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Home My Public Portal About9515 PENTLAND ST_Building__ jdFW CE KBD: •/T APPLICATION FOR BUILDING PERMVr ti y COUNTY OF LOS ANGELES _ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK -PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE, COUNTY ENGINEER ADDRESS X5 A COLEMAN W JENKINS, SUP T OF BUILDING ` LOCALITY - \ FOR-APPLICANT TO FILL IN NEAREST y IOC CROSS ST _ BUILDING + , 1 DISTRICT N O Ty E OR E D B AODR E55 ` h N J y CONS STATISTICAL CLASSIFICATIONS ER P LOT NO BLOCK CLASS NO DWELLLNITS_ , BK TRACT `Z USE ZONE MAP - 1, NO OF BLDGS ^I� NOC_g SIZE OF LOT + NOW ON LOT- J„ SPECIAL. USE OF j CONDITIONS EXISTING BLDG S 1 TEL _ OWNER Y Q NO - BLDG SETBACK FROM^ ADDRESS FRONTPROP LINEOF -� � (STREET) �w TYPE A E%ISTING SETBACK- HIGHWAY } YARD = TOTAL CITY O✓ HIGHWAY WIDTH FROM C L ARCHITECT O TEL pp S - + } = J ENGINEER NO 1^ 0 BLDG SETBACK FROM ADDRESS SIDEPROP LINEOF (STREET) TEL TYPE OF EXISTING SETBACK HIGHWAY"- } YARD- TOTAL CONTRACTOR `�,) ' NO S- HIGHWAY WIDTH FROM C L _ ADDRESS E LI _ } = O U Ic CITY ~ CLASS 7:3CORNER UTOFF i YES Oi` NO, ❑e'L''j CONSTRUCTION LENDER �- NAME AND BRANCH a QI�QS1�c SEE-REVERSE SIDE-FOR`S ECIAL APPROVALS ADDRESS �,k'QnCA3C l Z SO FT //�� E� �'NO OF NO OF NEW ❑ �7 / ~ ,\ �` SIZE c�{O STORIES FAMILIES USE OF ADD i- STRUCTURE e�X� gLTER ❑ I � R AIR❑ SIGNATURE OF '� APPLICANT OL ❑ '-\�' - �.. / v+ 7` t ;el VALUATIONS ' APPROVALS 1j \ - + DATE ..INSPECTOR+S SIGNATURE l PC PMT '� 'FOUNDATION LOCATION FEES FEE $ 1` FORMSNMATERIALS + _ FRAME FIRE STOPS \ `V 1 NEREpY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE•THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH 'BALL ORDINANCES AND _LAWS REGULATING BUILDING CON- GAS VENT DUCTS 3TRUCTION I CERTIFY'THAT IN DOING THE-WORK AUTHORIZED _ _ HEREBY H WILL NOT EMPLOY ANY PERSON IN VIOLATION Of THE LATH INT ' LABOR CODE or THE TAT[ OP, CALIFORNIA IN RELATING TO WORKMEN S COMPENS ION INSURANC _ LATH`EXT 1 SIGNATURE O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS (NAL 1-5/// 7Z_ M o cARH JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION f - . PERMIT VALIDATION GN NO 'C.RH �q( 9 7 8 3�- AFR19 2 3 D -1 03'5'" p � T, 9 7 8 4�- APR19 . 1 D 1725, raAfiiaA Das a$A as } - r. APPLICATION FOR, BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY BUILDING Depaxtment of County Engmeerr, ADDRESS County of Loa Angeles ' n + WM J FOX COUNTY ENGINELOCALI ER NEAREST I -i CABSATT D GRIFFIN Sup T of BUILDIND - CROSS ST DISTRICT NO GROt TYPE SEWER MAP FOR APPLICANT TO FILL IN B PG BUILDING 515 _ J /} nn �`� CONST 2/ ADDRESS 9yy�Pend and 3tr NUMBER '2 `f�1e6 SHWY lti LOT NO JL BLOCK USE ZONE SPECIAL ¢'r //J� CONDITIONS TRACT 14372 X 0 ( v NO OF BLDGS a' A SIZE OF LOT IJV 120 I NOW ON LOT 1 BUILDING YARD HWY ET NAME E%IST USE OF SETBACK __ WIDTH EXISTING BLDG Dwelling; FPR OLT /& OWNER Robert Theurer SIDE P L MAI L ADDRESS 9515 Pentland St. - CITY T Oit ryp 'r _ WELL I UNIT 5 INDUSTRIAL ARCHITECT OR 2 DUPLEX UNIT— 6 PUBLIC BLDG TEL ENGINEER NO 3 APT UNITS 7 ADDN ALT ETC ADDRESS- ' q -COMMERCIAL MISCEL CONTRACTOR Marshall Builder131OjMM INSPECTION RECORD ADDRESS 991 NQienvza LA OL 5-8480 DESCRIPTION OF WORK, NEW A ADD ALTER REPAIR. DEMOLISH ' SO FT /.o^0 NO OF NO OF SIZE 48STORIES - FAMILIES USE OF STRUCTURE , Garage SIGNATURE APPLICANTOF Marahall Builders ' 1.L APPROVALS ADDRESS d ..L 46 DATE IN PECTOR 5 SIGNATURE FOUNDATION LOCATION $ P C. S- FORMS MATERIALS 1 IA.Ld�' _ r -pl" FEE . FRAME FIRE STOPS VALUATION / �Q S T (: BRACING BOLTS FEE `% FURNACE LOCATION GAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS -APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES , LATH INT AND STATE LAWS REGULATING BUILDING CONSTRUC. TION ma3iii. ,' All dere By. - LATH EXT l0 25 55 SIGNATURE Or - HOUSE NUMBER COR- , PERMITTEE RECT AND POSTED ADDRESS-9M FINAL vne 'J. FOX. cdumT -ENGINIma VAMATIONa BY 83'5 7 7 OCT 3 - 1 8 Q Q - y DEPUTY [ DEPUTY BY _ ' i BY ® DEPUTY ' 4 V ` DEPUn e - r - .• `WORKERS GOMPENSATIOA DECLARAT16N '• _ /a--'' t, ,�I j)I hereby affvm that have o certificate at consent to roncll -`' APPLICATION FOR BUILDING PERMIT 1111 insure ora certificate of Workers Compensation Insurance � y'T or o certified copy thereof (Sec 3800 Lab C ) , , 4`s �` \`;; - "- ^� , - � _ _� \ , COUNTY'OF LOS•ANGECES� t BUILDING AND SAFETY Policy No • Company • BUILDING Certified copy is hereby furnishedFOR APPL ANT TO FILL IN \�"�`� ADDRESS Certified copy is filed with the county building mspec- BUILDING //,,�� //�� L bon department ADDRESS / LOCALITY NEAREST Date Applicant CITY IP G O CROSS ST ' CERTIFICATE OF EXEMPTION FROM WORKERS NO SIDGS ASSESSOR , COMPENSATION INSURANCE SIZE OF LOT I NOW ON LO7 T MAP BOOK I PAQC PARCEL , (Thu section need not be completed rf the permit a for one USE ZONE MAP hundred dollars (§100) or less ) TRACT �� ' BLOCK LOT tJ0' / _ _ -' NO t y ! TEL �/yI' - r SPECIAD 1 certify that in the performance of the work for which this OWNER i' • tJ0 �•t/V CONDITIONS • d permit is Issued I shall not employ any person in any manner 'f - ` DISTRICT GROUP TYPE • FIRE SSED BY Q so as to become subject to the Workers'Compensation laws ADDRESS /� L/ T CONST ZONE V a`Tr T 7l�f� /T zip /7�Q I L O `Date Applicant ARCHITECT OR TEL STATISTICAL ClA IFICATION. , APT CONDO V NOTICE TO•APPUCANT If offer making this Certificate of ENGINEER NO CLASS NO DWELL UNITS_ W Exemption, you should become subject to the Workers e 1 S Compensation provisions of the Labor Code, you must forth 1 ADDRESS _" SEWER MAP - to with comply with such provisions or thii permit shall be j _ �./' Z deemed revoked - CONTRACTOR Cry JV' L —70b-41 BK .y PG / ' VALIDATION ' LICENSED CONTRACTORS DECLARATION G� -�N� • I hereby affvm that I am licensed under provisions of Chapter 9 ADDRESS �►"f/�/(�/qs 1&US NO VALUATION' (commencing with Section 7000)of Divivon 3 of the Business and t LIC ^• ' Professions Code, and my license is in full force and effect CITY CLASS ' SQ 5.2° NO OF tJ0 OF / CHECK -JA 4 4 7.0 %1• + License Number Lic Class SIZE .J STORIES FAMILIES ONE �// Q v , + # •,e • • 23 ' } DESCRIPTION OF WO ' = r3e1S'nAJ NEW ❑ S Contractor Date ' -ADD 2 . 1 3 7 0 7 DD . „O I am exempt under Sac P—B& ;?s I ALTER FINAL a _ i�77 13.707 j B BPC for this reason &fng e vu a S�Q '� DATE REPAIR O a 1 2—8 1 USE OF FINAL - _� ' ' � Dote E%ISTING BLDG I D�GF. DEMOL ❑ BY . � � "Signature I APPLICANT Q ��4 TE 7 p/- , OWNER-BUILDER DECLARATION PRINT fd NOO•00' % i9 0 3 7 9 A I hereby affirm that I g r exempt from the ContractorBusiness s Us n d 'S �/�� r t .- Law for the following reason (Section a 5 Business and ADDRE G/`a r �_ • C r,;/ -f/1, ^ ' , . •'• • 23 Professions Code) . a BUILDING I, as owner of the property or myemployees with ADDRESS ' ) • 7 Q 8 wages as their sole compensation will do the work�ond • i r. ;- '- ' / rA d the structure is not Intended or offered for sale�(Section _ LOCALITY �, •,,. 0 9 e e e 705C> 7044 Business and Professions Code) MOVING TEL ` •+-�� I, as owner of the property ,am exclusively controctmg TRACTOR NO - - _ - C b—'8' 4 with licensed contractors to construct the project,(Sec- ADDRESS bProfessions on 7044 Business and Pfessions Code) ., 2 0 3 a 0 A� REQUIRED TOTAL SETBACK FROM EXIST , ` , s CONSTRUCTION LENDING AGENCY SET BACK' YARD HWY PROP UK WIDTH # e e • • I hereby affvm that there u o constiudion lending agency for FjiONT - - , - .-, `u - .1 - .. • 1, .• the performance of the work for which this permit is issued P l '" ' • s ,I • 3 7 2 7-5 (Sec 3097_ Civ C ) • _ SIDE _ PL 5U F m Lender s Name- r7 //^^ l �• • 317 2 7 f ' >� Lender s Address P C Fae S Q/ Permn Fee Q, 1 0-84 't IE I certify that I hove read this application and state,that the - c(�,�_ Ivvance Fee 'It) S O - •• 1 above information is correct I agree to'comply wnh all County Investigation Fee s 7 a dmanc nd Smte laws'r ting to building construction " Total Fee'+:I 7.!r T' d and her y uthorize rept tativ of this County to enter ,. upo a-me w d ra a for inspection purposes ,' ,�. - "' - f ' ` A +f SEE REVERSE FOR EXPLANATORY LANGUAGE x a '� Signature of Applicant or Agent Dote - - i 'ms WORKERS COMPENSATION DECLARATION -APPLICATION , FOR- BUILDING PERMIT I hereby affirm that I have a certificate of consent to self insure oro copy there Workers Compenwhon Insurance, or a certified copy thereof (Sec 3800 Lab C ) * _ y _ - _ COUNTY OF LOS ANGELES .- .o s y= BUILDING AND SAFETY Policy No•f ` Company 1 Y T - ❑ 'Ce tified copy is hereby furnished FOR APPLI NT TO Fltl-IN ADDRESS°` /S _ _ _ +- ❑ Certified copy is fled with the county buddmg'irnpec- - AooDIN !> /�,q hon department C / L . r•.. zIP' •7 d�Z�` LOCALITY •Date Applicant " _ N OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS ' - SIZE OF LOT - - NOW ON LOT i CROSS ST T COMPENSATION INSURANCE ASSESSOR I ' (This section need not be`completed if the permit is for one TRACT - ` BLOCK " LOT NO - MAP BOOK + - PAGE, PARCEL hundred dollars ($100) or less )'^• -+ +� ^-�,�� S �, - 2-6 t ' ' a c . ' •' OWNER US ONE MAP / 6P ,E I certify that in the performance of the work for which this -- LL } SPECIAL __ - a - Y permit is issued I shall not employ any person in any manner ADDRESS .. ,d I S A��i�- CONDITIONS R d W as to become sublect'to the Workers Compensation Laws �L C�r - ZIP -!�/ _ `- + OU CITY Date Applicant ' ARCHITECT OR TEL L DISTRIR GROUP TYPE FIRE SSED BY ' Of ,NOTICE TO APPLICANT %If after making this Certificate of ENGINEER- __ _NO_. _ _ O Exemption you should become subject' to the Workers - +� t CONST ZONE Compensation provisions of the Labor Code,syou must forth- ADDRESS `f 3 - with comply with such provisions or this permit shall be - TEL ( STATISTICAL CLASSIFICATION r APT CONDO^ - Z deemed revoked CONTRACTOR NO F .� / _. " I LICENSED CONTRACTORS,DECLARATION: i LIC CLASS NO/DWELL UNITS= I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO t (commencing with Section 7000)of Division 3 of the BusinessLIC T SEWER MAP , and Professions Code and my license is in full force and effect CITU , r CLASS BK PG - _ F VALIDATION ' SO FT NO OF NO OF` CHECK License Number. T i6 Lia Class `I SIZE STORIES FAMILIES ONE ' ' ^ ?V + +� NEW ❑ VALUATION R Contractor Date DESCRIPTION OF WORK �. •~ ' ADO ❑I am exempt under Sec _ - 'ALTER ❑ - a ► . B 8P C for this reason S 4 - USE OF REPAIR❑ Date EXISTING BLDG DFM ❑ Signature - APPLICANT '- TfS`lY/ Ld6 y� FINAL (PRINT) -' -` + x OWNER-BUILDER DECLARATION DATE t rGJ 7 ' ' Thereby affirm that I am exempt from the Contractor s License Low fort a following reason (Se`cnon 7031 5, Business and ADDRESS - �- - - FIN ��J��rg Profs ns Code) :.. SENT .. _ r _ B r .fir a BUILDING + ��' �'' T ACCT.T - L' + j„as owner of the property or my employees with ADDRESS ." I A wages as their sole compensation will do the work and ef _ 3607 n _ 35.50 , the structure is not intended or offered for sale(Section LOCALITY _ r f � Ir i ITEM 7044 Business and Professions+Code_) - ; MOVING Y. _ _ ._ {,,,.-TEL �_ ►�_. d - f/1 Al 1TGM ' ❑ I, as owner of the property, am exclusively contracting` , CONTRACTOR NO 'k - J y TOTAL5,�tCQ • with'hcensed controctors to construct the project`(Sec- 1 — - - . - _ } . _ _ � _� tion 7044 Business and Professions Code ADDRESS ' CON! CTIO LENDING AGENCY -PEOUIRED YARD' HWY TAL SETBACK FROM EXIST b SET BA K PROP LINE W - -Ca 4 HAt hereby affirm that there constr hon lends g agency for FRONT nAl + V V -rhe'performace of th is issued - - P L -- (Sec 3097 Civ SIDE _ _ T „-_S '^ ,. '7 ` -P L ' - _- r. - - >,-- UUUL1-'UUU 1/2/90 ,Lender's Nam a ' . y_ .� ._ -. _ ` _. 2Zr '� IDMA'Ref N` YJV1 •� '1 Mij:21 - ' - P C Fees ' Perms Fee Lender s Address I certify that I have read this application and state that the ` lasoonce Fee 7-r 4� -'� LDMa P/C N , , ,i= •r above it formatio correct a ree tt amply with all County - Investigation Fee /G e �r �., $T-• .t, ordinances a a r tI rfLd building construction Total Fee 3'� 0_5 '' LDMA Perm N and here a r es of this County to enc _ - _ - - _ •+` _ - ; w _upon th echon p poo 0 SEE REVERSE FOR EXPLANATORY IANOUAGE ' -Lt _ Si of Applicant cr Agent , ' - -