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Home My Public Portal About5503 PERSIMMON AVE_Building__ DEP:KAT NT OF BUILDING AND SAFETY ' APPLICATION FOR PERMdT-_-- COUNTY OF LOS ANGELES I ® I WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMITNO. BUILDING 347 Parsimon Avemm �.�/ ® ADDRESS !! �� r �/� .6_h 9 LOCALITYRECEIVED BY (DATE OFAPPL. VD/AT 19BU D NEAREST J JAG'-[ CR099 9T. Dain®s Dries & , �7 OWNER anla nLfa p� UILDING �i�i��i� ne. ADD ESS J / MAIL aa- b8 FwLwsh 6+li.r£ - L(9:a wINGtLEH 41,CALIF, LOCALITY G ADDRESSNEAREST CITY NO�l 6-6230CROSS ST. ✓��`�%�� 'r FIRE NO.OF TYPE. _r GROUP ARCHITECT OR ®�. TEL. n ZONE PLANS 7.;.., f ENGINEER NO. BLDG. / ORD.NO. T ADDRESS SETBACK LINE ' ej .14'5_ S/ //g9 C� p/J APPROVED Cys i'. . `i- 'V aLY1 ez q � !pang BY — \ _. DATE CONTRALTO JJJ f _ USEAPPROVED;� _ .+38ob fl.I.a.nk ura,re - Lob ANGGLB8 41,CALIF, ZONE, �j "• BY -f � DATE ADDRESS LEGAL DESCRIPTION I LOTNO. BLOCK Q' CORRECTIONS TRACT No. 136 .3 6A y I NO.OF SLOGS. SIZE OF LOT W i NOW ON LOT node USE OF NO.OF I NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH ,n Sq.FT. 9I yy/� � NO OF Z SIZE 12" ROOMS 6 STORIESWALL 1 COVERING Exterior ®e I COVERINGra BUSE O U LDFNG W Single Family Residence -5 s 210 LANEdo_ wo...... a 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALSf•� � AND STATE LAWS REGULATING BUILDING CONSTRUCTION. 1•' % / e---^ o 09 FRAME: FIRE STOPS, e� .y� BIGNATUff'p,F?Z ja �ncla /,La/fr� o �flo. BRACING,BOLTS .. PERMITTE ^ LATH,INT.: /rf� t✓� AUTHORIZED AGT •J LATH,EXT.: DBS-3 SOM SETS 7-47 $ P.C.6 PLASTER,INT. FEE , s PLASTER,EXT. 'ki VALUATION FEE FINAL f 'BA688A CE#808_6-S7 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING 7 DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY n j JOHN A.LAMBIE,COUNTY ENGINEER NEAREST ! CASSATT D.GRIFFIN,SUP'T OF BUILDING CROSS ST. DISTRICT NO. GROUPTYPESEW R "MAP FOR APPLICANT TO FILL IN CONST. .: BK PG " FADDRESS G C+� 1 YA 4UC STATISTICAL CLASSIFICATION " CLASS.NO DWELL.UNITSXz BLOCK . NUMEMAPR Y HWY.STATE -YE5 �;USE Z NE SPECIAL NO.OF BLDGS. NDITIONS LOT NOW ON LOT �+jj USE OF V EXISTING BLDG. BUI DING YE ARD HWY STREET NAMDIST' �J/� (� + SETBACK WIDTH OWNER M.-e L • N 0, 1 FRONT MAILg� P.L: ADDRESS 5 b VA VL DwiL SIDE - � TEL. P.L. }• CITY 1 4eUA h.I l_ rL �a NO.6 4%03 ARCHITECT OR TEL. %' � INSPECTION RECORD ENGINEER NO. ADDRESS. 1 r TEL. CONTRACTOR ( I1. NO. ADDRESS' DESCRIPTION OF WORE -! � �%�• . fes �� NEW ADD ALTER REPAIR DEMOLISH /f` SQ.FT. NO.OF NO.OF' SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPROVALS- APPLICANT C DATE INSPECTOR'S.SIGNATURE .l". ADDRESS FOUNDATION: LOCATION /� 71 FORMS,MATERIALS P.C. $ FRAME: FIRE STOPS. L/ FEE BRACING,BOLTS fes' j� L�D -fsI/f VALUATION $ rJ(�' FURNACE: LOCATION, FEE r GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. + PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RE TING ING CONSTRUCTION. LATH•EXT. SIGNATURE OFwzz� xrhwoAHOUSE NUMBER COR- PEW MITTE RECT AND POSTED ADDRESS- 1 FINAL HN A.LAMBIE,COUNTY ENGINEER.. CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION , .CK. M.O. CASH PERMIT VALIDATION cm. m.o.- •. casN. ACo447.8D; NOV22.00 -'x" ®R.: :I)5 78A638A CE i F,7 ��'b'Y7B) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAfiffy FOR APPLICANT TO FILL IN ADIDRESS - BUILDING . ADDRESS -4..w LOCALITY { NEAREST Lv I CI ZIP CROSS ST. NO.OF BLDGS. f ASSESSOR SIZE OF LOT NOW ON LOT ( EMAP BOOK PAGE PARCEL ` DISTRICT UP TYPE FIRE ESSED BY TRACT mo BLOCK LOT NO. O CONST. ZONE - EL. OWNER O. DO STATISTICALCLASSIFC TIONEWER ADDRESS CLASS NO. DWELL.UNITS BK /PG CITY ZIP �d ARCHITECT OR TEL. VALUATION $ ^DD ENGINEER NO. (J! ADDRESS BLDG SETBACK FROM TEL. FRONT PROP.LINE OF ISTREETI CONTRACTOR 49 NO HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS A0 NO. LIC. + CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER SIDE PROP.LINE OF (STREET) NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING � ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. NO.OF NO.OF CHECK + _ u SIZE ISTORIES FAMILIES ONE 99 DESCRIPTION OF WORK A 14 NEW P.C.Fee$ Permit Fee c� r ADD ❑ Issuance Fee ub ALTER REPAIR ❑ Total Fee 7 o USE OF DEMOL EXISTING BLDG. Z APPLICANT L C (PRINT( 491 C BY(SIGNATURE) ? I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES uVi AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE = n WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF U Fj A THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- 2 PENSATION INSURANCE. g { 0 0 0 0 0 1 d SIGNATURE OF 2c c n r PERMITTEE ADDRESS Z TEL. Dd 0 U h CITY NO. USE ZONE MAFF SPE U/S^/ SPECIAL �- CONDITIONS FINAL /- IBY ,i) u+ DATE �+ d)� /� 1 � .�" APPLICATION FOR BUILDING PERMIT 't ' COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUIg AI�ESS I hereby affirm that I have a certificate of consent to self insure, BUILDI or a certificate of Workers'Compensation Insurance,or a certified AA CITEL—,- _ z A ON copy thereof(Sec.3800,Lab C.) tom`,/a,C ,- 7 O LOCALITY _ Policy No.9+�7-1.1& °01 f'(• ompany SIZE OF LOT NO.OF BLDGS. OW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. de2parrttmeenntt.�� USE ZONE MAP NO. Dated Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' NER� � TEL NO. 8� YES NO COMPENSATION INSURANCE ��/J�JY/wJ WITHIN 1000 FT.OF SCHOOL? (This section'need not be completed if the permit is for one hundred ADDRESS dollars($100)or less.) �3 �(/` DISTRICT GROUP TY CONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit CIT di 1 zIP �� 780 � � is issued, I shall not employ any person in a manner so as t0 ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASS FICATION APT CONDO Date Applicant ADDRESS CLASS NO.,-.Z DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED, TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' C NTRA= L / TEL NO. )0 SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith S S FRONT comply with such provisions or this permit shall be deemed revoked. REQ/ C,NZ� 7407P L LICENSED CONTRACTORS DECLARATION �� SIDE CIT r. L} PL C3 I hereby affirm that I am licensed underprovisions of Chapter 9 ' `-� SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code, nd I s in full force d f ct.AA NEW BK PG a j � C:,� DESC ONO WORD- ADD ❑ VALUATION License Number Lic.Class t, $ ��Q�_ U Contractor Date ALTER ❑ !/ W H °C L REPAIR ❑ � ❑ I am exempt under Sec. /�/��f�/� B.BP.C.for this reason ri(�/ G17 //� kA—&J 9—L ❑ LDMA P/C UJ Date: USE OF EXISTING BLDG. NGCURM 11 -:-.-: - - t2 �```` `- =r�o W Signature APPLICANT(PAINT) TEL NO. LDMA Perm# - J Z ❑ I, as owner of the property, or my employees with wages as Z T I�-j IQ their sole compensation, will do the work and the structure is ADDRESS O e —°� not intended or offered for sale (Section 7044, Business and FINAL D a i j I i 6L_ E 9 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL t G -+' l t� J K OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting with Q AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES 11No El Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH i ;jf_ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR �- GUIDELINES 1311011-313-01--10 ,• ,,4/ s I hereby affirm that there is a construction lending agency for YES❑ NP❑ cli the performance of the work for which this permit is issued(Sec. 9615 f •1 i A 1 is° I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING Cq3097,CIV.C.) CHECKUS.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, a TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address OWNER OR AGENT o I certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all cy ordinance an State laws relating to building constr Ion, and hereby tho ze representatives of this County ISSUANCE FEE m to up t above-m ti rt for inspe on4Ulposes, — O zs (� CO /� INVESTIGATION FEE TOTAL FEE �` Q ^ to f A . Ddm Ddo CJ SEE REVERSE FOR EXPLANATORY LANGUAGE