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Home My Public Portal About5438 PARMERTON AVE_Building__ 76A633� CEA003 4 67 ' I APPLICATION FOR BUILDI PERMI fLJI COUNTY OF LOS ANGELES BUILDING r DEPARTMENT OF COUNTY ENGINEER ADDRESS -- ,C BUILDING AND SAFETY DIVISION LOCALITY - JOHN A LAMBIE, COUNTY ENGINEER .-- _ COLEMAN W JENKINS,—Suf`T OF BUILDING NEAREST F CROSS ST DISTERICT NO GR TYPE P BY FOR APPLICANT TO FILL IN Q coNST P,,Ot or 1 B o01 ) �/N Q Q / / BUILDING, �� ysC(' ' _� STATISTICAL CL SIFICATION SEWER MAP ADDRESS AJ'y CLASS NO DW ELL UNITS BKGP,,57 LOT NO BLOCK USE ZONE MAP '� TRACT — �Ir SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOT NOW ON LOT �! USE OF EXISTING BLDG BLDG SETBACK FROM TEL /��o pJ FRONT PROP LINE OF (STREET) OWNER�J• GG �.A' NO T'YO -O(a�� TYPE OF EX ISTING SETBACK HIGHWAY + YARD = TOTAL A DO�R�ESS� A HIGH WAV WIDTH FROM C L /t CIT'F�/ C! + � 0 = o2_0 ARCHITEC R TEL BLDG SETBACK FROM (STREET) ENGINEER NO SIDEPROP LINEOF TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS HIGHWAY WIDTH FROM C L L + _ a CONTRACTOR O IC ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ U [C CITY cILCAss SEE REVERSE SIDE FOR SPE IAL APPROVALS DESCRIPTION OF WORK a NEW ADO ALTER REPAIR DEMOLISH SO FT NO OF NO OF / SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF •7y APPLICANT , VALUATION S APPROVALS DATE INSPECTOR s SIGNATURE P C PMT �• FOUNDATION LOCATION FEES FEES e L� FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, ACING BOLTS AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINo GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT LATH INT ING TO WORKMEN S COMPS NATION INSURANCE l // LATH EXT SIGNATURE OF /tY�/J,f/�J� HOUSE NUMBER COR- PERMITTEE o l,� RECT AND POSTED I ADDRESS15'51& 2—f) FINAL JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK MO CASH _ PERMIT VALIDATION oK MO GASH L,AC,05388—� JUL 8 1 0 12.00- a APPLICATION FOR BUILDING PERMIT z` COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to serf Insure BUILDING ADDRESS or a certificate of Workers Compensation Insurance or a certified 6H-3 PAR m ce rasi A V6 A)Lf E' r copy thereof(Sec 3800 Lab C 1 7E m PL E !�! TY TY ZIP 9 11790 L Policy No Company SIZE OF LOT NO OF SLOGS NOW ON LOT ❑ Cerbhed copy T hereby fumishad I / NEAREST CROSS ST , ❑ Certifiedcopy m filed with the county building Inspection TRACT13/o/ BLOCK LOT NO 3 75 USEZONE MAP 110 ASSESSOR MAP BOOK PAGE PARCEL003 1 ' Data Applicant 146 0A 309' 4a-A/y 573 _Opy SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNEn sav TE TEL No COMPENSATION INSURANCE AMO ✓/arOR-yO A-TA 8/8-vva -'7-7-9 WITHIN 1000 FT OF SCHOOL? YES NO H f ADDRESS (Thlesection neednot be completed if the Permit mforone hundred Tg38 P/}2mG2r0^) kV6-A-7UE DISTRICT GROUP TYPECONST FIREZONE PROCESSEDBY dollars($100)or lees) CITY ZIP I certify that In the performance of the work for which this permit TE m Pts a/r y 9/ Y F0 ✓ �j___ _cam' Is Issued I shall not employ any person In any manner s0 to t0 ARCHITECT OR ENGINEER TEL NO become subject to the Workers'Conlpensetlon Lawn STATISTICAL CLASSIFICATION APT CONDO Data Applicant ADDRESS - CLASS N0 �J�JL—DWELL UNITS ' NOTICE TO APPLICANT Ii, after making this Certificate of REWIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers CONTRACTOR TEL NO SETBACK YPAD HWY PROPLINE WIDTH Canpensatlon provisions of the Labor Cade you must forthwith FRONT comply with such provmlorm or this permit shell be deemed revoked ADDRESS LIC NO PLM L , LICENSED CONTRACTORS DECLARATION CITY uo SLA vs PDE y ooa 1 hereby afimn that I am licensed under provisions of Chapter B g SEWER MAP U (commencing with Section 7000)of Dmslon 3 of the Buslrreae and ��jTj IZ NO OF STORES NO OF FAMILIES C Professions Code and my license Is In full force and effect, =[O NEW M❑ SK PG Ucerise Number Lie Class DESCRIPTIONOF WORK ADD Cil VALUATION Contractor Date 0l�6� �T/O ALTER ❑ $64 /m'"''T ro z ❑ I am exempt under Sec REPAIR ❑ $ BAPC for this reason DEMOL C3 LDMA P/C _ MIR USE OF EXISTING BLDG URM ❑ Signatrq / AVPAIC-�ANTTIPRI yTE�LNO LDMAPertnV 1 es of the property or my employees with wages as '✓`-b`- s'�'/Fy�'� ' 'f-OWZ-l'� _ - their sole compensation will do the work and the structure is J, not Intended or offered for sale (Section 7044, Buitness and AiE, ne MINAL -, Professioris Code) 9 j ��]7 M A MIXTURE AINING A KAZAR NOOCGAANTHANd.EA HALIiD TER,ENAN 7 a ❑ I as owner of the properly em exclusively contracbng with EA NMq Bs�P�EpFl®Ip HAIAsDOIAR� TYA�FA�W.B NFO MA IT proalllp�ET�T FI > 1 ITEMS heensed Contractors to construct the project (Section 7044, vE8❑ Nom u Business and Professions Code) TOTAL 82 - 00 WLLL TIE INTI USE OF THE eWG WUIIDTHE ARRMF 0a FUTURE BIALONG CONSTRUCTION LENDING AGENCY nnWALlrvAwvuGmrT DISTRICT(SCA01 D1 6EE� 117W TMaaai-mT CHEC K _ FOR OUIDEiJNE9 I hereby affirm that them Is a construction lending agency for yE,y❑ .04r ' CW44GE ,Q(I the performance of the work for which this penult Is issued(Sec I NAVE FIEw TIE MATERlA19 INFpiMATgN GUIDE Ara THs eLAOYD L 3097 Ov C) PEAraTTING CNEpaler I UHDERTMND W REOUIRD@fiS UNDFA THE lfl,ANOHFa COUNTY CODETITLE3 CHAPTEA4 a18ECiIDN84 T 10]TWIpxiN Z a11Ap CCNCewINO Lender's Name NA9REPOHfNaAOFOeOBTAININGAPEan ROY NEBCAGO Lenders Address �T� 0O00-I]OO 1 10/17/91 a o I certly,that 1 have read this appl"bon and state that the above 3360 1 :5a A Information is correct I agree to comply with all county PC FEE PERMIT FEE --- ordinances" _ordinances"State leve relating to building construction and- ISSUANCE FEE hereby authorize representatives of this County to enter upon �j theove-menho d property for rmpectwn W �J INVESTIGATION FEE TOTAL FEE (j� ✓ SEE REVERSE FOR EXPLANATORY LANGUAGE F `�