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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 • 1 >e'weeew`c•Aeoa w 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 r w 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 lw • a. r i _ 4- iu.aeA oee a u w • 1 APPLICATION FOR BUILDING PERMIT " � Z A ' I S DMSION OF BUELDING AND SAFETY BUILDIN D� eN 1H- AOV 0 � un 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