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Home My Public Portal About5823 PRIMROSE AVE_Building__ 25 -M SETEI DEPARTMENT O-''� 1TD SAFEI,LAPPLIC�3`TY - zti- :. PlERNIT -- C-UNTY, LOS AI�TGELES + o �{ ,ih�l j. FOX. CHIEF ENGINEER Y' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDINGl "7 4f DISTRICT NO. PLAN_ CK. NO. PERMIT � ADDRESS / C/- }� . � �N'� f"'t ��*i tis. -5 (J„/� 1 wf LOCALITY ] 4 .�G� l ! _ ( r ` RECEIVED BY ]DATE or AP�,P/LL. DATE ISSUEFjD� NEAREST t'. !!4 ' [e 'G 1 /PJ`Y '.� V c%��/f 6p CROSS ST. it / BUILIDy OWNER Y-�hh. Ems" 'v✓ �a V'� �� ADDRESSING DDREISB / MAIL ry Sl F `s_� C�a ��1�,�� b LOCALITY � /`P ADDRESS , J�y NEAREST CITY r� .7, �!S A i' ' NO�'6 a'1 (;) �- CROSS ST. CL 3 FIRE NO.OFTYPE GROUP ARCHITECT OR -•�� , NOL. r ZONE I PLANE ��I` I / v / BLDG. ORD. NO. ADDRESS SETBACK LINE TEL I APPROVED CONTRACTOR [_� C ��: `�{' NO. BY DATE USE APPROVED APPROVED ADDRESS ZON BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO.- F BLOCK TRACT {) J) 60 r NO. OF SLOGS. r 812E OF LOT��(� (\ fV NOW ON LOT /� E/l �0 USE OFj� !I .i NO.OF if Na. OF 1{ m y� EXISTING BLDG. �l1`l')��1R:;+()FAMILIEll I ROOMS :t " rd 2 6' 7 DESCRIPTION OF WOW K NEW ALTERATION _ADDITION t� O R REPAIR MOVING DEMOLISH 9 SIZE- 2N ROOMS STORIES WALL (' ROOF / COVERING`� C O I COVERING J/'Ij //%'Gf�(r USE or BUILDING r • C% 0 APPROVALS I HEREBY ACKNOWLEDGE' THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF f BRACING, BOLTS OWNERLATH, INT.: �eeWYq Cy /G^ AUTHORIZED ABT—W-K S4l/ LATH, EXT.: P. C.0 � PLASTER, INT. 'I FEE PLASTER, EXT. • i �J v s _ y VALUATION r FEE �� v FINALv `+?� DEPARTMENT`�.OF'BYiILDING•iAND SAFETY . APPLICA_TION--tom COUNTY OF LOS ANGELES I -' • / WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY i DISTRICT NO. PLAN CK.NO. PERMIT N4. BUILDING / ADDRESS 1� 7-A ,L VAri-,,_ J y 1S LOCALITY R ED BY DATE OF APPL. DATE ISSUED NEAREST CROSS ST - OWNER ADDRESS. MAIL //++�� LOCALITY ADORES8 NEAREST 'TEL / CROSS ST. le-g-o':- :v FIRE NO.OF T CITY edbNO Cs Y GROUP HITECT OR 'TEL. ZONE s' PLANS �• EN R NO. a BLDG. - t''" ORD.NO. ADDRESS r SETBACK LINE APPROVED . TEL COBY DATENTRACTOR , USE ;APPROVED ADDRESS ZONE s BY DATE LEGAL J 7 CORRECTIONS DESCRIPTION LOT NO. /./�./ BLOCK A:Q'i' TRACT �✓ ^� J� % >. %i:J " J NO.OF BLDGB._ / L SIZE OF LOT Q`` NOW ON LOT Y -el _ USE'CF' NO.OF ! NO.OF- /• f ' -EXISTING OLD FAMILIEB I ROOMS•- '- JCS e a 3 pi's^./ �} y G i 5 t• !'Q r DESCRIPTION OF WORK �� ,y -n • • l r-- f v ,r..v'.3== NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH /YQ / e 4A Bq.FT. NO.OF Z ' _SIZE ROOMS STORIES y fl 5 E/b/y �(n r fn 1(u p)F 4 r' WALL ROOF COVERINd I COVERING i // O/V li 41.0 lr USE OF BUILDING W ge .'1':HEREBY ACKNOWLEDGE THAT I HAVE READ TH19,• APPROVALS LICATION AND STATE THAT THE ABOVE IS CORRECT. APP_ INSPECTOR _ DATE AND-i4dREE TO COMPLY WITH ALL COUNTY ORDINANCES'-. FOUNDATION: LOCATION FORMS,MATERIALS S AND STA LAWS REGULATING BUILDING CONSTRUCTION. 1 ......ppp FRAME: FIRE STOPS, --BIGNATURE OF BRACING,BOLTS �.�C/ S .•, PERI IF - LATH,INT.: 'AUTHORIZED AOT' LATH,EXT.: rVALUATION soM sErs 7-a7 "$ PLASTER,INT. FEE PLASTER,EXT.! V v • S / � FEE G FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING I WM. J. FOX. CHIEF ENGINEER TG. PLANS — SEACK LINE ORD. NO. DISTRICT NO. PLAN CK. NO. P IT NO. FIRE APPROVED �� IGS . —�_. ZONE BY DATERECEIVED BY DATE OF APPL. DATE ISSUED USE APPROVED -W- / e `� � �� _q ZONE I BY DATE !6 V 1'\ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY IC BUILDING O E NAME ,.e-' ADDRESS �1laRlt/�/�► �� y U W H Z ADDRESS LOCALITY =Z NEAREST y `V U W CITY / CROSS ST.STATE Q LICENSE NO w No. r7 W NAME GYsj�?J.I`i/�d•4f�� ,cJ + �j1+1/1�.4�L/� , / . �af�. MAIL eq� O NAME !=�•f'�v !. 1 _f..,. ='CST!4 F, 30 ADDRE`SSJ ��4 Q ADDRESS ��!' %n�Cly� fatal/c rt Sit [ I Fe, `I/ CITY I _Ian r(�rG��I �> NO G -- Z CITY ,',/Lft�C".',✓!.��l�� ( 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS U APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE v rliGe�!��' TEL. {� , '� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. `�' "6 NO. f' ,! ` _ AND STATE LAWdlkEGULATING BUILDING CONSTRUCTION. Z SIGNATURE OF LOT. NO. (i` :0 SIZE OF LOT J O , OWNER rjj vt 16t 4 j„"►' ,'i�� NO. OF,BLDGS. AUTHORIZED AG � /• F<- I I ✓ ��••¢ff%:'�'s I Q BLOCK ,�,-„.�� NOW ON LOT bj .J w TRACT ;4c i� / / CORRECTIONS D USE OF BLDGS. f% / NOW ON LOT /i .+' �—.04�r�� 7-7_ �/ DESCRIPTION OF WORK BUILDING J • a z 3 / v rc O NEW TYPE — GROUP NO. OF �' I NO. OF ALTERATION ROOMS FAMILIES ADDITION SIZE REPAIR STORIES �T MOVING WALL COVERING ,' A. �+ A,) — DEMOLISH ROOF COVERING i�i!'.4! -•' $ Arm P.C. $ FINAL APPROVAL 1, FEE $ INSPECTOR'S p�fy;,�” VALUATION FEE DATE %� r fJ NAME . 1 I 76ABSBA CE#SOS S-6B APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING �-g,�5 PRIMROSE DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITYM JOHN A. LAMBIE, COUNTY ENGINEER NEAREST r WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT N GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN p CONSr-�7_ BUILDING STATISTICAL.CLASSIFICATION SEWER MAP ADDRESS CLASS. NO.--!g—DWELL.UNITS BK I LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT MAP NO (CIRCLE)NO.OF BLDGS. E) STATE MAJOR SECOND OCA ' AY SIZE OF LOT "Ara", NOW ON LOT j USE ZONE SPECIAL USE OF CONDITIONS EXISTING B G. TEL. �. OWNER A460, NO. BUILDING EXIST. ADDRESS �f SETBACK YARD HWY STREET NAME WIDTH FRONT ARCHITECT OR TEL. P. L. M P, ENGINEER l NO. SIDE ' P. L. 4a ADDRESS } r TEL. 0 CONTRACTOR,-` NO. V ADDRESS o DESCRIPTION OF WORK tu . o. NEW ADD ALTER REPAIR DEMOLISH V! SQ.FT. P • NO.OF d NO.OF Z SIZE STORIES / FAMILIES USE OF STRUCTURE EN I-AQ6e SIGNATURE APPLICANTOF VALUATION APPROVALS. I)ATS INSPECTORS SlQ&BU P.C. PMT. FOUNDATION: LOCATION 1 FEE $ FEE $ �- FORMS.MATERIALS FRAME: FIRE STOPS. s� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. I' y WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- INT. ✓Y /` -✓rj �. �'�+ rf/ TION OF THE LABOR C OF THE STATE OF CALIFORNIA RELAT- INC TO WORKMEN'S C SATION RANCE. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- _ PERMITTEE �' RECT AND POSTED '- ADDRESS ✓ FINALE�",•`,'i;-0�`j` 3v?7 ✓I r JOHN F. LEWIS. PRINCIPAL STFtUCTURAL-EGR PLAN CHECK VALIDATION- CK. M.O. CASH PERMIT VALIDATION CK. M.O. Ll:,�� 4 2 8.G OCT 1 1 D 6,00- .. 76A698A CE#8031/7APPLICATION "FOR.BUILDING PERMIT COUNTY OF'LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS 'c:�- % 6-- COLEMAN W. JENKINS, Sq.P'T OF BUILDING LOCALITY � ,y/ C ) / ,] - FOR APPLICANT TO FILL IN CROSS ST. b S re / 4a /. Print ort a onl BUILDING 77 ISTICT NO. GROUP TYPE R CESSE ADDRESS V �G • 6 03 CONS STATISTICAL CLASSIFICATION ER MAP LOT NO. BLOCK CLASS NO.�_DWELL.UNITS BK TRACT / USE ZONE MAP +7�n NO.OF SLOGS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE OFCONDITIONS EXISTING WG. TEL OWNER bi NO. . 1j./6 BLDG.SETBACK FROM " ADDRESS Z "FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY ` HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. + _ ENGINEER N'O. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF 1EXISTING SETBACKHIGHWAY + YARD = TOTAL O CONTRA NO, HIGHWAY WIDTH FROM C.L. CD ADDRESS NO. + CD LIC. F- CITY CLASS CORNER CUTOFF YES ❑ NO 13W CONSTRUCTION LENDER C' N NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z ADDRESS SQ. FT. NO. OF NO. OF NEW ElSIZE STORIES FAMILIES ❑ , USE O ADD STRUCTURE Al , ALTER ❑ S GNATURE OF REPAI RK APPLICANT & EMOL ❑ VALUATIONS &0 APPROVALS DATE INSPECTOR'S SIGNATURE _ d� FOUNDATION: LOCATION FEE S FEE S -� FORMS, MATERIALS F—YM: FIRE STOPS, 1 HE ABY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,- WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS.VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY COWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH. INT. LABOR CDE OF THE S ATE OF •CALIFORNIA IN RELATING TO WORKMEN'S COMPE NS T INSURANCE. LATH, EXT. SIGNATURE OF :&a= HOUSE NUMBER COR- PERMITTEE , �V ' �L RECT AND POSTED ADDRESS •�� - 1 . FINAL ' • JOHN F. LEWIS. PRINCI AL STRUCTURAL GIN R PLAN CHECK VALIDATION CK. M.O.' CASH' 'PERMIT VALIDATION CK. M.O CA Ll:o3 8 22 D — � I DEPARTMENT OF BUILDING AND SAFETY APPLIUAT10N r OR PERMIT COUNTY OF LOS ANGELES ® � WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.NO. /P/ERJM/I(T/,N,O. ADDRESS ,�_ l 7 / �-1y; �� L'i/ J` �/( �7 lY LOCALITY � �i(�li'�Ti > RECEQV... D//�H/fJ' DATE Or DATE ISSUED NEAREST r,/,w. .JrJCi � . // CROSS ST. - , BUILDING 12- OWNER MAILls ,�+pt'r ��[� 'L` ,`�. ADDRESS ADDRESS .>��d� LOCALITY / �////__� `y NEAREST CITYG'�'�i!/�i�.f_C NOI .I J• I' CROSS 5T. / FIRE NO.OF TYPEGR/UP rj ARCHITECT OR TEL ZONE PLANS J ENGINEER NO. BLDG. / ORD.NO. ADDRESS SETBACK LINE -2lJ . APPROVED TEL 00NTRACT0R a L�L/'.14/yYfr/' NO. US DATE PROVED ADDRESS t�O��Y! ' ZONE /`'��/BYDATE LEGAL - CORRECTIONS DESCRIPTION% LO/T/NO. /A BLOCK TRACT fa lJ� l NO.OF SLDGS. SIZE OF LOT �I a NOW ON LOT USE OF NO.OF I NOO.OF y EXISTING BLDG.` ss.• 1f'Ag. FAMILIES ROMS J DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING I DEMOLISH + G Iv.FT. /; NO.OF SIZE �� !� ROOMS STORIES y WALL //jj�� ROOF n r COVER[NG/J,&tt((�~ I COVERING L(iyl,`j USE NEW BUJLDIDING {[��,J�'YI J��_( Cr/9 dl �'">�+�.•�l��d'vj 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION:: LOCATION FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS SIGNATURE Oac OLTS /f/ PERMITTE LATH, INT. s , VC AUTHORIZED AOT •( �: LATH, EXT. 76A689A PLASTER,INT. � 48 085-3 SOM SETS P.C.$ .$ FEE PLASTER,EXT., VALUATION G n f_ 4 •c; FEE .. FINAL APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRES FCI.Iy DING ADDRESS I hereby affirm that I have a certificate of consent to self insure, i Z �iY/�„Gis or a certificate of Workers'Compensation Insurance,or a certified ZIP copy thereof(Sec.3800,Lab.C.) 7!f e C11'7—z I LOCALITY Policy No. Company I SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. I NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. I USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL Date Applicant SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE MAl G AeAobssw 1 Z b'3 PO`%WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)or less.) 7/Z 3 / J"Q,rC DISTRICT GROUP TYP CONST. FIRE ZONE PROCESSED BY CITY I certifythat in the performance of the work for which this ermit j f ZIP /�/, Q is issued, I shall noemploy any person in any manner so as to �i31 /e �" r � ✓ - L� G.ezve- -J become subject to the Workers'C pe sation.1-aws. ARCHITECT OR ENGINEER TEL NO. J STATISTICAL CLASSIFICATION APT CONDO Date 2 / Applican ADDRESS CLASS NO. _ DWELL UNITS NOTICE 70 APPLICANT If, after maki this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRA�y TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith Jl�i,Gi /C OO FRONT comply with such provisions or this permit shall be deemed revoked. I ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION 1 '73S So c'�!A i//Y�.0/� I"Z SIDE CI,YL //a�.4 / 7I,7 G a LIC.CLASS/ -3? PL I hereby affirm that I am licensed underprovisions of Chapter 9 f T ` SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES I NO.OF FAMILIES Professions Code,and my license is in full force an ffec % NEW " BK, PG , > / z 0_ License Number�/ ��J� Lic.Clas p /le? D CRIPTION OF WORK ADD ❑ VALUATION Contracto,;MC- ®41 lOS�h ate IT e vO f I-I&C wir/i 'x'30 y 2 U � � �Z � ALTER ❑ $ _ � `7 7 l Z S C' Y %/J/ /di+L cc ❑ I am exempt under Sec. REPAIR ❑ i Q BAP.C.for this reason //,,�j 1� DEMOL ❑ LDAM P/C USE OF EXISTING BLDG. �y>ti Date: URM ❑ .__ .; � Signature 731, i= - APPLICANT(PAINT) TEL NO. LDMA Perm¥ Z ❑ 1, as owner of the property, or my employees with wages as Z 3 H' their sole compensation, will do the work and the structure is ADDRESS O — not intended or offered for sale (Section 7044, Business and FINAL DATE a ;I I';( L ,s` m =per Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIALo I, OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J 10-H- S_ ❑ 1, as owner of the property, am exclusively contracting with I AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY -1-i licensed contractors to construct the project (Section 7044, r "• Business and Professions Code.) YES 11 NO❑ , WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING j OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES )_,,1;1., I_t!(_s ,. _•:r . - I hereby affirm that there is a construction lending agency for YES❑ No❑ w the performance of the work for which this permit is issued(Sec. I tj y({ F ! 9:59 w 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING ' CY 3097,CIV.C.) CHECKLIST.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 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address 0 OWNER OR AGENT Z; 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 county ordinances and State laws relating to building G, construction, and hereby authorize representatives of this County ISSUANCE FEe ato r upon-the abo entioned property for ins ection purposes. Z,j 9 INVESTIGATION FEE TOTAL FEE/ e O D Wre d m ApCAt Ddu d ' SEE REVERSE FOR EXPLANATORY LANGUAGE