The URL can be used to link to this page

Home My Public Portal About9327 PENTLAND ST_Building__ APPLICATION FOR BUILDI G PERMIT 4 ,COUNTY OF LOS ANGELES ' BUILDING DEPARTMENT OF'COUNTY ENGINEER ADDRESS B=ING AND SAFETY DIVISION' LOCALITY JOHN A LAMBIE`COUNTY ENGINEER . NEAREST WILLIAM A JENSEN SUPT OF BOMBING CROSS ST r 6 FR , DISTRICT NO G TYPE / Q BY FOR APPLICANT TO FILL IN „j, 6 CONST V 'BUILDING `Q STATISTICALC,I—AA�SSIFICATION SE ER MAP ESS J CLA55 NO LDWEL UNITSNO BLOCK MAP NUMBER - TAyTET USEZONE SPECIALO OF SLOGS CONDITIONSOF LOT - OW ON LOT +/OF TING BLDG :. r BUILDING ypRD_ HWY STREET NAME E%1STTE SETBACK WIDTH- -ER N FRONT3DESS SIDEITECT R TELNEER NO INSPECTION RECORD ESSTEL 0 TRACTOR -NORESSDESCRIPTION OF WOR%• ADD ALTER REPAIR DEMOLI h Z "SO FT I NO OF, NO OF SIZE STORIES FAMILIES , USE OF STRUCTURE i r r 5 SIGNATURE O APPLICAN SCi , VALUATION$ • �/LN.� APPROVALS DATE -INSPECTOR SSIGNATURE 'PC PIATF E E FEE $ �+ FO FORMS I MATERIIALS LOCATIONON I ^, FRAMEFIRESTOPS ° e I HEREBYlACKNOWLEOGE THAT'I HAVE READ THIL S,APPICATION BRACING BOLTS ' AND STATE THAT THE ABOVE IS CORRECT,ANO AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I GAS VENT `DUCT5 ' 4 9U ILOING CONSTRUCTION II CERTIFY.THAT IN THE PERFORMANCE OF THE WORK FOR WHICH,THIS PERMIT 15 ISSUED I SHALL NOT LP.TH INT ` EMPLOY,ANY PERSON IN ANY.MANNERISO AS'TO BECOME SUBJECT TOOTH E�WORKMEN S COMPENSATION L S OF CA LI RNIA LATH EXT OR ` I' SIGNATURE OF //� HOUSE NUMBER COR- •// / q Aq PERMITTE s RECT AND POSTED ADORES FINAL CLYDE PLAN CHEC% VALIDATION cK Y G ` cuaR FERN CK VALIDATION�? Z7S�O��ie"�' l7 u '7 IN,...Ct�.Y. Y BO APPLICATION FOR BUILDING PERM4 , COUNTY OF LOS ANGELES BUILDING ' 73— 'DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST ` WILLIAMA JENSEN SUP T OF BUILDING CROSSST ` DISTRICT NO ROUP TYPE P SSED BY FOR'APPLICANT TO FILL IN , 0 CONST J BUILDING STATISTICAL CL ASS FICATION SE ER MAP - ADDRESS BK - P CLASS NO DWELL UNITS Irw � ry MAP y + TATE YES O ` NUMBER HWY TRACT L ' US Z E SPECIAL OF CONDITIONS 'O SIZE OF LOT C- NOW ON LOGS Z � F, I ' USE OF EXISTING BLDG • BUILDING " E%IST" ` \ , TE 'SETBACK YARD HWY STREET AME WIDTH I OWNER I NI FRONT 1 P L f ADDRESS I SIDE) 9Y ARCHITECTOR TEL �P'L I ENGINEER el NO III-I + ' INSPECTION IRECOAD ADDRESS I I I6 J s TEL ,�.. _ Isb•/ � . ^r, - Y' 0- CONTR4CTOR S NO b l./ ADDRESS ' DESCRIPTION OF,WORK ^i " eeX 7-, ti 9J`N 61 7'5 'ADD ALTER ' REPAIR DEMOLISH SO FT 'NO OF NO OF CS• �'/ SIZE �_ STORIES FAMILIES I p / I i•, I USE OF, -77 ` T /`� STRUCTURE X7 SIGNATURE OF Z /' �_ ) J y APPLICANT ` ]'O VALUATION S APPROVALS DATE INSPECTOR SSIGNATURE PC FOUNDATION LOCATION / �I �i J''' �'✓" _ ,FEE $L �' FEE $ �a FORMS MATERIALS fn T I FRAME FIRESTOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT DUCTS /I - BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORM ANCC OF THE WORK FOR WHICH THIS PERMIT IS ISSUED ' SMALL NOT LATH INT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME GUdIECT �) TO THE WOR ENS COHPEN SAT ON LAW OF CALIF RNIA �. _ -' f IrY LATH EXT _ YYYY \ .I 1 HOUSE NUMBER COR- yypp SIGNATURE OF RECT Al.POSTED 0 � � i PE.." ER M ITTE ADDRE (FINAL I 7 WIS PLAN CHECK VALIDATION cK' B o cAeH CLYDE P DERNUT VALIDATIONTR GCKFyJRM o ENGINEER I L 1',,C0 6 9 8 G a t'G1Y 1 ] 2 3 D 2 4 0 0A �} Cos324JUN 9 1 D �/4jy,8, 0yQ0 a�71i4c tiLY fl? V WORKERS COMPENSATIOtJ'DECL'ARATION $i.#a B3jv ,i�/t{r/ ~ t tf4')J'T4rc %t -. .5 1 hereby oracertificate I hava'a r,, Cornpaaf consa'u,,,?nelf _ APP,LICATION`FORJOUILDING, PERMIT- - :fir,' Isere y air mithat I of Workers Compensation Insuronc '� or a certified copy thereof (Sec 3800 Lab' )` ` A >:' s r'="'--r `P` I ,`t"' ,y- COUNTY OF LOS ANGELES BUILDING A'ND S ETYy Policy No Compony� .r.. '-•- -- - - - Certified co is hereb furnished ,1 1.`i di „ .-.BUILDING r + ❑ Py Y' 4 FOR-APPLICANT TO FILL-IN � ADDREss Certified copy is fded'with the county budding nspec " 1 BUILDING tion deportment 5\ Po„•- + !' N. ADDRESS v` r s Doted ` 1L`� ppl cant - t'fy,a. , ^ Cis + ZIP LOCALITY T' ' L` RTIFI TCOF EXEMPTION FROM WORKERS-2 NO-OF BLDGS -” +. --'"'; NEAREST.......,.,!-. ` COMPENSATION IINSURANCE-N ,' V . SIZE OF LOT NOW ON LOT _ ` ' ROSS ST (Tho`section need not be completed if the perm(it'is for one -� �•.-.y__ a .,_ y _ -.- ' ASSESSOR hundred dollars (5100)or less ) a.+F,tty.0 1 -(vTRACT BLOCK LOT NO-�� µ4P BOOK` i6 1- • PAGE' *'• PARCEL f -n r t`n sl i t OWNER USE Z NE NO t 1 Y I certify�ihat,m th'e parf6imanca of tlia work for which this - i'sn NO �� 8 . f perms o Issued shall not employ any parson m any manner I / SPECIAL- - -+rt-- . --.- 4- t _-'" ADDRESS--".---5 _'n"'�s-=.--.s.-.___� -...{ - ( 6 so as to become subject to the Workers.Comp`ensati6n Laws CONDITIONS �` _ , 5 w„ set -,i r .ov . - *. O "„ _+ + i u ,v 0 _P, t - CITV�-__... 3__ - ___ _ ZIP ra r -1,-, ._ Dare' i Appb<b ant" W"IP1 NOTICE TO APPLICANT'l If after making this'Certihcate of ARCHITECT OR JEL _ t _DISTRICT �OU P TYPE �' - FIRE_ ~SSED BY 10 ENGINEER NO t CONST ZONE Exemption-' you should become subject to the Workers - , - I `/}[, /I ,, / S ' _ ,,., i Compensation provisions of the Lobor'Code you must forth- - - t' - _ 1/(� �,V_. sy with complyr with.such pncvmons or, this Permit shall be ADDRESS i _ -_ 1 deemed revoked t .,• , , ' TR /-y V5✓/..vT,� N g 1 STATISTICAL CIA551�N ° APT- CONDO' r''1 ' Yrs >_ + JW^,a •1 ij CONTRACTOR / ' LICENSED CONTRACTORS DECLARATION, tt\\. -.-v r` O-Y/ C LIC Ll ,.ter, CUSS NO— ��oWELiI UNITS- I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS r�7 L�C.7 C_NO �s (&rnmenong with Section 7000)of Division 3 of the Business and ,-- ^ __ _ ` a_- -__ LIC - �� _SEWER MAP } t I , ` ,n i u r v , Professiom Code nd my I cense'is in fullrfoice and effppeccct �-r '- CITY C] V L� I CLASS - VALIDATION' .r , e 9`.r M �t ,J r. . y •tr,-h�j�7 y^ SO _FT _ __ NO OF Ido OF° _ CHECK BK �' L¢ens`e Nu 'r 71 LU C 4,� '�Lic'Class i_ '�\} / SIZE STORIES FAMILIES y' ' ONE f- •'t rvY}'t•,v ' r 1 + n. ;,y, r. r v a, F- r-r'� � VALUATION COntrac or �' amu." _ .,Z3 '(� DESCRIPTION OF WORK"^ �'""1 v �- EWY^O P .- a,. + . _ _ T / - - ,- ADD + r ❑ I am exam t under Sec _ �O'��l- �'r/ �'Y-M1--�+ ALTER ,1 r ,n REPAIR_ � 1{ t'- I'"7 t 'B 8P C for this reasoni refs -r-- �---' � - r --+- - - �- - - --- Date ^ ' FUSE OFG BLDG DEMOL t t ;16 1 S 4 A_ , Sign6turo'a __ _Y „ _ _ APPLICANT , TEL I `FINAL b # • • •,• •+1 ° t OWNER BUILDER DECLARATION PRINT NO ' .DATE 1 hereby affirm that I am exempt from the Contractor s License - _^ y - _r + n M( •,1`0 6 1'3 ' Law for the following reason,(Section 7031 5 Business and ADDRESS - I NNAa, CY4tav l'it - eh Professions Code) ` ' - - - .--.._ _,_ - - - - , =BY -•-• 1 0641-3 ILD -❑ I asowner of.,ihe property, o my employees with AUDDRING ESS --_ ��_ -_, _. - ^^ _E' a __ ,_ _ ti _ _ ('2 2 3'8 6 wages as then sale compensation wdl do the work and L ) s the structure is not intended or offered for sale(Section, LOCALITY , - _ 7044 Business and Professions Code) '" '- '- MOVING- -"' — ITEt-' - A --- `�--- --- -( ;-�- -- - . ❑ CONTRACTOR L -_ -. NO _ k I as owner of the property am exclusively contracting ? p r -'with licensed contractors to construct the project (Sec ADDRESS hon 7044 Business and Professions Code) r " .CONSTRUCTION LENDING AGENCY` --- _RSEECIUUIIREK -YARD, `HWYt --TOTAL ETBACK FRO PROLINE WIDTHi 1 hereby affirm that there is a constiuctln lending agency for FRONT - • �- ( "^' ''' ""'J' -'the performance of the work for which this permit is issued PL - A .-- - --�- -- -- -- --- • i -- -• - �-,-� - - (Sec 3097 Cry C ) , SIDE Pl 'Lenders Name _ _ -__- _ _ _ 7 _ _ _ - y _ _ _ -_ P C-Fee 5^ -- - "-"-•- Perms Foe--•'- LDMA Ref N - M •ti ni.�1 Lender s Address - -1b�,. ___ _ _ _, i w ,1 certify that,l.have reed,this application and state that the _ --.,h-., Issuance Fee-- - J Cl -T- LDMA P/C N above mformotion is correct I agree to comply with all County - Invesogaoon Fee Total - ,,,'ordinances and State laws relatingto buildingconstruction, _ �. � '•`` ' .,' •,;_' h u and hereby outhonze representates of this County to enter - ' - -' 'Fee - z -LDMA Perm N ti _ _} s e aboveiLm boned prop rty far inspection purposes- r ^ SEE REVERSE FOR EXPLANATORY LANGUAGE \ -'--Signak.re of Applicant or Agent +- _- Dote'-/ o^b_ ,- _ _ _- _ _. V.