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HomeMy Public PortalAbout5832 PRIMROSE AVE_Building__ 78A888A CE#80311.87 APPLICATION- FOR BUILDING PF.RMIT Z COUNTY OF LOS -ANGELES BUILDING DEPARTMENT OF COUNTY ENGVMR ADDRESS. �8_UILDING AND SAFETY DMSION LOCALITY JOHN A.LAM'BIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT of BUILDING CROSS ST. DISTRICT NO. GROUP TYPE ,SEWER MAP FOR APPLICANT TO FILL IN �®-- BK PG CONST. ADDRESS Y' i(� /�' L9�F /� • STATISTICAL CLASSIFICATION LOT NO. Q BLOCK CLASS.NO. DWELL.UNIT MAP STATE NUMBER. HWY. YES NO TRACT I; y A Q� n USE ZONE SPECIAL SIZE OF LOT o f1 S ° I NOW ON, CONDITIONS V USE OF Q pp c ee EXISTING BLDG.R�J( LN I/ A BUILDINGEXIST. Q SETBACK YARD HWY STREET NAME WIDTH // OWNER _ �^Q'�t Q �» d FRONT ADDRE5MAIL .91 �/.V� / 7 1 L9 /j Y�^ SIDE P.L. CITY -cr' ,F �� T NO old ARCHITECT OR INSPECTION RECORD TEL. ENGINEER NO. ADDRESS a Lyvw TEL ' CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK .. NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF 1 (. SIZE STORIES FAMILIES USE OF STRUCTUR SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS,MATERIALS $, P•C $ FRAME: FIRE STOPS. FEE BRACING.BOLTS , VALUATION $ ©� FURNACE: LOCATION. { � y�^�w FEE �.�� GAS VENT,DUCTS + I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY H ALL C Y ORDINANCES AND STATE LAWS R TING H ING CONSTRUCTION. LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE •RECTAND POSTED ADDRES FINAL-' �fl{=d-!4a...ti�,.' CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL EN R PLAN CHI=VALIDATION CX. M.O. CASH PERMIT VALIDATION im M.o. cash 01 'S 0 2_80 JUN Q. 1 A . 2-.0-0 ®. A ROAD -DEPT. PERMIT IS ',REQUIRED: : . • FOR`ANY MATERIAL STORAGE OR.- C/ORIC'�J '.-PONE' IN' THE ROAD ;RIGHT OF WAY. . i"08A C9#8(M 6-0 APPLICATION FOR-1 BUIL.•DI'NQ. PE.:RMtT, ;.-•._•. • " '•-''1. COUNTY OF LOS ANGELES BUILDING'_ADDRESS DEPARTMENT OF COUNTY ENGINMR" BUILDING .AND SAFETY DIVISION', LOCALITY JOHN A:LAMBIE. COUNTY ENGINEER NEAREST jI - CASSATT D:GRIFFIN SUPT OF BUILDING CROSS ST,.. OR 01131 IC .NO. GROUP . ty.PE P ESSED BY' % . FEXISTING OR APPLICANT TO FILL.IN .5 CONST. ,� q STATISTICAL:CLASSIFICATION. _ 8 ER MAP �t . �i bs _ MAP - { - CLASS.NO q� 'DWELL.UNITS I ` BLOCK-. NUM ER HWYE YES; O. - USE ZONE. SPECIAL i NO:OF BLDGS. CONDITIONS T' I NOW ON LOT I— BLDG. W �,/� N /4 BUILDING .' EXIST. SETBACK WARD' '.HWY STREET NAME WIDTH [— FRONT.MAIL r ADDRESS 65 C 8I DE P.L. - CITY IT ' "0. ' INSPECTION RECORD: ' ARCHITECT OR TEL. , ENGINEER -NO. - ADDRESS TEL. ��rr CONTRACTOR U ' 7SSC--LJ« R/NO. G27.6 ADDRESS' DESCRIPTION-OF•WORK &Ae eAl -7D$: /3.S 19ROinAU/ NEW_ ADD ALTER REPAIR DEMOLISH.. S FT: NO. OF NO. OF e e3.' II'/ �/�T' / YLa/W �' SIZE (D STORIES FAMILIES USE OF STRUCTURE.. PAZ D t SIGNATURE OF J&77SWC71 APPLICANT -. -. APPROVALS DATE -INSPECTOR'S SIGNATURE ADDRESS IDU FOUNDATION:LOCATION - VALUATION $ D •FO.RMS,MATERIALS �%{�SlfJ{r�:. O �d FRAME:FIRE STOPS, . r v BRACING;:BOL:TS. FURNACE:,LOCATION, -FEE S FEE. $4 � I• GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION' P-PLICATION,AND STATE THAT THE ABOVE IS.CORRECT AND LATH,INT. �✓1 AGREE TO, AND . TH ALL COUNTY ORDINANCES AND STATE LAWS R GU_VATI BUILDING CONSTRUCTION:' LATH.EXT. SIGNATURE OHOUSE NUMBER COR-; -. 4 PERMITTE v RECT AND POSTED ' ADDRES Cfi. FINAL +:I�+'�Q i(•'3�: L�,4.tsC. CLYDE N. D1RL'AM..PRINCIPAL STRUCTURAL E F PLAN CHECK LID VAATION ' CK. M . .D. CASH PERMIT VALIDATION, :CK: •'M:D. CASK s; s 0 3 .5 .6 3.7 0 d DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES MIL®I WI WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN ' FOR OFFICE USE ONLY rZA NG �" "�A!� Y e DISTRICT 0. PLAN CK. NO. PfE�RMIT NO. A S d (]J F� ` YdJ�t.�Fafti `�`-E .� v�o fJ 3 Jr TY 7 (/R/EjFE1 ED BY DATE OFLADPL. J^ DATEISSUED T (if I A i - Y ! —- —a Y ST. f 5�����St�, (IILbING � f d ADDRESS ��y _1:=�J _A.-l:-s�s3 MAIL ��� LOCALITY S ' I t� r� f yImo} �.: �.ti� � + C s . . NEAREST p� (nirTEL. �s / Ar '`�c�' CR0388T. zj*s IVAA II R-a�t�1*_ JLk.)L-•lit,�1. NO. � � F�9 A / FIRE NO. OF TYQF� GL�P ECT OR �!f -.Y TEL. PLANS� VER NO. BLDG. /' �gRDTSETBACK LINES APPROVED TEL. BY DATE 1 CONTRACTOR NO. USE APPROVED v ZONE BY DATE ADDRESS HOUSE NUMBERING r LEGAL DESCRIPTION I LOT NO. L/ 4 I BLOCK MAP NUMBER FIELD CHECK BY FTRCTNO. ASSIGNED BY ��S ATFEOF LOT �yM ® NO. OF BLDGS.r CORRECTIONS NOW ON LOT OFNO. OF EXISTING BLDG. ,�,y1 -js-� I FAM:Uns ESCRIPTION OFWORK NEW I I ALTERATION I I ADDITION O REPAIR I I DEMOLITION I I 2 SQ. FT. NO. OF r t SIZE ROOMS STORIES EXT. WALL ROOF I^ r COVERING )C I, ® COVERING s USE OF STRUCTURE � ` u APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME:FIRE STOPS, s HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRU TIO � FURNACE: LOCATION, SIGNATURE OF q{ IxIj ley '"� GAS VENT, DUCTS PERMITTE •�+� � h1.a \-.• `� r i+ LATH, INT. ADDRESS``.a�ld t3 (�a hl"_ .Ay1�, ::? � L'b '1 , LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 7GAe2eA- DBfi 10-80 P. C. S ' ( FEE PLASTER, EXT. 00 VALUATION �'J OL- FEE $ ® � FINAL 8A63eA-:;6E 08.09.1/71 '. ,�/ � -APPLI" CATION FOR:'- i3U DING PERMIT CDUNT' OF LOS ANGELES ASSES OR DEPARTMENT OF COUNTY-ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ' 3 ADDRESS. COLEMAN W. JENKINS., SUP'T of BUILDING 'LOCALITY FOR R APPLICANT TO FILL IN -NEAREST Print ort a only) CROSS ST: BUILDING /f/ �p .. ,p DI.ST1. T UP TYPE, PR ADDRESS � � //) �j�',s�i'y°I✓ j '�./ 1. CONST. STATISTICAL CLASSIFICATION SEWER MAP LOT NO.6#fie BLOCK _ ' CLASS NO. m2DWELL,UNITS. BKlP ' TRACT USE ZONEkMAP �) J� NO.OF BLDGS. C I/ " SIZE OF LOT �[ 7J� NOW ON LOT ECIALUSE OF `TJ /P rNDITIONS• EXISTING BLDG�� -_TE L. OWNER �t � NO. BLDG.SETBACK FROM , ADDRESS. � d7de FRONT PROP.LINE OF (STREET) ` TYPE OFEXISTING SETBACK HIGHWAY •I• YARD = TOTAL CITY �� �Y�@�✓ HIGHWAY WIDTH FROM G.L. ARCHITECT OR 'TEL. { ENGINEER NO. BLDG..SETBACK FROM ADDRESS SIDE PROP.LINEOF (STREET) } N TYPE A EXISTING SETBACK HIGHWAY YARD = TOTAL C CONTRACTOR / Q, HIGHWAY WIDTH FROM C.L. L ADDRESS f1ce `!@' �AydtNO. A. -11or + C CITY.59& E�a ��� CLASS 5,/ -' CORNER CUTOFF YES .❑ No. ❑. a CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS E ADDRESS SQ. FT. NO. OF. -NO. OF. - NEW. ❑ SIZE STORIES F MILIES USE OF A'DD ❑ STRUCTURE ��/® - ALTER'❑ /01 SIGNATURE REPAIR[]APPLICA DEMOL VALUATION $ Il!SESSION - APPROVALS DATE INS c R's slc TU RE Al P.C; PMT. FOUNDATION: LOCATION _ FEES FEE$'. f FORMS, MATERIALS FRAME:: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS " AND` STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, _ WITH ALL ORDINANCES AND LAVAS REGULATING BUILDING CON- GAS'VENT, DUCTS - - STRUCTION. 1 CERTIFY THAT IN D THE WORK AUTHORIZED _ - HEREBY 1 WILL NOT E OY A ERSO VIOLATION OF THE LATH, INT. ' LABOR CODE OF TH S T OF -CALLFOR A IN RELATING TO, WORKMEN'.S COM• N 1 URANCE. • LATH, EXT.. - SIGNATU HOUSE.NUMBER COR- .. PEROfMI E RECT AND POSTED ADDRESSAM& I N AL JOHN F. LEWIS. PRINCIPALS QT A GINEER PLAN CHECK VALIDATION .CK: M.O. CASH _ PERMIT VALIDATION •cK. M V CASH _ LA Co 4 . a APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING A KESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS ^ or a certificate of Workers'Compensation Insurance,or a certified 2- v copy thereof(Sec.3800,Lab.C.) CITY ZIP r L C'Ty I LOCALITY Policy No. Company SIZE OF LOT f NO OF BLDG&NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OW ER _ _ �L o COMPENSATION INSURANCE «�f' �'�' �� 2 7 f WITHIN 1000 FT OF SCHOOL? Yes No � y S (This section need not be completed if the permit is for one hundred ADDR s G DISTRICT GROUP 17PECONS1 FIREZONE PROCESSED EY dollars($100)or less.) C3 A-V I certify that in the performance of the work for which this permit CITY �+ �rr, is issued, I shall not employ any person in any manner so as to ARC�HI ECT OENGINEER u ZIP TEL NO. v� v P/ ` become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS N0710E 70 APPLICANT.• If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO p L } LICENSED CONTRACTORS DECLARATION SIDE O CITY LIC.CLASS P] L 1 hereby affirm that I am licensed underprovisions of Chapter 9 U (commencing with Section 7000)of Division 3 of the Business and SQ. NO.OF STORIES NOAFAMIUIES SEWER MAP Professions Code,and my license is in full force and effect. NEW ❑ BK PG O f— DE CRIPTION OF WORK VALUATION (� License Number Lic.Class ADD ❑ BZW W -7�- ALTER ❑ Contractor Date $ p+i � �' IL cn ❑ I am exempt under Sec. PAIR ❑ Z BAP.C.for this reason ' DEMOL ❑ LDMA P/C# i Date: USE OF EXISTINIVILDG. URM ❑ 1 Ignature APPLICANT(PRINT) TEL NO. LDMA Perm# ANT,T I, as owner of the property, or my employees with wages as Z 03 108090 their sole compensation, will do the work and the structure is ADDRESS F D 3303` not intended or offered for sale (Section 7044, Business and FINAL DATE 1 ITEteO Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ,r-7, a�r� [3I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BY � TOTAL 108= 0 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? licensed contractors to construct the project (Section 7044, VES❑ NO❑ CHECK 108.90 Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING CHANGE ('� OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �HANGE -00 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ (y!?��f-!?�� �'} {� the 7.Civ. C.) Of the Work for which this permit IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 001 0-0001 2/15/96 6:07 -] 3097,CIV.C.) CHECKLIST I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, �� 9 1 F`i� 4 0 0 TITLE 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20 140 CONCERNING HAZARDOUS c� Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Address QNNER OR A➢ENT 3 I certify that I have read this application and state under penalty p.C.FEE PERMIT FEE 0 of perjury that the above information is correct.I agree to comply with all county ordinances and State laws relating to building a m construction, and hereby authorize representatives of this County ISSUANCE FEE n �O ter upon the above-mention/edgroperfor inspection purposes. ,/ ` I "Jr/1�l,IV///— r INVESTIGATION FEE TOTAL FEE Am I— kr— 14. -r,w,A / SEE REVERSE FOR EXPLANATORY LANGUAGE