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Home My Public Portal About9221-9229 PENTLAND ST_Building__ 78A638A CEx603 9-67 1 / l.,_ / r/`/f'l C C APPLICATION FOR BUILDING PERMIT VIC COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 1Z Z A 4D It, F. BUILDING AND SAFETY DIVISION LOCALITY =_ JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINSj SUPT OF BUILDING NEAREST CROSS ST. - A„)c- -r "I FOR APPLICANT TO FILL IN R �P DISTRICT NO. GO TYPE PROCESSED BY, Print or tY a oM -� CON BUILDING i ) _ �JJ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS'' L t rC i(I71C. 017) J. CLASS NO.L -3—DWELL,UNITS BK.,7 PG LOT NO. 4a BLOCK USE ZONEI MAP NO. TRACT /` I �`-� / SPECIAL NO.OF BLDGS. CONDITIONS USE OF SIZE OF LOT 'y NOW ON LOT f EXISTING BLDG. 1 BLDG.SETBACK FROM EL. FRONT PROP.LINE OF (STREET) OWNER i G Ct NO. TYPE OF "ISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS , , ^. HIGHWAY WIDTH FROM C.L. CITY i-� t[C, {-1 ARCHITECT OR TEL. BLDG TBA Fp OM ENGINEER NO. SID PRO E F (STREET) TY E OF XI TING SETBAC Y } YARD = TOTAL ADDRESS H H IOTH F 1 CONTRACTOR TEL. } = U ADDREN . SS CORNER CUTOFF YES ❑ NO ❑ u CITY �..-' - CLASSY SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK o d NEW ADD ALTER REPAIR DEMOLISH w SQ.IZ FT. STORIES NO. LI SIZE STORIES FAMILIES USE OF t i, STRUCTURE T C OJ IF 7, ecV 1 (; 1 6E z 9IA l'::? SIGNATURE OF APPLICANT VALUATIONS �G � APPROVALS GATEINSPECTOR'S SIGNATURE SBBBBBS P.G. PMT. �0 FOUNDATION: LOCATION FEES FEES FORMS. MATERIALS FRAME: FIRE STOPS, 11 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONBRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, ,WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUI LO I NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF, I ')' HOUSE NUMBER COR- PERMITTEET T _ _ RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O CASH _ PERMIT VALIDATION ON. N O(, CABN 6 Pr.A `L. w+ Nii'{{i;'(,4 Z Y `w+Q J 70A538A CE9808 BBB APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST - I WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT Oy TYPE C E FOR APPLICANT TO FILL IN ' O^/ CONST ADD EIN / Z Z ' CN I ` /"'! 5 T �ATISTICAL C SI FICATION SEWER MAP _ _ 1 CLA55 NO� pCELL UNITSLI BK LOT NO CL ,S; BLOCK WATER CERTIFICATE NOT REQUIRED ❑ RECEIVED ❑ TRACT ) c� MAPIL HIGHWAY / NO OF BLDGS NO D (CIRCLE) STATE MAJOR SECOND LOCAL SIZE OF LOT v `J Q NOW ON LOT USE ZO E SPECIAL USE OF . CONDITIONS EXISTING BLDG - L TEL SeS OWNER LlJ OGC L NO - BUILDING ' EXIST SETBACK. YARD HWY STREET NAME W DTH ADDRESS ) 0 L 1=.I�) D D FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE P L . ADDRESSTEL �� n ^/G cy ♦/�L A- O CONTRACTOR C L _ NO / !'Y �r1S��Y , V ADDRESS , I c/ Joe DESCRIPTION OF WORK 4 AAoe C. nC Q d NEW ADD ALTER REPAIR DEMOLISH �y.+_� •SO Z NO OF NO SIZE ZZ. L I f�j I' \ - STORIES FAMIOLF ES, YY / US STRUOCTURE ,'+/L- � � ' Y (/ SIGNATURE OF APPLICANT VALUATIONS I /(r APPROVALS D DATE INSPECTOR 951GNLTURE PC PMT FOUNDATION LOCA ONQ FEE E FEE S e-� FORMS MATERIALS IZ!)U-64 FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAB VENT DUCTS BUILDING CONSTRUCTION I CERTIIY THAT IN DOING THE WORK ) AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S OM RENBATION INBVRANCE ) c./ LATH EXT SIGNATURE O _ /A� _ - HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDREsS FINAL J rp JOHN PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION TREK TDRM O EN GAGH R 6876 DEC16 1 D 200- v DEPARTMENT OF BUILDING AND SAFETY j APPLICATION FOR PERMIT COUNTY OF LOS ANGELES p ' C WM. J FOX. CHIEF ENGINEER ' FOR APPLICANT TO FILL IN ( FOR OFFICE USE`ONLY n BUILDINO DIBTRI CT NO I PLAN CK NO PERMIT NO ADDRESS �[ I I ' LOCALITY �yy RECEIVED BY 1 DATE OF APPL DATEISGUED NEAREST e R0S6 BT I BUILDING 1 OWNER y7 ADDREBB MAI L 1 ADDRESS LOCALITY 1- NEAREST C TY TL NO CROSS BT i FIRE j NO OF . TYPE ORO ARCHITECT OR TEL }} ZONE -PLANS ENGINEER NO 1 C [ BLDGI ---- --- ORD NO ADDR B i SETBACK LINE APPROVED •" TEL /,!y BY ' ( DATE I CONTRACTOR NO / { USE APPROVED { i ADDRESS / ZON BY, DATE LEGALDEBCR.I�P./FION LOTIM J�Aar-5- 0 CORRECTIONS ( y�- I TRACT I NOF BL1 1 « SIZE OF LOT `� NO DGS OW ON LOT +� USE OF NO OF NO OF NF EXISTING BLDG OF. DESCRIPTION OF WORK i - — - NEW ALTERATION ADDITION A REPAIR MOVING DEMOLISH � SQ FT NO OF 1 "•D 'F • .1 / _ 61ZE ROOMS STORIES WALL ROOF r COVERING ,� � i . I 1 J 1' COVERIN MC USE OF NEW / }' BUILDING 1 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS[ APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECTJ FOUNDATIOM LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDI NANCEB FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION i FRAME FIRE STOPS, SIGNATURE OF ��///) 1 BRACING,BOLTS PERMITTED • I e&24,2 LATH, INT AUTHORIZED AOT LATH, EXT 76A630V-s9 oae-3 SOM ecce p C ® PLASTER, INT Nei- 61-0 FEE — PLASTER,EXTIII .0-ef VALUATION FEE � FINAL I 'DIVISDEPARION nor UI COUNDING �AF U I L®I i11 i 'DMSION OF OF DING AND SAFETY - couNrx of ros ANGELES WILLIAM`J FOX, COUNTY ENGINEER 1 APPLICATION CASSATT D GRIFFIN, Our T OF BUIulINO FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT-No PUN CK ON RKc No PERMITNO ADDRESS I 3 ►�J / LOCALITY (1,/ filV!D BY DATEOFAPPL DA ISSUE CROSS BT ( P • V V BUILDING OWNER ADDRESS M1 MAILADDRESB ' 9 LOCALITY I / - TEL u NEAREST , CITY / CROSSST ARCHITECTOR TEL - FIRE NO OF TYPEr_ GROUP ENGINEER NO ZONE_ PLANS 1 ADDRESS + BLDG 1 I" ORDNO SETBACK INE CONTRACTOR NCL - b USE APPROVED ZONE BY R/l. 1 DATE LT/V ` 1 HOUSE NUMBERING ADDRESS LEGAL MAP NUMBER NO ASSIGNED BY DESCRIPTION LOT NO BLOCK _ TRACT Z a I CORRECTIONS i �d / - • �� NO OF BLDQS SIZE OF LOT s I NOW ON LOT T f-a Q Y Cen✓yL USEOF NO OF, EXISTING BLDG - FAMILIM q o S/ DESCRIPTION OF WORN o NEW ALTERATION ADDITION SF. ~U!•9� L� _r p Z REPAIR DEMOLITION D r BO FT NO OF / 00 N+ e SIZE r ROOMS STOR198 COVERING ROOP �/'= n Gr c ! c COVERING COVERIN�� USE OF BTA UCTU RQ 0 APPROVALS INSPECTOR S SIGNATURE DATE, FOUNDATION LOCATION FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRfi STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACIN BOLTS w CORRECT FURNACE LOCATION 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAB VENT DUCTS AND STATE LAWS REGULATING BUILDING CONSTRUCTION SIGNATURE OF n LATH, INT PERMITTE LATH I ADDR d'•'• 1 PLASTER INT AUTHORIZED AGT PLASTER EXT L P C S I HOUSE NUMBER COR. } FEE RECT AND POSTED FEE / TloH • FINAL �.L&+^• /�- / TMWOA Qus Q-Da 76`63:A G: 1803 4/72 FOR BUILDING PERMIT 9 COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING SIAAC CIIECNS PAIAHLL 10 ADDRESS yZ HARVEY T BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST (Pn,,t or toe only) CROSS ST BUILDING ++�� DISTRICT NO GROUP TYPE R ESSE BY ADDRESS I- f'ag CONST LOT NO _ STATISTICAL CLASSIFICATION BLOCK SEWER MA CLASS NO 2-L-_DWELL UNITS BK PG TRACT USE ZONEI MAP 0 OF NO SIZE OF LOT Ionx NOW ONBLOTS SPEC AL USE ��I C CONDITIONS = EXISTING BLD O//G OWNER • T G /grwe A NOL p �1 7 B DG SETBACK FROM ADDRESS -9 �. ,y�y F ONTPROP LINEOF (STREET) SETBACK HIGHWAY + YARD = TOTAL CITY rJ R li7 A F - MI HWAV WIDTH FRAM CIL ARCHITECT OR TEL } _ ENGINEER NO BLDG SETBA 1 ADDRESS SIDE PROP LINE OF - (STREET) O TYPEOFEXISTING SETBACK HIGHWAY } YA = TOTAL C CONTRA HIGHWAY WIDTH FROM C L EHD.. ADDRESS / NO + LIC CITY CLASS CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER - NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SIZE T /coo STORIES I FAMILIES EW NO OF NO OF ❑ USE STRUOCTURE O FF C ADD 1:1 ' ALTERJK SIGNATURE OF REPAIR❑ APPLICANT DEMOL ❑ VALUATIONS APPROVALS - DATE INSPECTOR'$ SIGNATURE P C PMT FOUNDATION LOCATION FEES E 5 FORMS MATERIALS FRAME FIRE STOPS \ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS Rl ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY ,FURNACE LOCATION WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS 1 I STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT - - LABOR CODE OF THE STATE OF CALIFORNIA IN RE LATINO TO WORKMEN S COMPENSATIO!f INSURANCE LATH EXT - SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED AooREss FINAL y 1 PLAN CHECK VALIDATION CK M o CASH _ tVALIDATION CK MO CASH I i ?;_0 6 :1 0 ag D 00- v f5EPARTMENT OF BUILDING AND SAFIM1�Ai1��jwAPPLICATION FOR PERMIT COUNTY OF LOS ANGELES V �, �,�� ' ® ' �� WM J FOX, CHIEF ENGINEER - FOR FOR APPLICANT TO FILL,IN, ' ` OFFICE IISE ONLY BUILDINB OJm / /.� DISTRICT NO -'-P 'CO� RMIT NOi�� AODREBB 1 3 41 8 LOCALITY /Y/J-/f/ t lif/+'R//fes RECEIVED BY � DATE OF APPLDATE ISSUED ' NEAR EST [///� c Y /�/[/S-S�'! J� J ✓-�-'� CROBB ST aUILDING 1 OWNER /�-/�j _ �A �� ADDRESS Z mss- MAIL d /- -2 / "/ [/� LOCALITY ADORESB L .,�.J IGSNEAREST I TCROBB ST CITY h9/ FIRE f NO OF TYPE GROUP ARCH ITECT ORjV TEL ZONE ` PLANB�� V ENGINEER :plNO B LOU _ ORD NO ADDRESS SETBACK LINE i 1(2:"47 ( ! 1 APPROVED I EL. —;l =>I 'D !- CONTRACTOR Ol�i✓Fi fL� NO BY I 'I f ! DATE 1y� USE ( APPROVED 1 I ADDRESS ZONNLEGALiE jt �BY, 1 1 DATE DESCRIPTION LOTNO BLOCK LOI 1 CORRECTIONS TRACT Z- O 1 _ (--S:-A- 1 1 ND OF SLOGS 1^� { SIZE OF LOT U NOW ON LOT tl f A l USEOF ` NO EXISTING BIDO FAN LIE MS DESCRIPTION OF WORK yf n DJ-TP NEW ALTERATION ADDITION ��d�c�.c.�../e-on To RC :�nmun q sig Gy REPAIR MOVING DEMOLISH EO r��S W/LL nluT�- H R.F ZE ry / ROOMS STORIES / f Z /IUCG c� G- /�O T.0/CO r WALL /y ROOF w`/ {/�� COVERING \ COVERING/ /.JJV /; / { t��wi P_ � , UBC OF NEW BUILDING // ! - �N6 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 1� APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION INSPECTOR DATE AND STATE PERMITTEEvSL.AWSRREEEGU�L/ATATI/IINyNS�G BUILDING WWCONSTRUCTION FORMS, MATERIALB c � ,4m FRAME OH, SIGNATURE OFAM BRACING, BOLTS YAA- 17� /r LATH, INT AUTHORIZED AST LATH. EXT >ewv'>aA-a to-w $ �6b0� P C m 9= PLASTER, INT � \ FEE � � PLASTER. EXT s // m / VALUATION FEE / ' FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES S ® � /► WM. J FOX. CHIEF ENGINEER V FOR APPLICANT TO FILL IN I FOR OFFICE USE ONLY BUILDINp DISTRICT NO PLAN CK NO PERMIT NO I ll� /L!/ f-! / ADDRESS �7j ///i{�/'✓✓LL/LL�V//]rr LOCALITY /(XIIAJ ! /�/ / RECEIVE Y DATE❑F PPL ` DA`E 1 C�D ev EAR HR S / //1 NET RO �i7 BUILDING OWNER r / ��/� ADDRESS MAIL " ' v *'d' �l LOCALITY ADDRE/SS�/, 'r/I/Y/� //A. NEAREST y,7 CITYT./ �i .I /�A iT O lT �L �IHLI CROSS BT FIRE NO OF TYPE pROUP ARCHITECT O � TEL ZONE �_ PLANS �� ENGINEER NO BLDGI f` -��i,+, / ORD NO AODRE SETRLINE / J J 1 APPROVEOVE D l ` TEL BY DATE CONTRACTOR NO UAE APPROVED { ZONE `�/ BY I ADDRESS ! DATE II '��I\ / LEGAL u BLOCK / V y DESCRIPTION ^ LOT NO �, CORRECTIONS TRACT / / 2,/ NO OF BLDGS _ S1ZE OF LOT 7 NOW ON LOT I USE OF NO OFNO OF UI - EXISTING BLDG FAMI ES ROOMS - - - - DESCRIPTION OF WORK —• _ _ -- _ NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH 0 SO F NO OFI - _ SIZE 9 ROOM. STORIES > WALL (J ROOF I F COVERING I COVERING USE OF NEW SUILDIN 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRESTOPS, HIONATURE OF BRACING,BOLTS PERMITTE ��iy O" / � v �. LATH. INT AUTHORIZED AST LATH, EXT 7� S<D PLASTER, INT DSS-3 QOM SETS $ w` P C B FEE PLASTER,EXT m VALUATION FEE �� FINAL 1' ARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT �� COUNTY OF LOS ANGELES B U ' L ® 1 N V ` WM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLAN CK NO PERMIT NO BUILDING ADDRESS '-1 4 LOCALITY RECEIVED BY DATE OF APPL DATE ISSUED NEAREST CROW ST I BUI LOINS OWNER p ADDRESB MAIL y LOCALITY I ADDRESS v✓ .w�/ /o /J NEAREST CITYNO00, L _ CROSSST FIRE NO OF TYPEr GROUP ARCHITECT Og TEL ZONE PLANS ENGINEER NO SLOG c ORD///NO ADDRESS I SETBACK LINE - APPROVED TE" BY DATE CONTRACTOR NO UBEAPPROVED ADDRESS ZONE BY DATE LEGAL ,�// CORRECTIONS DESCRIPTION LOT NO q' BLOCK TRACTDN � SIZE OF LOT v'�/I /moi I HOW LOT v�J1I-YI.Pi USEOF -- I NO Cr-- NO OF—' EXISTING BLDG FAM LIE. ROOMS DESCRIPTION OF WORK NEW I h"rALTERATION I ADDITION REPAIR MOVING DEMOLISH 0 � Bq FT NO OF - _ SIZE it ROOMS STORIES D WALLR OF r COVERING I COVERING USE OF NE%V' / BUILDING v A- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS I, APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORME, MATERIALS F�0, 3 AND STATE LAWS REGULATING BUILDING CONSTRUCTION F //�� FRAME FIRE BTOPS, / SIGNATURE 13% r�/T�• BRACING,BOLTS PERMITT �J�/�7�y LATH,INT AUTHORIZED AOT LATH,EXT DBB a WM 6ET9 7-47 $ P C 0 PLASTER,INT O O FEE PLASTER.EXT VALUATION / FEE e O O FINAL APPLICATION FOR.-BUILDING PERMIT `FQR.µAPPLICANT TO FILL YJ••(P�ipr o, type oMYl - BUILDING COUNTY OF LOS),ANGELES ADDRESS 2 DEPARTMENT OF COUNTY ENGINEER CITY ZIPBUILDING AND SAFETY DIVISION If NO OF BLDGS BUILDING SIZE OF LOT /20At, /y— NOW ON LOT ADDRESS TRACT / Z�A9 BLOCK LOT NO LOCALITY �C .-- 4 •� O TEL NEAREST OWNER- G , �.• NO SrZ/7 CROSS ST <* ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY , CITY / ZIP 9V 7frD CONST�y ZONE ARCHITECT QfR TEL / / ENGINEER NO STATISTICAL CLASSIFICATION<<ppSEWER MAP ADDRESS CLASS NO.2-% .OWELL UNITS _ BK PG CONTRACTOR - TEL USE ZONE LIC NO ADDRESS - - - NO SPECIAL - LIC CONDITIONS CITY _ - _ CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES 0 NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM - y FRONTPROP LINEOF (STREET) ADDRESS CITY _ HIGHWAY VAR TOTAL SET BA CK FROM TYPE OF E%ISTING SQ-FT' NO OF NO OF CHECK FRONT RON T•PROP LINE HIGHWAv WIpTH C SIZE STORIES FAMILI ES 'P ONE O DESCRIPTION OF WORK NEW ❑ + d DD BLDG SETBACK FROM (STREET) Z SIDEPROP LINEOF ALTER HIGHWAY + YARD - TOTAL TBACK FROM TYPE OF EXISTING —REPAIR SIDE PROP LINE HIGHWAY WIDTH_ USE OF +- _ E%ISTING BLDG OEMOL ❑ APPLICANT - TEL - CORNER CUTOFF YES ❑ NO ❑ .)PRINT) .,NO IN OPEN SPACE _ YES ❑ - N ❑ BY (SIGNATURE) _ _ IN COASTAL ZONE YES ❑ NO VALUATIONS OD � CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENV IR ONMENTAL ANO STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED—(GATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON . e STRUC,TION I CE RTI PY THAT IN DOING THf_WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION Of THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATI TO WORKMEN S COMPENSAT ON URAHCE I n SIGNATURE OF PERMITTEE ADDRESS FINAL BY/J�r- / TEL DATE _ �� ,/ CITY NO F MAF C Hf f AS P 11 I13LL 10 _ P C $ PMT $ EE FEE HARVEY T BRANDT COUNTY ENGINEER _ ,PLAN—CHECK VALIDATION CK M D DASH PERMIT VALIDATION- GK M D CASH vy 1 8 4;.NOV 74 8 0 ,0 0 •9i 1 A76g838A CE 880312/]2 _1._ 76A638A CE 9V03 3-69L/ �e APPLICAAAAAATIO FOR B - I DING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADORES LZ BUILDING AND SAFETY DIVISION c0ca ITv,' JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP'T OF BUILDING NEAREST _- CROSS ST FOR APPLICANT TO FILL IN DISTRICT NOGROUP TYPE P (PRINT O TYPE ONLY) rO • -� Z BUILDING y STATISTICAL CLASS (CATtGN _ �•, SEWER MAP I ADDRESS U _ • CLASS- NO OWELL UNITS LOT NO > BLOCK USE ZONE MAP NO TRACT (1/l" _ / SPECIAL NO-OF BI-DGS CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING 91-129 BLDG SETBACK FROM r A: TELoa _ FRONT.,PROP LINE OF '^ 'ISTREET) NO24 71 TYPE OF E%ISTI SETBACK HIGHWAYr + YARD - TOTAL, OWNER HIGHWAY WIDTH FROM C L ADDRESS CITY . ARCHITECT OR _� 1�} �� TEL BLDG SETBACK FROM ENGINEER �C(,G I1ryv iLN�.-. NO S1DE PROP LINE OF (STREET) TYPE OF "(STING SETBACK HIGHWAY- + ' YARD TOTAL ADDRESS HIGHWAY `WIDTH FROM C L CONTRACTOR ( (JI[,q� NOL �� 0 I - + -- p/, H CORNER CUTOFF YES ❑ NO ❑ ADDRESS S// A`�� No G2J// Z - -- - O C ITv , Ci.ASS Q' SEE REVERSE SIDE FOR SPECIAL APPROVALSf CONSTRUCTION LENDER G NAME AND BRANCH W ADDRESS _ ' d N SFT NO OF NO OF Z 5 I 2E 3 STORIES FAMILIES �� NEW USE OF ADD ❑ STRUCTURE ALTER ❑ REPAIR ❑ SIGNATURE DEMOL ❑ APPLICANT dI> ' VALU,kTICjW S APPROVALS DATE INSPECTOR S SIGNATURE FE PMT FOUNDATION LOCATION / FEE $ FEES fOE S ATERIS, F. N REBY ACKNOWLEDGE THAT I HAVE READ HIS APPLICATION FRAME FIRE STOPS BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AN LAWS REGU G BUILDING CON STBY I G V T DUCT TION CERTIFY THAT GING T VIOLA K U OF THE HEREBY WILL NOT EMPLOY ER IN'V(OLA ON OF THE LABOR CODE IgTH INT OF THE STATE OF A F NI N RE IM6 TO WORKMEN 5 COM- PENSATION (NSU N LATH EXT SIGNATURE OF /1 HOUSE NUMBER CORRECT _ PERMITTEE AND POSTED r /3 _ ` Q ADDR SA wL— FINAL / ��`� JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M O CASH - PERMIT VALIDATION - 3�II, [rfifz 5 1,8 9 'MAY 28 4 8 0 .0 0;4 76AS,RSA-7�1EIjV0)3-69 ;.r APPLICATION FOR B N PERMIT COUNTY OF LOS ANGELES BUILDING Q C, DEPARTMENT OF COUNTY ENGINEER ADDRESS- - BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING NEAREST— - + — -- - - 4 CROSS ST FOR APPLICANT TO FILL IN DlsrRlcr No GROUP TYPE'CONST P ss ED BY IPRIN OR TYPE ONLYI BUILD ADDREISS 92 z/ k 4:ff . STATISTICAL CLASS{F ICAT IO` : SEWER M`PJ QQ//��IINbII�` CLASS NO �ypp OW—ELL UNITS SK YPGp- - LOT NO BLOCK USE ZONE- MAP NO TRACT —/ SPECIAL F• K 3c NO OF SLOGS CONDITIONS ..t _ _ .-L...... SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG /� yam! BLDG SETBACK FROM r ' OW NE (,F NOL�BJ" „ FRONT PROP LINE OF""- "'^^' �"°� (STREET) TYPE OF EXISTING SETBACK HIGHWAY �+ YARD - TOTAL 1 ADDRESS HIGHWAY H FROM C L CITY _ ARCHITECT OR TEL BLDG SETBACK FROM ENGINEER NO S1DE PROP LINE OF (STREET) TYPE OF EXLSTNG SETBACK N16 Y + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L _ .� TEL _ } CONTRACTOR NO - a LIC CORNER CUTOFF YES ❑ - -NO ❑y-�-s O ADDRESS NO V TICtiY . L_ \ 1 Dt CITY CLASS SEE'REVERSE_ SIDE FOR SPECIALAPPROVALS CONSTRUCTION LENDER1 e u NAME AND BRANCH -x �: 1)'r r•<,\ }31,�'y� LV . \ d ADDRESS Z SO FT NO OF NO SIZE STORIES FAMILIES NEW USE OF I _ /r/L /`J- ADD ❑ 1 STRUCTURE ! R/' ALTER ❑ 1 REPAIRSIGNAT ❑ ' 1 i•• APPLICANT - URE J� . DEMOL ❑ _ APPLICANT VALUATION $ LS PATE `INeP 0R n .12. TURc P C PMT FOUNDATION LOCATION FEES FEE $ ;14 FORMS MATERIALS Q 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ON BFRAME FIRE STOPS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO C PLY FURNACE LOCATION A - ( (_ WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CO TRUC GA VENT, 0 CTS 1 19 �,• . A TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED REBY 1 _ WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LA R CODE LATH INT OF THE STATE OF CA IFORNIA IN RFSVTING D WO K N S COM PENSATION IxS URAHCyv LATH, EXT 'yA SIGNATUR J7 PER MITTE HOUSE NUMBER CORRECT y l AND POSTED / ADDRES FINAL JOHN F LEWIS, PRINCI AL STRUCTURAL ENGINEER PLAN CHEC VALID 10 CK N 0 CA$. - PERMIT VALIDATION (,Qr.,, 4 6 91.8 APR 28.4 G D .00 • 41 ` j;I 07(V0 WORKERS COMPENSATION'DECLARATION - - - - ' ."• s.;cY{57�, : ,- �-`_� � ::�C1t J'J'"rAl ' I hereby a Eer that I have a�ertihaate of Hansen, to self 'APPLICATION- FOR.�BUILDING PERMIT_ °' insure or a �erhfimte of Workers Compensation Insurance orvo certified copy theieof (Sec`3800 Lab C )' ' '" '"`-"-':`%` r"• n r_ .Jr1•f '. a a .tt, a •m . •` '.'. . - COUNTY OF LOS ANGELES ' . BUILDING AND SAFETY ntaC�7 t ' `p c Pohcy N ?✓01 Compony�/>s � - t - L _s..___ I -.._ __ _ _ .-c,..-i _ __ _ _ f ❑ Ic Certifted copy is hereby,furnsshed 5sm_ n, .u5 , FOR APPLICANT TO FILL IN BUILDING _ r v f s, v 'r_-t- 1 ADDRESS ! t 'Ceihfsed`copy is fled with the county bus ding in' c BUILDING .L s .• r d.. 1 t ® ;NX io 'de" rtment`• •x 5 ! J .� , ADDRESS oC '� EN �L/�-,V S'�• } I ^1 ) , Date • �f/ •.Applicant sp • CITY ✓E- �� J. G ZIP' W LOfALI7V 71 ,"CERTIFICATE OF EXEMPTION FROM WORKERS A' y + "-'-' - _ O-OF BLDGS -- - j' NEAREST y.�.. w- - _". /...r.... . O's'o , *'4#'COMPENSATION'INSURANCE `+'ti':+ 1`p SIZE OF LOT NOW ON LOT' .' ' ROSSIST ,T -• (This section need not be completed rftihe permelm for one %-- '-� '-'-�- - - --- r- -' �-- +=+---- t ASSESSOR. .. • r. hundred dollars ($100)oryless ) Y'vr�iu r, t r TRACT• BLOCK LOT NO - I MAP BOOK x t - . PAGE PARCEL r -•..._ �• _ TEL 115E ZONES -tl•cceernfy that,in the performance of the work,for which this OWNER c^' 1£ No,* :L�/��f t,1O •+ i .a,_ U_. n,, �� - permit,s'Issued, I shall not employ a'n'y person in an'y manner a f - ` - /�/5t SPKIAl - --- : - - y IL • 'so~a`s'to become'iubject`to the Workers Comperisanan'Laws -' ADDRESS ] - S'• /L--� . - 8' _ F/L �^ CONDITIONS- y Q - ,ti! 1 t Yr w - .^ -__ x„:'.. •. ti_ s C-1T EM �_ _ _lfl zla9� 7Sd 0%68'1 --r - - ' - - ” Date Applicant' 1 t ., 'NOTICE TO°APPLICANT'If 'oftertmakm`Vthis'Cenrfs`cate of ARCHITECT OR TEL } „ DISTRICT- GROUPI TYPE ,FIRE. _ SED B g ENGINEER NO 'P _ ' -'y^' ' Exemption- you should become subject'to' theVWorkeri• v hh ,l/ ' CONSTi ZONE sG Compensation provissonssof{the Labor Code you must forth- ADDRESS t_ LJ• u„ -_ J .. . t V _. _,d i with.comptys with such provisions or,ihss permit shall be -r• - -- - -ll- __ " - `' 'A - deemed revoked A 5 t;T t s t s i CONTRACTOR , EN /.1/LQ$ C tp (� ,�TELSTATISTICAL CLA551 i IQpI t APT ND04•h' '_ , LICENSED CONTRACTORS DECLARATION ,` .ri` -C-- - Qo - - - _ LIC«- E CLA55 N0 WELL`UNITS \' I hereby affirm that I am licensed under provisions of Chapters? ADDRESS SL/3 �.0 (commencuig with Section 7000)of,Dlvision 3 of the Business and - -„ -- _ ,• _ _ •,- _ ..y SERER MAP _ q � ., "' a J Professiarn`Code and my Irceme Is in full force and effect • CITY E - CLASS C - P •VALIDATION-- ,n au v w .-z >.v5,�•o v BK SO R_, A NO _ NO OF _ _ _ CH ECK_i m -w� tI,cisnse Number'-20 q- J �` °LIc Class `- - SIZE - STORIES FAMILIES ONE ,.r ^fk _L� ' " y ••• "• ` n[�/' / t t - VALUATION: 0. f /efe'4J�B/tOS. rl ti Date 11,:r[�G DESCRIPTION OF WORK• `-:-j .�,_.. .� NEW I - �... .. .st^stn-ar L' Contractor V - I "•_+• ADD, t $ -� 1 ' "+ I am exempt under Sec '� . ,• •,,- - ` i n , ALTER t _ , ,, ts•4 , , 4 B&P C for thts reason ._ _ J LF 1 _ X70 L / .SAT REPAIR T "$` - - ' -`_ "•" Date EXISTING BLDG DEMOL 't T - �a4ili1 A`'-T Sign6ture _ __ -. _..._.-. .- APPL=1) _ 84[n9 - tJ0 _Qty FINAL OWNER-BUILDER DECLARATION - , e _ „•r _ _ _ _ _ ,DA . /• _.....'....1 _;J S '!.'a..t. 1_�• 1 hereby affirm Ihat,l am exempt from the Contractor s License 1, A _ T ' Law for the following reason(Section 7031 5 Business and ADDRESS d i G f,viA: FI - 7n 4` ."tg+ta' _ y •r 4'. (fir jS Q rJ O y' 'Professions Cade) "`_'-.. i i 'A `' a" `_'t'-_-I-= . • 6 Q, -, - '7 2 'y BUILDING S' w❑' - I, as owner of the'property Rr my employees with - _ ADDRESS v I r f ,c, wages as their stile compensation will do the work and "-"i '-"s" _`" `^� - - -- ""`" !L:q��/. "" (] Q.'1 J� the structure is not intended or offered for sale(Section t' ;- LOCALITY ^ -r' t ' = - w'8 6 7044 Business and Professions Code)-j, MOVING- TEL"s ElI'as owner of the property am exclusively controcnng CONTRACTOR t NO 4 ^•' with licensed contractors to construct the project (Sec ,4 ADDRESS A__ hon 7044 Business and Professions Code) t s + -REQUIRED- TOTAL BAC �_ _ "-'CONSTRUCTION LENDING AGENCY '-T 't """ `SET BACK -.YARD ^HWY-_ - PROP'LINE WIDTH --- I hereby affirm thot'there is a construchon'lending agency for FRONT - _ r es t _ ,so"tt z,l Y�,..n1J ' the performance of the work for which this,permit is issued -1 -P Lam-^-- - - +',--- - - -- - --•---- -.--..-.-..,-+s.':' �.b.-y-{_ ,.. s(Sec 3097 Gv C ) _ t SIDE_ `� -- �P L " -Lender ,LDMA Ref 0 ..t PC-Fee$-^' r----*,-- '^^ Permit Fee ---^�OLW"__ - - - 1 - -• 1 Lenders Address _,I.cer,d that 1-have read this application and stcte.t .iheh lO s Y PP y •-� --- -- -- Issuance Fee--�• 1 LDMA P/C# above mformahon is correct 1 agree to comply with alit..ty w• Invemigahon Fees I ['/� t t"✓T • ordmances and State laws relating to budding construction ,-�•'_ _ _ - Total Fee---•^' --v s/- l - y - u and hereby authorize representatives of this County to enter' IDMP'P°firs » '�'' - s - -- ,"1 up n the above- enI o property for inspechan ur ses _- y - - -� �(• _ F s h L [lL{l.4�wau1'.c -„ _- pgis SEE REVERSE FOR EXPLANATORY LANGUAGE T''uri�l. Y• - s�� Signature of Applicant a Agent' ••- _ -.Date __"`_^''-_ •- '.�--`'+--•-`a`---- __•_ _ _Y.1 7 - _..__.-.,j ....c_- _� __�.. _- -TI,Qr I