - - - - Professions Code) r . ` PRESENT ' ❑ t as owner of the property or my'employees_ BUILDING with ADDRESS S e wages as thaw sole compensation will do the work and i, -the structure is not intended or offered for sole(Section LOCALITY - _ - r `�3 0 7'S A 7044 Business and Professions Code) MOVING TEL FI os owner of the property am exclusively contracting CONTRACTOR . NO # • • • . . . with licensed contractors to construct the project (Sec 1 ADDRESS - tion 7044 Business and Professions Code)- -- -- t 2 - 1-1 50 0 ' CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH 5 0 0 REQUIRED TOTAL SETBACK FROM EXIST U -I hereby affirm that(here is a construction lending agency for--- — FRONT - n � I the performance of the work for which this permit is issued P L ' (Sec 3097 Gv C ) a__ _ _ SIDE - - - -- .--- - - - - 0 2.2,5- B12•- PL v Lender s Name ^- _ __ � - _ �� � _ �_ � • , • PC Fee S Permn Fee r Lender s Address _ _ • - ' I certify that I have read this application and state that the Issuance Fee above information is correct I agree to comply with all County �,- _ Irv.,t,gation Fee ordinances and State laws relating to budding construction Total Fee �O x and eby out or z represents ves this County to enter _ •_ up nth abov toned prop nspecb"on�purpos ssy �,(1 *L SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Appl nt or g nit