HomeMy Public PortalAbout9315 PENTLAND ST_Building__ 7CA3•ADe.-`3APPLICATION FOR BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFETY BADDRESSJU ILD IN6 J L
Deportment of CountyGr - T C
County of Los
Angeles ageles lee LOCALITY -
WM J FOX COUNTY ENGINEER NEAREST n r
CASSATT D GRIFFIN SUP T of BUILDING CROSS STaa C
DISTRICT NO GROUP TYPE /UK MA p
FOR APPLICANT TO FILL IN DN
BUILDING
ADDRESS MAP / STATE ,.m
NUMBER L HWY jimp
LOT NOBLOCK USE ZONE SPECIAL -
� CONDITIONS
TRACT -Z. D -V,161
!, NO OF BLDGB BUILDING EXIST
SIZE OF LOT, V NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
USE OP
EXISTING BLDGFR
EXISTING ,LjV'L, v _r
OWNER -.A`q r, l SIDE VJ-
P L
MAIL ADDRESS O TRACT DWELL I UNIT
5 INDUSTRIAL
✓ TEL I DWELL I UNIT '
CITY A-- N 6 PUBLIC BLDG
ARCHITECT OR TEL 2 DUPLEX I UNIT ADDN ALT ETC
ENGINEER NO 3 APT _UNITS n
8 MIBCHL �
ADDRESS 4 ICOMEL
M l'J3CIAL
CONTRACTOR NO s INSPECTION RECORD
ADDRESS Rj . (, '�70 YAC ` . 'P.S C I ♦ I LIlits Q
DESCRIPTION OF WORK RL a Cts GA u UaT
NEW ADD ALTER REPAIR DEMOLISH 7V `
ID Iv V Ltll G apeAn l tJ
So NO OF NO OF
BIZ.PT BTORIlB FAMILIES Tt:LnaIL 75 � l lJL4M aLr�
USE LFBT UCTURE - 1
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS DAT INSPECTOR SI SIGNATURE
P C / FOUNDATION FORM BMATERIALS LOCATION /
✓ (J`C/ PE/ FRAME FIR.STOPS Y L,
VALUATION BRACING BOLTS C�7
PES //D� _� FURNACE LOCATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT DUCTS '
APPLICATION AND BTATE THAT THE ABOVE IS CORRECT - -
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT
AND STATE LAWS REGULATING BUILDING CONSTRUC.-1
TION. ) �/-{�(J� LATH SXT I� p,... L,
SIGNATURE OF��L�J �� HOUSE NUMBER COR- -'
PERMITTfifi�� RECT AND POSTED
I.ADDRESS FINAL - -`-
WM J FOX.COUNTY ENGINOM VALIDATION C. N DIRLAM CHIEF BLDG INSP CTOR
JE03 5 9 5� FEB29 1 1 2.00 in
Q �%
APPLICATION FOR�BUILDING�PERMM,
COUNTY ,OF,LOSANGELES BUILDING �- mr
DEPARTMENT OF COUNTY ENGINEER ADDRESS^ Z A
BUILDING AND SAFETY DIVISIONCocoon '
JOHN A LAMBIE. COUNTY ENGINEER -4 NEAREST - _ -
,CASSATT O GRIFFIN, SUP T OF BUILDING • CROSS ST ) '
DISTRICTNO UPy TYPE .P ED BY
FOR APPLICANT TO FILL IN i 3c6N9r
BUILD NO NOS - STATISTICAL CLASSIFICATION IS ER MAP
ADDRESS _ I - BK` P
�_ 1 •_ _ -CIA53'NO WELL NITS �'+ -•
LOT NO` ;' BLOCK r MAPw` J STATE >, O'
NUMBER f HWY [
TRACT _ 1 USEZONE• SPECIAL , I
CONDITIONS
NO OF BLDGS IY
SIZE OF LOT _ NOW ON LOT-
USE OF I 1.. - ` -
EXISTING BLDG S - t ' BUILDING --N EXIST
7 SETBACK YARD HWY STREETN ME 1 WIDTH
OWNER ` ^' _ FRONT
MAILADDRESS �� ^ 4 L y'SIDE
clTr- te - ^ INSPECTION RECORD„,
ARCHITECTOR e - T L `a - - `
ENGINEER - NO'
rap
ADDRESS' -
n TEL -
_CONTRALTO 'NO
ADDRESS -
DESCRIPTION OF WORK
ADO ALTER REPAIR DEMOLISH
SO FT NO OF NO OF '{ F�« �C
SIZE- IVSTORIES FAMILIES
USEOR
STRUCTURE '
a 1� _ _ _ �- r E • + 1
SIGNATURE OF
APPLICANT - L 0L - ' >
rt APPROVALS .+ ' ' = DATE' t INSPECTOR S SIGNATURE P
"'RESt ' GE FOUNDATION LOCATION
FORMS MATERIALS
o
VALUATION$ - ,'FRAME FRPS.+ - - -p
BRACINGGBOLTSOLTS -"
PC, -Q IT ;- - 'FURNACE LOCATION. Jr
FEE S _ EE S _ l4 GAS VENT DUCTS S
I-HEREBY,ACKNOWLED E„THAT I HAVE READ THIS AP- YLATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT,AND
'AGREE+TO COMPLY WITH ALL COUNTY ORDINANCES AND'
STATE
-
STATE LAWS REGULATING
BUILDLUP LONST_RUC'n ON LLATH EXT .1
SIGNATURE OF 4 l; I I HOUSE NUMBER COR- '4
PERMITTE O X - I RECT AND POSTEO - ` �•
ADDRESS - / ' r Io •+
•' CLYDE N DIRLAM PRINCIPAL`STRU URAL ENGINEER '-
'PLAN CHECK VALIDATION + Mo' cAeH -I PERMIT VALIDATION crc No ueN '
n i _ Y ' ' Y _ - • 4Y
L nom'-->3�s s�=z� , G G SIR"
1 - - .>,el `_ � �, .ve, �T /—: ' V✓GC YFt�- � i �� i 1 ti_.- w.
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMT
COUNTY OF LOS ANGELES _ BUILDING EOL®I N G '
WM J FOX CHIEF ENGINEER ' - ® iJ Y tl '--
FOR APPLICANT i0 FILL IN FOR OFFICE USE ONLY
DISTRICT NO I PLAN CK NO PERMIT NO
BUILDING
LOCALITY RECEIVED BY t DATEOO/F'APPL DATEISSUED
NEAREBT •'
CROBB BT I BUILDING
ADDRESS /A3 S_ P � `/O /
f /- 1 L((
OWNER1
MAIL LOCALITY C� li. /'7/
. /'7 -
ADDRHSS CROSBE ST ,C
TEL /
CITY _ NOAzi b FIRE r OF TYPE GROUP
ARCHITECT OR PL TEL ZONE PLANS .f-
ENGINEER NO BLDG ORD NO
r SETBACK LINE
ADDRESS APPROVED
TEL BY I . DATE
CONTRACTOR r NO USEAPPROVED
ZONfi / BY DATE
ADDRESS HOUSE NUMBERING '
LEGAL
DESCRIPTION LOT NO BLOCK MAP NUMBER FIELD CHECK BY
TRACT NO ASSIGNED BY oATF
SIZE OF LOT (} /� D I NO OF BLDGS CORRECTIONS
NOW ON LOT
U8[OF > NO OF
EXISTING BLDG RwwulEe -
cm
a —
" DESCRIPTION OF WORK _ - _ J• '
GQ
NEW I ALTERATION
Tag+�
RlFAIR -,-I DEMOLITION
O FT O /
NO
So Z Do GiNi GToT.t� O_
BIZ[ V V ROOMS 1 STORIES /` Z
EXT WALLROOF '
r
COVERING ' COVERING
USE OF YTRU RE
G /St
-7--
v -
APPROVALS
INSPECTORS SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOC ON
CAL�� I
PLITION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS �( J
CORRECT
1 AGREETO COMPLY WITH THE CORRECTIONS LISTED F9ROTS
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE RACINGBOL
LAWS REGULATING BUILDING CONSTRUCTION FURNACE IOCATIOC SIGNATURE OF GAS VENT, DUCTS
'\
PERMITTHE ��•
LATH, INT
ADDRESS w 9��i /r' P`�^�•-�_
" LATH, EXT
AUTHORIZED AOT
_ PLASTER, INT 1 .
TiAtiM Doti to-eo / P E j
XT
FEE PLASTER E - 71
VALUATION
FEE 6 ) FINAL
WORKERS COMPENSATION DECLARATION ' ^ v �i
hereby a em that I have a <e 8te+af consent to self
insure, APPLICATION FOR BUILDING PERMIT
or a certificate C ,,n
ficafe of Workers Com penshon'Insuranca or + +
a certified'copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES t . BUILDING AND SAFETY t
PabcyNo' Company -
Certified co is hereby furnished - ___ BU ILDWG
?y Y I FOR APPLICANT TO FILL IN ADDRESS J
Certified copy is filed with the county bud'ding mspec BUDDING -
! + t+on deportment - ' r _ ADDRESS -+ ��TL LOCALITY
Date Y` NEAREST /
'Applicant •' CITV.- � �. ZIP CROS$57
CERTIFICATE'OF EXEMPTION FROM WORKERS 0- O OF BLDGS ASSESSOR '
'A" COMPENSATION INSURANCE e SIZE OF LOT to NOW ON LOT MAP BOOK PAGE PARCEL t -
'(This section need not be completed if the permit is for oneUSE ZONE MAP
ihundred dollars ($I DO)or less ) - +T - TRACT BLOCK LOT NO a +�^ NO N 6
TEL SPECIAL
'F + + " OWNER L ZfdOp '�O�- �K CONDITIONS,a O
I_certify that m the performance f the work for which this - _ DISTRICT GROUP TYPE v FIRE PR SSED BY
permit is issued, I'shall not empo any rson�n any manner ' 66 f + I CONST ZO E ,
so as to become bled to,lhe Wo Co a Saban Laws ADDRESS st%!�/ A'ND ° �Nl � O
. ease . „ f/
{ Data- d �I Appbm t CITY C 2IP I "� STATISTICAL CLASSIFICATION M- = - APT CONDO U
NOTICE'TO APPLICANT If t1_07 makingthis ertificote o DWELL UNITSARCHITECT OR -T TEL - - r c , W,
Exemption you should become subject to the Workers ENGINEER CLASS NO _f d
• y •
,Compensation provisions of the Labor Code you must forth- +T, SEWER MAP Z
ADDRESS
.wrth,comply with sue h„provrsions on this permits shall be A _
deemed revoked , r TEL - - -'BK L..RCK % - 1 VALIDATION
CONTRACTOR NO ?
LICENSED CONTRACTORS DECLARATION-,„t7 LIC
' I hereby affirm that I am licensed under provisions of Chapter 9 + ADDRESS NO `
(commencing with Section 7000)of Division 3 of the Business ad ygIUATION
nLIC
` Professions Code and my license is m full force'ond effect ° CITY./ CLASS _ $ /2> - T SO ITT FT " NO OF NO OF CHECK, S
License Number- t Lic Class SIZE $TORIES FAMILIES ONE J. -, ^
❑ S
i Contractor ' Date r _ DESCRIPTION OF WORK ' 7 NEW
s am exempt from the licensing requirements as I am o _ > ADD -
hcensed architect or a registered professional engmeer I _ iALTER FINAL r --
acting in my professional capacity (Section 7051 DATE
REPAIR
• Business and Professions Code) USE OF ' DEMOL+ Q FINAL
_ _ EXISTING BLDG B '
Lic or Reg'No Date APPLICANT TEL Y
PRINT) 'NO
OWNER BUILDER DECLARATION 's r
I hereby affirm shot I am exempt from the Contractor s License
L�aw,.for the following reason„(Sectlon 7031 5 Business and ADDRESS t' 4
`Professions Code) + PRESENT
+❑- - + BUILDING _ - _ e
I of owner of the property or my employees with ADDRESS '
wages as their sole compensation will do the work and x.-
the structure is not intended or offered for sale (Section LOCALITY 1-6 baA z
17044 Business and_Professions Code) MOVING + TEL
s ❑
I as owCO > •s +
owner of the property am exclusively contracting CONTRACTOR NO} s , -�i• �f• � � � ' i
W
ith licensed contractors to construct the project (Sec ADDRESS
.- tion 7044 Business and Professions+Code) - - •+� V _ -- 41 '2 5 1 O O
! REQUIRED TOTAL SETBACK FROM f EXIST ' ,. N
! CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP^LINE WIDTH .�... �`�F�hS 1'O O�i
I hereby affirm that th4re is a constructmn lending agency for T FRONT �y + + r
the performance of the work for which this permit is issued ' PL f 0 6 ,I O'� 1 _8 1•s
�(Sec.3097 C,, C ) ' - .. . �. .SIDE . I- y ^ •. t•� ._ 1 - ,1 _
PL
Lend,,, Name
I _ 1 . _ _ , >• _ _ roc _ + •
Lender s Address I PC Fee S + Permit Fee
_ a -
I cenifyoih t I have read this application and state that the' . - Issuance Fee - V
p den nfor anon is correct agree to comply with all County _ Investigoiion Fee .- - .• '� �'• - - - - ! -- -+• - _
s in'an'e and�State laws relorW6 to building'construction - Total Fee '
ILIa y autFi a representatives of thi"s County to enter
upo rhe obo+ m ne ro rly for nspectton'purposes
I
a� - SEE REVERSE FOR EXPLANATORY LANGUAGEJ + ,Signature ofApplicant or Agen Dote t f It 'fib
APPLICATIOWFOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING IN AND SAFETY
�+
A S
WORKER S COMPENSATION DECLARATION° A FOR APPLICANT TO FILL IN BUILaN DD
I hereby affirm that I have a cerhfx;ate of consent tc self Insure
BUILDING ADDRESS
or a certificate of Workers ComperLsation Insurance or a certified ,
copy thereof(Sec 3800 Lab C), DPW ZIP. ,
Policy No 1046104 Company STATE FUND OCA v
SIZE OF LOTj NO OF BI-DGS NOV ON LOT r
1:1 Certified Copy is hereby furnished NEAREST CROSSIST
k3 Certified copy is filed with the county building Inspection TRACT BLOCIc LOT HO
department USE ZONE MAP NO
Date I _1 q A AppllcantJ�DnL Rn081NG ASSESSOR MAP ROOK PAGE PARCEL av —
SPECIAL co noelN s
CERTIFICATE OF EXEMPTION FROM WORKERS O+INER 'TEL No 'vas NO ,
• COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL?
(This section need not be completed'if the permit Is for one hundred ADDRESS ' -
dollars($100)or less)
DISTRICT GROUP TYgg CONST FIRE ZONE PROCESSED BY
-
• I certfy that in the performance of the work for which this permit
Is CITY ZIP
Issued I shell not employ any person In arty manner so as to, ✓✓ J
become subject to the Workers Compensation Laws ARCHITECT OR ENGINEER TEL NO
� STATISTICAL CLAS$ffICATgN APT CONDO
Data Applicant ADDRESS CLASS NO 3VVELL UNITS
NOTICE TO APPLG4NT If after making this Certificate of REQUIRED TOTAL SETBACK FROM JEMSTExemption +you should become subject to the Workers CONTRACTOR — TEL NO- SETBACK YARD HWY PROP UNE
Canpensatan provls,ons of the Labor Code yoWnrust forthwith, RANDOT. ROOFING 998-4040FRONT
comply with such provisions a this permit shall be deemed revolted ADDRESS UC NO - PL9�9 F.- VALLEY RT.VD 491q'17
LICENSED CONTRACTORS DECLARATION �7 UdC SIDE
I hereby affirm-that I am licensed underpnovewons of Chapter 9 XN GABRIEL —�Ids S SEWER MAP
(commencing with Section 7000)of Drvls,on 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES
Professions Cade and my license Is m4ull force and effect - NEW ❑ Bic - -PG , }
License Number 451'947 LIC Class C-39 n Q.
DESCRIPTION OF wl7RK ADD ❑ VALUATION
CantractorRANT10T. R(1(1FTN(:Date 6-17=96 —ROOF HOUSE AND GARAGE WITH ALTER ❑ $ O0
❑ am exempt under Sec ` 5YR. CLASS A FIBERGLAS SHING REPAIR 8I $ O
BSPC for this reason D' TORCH FLEXCAP DEMOL ❑ P/C -1 W
Date USE OF EXISTING BLDG - r URM ❑ - A(T•* EL
Signature APPLICANT(PRINT) TEL NO LDMA Perm 41 3303 175.65
❑ I-as Owner of the property or my employees with wages as RANT)l Ron TNr 988-4040 _ fix+
their sole compensation will do the work and the structure Is ADDRESS - F 1 ITEMS 'I
not Intended or offered for sale (Section 7044 Business and " FINAL DATE a TI)W- 17-5 - 65
Professions Code) 1 vnLL RE APRIGNT OR Futu�anm<G OccLFrxT n NDUE A AMTERNL
D
❑ 1 as, Owner of Me property am exclusivelyI OR A MxT1, E CONUINNG A ILA>-AROaIe MATERIAL EO TO OR GREATER THAN THE 0 = Cf1Gl Tt 5
jec c(Section
with AAIOUhTG GPECFED ON THE H DOIIS WATERW NFORMATrory GUIDE+ FlNAL BY j 17!.6-
licensetl contractors„to construct the project (Section 7044
Business and Professions Code) vas❑ No O x - .. _ i A.rTrg•R7[, .00
' W1 TIE INTENDED IISE OF TRE BUIDLNG BY THE AFVLIUNT OR H JRE BUILDNG
OCCUF REOUPE A PERAYT FOR C.CNS RUCTCV OR MODff XnON FROM THE SOfTH
CONSTRUCTION LENDING AGENCY � AIR Duw WxNtnEMENr DISTRICT ISGAOMD)SEE PERIWTFNG CHECKLIST FOR
GIADEUNEB •j- 0000-WO1
6/24/96
1 hereby affirm that there Is a construction landing agency, for YEs❑ j, No❑ `` f ; 1
m the performance of the work for which this permit is Issued(Sec IHAVEREADTHEwwrioolsruTewALswFauunoNouDEuroTHEscnormiERMITTNG 1 7067
3097 Civ C) CHECI(LIST I UNDERSTAND MY REOIATEMENis UNDER THE LOS ANGELES COUNTY CODE
TILIE z CHAPTER 220 SECTIONS z 20 100 TIAapN z 20 140 CONCERNING IMZkPDOUS _
Lenders Name . ,MTli 4 S REFVrmNG AND Fat OBTNNNG A PERMIT FROM THE SCAaA - ,• -1
Lenders Address
o � aMrn w,arAT
o I cerhfy that I have reed this application and state under penalty `
ry Of perjury that the above Information is correct I agree to Comply PC FEE PERMIT FEE
with all county ordinances and State Laws elating to Wilding
construction and here y authorize representatives of this County ISSUANCE FEE
9%A40
Pon the abo mentioned property for inspecilon
a 4 ,�/ WVESTIGATION FEE TU FEE t•
SEE REVERSE FOR EXPLANATORY LANGUAGE