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Home My Public Portal About5946 PRIMROSE AVE_Building__ a'ewsasw nen-s tz•sa APPLICATION FOR BUILDING PERMIT DIVISION OF BUILDING AND SAFETYADUILDIN .% e• c �. Deportment of County Engineer _ County of Loa Angeles LOCALITY .w-t-• Ci�� WIN.J. FOX, COUNTY ENGINEER NEAREST 'CASSATT D.GRIFFIN,SUPT OR BUILDING CROSS ST. !!�� DISTRICT NO. GR UP t ER MAP FOR APPLICANT TO FILL IN L� -� I TYPE J RG BUILDING 1 / ! CONST. .�L / J ADDRESS L1 lL� /11/IM/I QZ� MAP r STATE YgT �p NUMBER ate• C?!' w HWY LOT NO. C+� BLOCK USE ZONE . SPECI L � �,7/ CONDITIONS TRACT -": NO. OF BLDGS. SIZE OF LOT rb K I NOW ON LOT l BUILDING YARD HWY STREET NAME EXIST, USE OF SETBACK WIDTH EXISTING BLDG. �� FRONT J• r 6n P. L. G OWNER .U.el r �� SIDE MAILP. L. ADDRESS , 1 4 cu/ TEL. 1 DWELL. I UNIT 5 INDUSTRIAL CITY, Com(lilµLiD�_ ( ( NO. In A s�� 2 DUPLEX UNIT— 6 PUBLIC BLDG. ARCHITECT OR TEL. ' ENGINEER NO. 3 APT. UNITS 7 ADDN.,ALT.,ETC. • ADDRESS 4 COMMERCIAL 8 MISCEL. TEL. I CONTRACTOR a P!t V N1 NO. ClX(, INSPECTION RECORD ADDRESS__�_ 1•L�+Q_(� L"I�UI. (DESCRIPTION'-OF WORK NEW 'ADD ALTER REPAIR DEMOLISH J SO. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE/ ,� L A n a r Atv. J✓ SIGNATU RE pG� CANTUP APPLI APPROVALS ADDRESS {�,:e..'Y}t�)�O.l..• 9j_F�l , C?.Q•L1�!•� DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION IFEE .C. S FORMS, MATERIALS l FRAME: FIRE STOPS. g /� BRACING, BOLTS VALUATION EE Ol, b^�,. FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT' 1 HAVE READ THIS GAS VENT,DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. Q fin/ ) /� LATH. EXT. SIG FNUMER EE RMITT p -��W ��"''1'It�CI— I��J(� 1- 1./1't� HOUSE RECT AND POS EDR ADDRES vf')L?'-a 1.(j Q.U. 1 FINAL J ZG' JVvI'�:: r t WM. J.- FOX CouNTY ENGXNEFR VALIDATION BY 3B772--) -MAY 16 1 2.0 0 '. DEPUTY — DEPUTY r "� BY BY `J DEPUTY DEPUTY 76AG38ACE08038-84 APPLICATION FOR BUILDING PERMIT u COUNTY OF LOS ANGELES BUILDING J r DEPARTMENT OF COUNTY ENGINEER ADDRESS, G' - BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. / DISTR T O. GRAUP TYPE. P O ESSED BY FOR APPLICANT TO FILL IN j L� CONST. BUILDING STATISTICAL CLASSIFICATION S ER MAP ADDRESS G: CLASS NO.��DWELL UNITS BK PG LOT NO. ! BLOCK USE ZONE MAP ,{ TRACT rD J/ SP L' • r�0/ (/� H SPECIAL N0. OF BLOBS. v2 / CONDITION SIZE OF LOT NOW ON LOT ✓ USE OF / E ISTING C�• s BLOB. SETBACK FROM ��e��i TEL. FRONT PROP. LINE OR- _/�� (STREET) OWNER 4 L NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS. HIBHWAY ID H 'F OM C.L. C I T Y dyyL ARC HI ECT OR TEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OR EXISTING SETBACK HIGHWAY + YARD = TOTAL y ADDRESS HIGHWAY WIDTH FROM C.L. a TEL + = c CONTRACTOR fir. NO l F L ADDRESS NO Z/ CORNER CUTOFF YES NO C CITY e: , LIC CLASI y 'SEEREVERSESIDE FOR SPECIAL APPROVALS 17w DESCRIPTIO OF WORK n h ��.� _ ' _ z NEW ADD ALTER REPAIR EMOLISH / SQ.FT. NO. OF SIZE STORIES FAMILIES /r USEOF .r STRUCTURE / dJ SIGNATURE OF APPLICA VALUATI N$ 0-t --" APPROVALS DATE" 1"NSPECTOR'SSIGNATURE P.C. PMT. v-`l FOUNDATION, LOCATION FEE$ FEE$ FORMS,-MATERIALS_. 1 FRAME, FIRE STOPS, ` I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS I 9UILDI NG CONST UCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HER Y 1 WILL NOT EMPLOY ANY P ON IN VIOLA. LATH. INT. J TION OF THE LA R CODE OF THE STATE OF L ORNIA RELAT- ' INC TO WORKMEN COMPENSATION INSURAN / LATH. EXT. SIGNATURE OF _ Cr1 HOUSE NUMBER COR- PERM AND POSTED ADDRES fl I NAL ij4� C ••' YM�w!�r A, JOHN F. LEWIS. PRINCIPAL STRAL ENGINEER PLAN CIiSCR VALIDATION CK. M.O. CASH _ PERMIT VALIDATION( CK. M.D. CASH �huO 1 5 tt„R 2 5 1 D 4.00- WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self r r L I �1,T I R BUILDING UIL®I N G PERMIT insure, or a certificate of Workers'Compensation Insurance, di"�.1 or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Wm ` Certified copy is hereby furnished. FOR APPLICANT TO FILL IN : BUILDING ADDRESS 67 -1 Certified copy is filed with the county building inspec- BUILDING Sq li 1 ,/ tion department. ADDRESS 7f�/' fah e Date Applicant CITY l ' ZIP v LOCALITY v CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE 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 STEL. USE ZONE MAP I certify that in the performance of the work for which this OWNER �4A NO. NO. 7 } permit is issued, 1 shall not employ any person in any manner •� SPECIAL 916so as to become subject to the Workers'Compensation Laws. ADDRE^SS� 5��(�' �I"f,P.%V-0 CONDITIONS U Date Applicant CITY ZIP /�Fta Idem` NOTICE TO APPLICANT: If, after makingthis Certificate of ARCHITECT OR b TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY •:ENGINEER �Ln. NO. CONST. ZONE Exemption, you should become subject to the Workers' p� Compensation provisions of the Labor Code, you must forth- ADDRESS w y with comply with such provisions or this permit shall be l TEL. S TISTICA SIFICATION CONDO. g deemed revoked. CONTRACTOR /�G ir4G• NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS 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 Numbera�/.Zlz� Lic.Class s-� SIZE STORIES FAMILIES ONE MAY /J' VALUATION 0 Contractor KA1 +s r`Z�Y 1�'Rate ,�1 DESCRIPTION OF WORK NEW ❑ $ ALJ ❑ ` ADD ❑. tiJ I am exempt under Sec. 4� ALTER ❑ l $ B.BP.C. for this reason 'd- REPAIR Date: USE OF DEMOL / EXISTING BLDG. ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE 3 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL q .. - ... � •.. By Professions Code): PRESENT , , ❑ BUILDING t I, as owner of the property, or my employees with ADDRESS o o V wages as their sole compensation,will do the work and d(� LOCALITY the structure is not intended or offered for sale(Section � „ ': � c r _r 7044, Business and Professions Code). MOVING 'TEL. ❑ TRACTOR NO. I, as owner of the property, am exclusively contracting CON �• / ,^•• � _�' /I with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). lilmll CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTALSETBACK LINE FRO WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE 'o• P.L. Lender's Name LDMA Ref. # P.C.Fee$ Permit Fee Lender's Address r I certify that I have read this application and state that the Issuance Fee �• 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 Feeif LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-mantioned property for inspection purposes. s D _`�� `y•-z�B SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date