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Home My Public Portal About5806-5808 PRIMROSE AVE_Building__ -.DIVISION OF BUILDING AND SAFETY HDepartdient of County Engineer I L D-1 County of Los Angeles 1 „ .WM. J. FOX, COUNTY ENGINEER APPLICATION " FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �/ r� ,� DISTRICT NO. PLAN Cr_DR REc.No. PERMIT NO. BU'LDADDREING 9S U 3 0�°d ft.[/;1h2L6d.Cr lM+l� �� RECEIV D BY DATE OF APPL. DATE ISSUED LOCALITY /) ►U /r 5,— C^[ NEAREST V ( �✓ CROSS ST. BUILDING ADDRESS OWNER LjdAAd MAIL • LOCALITY / ADDRESS U a ca.0r {M/(� NEAREST ^ TEL. CROSS ST. CITY c%P/y Pr(/ NO. FIRE I NO.OF TYPE GROUP ZONE PLANS ARCHITECT O TEL �, - ENGINEER NO. BLDG, ORD. NO. SETBACK LINE ADDRESS i USE APPROVED CONTRACTOR }� TEL' I ZONE BY DATE I�G1A ; NO: & J3 HOUSE NUMBERING. .Af ; ADDRESS d I -MAP NUMBER NO. ASSIGNED BY LEGAL I CORRECTIONS 'DESCRIPTION LOT NO. BLOCK TRACT Na. OF BLOM& SIZE OF LOT I NOW ON LOT USE OF NO.OF EXISTING BLDG. FAMILIES I DESCRIPTION OF WORK NEW ALTERATION• ADDITION ! Z D r REPAIR DEMOLITION . SQ.FT. N O.OF i SIZE ROOMS STORIES i EXT.WALL I ROOF °I COVERING DOVERING J USE OF STRUCTURE T I , �t400 1 � 1 i :1 INSPECTION FOR 'APPROVALS OCCUPANCYAS INSPECTOR'S SIGNATURE DATE FOUNDATION.LOCATION rEtRM36 MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APS ' FRAME. FIRE STOPS, PLICATION AND STATE-THAT THE INFORMATION GIVEN IB CORRECT. i BRACING,BOLTS . AND STATE LAWS RE LULATING BLUILDING CONSTR CTION FURNACE: LOCATION, GAB VENT,DUCTS SIGNATURE OF j LATH, INT. PERMITTEE_ ADDRES �� LATH: EXT. PLASTER, INT. AUTHORIZED AOT. 1 PLASTER, EXT. L °i FEE•R 2 G HOUSE NUMBER COR- _ RECT AND POSTED EVALUATION FEE FINAL �- Z 76AS38A DBS 3 1-53 aa.S .x, ssg Sar= -APP U- CATION FOR P—EribIIT DEPARTMENT OF 'BUILDING AND SAFETi . CONI'TY GF LOS ANGELESBUILUT""ING WM. J. FOX, CHIEF ENGINEER NO.OF BLDG. ORD:NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE A FIRE APPROVED '�?� •� ZONE BY DATE R C LVED BY DATE OF APPL. DATE ISSUED USE APPROVED i t r.�f,/ ZONE BY •DATE � � APPLICANT FILL IN HEAVIL OUTLINED PORTION ONLY UILDING ADDRESS / , ./j p C NAME p W ADDRESS LOCALITY tl NEAREST V W CITY CROSS S STATE TEL NAME LICENSE NO. J NO. Z MAIL X NAME AA/' ADDRESS O 8 - O ADDRESS CITY NOL IC UCITY 1 HEREBY ACKNOWLEDGE THAT 1 •HAVE READ THIS U APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND-STATE LAWS REGULATING BUILDING CONSTRUCTION. ZOSIZE OF LOSIGNATURE OF LQT NO. //� % Q/Q �j� , ,, q OWNER _•r•' ltY'[I Y+a-.- d NO. OF BLDGS. d� AUTHORIZED AGT. �i ld Ix BLOCK � NOW ON LOT „a6 //,C� - J � ,, � CORRECTIONS III0 TRACT ° USE OF BLDGB. NOW ON LOT 9� -i. — L{L,i` �6�ofc ,iffy /m DESCRIPTION OF WORE 'elf USE OF ///� BUILDING ^C/</ /v1 cre,) I, Cum I r/ _ _ �a/�-- :.sus+ .�,-�► ' l a �iy r/� flQ./.rte.-��I�! ec {'f r/l.},.a-Tl; ! A maw v o z NEW TYPE I GROUP / f' ALTERATION ROOMS F MIO IES / ADDITION SIZE REPAIR STORIES MOVING WALL COVERING DEMOLISH ROOF COVERING $ .C.8 �-- FINAL APPROVAL FEE .G Lf IfINSPECTOR'S O 1 _J VALUATION C/ FB6 DATE C. C }GJ(� NAME CJSII —� WORKERS'COMPENSATION DECLARATION o v I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS U6X T Certified copy is filed with the county building inspec- BUILDING LQ/�Q D ��L , tion department. ADDRESS J�`J�C/S 1 Date Applicant CITY ZIP d LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' 1(I NO.OF BLDGS. NEAREST COMPENSATION INSURANCE �. IZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT —� BLOCK LOT NO. MAP BOOK PAGE PARCEL OWNER NO. �y-7—05al USE ONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in an nner Q L i SPECIAL so as to become subject to the Workers'Compen aty n aws. ADDRESS )4as L%• AAkl St ' CONDITIONS 0 Date - a —�� Applicant CITY �LApAE ZIP 91010 NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL.ENGINEER NO. DISTRICT GROUP CONST. ZONE TYPE FIRE PROCESSED BY Exemption, you should become subject to the Workers' � n psp Compensation provisions of the Labor Code, you must forth- ADDRESS '`5 N with comply with such provisions or this permit shall be a TEL. STATISTICAL CLASS FICATION APT. CONDO. '' g deemed revoked. CONTRACTOR NO. CLASS NO. t3 DWELL. UNITS LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT NO.OF NO.OF CHECK License Number Lic.Class . SIZE 100STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK NEW Contractor Date ADD $ I am exempt under Sec. =WlD1� OIiL� O 1 �K\S�16� ❑ , ALTER $ ;2391L 1 A B.BP.C. for this reason 5�= + REPAIR ❑. Date: ;EXISTINGOF BLDG. DEMOL 0 0 0 0 0 1 APPLICANT TEL.! V I ° ° b Q 50 Signature PRINT E A NO!*AV FINAev OWNER-BUILDER DECLARATION DAT I hereby affirm that I am exempt from the Contractor's License ADDRESS FIN ° ° ° b Q 5 0-=•t Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT BY7 1,28—86 aBUILDING s- I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and /1 6�' v /\ O y the structure is not intended or offered for sale(Section LOCALITY 7.14 7044, Business and Professions Code). MOVING TEL A/3a - A( 0¢ 41der 1 I, as owner of the property,am exclusively contracting CONTRACTOR NO. 0>1 + with licensed contractors to construct the project (Sec- ADDRESS "• i tion 7044, Business and Professions Code). EFR ED TOTAL SETBACK FROM •• 0/ (J(�J CONSTRUCTION LENDING AGENCY CK YARD HWY PROP. LINE WIDTH 1 hereby affirm that there is a construction lending agency for T the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). i Lender's Name So,L LDMA Ref. # I P.C. Fee$ Permit Fee r Lender's Address I certify that I have read this application and state that the Issuance Fee �(/ •`g LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm.# i and hereby authorize rep esentatives of this County to enter upon the above-me io property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date WORKER$'COMPENSAZION DECLARATION ` �j y^urebgf m certif catte of Worke s'tCompensatioificate n Insuranceof coent to , APP��CA L] 0®N F u D O PERMIT GI Is otftia certified copy.thereof(Sec. 3800, Lab. C.) COUNTY OF LCIS AEtiIGELSS BUILDING AND SAFETY Policy No. Company BUIL DINGp� ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS .��0 .. � 6 ❑ Certified copy is filed with the county building inspec- F G �+ry 1 T` tion department. S J O A Y Q LOCALITY x'(71 106 6' c l / Date Applicant 7-&M PL& G 7-," o zip 1717 CROSS ST. LA-S Tv 0 A S CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE LOT Sb�f(?J^ NOW ON LOT / MAP BOOK PAGE PARCEL USE ONE MAP (This section need not be completed if the permit is for one BLOCK LOT NO. NO. hundred dollars($100)or less.) PCN A TEL. ( i j SPECIAL } I certify that in the performance of the work for which this E Di' *aO NO. a j51+7 CONDITIONS I. permit is issued,I shall not employ any person in any ma r �t DISTRICT GROUP TYPE FIRE PROCE ED BY O 9 g PQM��s /rV� CONT Z Eso as to become sub'ect to the Workers'C m ensat'•n a s.I pTit a- uZ% ZIP 4 T 7 ko O Date Applicant Lam' STATISTICAL CLASSIFICATION APT. CON VNOTICE TO APPLICANT: If, after making this Certificate of CT OR -P.G TEL. /�QExemption, you should become subject to the Workers' R FDEII ST�L NO. Odl CLASS NO. DWELL.UNITS Compensation provisions of the Labor Code, you must forth- .O . Aox 3[39, SEWER MAP � ADDRESS with comply with such provisions or this permit shall be deemed revoked. * TEL. BK VALIDATION CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. G Professions Code, and my license is in full force and effect. "CITY �/U•/� A (81� s F CLASS IL $ (<< ae6 .l0a SQ.FT. pA00 NO.OF NO.OF CHECK License Number Lic.Class SIZE 6'4 t STORIES FAMILIES ONE DESCRIPTION OF WORK .S T GT NEW ❑ $ r Contractor Date 1 ADD ❑ 3 0 Q 2 A Z S'CO Ov 4E'J/ ¢ ALTER ❑ FINAL I^ Y # 23 ❑I am exempt under Sec. ` o 0 0 0 7 B.BP.C. for this reason �'� �A Gs REPAIR ❑ DATE o 72 4 $5 Date: USE OF FIN N EXISTING BLDG. %0 bOL D&/70"J 0410 DEMOL ❑ Si nature APPLICANT TEL. T/ y a o 7211,850' g OWNER-BUILDER DECLARATION PRINT H#/ 704 L-S NO.S -?�68 I hereby affirm that I am exempt from the Contractor's License ADDRESS �'Z� W' A-L.L�N N �77r3f D 0$2 5—6 5 Low for the following reason (Section 7031.5, Business and . Professions Code): PR ENT BUILDING 1, as owner of the property, or my employees with ADDRESS wages as their solecompensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. ❑ 1, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. ;5-3 9 4 0 A CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT D # 0 0 0 0 a the performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). SIDE ( o8632:5 P.L. Lender's NameAs r: ,....:.... {. P.C. Fee$ t Permit Fee ^�. !v a a 8 6 3 2 5 T Lender's Address 0 1,2 b-86 I certify that I have read this application and state that the Issuance Fee S� above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee J 5 and hereby authorize resentatives of this County to enter upon the above-m n on d property for inspection purposes. ag- SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Applicant or Agent Date ®s • ,j WORKERS'COMPENSATION DECLARATION � 6acertificate lf ] O 1rs'Compentninsuran U ON FO` U�K�I . PERMIT r ra certif cafe of WorkCA qr a I:ertI%1 d"copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company .:.>....,.: DING BUIL ❑ Certified copy is hereby furnished. FOR A P CANT TO FILL IN ADDRESS Vig A Scro 6 Certified copy is filed with the county building inspec- BUILDING (- tion department. ADDRESS -58o /M/LvS E �4d� L.G• LOCALITY TE(s-c LR- GG? I- NEAREST Date Applicant CITY C.L ellry ZIP ROSS ST. 1-45 TUN AS CERTIFICATE OF EXEMPTION FROM WORKERS' So r X 7S NO.OF BLDGS. / ASSESSOR SIZE OF LOT COMPENSATION INSURANCE NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. OWNER C-0 tuA2® I'�T K pL ��j SPECIAL I certify that in the performance of the work for which this NO. •2 , ✓ CONDITIONS R}. permit is issued, I shall not employ any person in a anner STRICT GROUP TYPE FIRE PROC ED BY 0 so as to become subject to the Workers'Comp/e//1ns do Laws. ;;ADDRESS �OQ ��'/M�'®S� .4 V E• �"� 1 OCO NST�/ 1SE ,! � Date-L 28-ER tw CITY {�L� 64-r7' ZIP l Z�� Jt . - 0 Applicant STATISTICAL CLASSIFICATION APT. DO. NOTICE TO APPLICANT: If, after making this Certificate of I ENGINEER CHITECT OR B<<i•ie/L.[?P?fi't. , TEL. F 9 !of 1 LE ,D, NO. CLASS NO. j,�# DWELL UNITS sdt 'Exemption, you should become subject to the Workers' g, Compensation provisions of the Labor Code, you must forth- n with comply with such provisions or this permit shall be i ADDRESS P • go�c 3 38 /tvOrlSTtty r c� , SEWER MAP — deemed revoked. TEL. CONTRACTOR NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION _ (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code,and my license is in full force and effect. CITY S�b/V/NG p/ � CLASS $ 17.Z 318- 2,0 _3 0�. SQ.FT." 3� NO.OF Z NO.OF CHECK A, # 0 0 0 0 2 3 License Number Lic.Class SIZE STORIES FAMILIES Z ONE $ /Contractor Date DESCRIPTION OF WORK NEW ® 1 o7660, 2 I am exempt under Sec. ADD PSw c.vrN�5 Fon.. T070C_ s El ALTER ❑ FINAL f o 0 7 6 6;9 2 CA B.BP.C. for this reason O drorls• DATE REPAIR ❑ USE OF Ow 2 5-n. 5 '. %� c Date: EXISTING BLDG. A Sl Q,904Le DEMOL ❑ B N Signature {APPLICANTgg TEL. 7 OWNER-BUILDER DECLARATION PRINT 00® MA-7#1.0 NO.-q / 9.3 I hereby affirm that I am exempt from the Contractor's License Z 2•(o Ll1 •.4L GG-N /41151 $494 0!M NS D Law for the following reason (Section 7031.5, Business and ADDRESS G/1• X773 Professions Code): PRESEN BUILDING 'I, as owner of the property, or my employees with . ADDRESS wages as their sole compensation,will do the work and ' the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. j y g y7 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT D �r o 0 0 0 0 1 the performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). SIDE 1 - 912 1 5 P.L. Lender's Name 7:...:.::.:, .. 0 �: Lender's Address P.C.Fee$ i 6, (� Permit Fee d J () 2 6-,6 I certify that I have read this application and state that the Issuance Fee Q above information is correct. I agree to comply with all County ; Investigation Fee ordinances and State laws relating to building construction, Total Fee and hereby outhoriz-Allpresentatives of this County to enter upon th above-moryfiorted property for inspection purposes. i - SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®s