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Home My Public Portal About9442 PENTLAND ST_Building__ A ROAD DEPT. PERMIT IS REQUIRED FOR ANY MATERIAL STORAGE OR WORK DONE IN THE ROAD RIGHT OF WAY. ftAt=��e>r........ APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOSANGELES BUILDING 7 DEPARTMENT OF COUNTY ENGINEER ADDRESS �T X� BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN.SUPT OF BUILDING CROSS ST. DISTRIICiNO. GROUP TYPE PR ESSED B FOR APPLICANT TO FILL IN 5 coNsr� ! BUILDING TISTICALC SI FICATION SEy( R� G ADDRESS ASS.NO DWELL.UNITS C( LOT NO. 7NO. N NUMBER ER ` Hwy. YES TRACT �h'I ZONE SPECIAL CONDITIONS � X }� I NO �SIZE OF LOT (C� J NOOco'USE OF AEXISTINGBLDG. DING YARD HWY STREET NAME IDT� ACK WIDTH OWNE / T/4TH/ NTMAILL. ADDRESS .0 •G/ DE.L.CITY P !- ARCHITECTOR If TEL. ENGINEER NO. _ �.v,.�•e r cxisr .y.e T� ADDRESS CONTRACTOR ;Z) \ - N, !�✓ ro I,'. p T /� AODRESS Oe DESCRIPTI OF WORK •/ NEW ADD ALTER A REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES SUSE OF TRUCTURE .LG 9L Q �•Q �/"� j/} 1^ _ L T-�- P u1 SIGNATURE OF APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS J f/ Yd v FOUNDATION:LOCATION VALUATIONS �Ia�DFORMS.MATERIALS FRAME: FIRE BRACING,BOLTS 2 PMT. $ i FURNACE: GAS VENT.DUCTS LOCATION. FEE FEE 1 HEREBY ACKNOWLEDGE THAT I H VE READ THIS AP- PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH.INT. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RE T UILD G CONSTRUCTION. LATH.EXT. SIGNATURE OF HoUSENUMBERCOR- PERMITTER RECT AND POSTED ADORESzq�z FINAL -'"---- CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN�INs� (' R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. /G6H j' LACo5 1 3 6 JAN 13 1 A 1 8.() 0 0,. APPLICATION FOR BUILDING PER-MIT' _ FOR APPLICANT TO,FILL IN _IPrmtoftype only) COUNTY OF LOS ANGELES ADIDRE55 ,v - DEPARTMENT OF COUNTY ENGINEER _ CITY 7, r1 ) ctry ZIP BUILDING AND SAFETY DIVISIONk NO-OF BLDGS BUILDING ,r SI E OF LOT X •Q NOW ON LOT ADDRESS Z. lGf� TRACT BLOCK LOT NO LOCALITY, TEL - NEAREST - OWNER _T NO CROSS ST ` ASSESSOR ADDRESS oZ MAP BOOK = PAGE a PARCEL ' DISTRICT GROUP TYPE FIRE EEISED 5Y •CITY ZIP r CONST ZON ARCHITECT TEL - ENGINEER' No �7.3%Z SiATI571CAL CLASSIFICATION SEWER P -c ADDRESS ,� Q� h - U CLASS NO CONTRACTOR UNITS BK " - CONTRACTOR T O /�3 Z E OP LIC b ADDRESS Z.� NO S Y SPECIAL. - _ _ y1 �1'� CONDITIONS _ CITY ! CLASS RJ ROAD DEPARTMENT APPROVAL REQUIRED —" YES-[:] NO'❑f CONSTRUCTION LEND - NAME AND BRANCH BLDG SETBACK FROM . FRONT PROP LINEOF (STREET( y -ADDRESS- - CITY HIGHWAY +, YARD TOTAL SETBACK FROM' TYPE OF EXISTING SO FT //� NO OF NO OF CHECK - FRONT PROP LINE HIGHWAY WIDTH - -SIZE.-.3f0 STORIES FAMILIES ONE DESCRIPTION_OF WORK b� S IJ _❑ + ADD BLDG'SETBACK FROM SIDE PROP LINE OF - -(STREET) O ALTER ❑ TOTALSETBACK FROM TVPEOF, EXISTING (Y-� HIGHWAY + YARD = SI DE PROP LINE HIGHWAY WIDTH 6 REPAIR ❑ USE OF""'- - 'R' t+ _ Z EXISTING BLDG DEMOL ❑ APPLICANT TEL CORNER CUTOFF r YES ❑ NO-❑ PR NT) / 07H iF� � NO '� 3�3 - IN OPEN SPACE YES ❑ NO ❑ EIV(SIGNATURE( � - IN COASTAL PERMIT ZONE VES ❑ - NO ❑ VALUATION$ . X5— „ A- ,�r - - - a I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APRICATKXJ AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES • I ' AND LAWS REGIIIATING BUILDING CONSTRICTION I CERTIFY THAT IN DOING THE `. WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF r RIE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 COM • �'� PENSATION INSURANCE f SIGNATURE OF - - `• - K� PERMITTEE ADDRESS ' - ' FINAL -TEL DATE- Z23 I •^er MAKE CHECKS PAYABLE TC- - PC $ * ^ T' P $HARVEYT BRANDT COUNTY ENG[NEER FEE 3 — IJ/! PLAN CHECK VALIDATION CK r o wsH ZPERMIT VALIDATION" ,8-9 3'�-APfl 25'243_0 5 3 5 5 : 3 6x7lit-1 18 -1r,0 8 92 5 e5� "0R 76A633A CE N803375 ' ' '- DEPARTMENT OF BUII:DING AND SAFETY APPLICATION FOR PERMIT ` COUNTY OF LOS ANGELES L ® � /�► WM. J. FOX CHIEF ENGINEER V FOR APPLICANT TO FILL IN t FOR OFFICE USE ONLY SUILDI ^O3 ' ,f DISTRICT NO , iPLAN CK NO PEE-RMITOf 1 ADDRESS /(y�'L /G kJ IL �/' 7/w� i _ `" , / /QO ' LOC LI RECEIVED BY DATE OF ADPL DATEISSUED /7 NEAREHT / 4-9 F , I C OSB C BUILDING ^ D� OWNER i/ _///A/ [� B MAIL ADDRESS '� Xy�jN (' / LOCALITYNEAREST TEL �. yQ ;J CROSB BTCITY FIRENO OF ` TYPE =_ OROUP=� ARCHITECT OR TEL ZONE `-'�' PLANS L I ENGINEER NO ' BLDG ( •/�� / ORD NO ADDRESS _ SETBACK LINETEL APPROVED CONTRACTOR / NO BY ( 1 I i DATE 1 UDE //I� APPROVED I ADDRESSZONE /"-f /BY DATE 1 LEGAL CORRECTIONS DESCRIPTION LOT NO 62 BLOCK TRACT SIZE OF LOT I NOW ON LOOTS 11 1 f USE OF NO OF NO OF I `, EXISTING BLDG FAHILa9Y Rooms - - -�-�------�— DESCRIPTION OF WORK "moi y ^r NEW ALTERATION A REPAIR 811 r (y f�'�) MOVING DEMOLISH Q NO OF B ZET ROD ma STORIES / SII L` • .. s WALL RODE - _Yp d u f � t H f r // COVERING 1/�iL(i/jpy COVERING /tfzf/`(/ USE USE OF NEW ^ " BUILDING ///�/A• / ry �i/r...�ii /z/0, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION LOCATION ^ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES �INSPECTOR DATE FORMS,MATERIALS i✓-fN-' 3 AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRESTOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE 6=(//�YYC/�/��I� Y d LATH, INT ff Y- AUTHORIZEp ADT. LATH, EXT Y �� 76A6 A I�a 'es 3 wm acre $ p C III C/ ry PLASTER,INT I FEE ,J/1/ �V PLASTER,EXT VALUATION FEE �I� - �� 'FI NAL ' T G . WORKERS COMPENSATION DECLARATION 'ill r APPLICATION FOR BUILDING PERMIT herefiy affirm that I have a certificate of consent to �•snsure or o certificate of Workers Compenstion Insurance or a certified copy thereof (Sec 3800, Lob C ) ' COUNTY OF LOS ANGELES BUILDING AND SAFETY i Policy No Company -Certified co is herebyfurnished BUILDING ❑ - copy FOR APPLICANT TO FILL IN ADDRESS A r. ❑ lion department copy is filed with he county building inspac BUILDING q tion department ' ADDRESS l � �r � LOCALITY t /6 r•V+r NEAREST Date Applicant CITY / ZIP CROSS ST ' CERTIFICATE OF EXEMPTION FROM WORKERS ^ NO OF BLDGS ASSESSOR 2O ` - ' COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT s MAP BOOK PAGE PARCEL ' (This section need not be completed if the permit is for one USE ZONE MAP Q' , hurdled dollars ($100) or less ) TRACT BLOCK LOT NO NO y 7� TEL i ( SPECIAL 6 ^` v OWNS ,E / NO O CONDITIONS O certify that in the performance o4 the work for wh iah this DISTRICT GROUP TYPE FIRE PR ESSED BY V permit is issued I shall not employ any person in any manner ADDRESS �� T CONST ZONE so as to become subject to the Workers Compensation Laws s X" )at- &A licant Clry .F �.� r ZIP n • TI ✓ _ `S O \\ PP STATISTICAL CLASSIFICATION APT CONDO V NOTICE TO APPLICANT If after making ilio C rhfimte of, " ARCHITECT O 'TEL Exemption you should become subject 'to the Workers ENGINEER NO CLASS tJ0 DWELL UNITS_ N ,Compensation provisions of the Labor Code you must forth ADDRESS ' SEWER MAP with comply with such provisions or this perma'sholl beS deemed revoked - TEL NO VALIDATION CONTRACTOR BK PG I 1 ; LICENSED CONTRACTORS DECLARATION LIC - t I hereby affirm that I am licensed under provisions of Chapter 9 — ADDRESS NO VALUATION (commencing with Section 71 of Division 3 of the Business and UC ' Professions Code and my,l,cense is in full force and effect CITY _ CLASS S Q 50 FT tJ0 OF` NO OF CHECK License Number L¢ Class SIZE OF FAMILIES ONE ' DESCRIPTION OF WORK NEW El Contractor' Date ` ❑ am exempt from the licensing requirements as I am a ADD ' ' licensed architect or a registered professional engineer f ALTER- ❑ 'FINAL acting in my professional capacity (Section 7051 / REPAIR ❑ DATE _ Business and Professions Code) _ USE OF' ` ' EXISTING BLDG , DEMOL ❑ FINAL NAL L¢ or Reg No Date APPLICANT TEL T OWNER BUILDER DECLARATION (PRINT) _ NO I hereby affirm that I am exempt from the Contractor s Licensee + T • Law for the following reason (Section 7031 5 Business and ADDRESS `� s Professions Code) E �7. Get ❑ - - • - BUILDING Z� I as owner of the property or my employees with ADDRESS wages as their sole compensobon will do the work and LOCALITY the structure is net intended or offered for sole(Section tag 4 6 S 4 A ' 7044 Business and Professions Coda) MOVING - TEL � , ❑ 1 as owner of the property am exclusively contracting CONTRACTOR NO v # �•� 1 , with licensed contractors to construct the project (Sec ADDRESS _ non 7044 Business and Professions Code) ' 2 Il .� Soo REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK' YARD HWY PROP LINE WIDTH _ _ I hereby affirm that there is a construction lending agency for f FRONT ��77 77�s •t• J a O O the performance of the work for'which this permit is issued PL px 0 -d -1V ' (Sec 3097 Civ C ) SIDE - r + PL 0629-82 w -Lenders Name I O _ S • P C Fee$ Permit Fee r ' _ ,f Lender sAddress - _ i 'W I-cernfy that I have read this application and state that the Imrince Fee .S _ above information is correct I`agree to comply with all County . Invesngoiieo Fee �+- - - ordinances and State laws relating to building construction //J Q Q • -u and hereby authorize representatives of this County to anter Total Fee V a upon a above mentioned property for in pection purposes � , SEE REVERSE FOR EXPLANATORY LANGUAGE s Sigri of Appilcoi or Ageni -Dote _ ' ` s Ti ,WORKERS COMPENSATION,QECLARATION � F: I by offvm that I havel`a cerh4fa,e of consent to self a -APPLICATION-7. ,FOR BUILDING PERMIT insure or a certificate of Workers Compensation Insurance or o certified copy thereof (Sec 3800 Lab'C ) `COUNTY OF LOS�ANGELESti BUILDING AND SAFETY Policy No Company .M Certified copy is hereby furnished BUILDING FOR APPLICANT,TO FILL INr ADDRESS f_r Certified copy is filed with the county budding inspec BUILDING - ' - `:5' hon department` ADDRESS / Date Applicant % CITY l ZIP 212ke LOCALITY _ CERTIFICATE OF EXEMPTION FROM WORKERS -° - NO OF BLDGS NEAREST COMPENSATION INSURANCE . SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for one �. ASSESSOR hundred dollars ($I00)or less ) , TRACT BLOCK LOT nq MAP BOOK PAGE PARCEL EL t wOWNS NOy G USE ZONE f I certify that in the performance of the ork for which this . No } permit is issued I shall not employ any person in any mannerSPCONDIECIALTIONS - 6. . _ / so as to become subject to the Workers CompenaahADDRESS on'Laws '/ O ` DateF��'�y Applicant r ti _ CITY — r ZIP a d �! NOTICE TO APPLICANT If, after mtiking this Certificate of ARCHITECT TEL DISTRICT GROUP TYPE FIRE SED BY O Exem tion ENGINEER NO CONS ZONE f• p you should become subject iso the Workers _z Compensation provisions of the Labor Code, you must forth. ADDRESS tog /e— 31 r with comply with-such provisions or this permit shall be _ _ _ deemed revoked TEL STATISTICAL CLASSIFICATION 'APT CONDO A CONTRACTOR 'I NO CLASS NO DWELL UNITS_ Z LICENSED CONTRACTORS DECLARATION _ _ LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business and , LIC - Professions Code and my,hcense is In full force and effect CITY CLASS BK VALIDATION_. ` SO FT 'i OF NO OF CHECK PG License Number 0 Lic Class ' SIZE STORIES I IES ONE ' • VALUATION Contractor ' Date � \ n DESCRIPTION OF WORK AD V• III / GC/ '- Or-c/ I am exempt under Sec ✓ 1 ALTER �❑ B&P C for this reason REPAIR ❑ s Date USE OF_ t DFMOL ❑ EXISTING BLDG - Signature APPLICANT - TEL FINAL 12 19 47 ' OWNER BUILDER DECLARATION PRINT NO _ DATE / / 0 I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5, Business and ADDRESS _ FINAL - Pon rofs s Code) , ` - _ 'By - BUILDING I, as owner of the property, or my employees with ADDRESS ;9064.4A i wages as their sole compensation,will do the work and _ - the structure Is not intended or offered for sole(Section L;CALITY 7014, Business and Professions Code) - - MOVING - n - TEL `- _ oI, as owner of the property am exclusively contracting TRACTOR NO I is - 59. 25 - ith licen"cl-controcton ,o construct the project (Sec- ADDRESS i� ` �:�'. ''! `,Ns • - 59.,2 5 y tion 7044, Business and Professions Code) •^-y ' CONSTRUCTION LENDING AGENCY Bq YARD HWY PROP LINE WIDTH p 9J 2;8 8 • I hereby offvm that there is a construction lending agency for FRONT L ' the performance of the work for which this permit is issued P L s (Sec 3097, Civ C ) SIDE " Lender s Name I$ 76— LDMA Ref N Lender s Address ' F. P C Fee S Permit Fee - I certify that I have'reod this application and state that`the hwance Fee LDMA P/C e g above information is correct I ogres to comply with all County Investigation Fee '7 ordinances and State laws relating to budding construction ._. Tocol Fee _ i Z LDMA P«m tl R and hereby authonxe representatives of this County to enter Upon the above-mentioned property for spectton purposes 4 SEE VEEU FOR EXPLANATORY LANGUAGERE ^ Signotuns of siopffcont or Agenr iDote .• }. '