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Home My Public Portal About5602 PERSIMMON AVE_Building__ 7GA638ACE0803,8-64 APPLICATION FOR BUILDING PERMJT COUNTY OF LOS ANGELES BUILDING Q ' DEPARTMENT OF COUNTY ENGINEER ADDRESS ld •• �' BUILDING AND SAFETY DIVISION L O C A L I T Y Al I/xv JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS SUPT OF BUILDING CROSS ST. DISTRI T NO. GROUP I TYPE PROCESSED BY FOR APPLICANT TO FILL IN ' _ � Y CONST. BUILDING STATISTICAL C ASSIFICATION SEWER MAP ADDRESS lz BK PG / CLASS NO. DWELL UNITS LOT NO. BLOCK ,USE ypNE MAP r /��Y7 y'r NO. - TRACT ,/y SPECIAL N0. oR BLDOS. `v CONDITIONS O L NOW ON LOT USE OF E IS ING BLDG. BLDG. SETBACK FROM /j L. FRONT PROP. LINE OF (STREET) OWNER / TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS 02 , HIGHWAY WIDTH FROM C.L. �} CITY � , ✓' d �^ + �a ' — �D t ARC ITECT R TEL. BLDG. SETBACK FROM ENGINEER �a, P NO. SIDE PROP. LINE OF (STREET) r TYPE OF EXISTING ISETBACKe HIGHWAY YARD = TOTAL &zj/ �.p1 HIGHWAY WIDTH FROM C.L. >- ADDRESS O {, CL TEL.eldej -I• = 0 CONTRACTOR NO U ADDRES LIC °s .a�� ' CORNER CUTOFF YES NO r 7 Q CITY ' CL 7 SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK IL NEW 0a DD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF C�"'�Uf �l7!-T.I�'�' "� �hr 7_ ..(„F:!•T.1 SIZE STORIES FAMILIES USE O•F 70-77-77 'STRkICTURE AqpL'✓ • / SI NATURE OF , APPLICANT 7 VALUATION$ // ,Q �� 'Z-'L`�-�05' ?,.c� 0 ”%F''�{! 1�,�. ./.S�t•�',�;.:�.6r APPROVALS g' DATE � EE-s-6'3 INSPECTOR'S ECT�OlRi'LS.SGI�GN�AT`UvRE MT FOI LOCATION FORMS, MATFRIIALS r 11'eWGFEE$ L � FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT �w fl �'i b� �lf.r/Fd..rsL'•u,;l AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION �] �/`/F 1• r WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY•1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. f GJ �„Z/y-0,a<„�J-(�L� TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSUIgNCE. r t LATH.-EXT. SIGNATURE O ` HOUSE NUMBER COR- r ,/(F�g f PERMITTEE RECT AND POSTED a JJ�7 !�P ,/-1 tl lTo.e ADDRESS d! FINAL ++ JOHN F. LEWIS. PRINCIPAL STIRUCTU AL EN N PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION �f.K.yM.o CASH �07- 6 3 2"%3 JAN 18 2 3 D 26-75 F 9 3 8" JAN 2'7 1 D_ 5 3.5 4 7 N LACO• 78A838ACE#8038-84 APPLICATION FOR BUILDING PERM!" Ilul' COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS O i BUILDING AND SAFETY DIVISION . LOCA LI r Y JOHN A. LAMBIE. COUNTY ENGINEER NEAREST i COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST. A D•ISTR �T.NO G OUP TYPE. PR SS B FOR APPLICANT TO FILL IN CONST. BUILDING ♦ p STATISTICAL SSIFICATION S WER MAP ADDRESS. •D (jl CLASS NO.=DWELL UNITS BK PG�� LOT NO. 36 BLOCK U$F,ZO NO �e�0 TRACT '13 ili,c �j��/I '-fi SPECIAL NO. OF SLOGS. / vvv 'CONDITIONS SIZE OF LOT 0 Q NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM / oTEL. FRONT PROP. LINE OF TREET) OWNER NO. TYPE OF EXISTING I SETBACK ZzolfiHIGHWAY + YARD = TOTAL ADDRESS, GHWAY WIDTH 'F OM C.L. 7 + , = zo CITY a BLDG. SETBACK FROM �....�� ARCHITECT bREL. SIDE PROP. LINE OF (STREET) ENGN INEER (y O. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESSSswqed HIGHWAY WIDTH FROM C.L. a EL. - + = Q CONTRACTOR NO IC ADDRES , NO CORNER CUTOFF YES NO Q CITY C C SEE REVERSE SIDE FOR SPECIAL APPROVALS LL DES.CRIP ON. OF WORK- IL NEW ADD ALTER REPAIR DEMOLISH �r n•.�� 11 SQ,FT. NO. OF NO. OFi.. 1'a'"'+'i %` . C SIZE O STORIES FAMILIES � USE OF STRUCTURE AIFn Q SIGNAVURELOF APPLICANT ,. VALUATION$ dQ APPROVALS DATE INSPECTOR'S SIGNATURE P.C� PMT. FOUNDATION, LOCATION �+,.r' ,�; FEE .--�- FEE$ FORMS, MATERIALS _ e �,3�QI L,(CML-t1n�`�� FRAME, FIRE STOPS, j/� r/ / 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOL.T `1 V 491/ C -UY Q&j-,,•pZj AND STATE THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY-1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.f'n. ojf,%L,G 7 ZA UT Lt- ^�-I �•�^'•-;% t' - TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- n�f ING TO WORKMEN'S COMPENSATION INS NCE. / LATH. EXT. SIGNATURE O G HOUSE NUMBER COR- PERMITTEE REC AND POSTED ! I wnJ i • / ADDRESS t J FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH it;o 7 9 3 9 k0 AN 2 7 1 D 11.50- 14 I WORKERS' COMPENSATION DECLARATION , hereby affirm that I have certificate of consent to pelf APPLICATION FOR BUILDING, PERMIT* ' insure, or a certificate of Workers'•Compensation Insurance, -• . or a'certified copy thereof Sec. 3800, Lab. C.) y pony Sa"a - �c�,h - COUNTY OF LOS ANGELES BUILDING AND SAFETY Polic om an �� BUILDING I(��C �tified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS L"f Certified copy is filed with the county building-inspec- BUILDING �'" r Q� L tion department. ADDRESS .J 2 G/'.SIIY� j� 7' DateA licantIa�e� /e��/'�Q ciTY ' 'T �. ZIP /��v LOCALITY PP JO.OF BLDGS. NEAREST CERT ICATE;OF EXEMPTION FROM WORKERS.' 'SIZE OF LOT" NOW-ON LOT CROSS ST. O v D ...COMPENSATION INSURANCE ASSESSOR (This section-need not be completed if the petmit is for one TRACT ' BLOCK LOT NO. MAP BOOK ' PAGE PARCEL hundred dollars ($100)or less.) I ; TEL, �Aj�� OWNER NO,=�T� USE.ZONE MAP I•certify that in the performance of the work for which thisi SPECIAL } permit is issued, I shall not employ any-person in•any manner ADDRESS CONDITIONS -so as to become'subject to the.•Workene Compensation Laws. 4 - O' i CITY GN7• / •`t zip Date • Applicant ARCFiITECi OR TEL. DISTRICT .GROUP TYPE FIRE CESSED BY O NOTICE'TO-APPLICANT: If, after making this Certificate of ENGINEER Op C NO. CONST. ZONE Exemption, you should become .'subject to the Workers' ' I �� LU Compensation provisions of the Labor Code, you-'must forth= I ADDRESS 0- with comply with'such provisions•-or this permit-shall be ' ' 110L TEL STATISTICAL CLASSIFICATION APT. CONDO. ZQ deemed revoked. CONTRACTOR C'saO. j.Z+¢B6 _ LICENSED CONTRACTORS DECLARATION I r l IC.�1 CLASS NO. DWELL. UNITS — I hereby offirm'that I am licensed under provisions of Chapter 9 i ADDRESS 1_7!f O•`r a Z-Z' SEWER MAP (commencing with Section 7000),of,Division 3 of the Business , CITYrn./�lvt C CLCA'SS and Professions Code,and my license is in full force and effect. - BK, PG, VALIDATION SQ. FT. NO.OF - NO.OF, CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE ' . • .. .. ( - VALUATION Contractor Date t DESCRIPTION OF WORK —jam NEW ❑ $ O C DO El am exempt under Sec. I 1 r hC ADD' ❑' Q J I 1 ALTER' ❑ ► B.&P.C. for this reason I h@ OO -T �� 'REPAIR ❑ $ ' USE OF � Date: I EXISTING BLDG. G 3 K DEMOL El Signature P { APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION 1 ( RINT) 1 NO. Z ' OL I hereby affirm that I am exempt from the Contractor's License DATE _ JI Law for the follow!ng'reason(Section 7031.5, Business'and ADDRESS 3 � QC 74Pi f4 /+• 0."s FINAL Professions Code):: ' . PRESENT• BY BUILDING � � �,� as ownerofthe property, or my employees ees with ADDRESS wages 6s•their-sole compensation,.will do the work and - 9 the structure is not intended•or offeied for sale(Section j LOCALITY '� �� 11`° �- 7044; Business and Professions Code.) I MOyiNG TEL. 1 ITEMS ❑ I,as owner of the property,cm exclusively contracting CONTRACTOR NO. TOTAL 1 V°a with licensed'contractors td construct the project (Sec- ADDRESS tion 7044, Business and.Professions Code.)- I c/� { r' REQUIRED TOTAL SETBACK FROM EXIST. ' CHECK, 115.50 CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP. LINE WIDTH -I herebyiafftrm that there is a construction lending agency for FRONT CHANGE .00 ,."••the performance•of the work for.which this permit is issued- I P.L. (Sec. 3097, Civ. C.). ; SIDE P.L. Lender's Name0000-0001 10/10/89 . '• `L •L - P:C.Fee$ Permit Fee i O ' CDMA Ref.# 01511. AM11-14 Lender's Address S c I certify That I,have read this application and state that'the " Issuance Fee CDMA P/C p 0 above information is correct:I agree-to comply with all County ' Investigation Fee ordinances and State laws relating to building construction,. Total Fee • CDMA Perm. ti and hereby authorize representatives of this County to enter upo above-ment• pert r inspection urp es. /O 8 ? SEE REVERSE FOR EXPLANATORY LANGUAGE SigroTurei of Applicant or ent Ddie. l•;