HomeMy Public PortalAbout9503 PENTLAND ST_Building__ wAPPLICATION FOR BUILDING PERMIT.
COUNTY OF LOS ANGE .E BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDREss ! 1
BUILDING AND SAFETY DP ON LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPTOFBwLDING CROSS ST.
DIST T NO.;, GROUP TYPEOC SED BY
FOR APPLICANT TO FILL IN CONST. LLIJ tc'
BUILDING / _ STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS K -CVO
CLASS. NO. DWELL. UNITS A
LOT NO. BLOCK WATER NOT.REQUIRED RECEIVED
CERTIFICATE:
TRACTSTATE MAJOR SECOND, LOCAL
L MAP q HIGHWAY
NO, OF SLOGS. NO. t>4 tCIRCLeI
SIZEOF LOT NOW ON LOT USE ZONE SPECIAL
USEOF CONDITIONS
EXISTING LDL.
TEL y /
OWNE `j ' NO 1 Jb Ulf DING YARD HWY 6T P (TIME EXIST.
,( SETBACK WIDTH
ADDRESS f, .1 FRONT
ARCHITECT OR TEL, P. L. N f
ENGINEER NO. SIDE S
P. L. O
ADDRESS EL INSPECTION RECORD u
CONTRALTO ND GRADINC PERMIT RE
QUIRED
ADDRESS C- V
OUCH GRADING APPROVEDI W
DESCRIPTION F OAS 1 ,
Z
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO.OF
SIZE STORIES FAMILIES
USE OF ./
STRUCTURE
SIGN TURE OF
APPLICANT
VALUATIONS �—
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PM . FO
FOUNDATION: LOCATION
FEE S FEE S FORMS.MATERIALS
FRAME: FIRE STOPS,
1HEREBY 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 GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA.RELAT-
ING TO WORKMEN'S CO T II NCE. LATH,EXT. I
SIGNATURE OF HOU SE NUMBER COR_
PERMITTEEflECT AND POSTED,
nDDR56 FINAL n
E ",�✓Kr'� . r% - !e.<.
CLYDE N. DE LAM. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION OK. M.O. WN PERM VALIDATION cK M.G. CASH
uto 0 3 4 5'G JAN 2 9 1 D 6.0®®0
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APPLICATION FOR'.BUILDINGP
{COIYNTY'OF LOS ANGELES. BUILDING
DEPARTMENT OF COUNTY, ENGINEER ,,r, I PDDREA e
BUMDING:AND SAFETY DIVLMION LOCALITY
' JOHN A LAMBIE'COUNTY ENGINEER. NEAREST -
LCASSATT_D GRIFFIN SUPT OF BUILDING- 'CROSSST
.DISTRICT NO c - G „ TYPE ltOCE98EDB a
FOR APPLICANT TO FlU IN d coNST
BUILDING vSTATISTICALC IFICATION , , BKEWER A
•
" _ CLASS NOT WELL UNITS 1 w S
ADDRESS "� ' ✓ , -
.'� I _ Y , �'� IMAP I // , STATE
_LOT NO BLOCKE
YESI" O 1 �. eM4-
_ NUMBER 62 X6 HWY t _
'TRACT U ZO E SPECIAL . t�
NO OF SLOGS CONDITIONS
SIZE OF LOT NOW ON LOT
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5
USE OF ` , � ' L - d . �� _ 6 y_-•. w
EXISTING BLDG - _ / BUILDING YARD HWYI STREETNAME ` EXIST '- a^
SETBACK WIDTH — "
OWNER -�-'
MAIL _ P L
42
ADDRESS - ISI
P DE " ,/
k
v '.TEL L
-AR ITEcro ., �`-. TEL ; INSPECTION RECORD. -
ENGINEER " NO v
-ADDRESS n _
TEL 6 ,
CONTRACTOR NO
ADDRESS tf� " •' - } --
`; DESCRIPTION OF WORE
NEW ADD ALTERS l REPAIR DEM OLISH - ,oy -1 t Je - H'
SQ FT NO OFA' = NO OF -
SIZE `- ' , ' ' STORIES ,FAMILIES
USE`OF ^'- ' -
STRUCTURE
SIGNATURE OF - m S•, F -- *p ! - _ ` , { t-
APPLICANT
a 'APPROVALS DATE INSPECTOR S SIGNATURE
' "N-7c
n �y
"ADDRESS . " `r FOUNDATION LOCATION
. FORMS MATERIALS
•VALUATION E _ _ " FRAME FIRESTOPS, q
BRACING BOLTS,^
PC f `� PMT OO FURNACE LOCATION. '-
FEE S 'FEE S 1 + m -.- GAS VENT,DUCTS.
• 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- ~L.A7H INT, `y -
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
"AGREE-TO COMPLY WITH ALL COUNTY ORDINANCES AND'' -
STATE ,LAWS REGU TING BUILDIN CONS UCTION LATH.IXT i
/SIGNATURE OF HOUSENUMBERCOR- ^
'PERMITTE RECT AND POSTED
ADDRES FINAL Y -
`., CL�YDEN DIRLAM PRIN61PALST_RUCTURAL °
r ;PLAN CHECK VALIDATION R CK M D ' w sx a' PE$MIT VALIDATION CK ea o cwe P;
' . ��2 9-1 4�; SEP, 2 ,�,_� ,A
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APPLICATION FOR BUILDING PERMIT " � Z
A ' I
S DMSION OF BUELDING AND SAFETY BUILDIN D� eN 1H- AOV 0
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Deparent of County Engmew
County of Lot Angeles LOCALITY
WM J FOX COUNTY ENGINEER
n CASSATT D GRIFFIN Bur T of BO ILo1NG NEAREST COY'Nar CLp l/@V'L -
CROSS ST
DISTR CT NO I GROUP SEWS . MAP
FOR APPLICANT TO FILL IN J TMPE SE PG
BUILDING CONST
ADDRESS 9503 E Pentland 4t MAP / STATE YES
NUMBER HWY
LOT NO 1 /33 BLOCK USE ZONE SPECIAL
TRACT ( TS ��
,CONDITIONS
Cw v NO OF SLOGS ;"
SIZE OF LOT 60 wA- llg I NOW ON LOT 1 BUILDING YARD HWY STREET NAME EXIST
USE OFEXISTING BLDG DWaili SETBACK
�.0I �eh 4ND S,WIDTH
P L
k '
OWNER Thomas Conti SIDE /,O/ c1dwe&- f bo
MAI P L
ADDRESS9503 E Pentland St
CITY Ta=le l reit NO T - t DWELL I UNIT 5 INDUSTRIAL
2 OUPLEX_UNIT 6 PUBLIC BLDG
ARCHITECT OR TEL
ENGINEER - NO3 APT UNITS 7 ADDN ALT ETC
ADDRESS q COMMERCIAL 8 MISCEL
CONTRACTOR Marshall Builderelo OL 5-8480 INSPECTION RECORD
ADDRESS991 N La Cienega Blvd, j4A 46f, 4,
vp DESCRIPTION OF WORK -
NEW Al ADD ALTER REPAIR DEMOLISH
SO FT W NO OF NO OF
SIZE YOV STORIES 1 FAMILIES 1
USE OF STRU TUBE
�rivate 0aralre
BlNATURE
w PLICANT P Marshall Buildere
APPROVALS
ADDRESS 9% N. LaCienegaBlvd. LA 46 DATE INSPECTOR S SIGNATURE
FORUNDATION LOCATIONS MS MATERIALS
to 7.OISS I�/ZoO �J E -��
FIRE STOPS p
VALUATION !4?O BRACING BOLTS
FEE / FURNACE LOCATION ./
GAS VENT DUCTS
r 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT '
1 AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION Mar l d F) By. LATH ERT (
SIGNATURE OF / HOUSE NUMBER COR-
PERNITTEE ��� '�` RECT AND POSTED
La Cie
N. ne a Blvd. A 46
ADDRESS951 NLFINAL � 8-
wnn J Fox COUXIV ENGtNSSA VALIDATION
BY 7 9Bl. 6`q OCT ] 3 1 800
' DEPUTY DEPUTY
r
BY BY
B DEPUTY , - DEPUTY
APPLICATION PLICATION FOR_ BU_IL_ DING PERMIT _
_ COUNTY'OF LOS ANGELES BUILDING AND SAFETY T
WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDNG ADDRESSq _
I hereby affirm that I have a certificate of consent to self Insure BUILDING ADDRESS Q� Q /S� 3 -
or a cerhfgate of Workers Compensation Insurance or a certified _ - -
copy tthereof (sec'3800 Lett C) CATV ZIP
1. �� w
9/� - - LOcrV
Policy No Company SIZE OF LOT ., NO OF BLDGS NOW ON LOT
❑ Certdied copy Whereby fumished _ - NEAREST CROSS ST
ElCertified copy a filed with the county building Inspection TRACT eLOGK LOT NO -
' department '• •- USE ZONE MAP NO 4
Date ' Applicant ASSESSOR MAP BOOK RAGE PARCEL
SPECIAL CONDITIONS '
CERTIFICATE OF EXEMPTION FROM-WORKERS OWNER -
COMPENSATION INSURANCE - �'r�� .SLofie�lJ TEL �y7s�— WIT-UN 1000 FT OF SCHOOLS YES , NO
s
(This section need net be Completed If the permit IS for one hundred ADDRESS.,3 DISTRICT GROUP TYPE CONST FIRE ZA4E P D BY
dollars IS 700)th less) Y�/tel// LL�� /VC�v'-�
certify that that the performance of the work for which this permit � X?
re Issued I Shall not employ'any person In any manner so alt to /
ARCHITECT OR ENGINEER TEL NO
become sublect� t Workers JiamperisaLa+vsq - ,
`7 aws f STATISTICAL C IFIG�TID APT- 00
Date AppiryarlPil%l.'+-Z's+,/tor> n ii,.�>. ADORESS CLA55 NO DWELL I/fATS ',
NOTICE TO APPLICANT If after making M6 Certificate of 4 1—' REOUIRED TOTAL SETBACK FROM EXIST-
EXemphori �y0u Should Mcome SubleCt to the Workers CONTRACTOR ` TEL NO SET BACK YARD FNJY PROP LINE WIDTH,-,
Compensation provisions of the Labor Code you must forthwith
FRONT
comply with each provisions or this permit shall be deemed revoked ADDRESS - LIC NO P L
LICENSED CONTRACTORS DECLARATION � ,, SIDE
C Y - LIC CLASS - P L
I hereby affirm that I am licensed underprcvmions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business%nd NO OF STORIES NO OF FAMILIES SEWER MAP
Professions Code and my license is in full farce and effect SO FT SIZE NEW ❑ BK PG --- CZ,
LIOerue Number LIC Class e-- -3 ' DE ETION OF WORK ADD 13 VALUATION 1101111. y O
Contractor ata ALTER ❑ $ w
a
❑ 1 an,exempt under Sec /T �B REPAIR ❑ $, _
BBPC for this reason - DEMOL ❑ LDIA PIC
Date I L1SE,OF EXISTING BLDG URM ❑
Signature , AP NT(PRAT TE LDMA Perm 0 — Z
❑ 1 as owner of the property or my employeeages Sail
s with wa
- their sole compensation will do the work and the structure is E O c
not Intended or offered for sale (Section 7044 Business and
93ji E• FINAL DATE /j Q ^v'I]•: ii 1•_1
PFQ+e991prL4 Code) WILL THE M0.M.ANT OR FUTURE Ek ILgNp OCCURANT HANDLE A WSMWnS ANTE"t �"I�-I y � —
❑ 1 as ommier of the property am exclusively contracts with OR A MIXTURE CONTW WG A I ARDDUS MATERAL EQUAL TO OR GREATER THAN THE -FINAL By 7 l 1 �=
n9 AMOUNTS SPECIFIED ON THE HAZAADOLUS MATERMS I FORMAKN GUM? TOTAL
r
Business
contractors to construct the protect (Section 7044 r s❑ ra❑ - l (.(L 1'? 1. ,♦3-_R
BUSIT1ess acid Prolaesgrle Code 1 WILL THE INTENDED USE OF THE BUDIJNG W THE APPLICANT OR FUTURE BUIPNG �hE(K
OCCUrW,n REOIIAE A PERMIT FOR CONSTRUCTION OR MOOIFICATx1N FR(kA THE SOUTH
CONSTRUCTION LENDING AGENCY CCOASTAurAIRs UAUTY MANAGEMENT OSTROT ISCAOMD)SEE PERMRTUG CHECKLIST FOR - i HPN13E
I hereby affirm that there is a construction lending agency,for YES El No❑ _ ..
a the performance of the work for which tMs permit is issued(Sec
3097 Cry C) IHAVE REAlT T1E HAURDCl,6 MATEgAL4 WF0RMwT4YHGIIDE NO Tf sCA01.O PERMRTlY3 _ H .H
- CHECKLIST I UNDERSTAND MY REWFEI.ENTS UNDER THE LOS ANDELES COUNTY LODE pQp(j—GLIGl . b/ 1/T z
Lenders Name MATERIALS REPORTNG AND FOR OBTUNNG A PPERVU FROM HE SCAOMD G HAZARDOUS
Lenders Address 5475 1 FII 5' 1
o aMrNw.-"_ t i
I certify that I have read this application and state under penalty i
g of per)ury that the above information rs correct I agree to comply PC FEE - PERMIT FEE •�
R with all county ordinances and State laws relating to building ,
CorstructKXH and hereby authon a repre atwas of thou
m Cnty / TSUANCE FEE
to en aW�''3,ment •for i ion purposes
3JJ
INVESTIGATION FEE TOTAL FEE '
)V.nna Msna bio nm.
' + SEE REVERSE FOR EXPLANATORY LANGUAGE