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Home My Public Portal About9321 PENTLAND ST_Building__ 76A63aA CE #803 3-69 , APPLICATION FOR BUILDI G PERM u COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS _ BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER LOCALITY COLEMAN W JENKINS SUP'T OF BUILDING NEAREST CROSS ST I -1 FOR APPLICANT TO FILL IN Ulb LUI No GNyB— TYPE C (PRI OR TYPE ONLY) O V I l BUILDING STATISTICAL CLASSIFICATION SEWER MAS— ADDRESS CLASS NO DWELL UNITS BK PG LOT NO �'7j j� BLOCK USE ZONE MA -- �C (/ NO aq TRACT SPECIAL' NO OF SLOGS CONDITIONS SIZE OF LOT OW ON LOT .� USE OF EXISTING BLDG BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) OWNER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS232.1 HI HWAY WIDTH FROM C L ) CITY ARCHITECT OR TEL BLDG SETBACK FROM ENGINEER NO SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY '+ - TOTAL ADDRESS ((��A p HIGHWAY WIDTH FROM C L TEL♦ h'93 o CONTRACTOR NO �f 7" a ADDRE NI 8 Q-/ CORNER CUTOFF 5 ❑_� NO ❑_ 0 CITY ` L N CO ASS SEE REVERSE SIDE FOR SPECIAL APPROVALS) CONSTRUCTION LENDER F NAME AND BRANCH IVyI a ADDRESS Z SO FT NO OF NO MIOF / ❑ SIZE STORIES FALIES / NEW USE OF ADD ❑ STRUCTURE ALTER ❑ (� REPAIR SIGNATURE OF I DEMOL ElAPPLICANT el!A_p� Ob VALUATION S APPROVALS DATE INSPECTOR 6 SIGNATURE P C PMT FOUNDATION LOCATION FEE $ FEE S FORMS, MATERIALS HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS, BRACING, OLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUE DUCTS TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT Q— OF THE STATE OF CALIFORNIA IN RELATIN TO WORKMEN S COM PENSATION INSURAI(�/CE SIGNATURE OF Jv/ /,( /- LATH EXT MITTEE / / iC! AP�'f/I HOUSE NUMBER CORRECT PER AND POSTED ADDRESS FINAL JOHN F LEWIS PRINCIP L STRUCTURAL ENGI PLAN CHECK VALIDATION CK M O CASR - PERMIT VALIDATION CK M 0 cAs 1AJ'; 46959 APR 29 1 D 122.00 - i�i�"` "`torr✓ wuvb ntvca N. V W J FOX. CHIEF ENGINEER 9�! < FOR APPLICANT TOFILL. IN FOR OFFICE USE ONLY ! ^AM • ,' DISTRICT NO PLAN CK NO r PERMIT NO BUILDING Y// Y .,;.,��'(y/' 60 I ADDRESS ///_ /� /jam LOCALITY- A mdtf�i /7 ,A.,. R/f�p[I/VEEDJ�BY DATE OF APPL DATE IHBUED` NEAREST V �V (/I /J_ ��.7�L�I 7 y— �- •� QROHS ST I i4 •` BU ADlL DRESS MAIL � �_ /� _ `• LOCALITY /� ,C.� - L '\ ' ADDRESS Qlrr .liwV . w��ew NEAREST ROS T N rC, /V,��/t/•T�� _ , FIRE - NO OF ryPE�+ I GROUP ARCHITECT OR 'TEL• ,ZONE �I PLANS I F� , ENGINEER +/f/. NO LDG ' IADDRESS {` , SETBACK LINE LD/ ; �y91RD NO D TEL APPROVED � n r t CONTRACTOR" ,( NO BY ^DAT[. ' v USE _ APPROVED ADDRESS ZONE BY DATE LEGAL ' DESCRIPTION LOT NO / I BLOCK - CORRECTIONS, TRACT /2- 2 /D 1 •\ r AO O► BLDGS N - BIZE OF'LOT Q� `Ij�L) i NOW ON LOT USE OF ' NO OF NO OF EXISTING SLDG ^�-+� DAMILIEE ROOMS lJ ' DESCRIPTION OF WORK NCWALTCRATION ADDITION ' ' O A REPAIR MOVING DCMOLIBN O Bq FT ,NO OF > _ 81ZE Q-D ROOMS / STORIES ' WALL ROD . COVERING I COVERING �& USE OF NEW BUILDING 1'1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH18 APPROVALS - APPLICATION AND BTAT6 THAT THE ABOVE 19 CORRECT FOUNDATION LOCATIONr, r� INSPECTOR ,DAT[ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCESFORMS, MATERIALS . AND STATE Ll,WB REGULATING BUILDIN CONSTRUCTION FRAME FIRE STOP% L^ _ •n 4 + BIGNATUR[ OF `/ //�� SRACINO, BOLTS OWNER <iL (V/�( +LATH. .I NT V u AurHDaaco war LATH. E7(T i - >_ 1 P C / PLASTER. INT - k' I 4 Ocl FEE PLABT ER, EXT VALUATION ✓ B D O I FE[ FINAL DhARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® �p �a (� WM J FOX, CHIEF ENGINEER L G FOR APPLICANT TO FILL FILL IN/) FOR OFFICE USE ONLY BUILDING `� Z¢! /�t/ �� /�I DISTRICT NO PLAN CK NO PERMIT NO LOCALITY n / F _ R IVED 0Y DATE OF APPL DATE ISSUED o�9ST I - $ - Lifr i — Ft - L Ss BCC OWNER � ADUDRILDINGESS MAIL ADD EBB LOCALITY V �A, �Q ��irr-�.i.t__ G Oy NEAREST CITY4 (/iniH IT+o� cgoee er FIREO OF TYPE GROUP H ARCHITECT OR TEL ZONE PLANS ENGINEER NO BLDGORD NO ADORE SS SETBACK LINE APPROVED EL CONTRACTOR BY DATE UBE A 1 APPROVED ADDRESS ZONE A- ` BY DATE LEGALZp (o CORRECTIONS DESCRIPTION I LOT NO /� BLOCK -� r TRACT /a2-/o .c NO OF SLOGS SIZE OF LOT 1-a X/�(J NOW ON LOT USEOFpp p- NO Of NO OF EXISTING BLDG RA4 /(- fANLLIE! I I ROOMS DEscRIPTiozf OF WOGS NEW ALTERATION ADDITION - A O REPAIR MOVING DEMOLISH 0 11 SIZE T � nn ROOMS STORII EES -I/ D COVERING �{'/F�war I COVEWALLROOrRING iFJ{nAMIW F UBE OF NEW BUILDING ,f r f 1 HEREBY ACKNOWLEDGE THAT 1 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 1 AND STATE LAWS REBULATING BUILDING CONSTRUCTION FRAME FIRESTOPS, SIGNATURE OIL/ BRACING,BOLTS✓ 41'f} y Q —c-Y PERMITTE /%� ��VV"��✓✓^^// LATH, INT ' AUTHORIZED'ABT LATH,EXT - DHS 3 SOH acid 7 47 $ P C G PLASTER,INT 13 FEE ' PLASTER,EXT VALUATION FEE Q ( FINAL / �4��• Jdl.�rl r + DEPIRTIOENT OFrRUILDING AND SAFETY ,,r r APPLICATION FOR PERMIT BOUNTY OF LOS,ANGELES t ® � �J WM J. FOX. CHIEF ENGINEER JAN ,C ��Y_� owl FOR APPLICANT TO FILL IN FOR.OFFICE'USE ONLY BUILDING DISTRICT NO PLAN CK t NO - PERMIT N0. , Aoow EeB !/yam/ ps'J� Y /`.(��}''' 9 LOCALITY / �i /Yf Y PL ,[�/ / r ' RECE BY^ DATE,OFF APPyL `\ • DATE[✓ISSUED-- I NEAREST' ,I ' �`�yZ CROSS ST I - l ' ♦ f,I GG �q v 'y�P f BUILDING 9G `� OWNER C L Q J` e M'c t+ • l •/�L+p/�/ /I J '''�`GORESS"IL / ;l - AD RES'B}��• 19`J S pc III r/_ fF lU _ LOCALITY J '' -T " ,- I ' •" CITY I _ M GoC e- , NOL GCROBB STFIRE mo�or vim,/ ARCHITECT OR t TEL ZONE' \ I PLANS •Z I TYP[I V I GROUP ENGINEER Se L. �' NO Jf ' ,BLDG . \ ORD NO r _ ADDRESS ^ BETBACK LINE -APPROVED ' CONTRACTOR ' r�ryp t 'BY ` DATE ADD REBSI -5 A �-.• �- �' '^ YZONEA_' BY DATE DATE - «., LEGAL CORRECTIONS ! �(� DESCRIPTION/ LOT/[NO^ BLOCK I E TRACT".. �- /,2, Z'/V'�� ,' +�F _ .//C•c' 'C /✓ /F'O /`' _ �•__ _ 0�9 ll! `'h NO OF BLDOS D •I1 n 4 I ' SIZE OF LOTLQ � 0 NOW ON LOT N�il�e VQ f -' - 3•.`.� 0 .^Y� ' •n • USE OF „ - I NG OF �I NO OFA % EXISTING BLDG - FAHIII[B ROOMS DESCRIPTION OF WORK °' R /� r NEW I,I ALTERATION ADDITION O REPAIR MOVING DEMOLISH d ., - D SO FT '> NO OF ' j' ' z SIZE ” O t ROOMS ;TORIES - I. WALL - ROOF .COVERING �O/C I' . I CDVER_ING -NEW BUILDING LIILDINN _v y • r s . ' APPROVALS' , I HERESY,'ACKNOWLEDGE THAT"I `HAVE READ7THIB ¢APPLICATION AND STATE'-THAT THEABOVE IS CORRECT' -FOUNDATION LOCATION.I�' INSPECTOR DATE ' AND AGREE TO COMPLY WITH1ALL'COUNTY ORDINANCEB� FORMS,, MATERIALS �.`� ' "v 1— �' AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAMSTOPS 16 FIRE"STOP , v V"' + BRACING, BOLTS ' SIGNATURE OF - - ^ .(p ' R } , "• OWNER �^ • f LATH.,INT eN AUTHORIZED AST `�' LATH,*EXT P -C S ,•}{/ Y .PLASTER, INT L 5 • . + ,• , , _ I • y r1 FEE.J n11 PLABTER,'EXT VALUATION `I a r 04 FINACw FEE • I, ^ APPLICATION FOR BUILDING PERMIT � COUNTY-OF LOS ANGELES i BUILDING AND SAFETY WORKERS COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN RESS Bl1I No AooP o� 1 hereby affirm that I have a cerbficate'of Consent to Bell Insure / ^r or a certificate of Workers Compensation Insurance or a certllletl CITY copy thereof Se B Leo C) L, LjJ , (j �q/pp•� ��! '7 LOCALITY Policy No L J '�L Company��LT� )l LOT r ,n,)) NO OF NOW ON LOT �❑ ed copy Is hereby furnished Q o NEAREST CROSS ST V.GBftlllad copy IB tiled with the county building inspection � BLOCK LOTNO G h USE ZONE MAP NO Dete �APWicant�01''� �rL ��AS� ASSESSOR PROOK PAGE PARCEL /� N �� SPECIAL CONDITIONS TEL NO CERTIFICATEOF EXEMPTION FROM WORKERS' �71J?) WTTI-IIN 1000 FT OF SCFKK)L7 YES NO • COMPENSATION INSURANCE ADDRESS (Thee sacaoh need not be completed If the permd is for one hundred ' DISTRICT GROUP TYPE CONST JFIREZONIE PROCESSED BY dollars($100)or Tess) ZIP I cerhly Mat'In the performance of the Work for which this permit ( �] �O ` 13 slued-1 81`811 not employ any person In any manner s0 as to ARCHITECTORENGINEER TEL NO ,becomesub)Wtolhe Cati WOrkere ompenson LeWe 11 STATISTICAL CLASSIFICATION UNITS CONDO Date Applicant ADDRESS CLASANO DWELL UNITS NOTICE TO APPLICANT If after making that Certificate of REQUIRED TOTALrSETBACK FROM - EXIST Exemption you should become subject to the Workers GONTRfgORnTELNO „(,'nn SETBACK YARD HWY PROP LINE -- WIDTH - Compensation prowsic s of the Labor Code you must forthwith 'V!2 I comply With such provisions or this perms shall be deemed revoked AD _ _ ..uC NO P PL'C LICENSED CONTRACTORS DECLARATION CI n,� _ LIPDE ' CL vl I hereby affirm that I am licensed under provisions of Clwtar B SIZE rK) OF ST NO OF FAMILIES MAP_ C (commar5cmg with Section 7000)of Dlvmon 3 of the Business andSO NEW BK PG professions Code my Ilcense in full force and effect i D SCRIPTION OF WORK VALQATION , License Number y Llc Class ADD w Conhector f�Date — �- 51 ALTER_ ❑ S a'3 7 �r� I•' 1 " z r ❑ ' ❑ I em exempt under Sec hEPAIR_ ,t B WC for this reason ¢ DEMOL ❑ LOMA PIC♦ - - _ Ik't I Date_ USE OF EXISTING BL URM ❑ t _ Signature - (PRINT) f TEL LOMA Perin• 1, ❑ I as Owner of the property or my,employees with,Wages as _ a ' their sole'compensation will do the Work and the structures ADa1 — I CT.r - ' not Intended or offered for sale (Section 7041 Business and & �- FINAL DATE !� i 1`I� Tri profeesions Code) S,7 , t C_ 7 J7.1� WILLTHEA lCANTORRRIIREB lI WOCCLMAWRAlIOLEARAIIAUpAIMTEPoAL ' 3� / I ❑ I, ae owner of the property, am exclus"i contracting With OR A MIXTURE CONTAINVKI A HAIAn S MATIALLL EQUAL TO OR Wi`ATEA TIMN �� 5' - I I ITM Y g THEAMOIWre SPECIFIED Ott tIE HAZAROCU9 MATEPoArB KORMATION OUOEI 'FaNL BY 1 �' i licensed contractcha to construct the project (Section 7(44 t - d c 9 13 ' Business and Professions Code) I WILL TIE INTENC®USE OF THE BNLOINa aY THE.YRJGVIT OR FUTURE 6UILpINa , t OCgaYNT RECUIREAPEAYrt Fp1CO1VSTNORIgOIFIWnOTHESWTN •-4� 5d', . CHECK K CONSTRUCTONLENDING AGENCY YBENT 013l;ilu(sCAOYE EYITTiNo •Iv wecivsr y r WiDEUNlS • _ CNFdiE .IJI I hereby elllrm that there u WR e construction lending agency for tey❑ Ip El the performance of the work for which this permit is saued(Sec 3087 Civ C I HAVE 1EM TIE HAIAAOOUS WTERW.9 INFORMATON WIDE ANO TIE SCAOYD L �q ) - PFAIYTIINO WECKLIsr IUWFA4TANO MY REWe1ElAD1Ta 1,�d1Qi TIE L�ANaEIES ¢D COIMTY CCOETIREY CHAPTE112a1 BECTICNBEA 1 W THHOIKiH2A 110 CON(ERII W3 :+• 1 1 V � 15QI��— Vr ?Lender's Name Lenders Address 16 25 oAFxRORAoa.T , o I certify that I have read this application and state that the above �R Infomlatlofl Is correct I agree t0 Comply With all county PC FEE _ PERMIT �� /� ' T If 136 ordmances and State laws relating to budding construction and _ hereby authorize representatives of,ths County to enter upon ISSUANCE FEE D the oned pro for Inspection pug INVESTIGATION FEE TOTnr / syr, • v/p. � SEE REVERSE FOR EXPLANATORY LANGUAGE `