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Home My Public Portal About5415 PERSIMMON AVE_Building__ IBA888A CE#803 2/80 APPLICATION- FOR BUILDING PERMIT . 1 COUNTY OF LOS ANGELES BUILDIN DDRESS -511 DEPARTMENT OF COUNTY ENGINEER BU=ING AND SAFETY DMSION LOCALITY JOHN!A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DIST IC]J N GRO I TYPE O L)BY r /v"J CONST: / ' BUILDING —r r` STATISTICAL C 1FICATION SEWER MAP ADDRESS .�"�/` e 9 GI�7��/a JJF BK �PCy� CLASS.NO. DWELL.UNITS— a CJJ LOT NO. BLOCK MAP NUMBER STATE 'YES NO TRACT U E ON SPECIAL NO.OF ILDG5. CONDITIONS SIZE OF LOT O K NOW ON LOT USE OF EXISTING BLDG. BSl 9C-2 BUILDING YARD HWY STREET NAME EXIST. --. l TEL. t SETBACK IDTH OWNERrJIJt,N(.+J q�J6StDIt�it1. eytT,/NIO.�/fr��P�.3 FRONT P.L. V ADDRESSuT !f �//7r1 ,t tv� SIDE ARCIER ? NO. TT OR . P L ENG INSPECTION RECORD ADDRESS. TEL.CONTRACTOR W a NO. C G 3 G _C," ADDRESS DESCRIPTION OF WORK ' "_NEW ADD ALTER REPAIR DEMOLISH NO.OF NO.OF at SIZE ST FAMILIES USE OF STRUCT e�iK. SIGNAT RE OF APPLI VALUATIO $ ! 0-0 APPROVALS DATE INSPECTOR'S SIGVATURE P.C. PMT. FOUNDATION:LOCATION FEE $ FEE $ v C/ FORMS.MATERIALS FRAME:FIRE STOPS, 1 E�A� NOW GF THAT 1 HAVE READ THIS AP- BRACING BOLTS \PLI TION AND ATE HAT-TkiE ABOVE IS CORRECT AND FURNACE:LOCATION, A EE TO 4 I PL WI H ALL COUNTY ORDINANCES AND GAS VENT DUCTS E LAWS RE U TING BU LDING CONSTRUCTION. 1 TIFY TH 4O-ING TH WORK AUTHORIZED I LATH,INT. SWILL OT EM Y PERSON IN VIOLlAT NOF THE WORK S MPE Tl OF CAL' ORNIA. LATH,EXT. 1GR UR HOUSE NUMBER COR- ERM[TTE RECT AND POSTED DDRE8 " . FINAL \\ CLYDE N. DIRLAM, PRINCIPAL Sl UCT RURAL PLAN�CHECK V ON CK. M.O. CASH PERNIIT VALIDATION cK I�.o. CASN LAj!5 9 9 SEP y -D' r, 44. ... ,n 16A888A CE#8086-61APPLICATION FOR BUILDING ERMIT COUNTY OF.LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER. NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT N GROUP YpE PR ESSED BY FOR APPLICANT TO FILL IN. , G coNsr. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 415 •CLASS.NO �WELL.UNITS LOT NO. BLOCK WATER NOT REQUIREDMECEIVEDjj CERTIFICATE: TRACT MAP HIGHWAY STATE MAJOR SECOND, LOCAL NO.OF BLDGS. NO. DS O (CIRCLE) SIZE OF LOT I NOW ON.LdT USE ZONE SPECIAL USE"OF CONDITIONS EXISTING BLDG. / TEL. OWNER NO. BUILDINGEXIST. SETBACK , YARD HWY STREET NAME ' WIPTH, ADDRES FRONT ARCHITECT O •TEL. P.L. �Z U O' ENGINEER NO. 'SIDE 4' P.L. - ;. O. ADDRESSL Y"e_, - INSPECTION RECORD u TE CONTRACTOR ADDRESS LU DESCRIPTION 6F ORK' I '�'(.S' r!.-"�'•TA:y�a-nr3 �•�1 cr"'.tw/-R'..Fd'.®u �/.�,. �a� Z NEW ADD ALTER REPAIR DEMOLISH / SQ.FT. NO.OF NO.OF F e.j -lob A/l l_z' .. C' �i!9/l C1 IZE STORIES FAMILIESUSE Oir - f STRUCTURE CaN )a,-a ' t,_A .Cc+n .tlilsr rE'at �y,�•c9pw`1 r_ P9 &=, SIGNATURE OF APPLICANT VALUATION$ * /'Q// rl/ C,k APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT.' (/may FOUNDATION:LOCATION FEE $ -� FEE $ -/ FORMS,MATERIALS �f:°.•. -I FRAME:FIRE STOPS, '1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS D— f � Ns►1�Z��- AND STATE THAT THEO ABOVE IS CORRECT AND AGREE'TO COMPLY FURNACE:LCATION, WITH ALL'COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS I/ BUILDING.CONSTRUCTION. 1 CERTIFY THAT IN DOING`THE WORK pb ey AUTHORIZED`HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,•INT. TION OF THE LABOR CODE OF.THE STATE OF CALIFORNIA RELAT-, g` ING TO WORKMEN'S COMPENSATIO INSURANCE. \ LATH,EXT. e) SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL 1VA - CLYDE N. DIRLAM, PRIWcIPAL STRUCTURAL E R PLAN CE= VALIDATION cic. es.o. (ABIs PERMIT VALIDATION cK. M.o. caBls �P5u 45 ' LA! 0SSP 1 D 9.�J L' DEP..-TMENT OF BUILDING AND SAFETY As'YLiLrA i iVir r vra r�+z+o++=.- -r '-601TNTY OF LOS ANGELES L ® � WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY UILDING DISTRICT NO. PLANCK.NOPERMMIT+/N O B .+ q7q�AF33lID99 �l _LOCALITY TA1Rz1l6 CityEIVE�DyBY DATE /F AP L DATIB✓✓SUyEtD pp NEARETCROSSSST. Dainea Drive I f erwdd {(/ f+ }� � t�y/� BUILDING +� r O ER m,� �ZLQ pJ /(iQ,��i ADDRESS d MAIL Ybb ki.L.*LR Dki1NE LOS ANGELES 41 LOCALITY ADDRE99� - �n NEAREST 4s _ CITY NO.L.Cl 6=6230 CROSS 9T. ARCHITECT OR ((��w,�w®® TEL. ZONE I PLANS I FIRE O.OF; TYPE }Y"`- OROUP ENGINEER " w NO. �y BLDG. �� ORD.NO. ADDRESS SETBACK LIN ee APPROVED ��yy l42fQ7 E 0411 Qt�Y BY DATE CONTRACTOR USE APPROVED bAbb LOS ANGELED 4i, CALItl', ADDRESS ZONE// BY DATE LEGALI I �'? CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT NO. 13613 NO OF BLDGB. SIZE OF LOT 60 x 163 NOW ON LOT None USE OF NO,OFI NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW - ALTERATION ADDITION O REPAIR MOVING DEMOLISH 5q.FT. NO.OF D SIZE ROOMS STORIES r WALL COVERING Stuc"4 and I Ccar OVERING Wood USE OF NEW Shin e8 BUILDING Single Family xbaidene® 1 — RC 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ- THIS APPROVA r APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION jN3?ECTOR ODATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALSi ,1 q_e ^ AND STATE LAWS REGULATING BUILDING CONSTRUCTION. 111 r � (� FRAME: FIRE STOPS, )d". 51GNAT1�'R�fi�,�Q, ��. or.�T9. lle' (�'mic. BRACING,BOLTS �1�!° OWNER LATH INT.: AUTHORIZED AOT. . ' I x I LATH,EXT.: DBS-3 SSM SETS 1-47 $ FFRE I PLASTER.1'PIT. ® �_ p1PLASTER, EXT.eryVALUATION a.� FINAL /� r EA636A CE#803-9.60 APPLICATION FOR BUILDING ERMIT - COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS, BUILDING AND SAFETY DMSION LOCALI JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT O. GROUP TYPE PRO ESSED 19— ' FOR APPLICANT TO FILL IN `� _0 6 I CONS BUILDING ! •._ / STATISTICAL CLASSIFICATION EWER MAP : ADDRESS ��eJ i�S'1ryl�i��> X a K PG CLASS.N � DWELL.UNITS LOT NO. BLOCK MAP STATE YES NO l NUMBER O J-Q HWY. TRACT �.tJ E. 1 USE ZONE SPECIAL NO.OF BLDGS. r CONDITIONS SIZE OF LOT �C I S I NOW ON LOT / USE OF CICw. EXISTING BLDG. -�%�' BUILDINGEXIST. YARD HWY STREET NAME f/""'�'�� 66Q SETBACK WIDTH OWNER*1/+[, [�eQ• irr NO FRONT P.L. ADDRESS+II"fPZi�J!lylrtic�/ r47v�/� f�. {.q SIDE ARCHITECT OR TEL. P.L. ENGINEER (C'C-C) Z, Z_ NO. INSPECTION RECORD } ADDRESS a' TEL. O CONTRACTOR �LIl1`+�` NO. V ADDRESS O DESCRIPTION OF WORK G a ADD ALTER REPAIR DEMOLISH z L-5 ? T. ¢¢ NO.OF NO.OF J� V� //9aSTORIES _ FAMILIES(/ OF CTURE S c `� t ATUPLICAN SQ. APPROVALS DATE INSPECTOR'S SIGNATURE FP C. PMTEE I FEE'53 FOUNDATION: ON MATERIALS : FRAME:FIRE STOPS, p� g 1 HEREBY ACKNOWLEDGE T 1 HAVE AD THIS APPLICATION BRACING BOLTS '-� �G/�'rL•/�n� .f-+►-+-rte'`' AND STATE THAT THE ABOVE CORRECT A AGREE TO COMPLY FURNACE:LOCATION, WITH ALL ORDINAN ES AND STATE AWS REGULATING GAS VENT DUCTS BUILDIN ONSTRUC N. 1 ERT IFY THAT IN HE PERFORMANCE OF THE K FOR T IS PERMIT IS IS UED I SHALL NOT LATH,INT. EMPLO A Y ERSO 1 A Y NNER SO AS T BECAME S BUECT TO -;H W K EN' C MP 5/4 ON ALIFORNI LATH,EXT. SIGN 'rF'IOUSE NUMBER COR- FIERITTE ARECT AND POSTED I i ADDRr4c FINAL 1!�y�e�f '4:ra'_ CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENG R PLAN ALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. CASH Lr Cc;7 7 2 a .,i,;r c 3. r� Eli • /��rL�yCss- •. ��. -APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES JibBUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUIL NG AMMESS BUILDING I hereby affirm that I have a certificate of consent to self insure, 9qP�� SMO ' An nN or a certificate of Workers'Compensation Insurance,or a certified I-o l/ copy thereof(Sec.3800.Lab.C.) CITY cT /_ zIP� o I (A CO LOCALITY I l POI)Cy NO. Company SIZE OF LOT NO.OF BLDGS,NOW ON LOT [•� ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified Copy is filed with the county building Inspection I TAT BLOCK LOT NO. USE ZONE MAP NO. department. Data Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' T NO.1 I WITHIN 1000 FT OF SCHOOLS YES NO COMPENSATION INSURANCE ADDR (This section need not be completed if the permit is for one hundred r�,% DISTRICT GROUP TYPE CONST.' FIRE ZONE ROCESSED BY dollars($100)or less.) CITY ZIP �j t) I certify that in the performance of the work for which this permit A 1 C_ �� ✓I b� A •3 Is issued, I shall not employ any person in any manner so as t0 CHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. L STATISTICAL CLASSIFICATION APT NOD Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTORTEL NO. SETBACK- YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. FROPL NT SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASSp L C 1 hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES NO.OF FAMILIES Professions Code,and my license is in full force and effect. I NEW ❑ BK PG License Number LIC.Class DES RIPTI N O WORK ADD ❑ VALUATION Contractor Date g r ALKAA TER ❑ $ ZC' 0� l REPAIR ❑ ❑ I am exempt under Sec. $ BARC.for this reason DEMOL ❑ LDMA P/C# Date. USE OF EXISTING BLDG. URM ❑ 9 Signature APPLICANT(PRINT) TEL NO. LOMA Perm# i ❑ I,as owner of the property, or my employees with wages as p ACCT.s their sole compensation,will do the work and the structure is ADDRESS 70.38. not Intended oreoffered for sale (Section 7044, Business and FINAL DATE < � 0 Professions Code.) Z i 1TEM'S WILLTHEAPPLICANT ORFUTURE BUILDING OCCUPANT HANOLEA HAZARDOUS MATERIAL _- � �+ ❑ I, eS owner of the property, y 9 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN p perty, am exclusive) contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY TOTAL ' ® , licensed contractors to construct the project (Section 7044, YES 11 NO El Business and Professions Code.) CHECK 713. 8 • WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANTK OR FUTURE BUILDING ti OCCUPANT REOUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMRTING CHECKLIST HG , 1,I FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ No❑ the performance of the work for which this permit is Issued(.Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO ,� g 3097,Civ.C.). PERMRTING CHE CKUST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES i� `i�— 1�ji 4/ 2/90 y. COUNTY CODE,TITLE$CHAPTER 220 SECTIONS220.IO0TH.ROUGH 240.140 CONCERNING `6 Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMR FROM THESCAOM0. p�}/i q }i{s] IL Lender's Address OMERORAawr 7 Ll'1 1 L F!i 1 o I certify that I have read this application and state that the above P.C.FEE PERMIT FEE information is correct. I agree to comply with all county `J Q ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE theabove-mentioned p rty for ins ion purposes. 3 DO o •✓ ''tea+Q a INVESTIGATION FEE TOTAL FEE , �. nw n / •nn GJ a�euaaAPpma� oars SEE REVERSE FOR EXPLANATORY LANGUAGE FOR 9LD'I NG PER H M COU"Tv 9F LOS ANGELES 1 �• BUILDING AND SAFETY WORKEWS COMPENSATION DECLARATION _ FOR APPLICANT,TO_FILL tN -- BUILDING ADD I hereby affirm that I have a certificate of consent to self Insure, BUILDINeG DDRESS BV`Yv�b ora certificate of Works Insurance,or a certified ^�IA I e copy thereof(Sec.3800,Lab.C.) I CITY 6 ZIP n I C, 9U LOCALITY t Policy No.' Company SIZE OF LOT NO.OF SLOGS.NOW ON LOT �> ❑ Certifled 6o is here furnished. NEAREST CROSS ST. PY by .. wa . ! t f •.❑ Certified copy is filed'with the county building Inspection TRA BLOCK LOT NO. 11 department: `l' g USE ZONE MAP NO. Date Applicant' ASSESSOR AP B K �►aF� PARCEL- SPECIAL ' SPECIAL CONDITIONS OWNPTEL NO. CERTIFICATE OF EXEMPTION FROM WORKERS' C, COMPENSATION INSURANCE �- � �' � WITHIN 1000 FT OF scHooL7 ;YES NO (This,sectio6 need not be oo'inpleted If tlie•.permit is for one hundred ADDRESS L DISTRICT' GROUP. TYPE CONST FIREZONE •PROCESSED BY dollars($100)or less.) Zd'S [>\^�T�l I ,• . CITY ZIP I certify'that in the performance of the work for which this'permit �r C+ q is issued, I shall not amp*any person in.any manner so as to ARCHITECT OR ENGINEER TEL NO.•' become subject t0 the Workers"COmpensation LBWS. STATISTICAL CLASSIFICATION j APT• CONDO Date 'ApplicaADDRESS• CLASSNO. DWELL UNITSI„, NOTICEi TO APPLICANT: If, after making this Certificate'Of •REQUIRED j1.r TOTALSETBACK'FROM' EXIST Exemption, you should become.subject•.to•'the Woikers' CONTRACTWWNfL TEL'NO. SETBACK YARD HWY' PROP LINE tWIDTFJ „ Compensation provisions of,the Labor,Code,-you must forthwith FRONT:. comply with such provisions or this permit shall be deemed'revoked. ADDRESS LIC.NO. PL SIDE '+ 40CENSED CONTRACTORS DECLARATION CITY, LIC.CLASS PL _ c hereby affirm that I am,licensed under provisions of Chapter 9 SEWER MAP' cr." a (commencing with Section.7000)of Division 3 of the Business.and NO. :.( '. _ ACCT.�T SO I E OF ORES NO OF FAMILIES t 1-l�rt•1sT �. Prolld"I ns'Code,and my,license Is In full force and effect. 4 NEW t�, BIC ;s ;PG. DESCRIPTION OF RK• 1 LIc.Class WALun O ... :t r`'. ibe[IG' License Number Q ADD s a �� . GO Contractor Date ALTER _��rf 1:•ITEMS ❑ I e; Qt16fi� oc�cc,'ArT REPAIR -❑ _. - .. TOTAL 8 i± am exempt under sec: �• _ 1 � B.BP.C.forthlsreason �-eo�! y .,tica-la: —602) DENIOL ,� CHECK .r � " . USE OF EXISTING BLDG. LDMA R/C# Date: t 'ORM,. 0.. { HAhIGE' eQCi Signature J APPLICANT(PRINT) TEL NO.. LDMA Ferre q �' ' • ;+•'., ❑ I, as-owner of the property, or my employees with wages as 1 r their sole compensation,will do the work and the structure is ADDRESS "" O O- Q1. 8/31/92 not Intended or offered'for sale (Section-70", Business and " ( NAL CA ® . 104157. I Fl _ 1 A IOTIS COfIB.) i WILLTHEAPPLICiWTORFUTUFEBUILDINCIOOCUPANT-HANDLtAHAkARDOUBMATERVLL '• TT=''((�" ,,,�/gr�� •. OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL rO OR GREATER THAN S r Ir :.�,• Led I, as owner•of the,property'am,exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FI licensed contrectors to constnict.•the'project.(Section 7044, + (rl.,r•,� 41 aj -r�Lr. � YES® No❑ Business and Professions Code.) • i WILL THE INTENDED USE OF THE BUILDING 8Y THE APPLICANT OR FUTURE BUILDING I.. !1_.i�i�?,�.� - OCCUPANT REOUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST O j .. .`. FORGUIDELINES. • ).hereby efflrm that there is a construction lending agency for , . the performance of the work for which this permit Is Issued,(sec. ins No❑ I :��: " ,•• :.'. + 3097,CIVAC•). , • 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING CHECKLIST.I UNDERSTAND MY REOUIREMENTS UNDER THE LOS ANGELES `)4ij t�►.«!"•l'?'T� �,It?:`i;,f'.�� COUNTY CODE,TITLE 2,CHAPTER 220SECTIONS220.100THROUGH 22M140 CONCERNING � •r.re« .�: �« +-•' Lender's Name H-A(Z��pp�D�OT MATERIALS%KOR_TING ANDFOROBTAINING A PERMIT FROM THE SCAOMD. C, F ,a Lender's Address oxmm oR nooar ii moo' I certify that I have read this application and state that the above f information Is correct., I agree to comply with all county' RC.FEE PERMIT FEE ordinances and State laws'relating to building construction,and �v�• I ��/•�`� hereby authorize reprasentatives of this County to enter upon ISSUANCE FEE y �> the above-mentioned 'perty`for Inspection purposes. Q q�' INVESTIGATION FEE 'TOTAL FEE12 . X� Mpkama�pem raT SEE REVERSE FOR EXPLANATORY LANGUAGE.