HomeMy Public PortalAbout5949-5951 PRIMROSE AVE_Building__ p 7��p , 3
'BA688A Ce#808,0.88 APPLICATION FOR BUILDING PPMI'T 1 .
COUNTY OF LOS ANGELES Bu1LDINCa ;
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DEPARTMENT OF COUNTY ENGINEER ADDRESS ,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN,SUPT OF BUILDING
Alffma DISTRICTNO.. GROUP TYPE PR9.84SISEDBY
FOR APPLICANT TO FILL IN CONST-W
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BUILDING a STATISTICAL CLASSIFICATION I SE ER MAP
ADDRESS e E I /0'
BK P
;CLASS.NO.—DWELL.UNIT fY /��
LOT NO. O BLOCK NUMB ER 49- STATE YES
TRACT �p� USE ZONE SPECIAL
/ / NO.OF.BLDGS 0 CONDITIONS
SIZE OF LOT Lf-,g1/ d I NOW ON LOT ;
' USE OF
EXISTINGBLDG. —$ CE'. BUILDING YARD HWY STREET NAME EXIST.
�/ o'_ -� SETBACK' WIDTH
OWNER i /f T /Y/� S / C_ 1.RONT r
MAIL Q _P.L. �L yyyYt-LC�QI
ADDRESS .� q/ / /P//�fp l7 SC SIDE
TEL P.L.. _
CITY 7-27--Ay/-7J-E C'/7` No. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO. `
s
ADDRESS
CONTRACTOR/% G !..Otl/S/ 'NO F✓J;7�-O/7S
ADDRESS-203 e GAAoo9A ifo- ;1141,4t ry
DESCRIPTION OF WORK
t
NEW I- ADD ALTER REPAIR DEMOLISH ////f .�•�' [[.� L/.�+
SQ.FT. NO.OF NO.OF
SIZE q vt� STORIES v FAMILIES f ' ,/
SUSE OF TRUCTURE• D// S T1fYj
I / /� Q �/���f Y
se
SIGNATURE OF 'r fi� Q
APPLICANT I APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS AZO.3 Q T C� [�/ VI7/�nf�� 1 FOUNDATION:LOCATION //--3•-SQ SAO
_'FORMS,MATERIALS / ANY/ S C '^
VALUATION$ 7®O FRAME:FIRE STOPS,
—.BRACING.—BOLTS [�JF�G�Y[/
RURNACE:LOCATION, ��y - �n 6�/
FEE $_ Q�I FEE $ I _'GAS VENT.DUCTS z —21"48 w(34 ,lLf�GGl'�it'
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. </�''/(/ra^ 4rt //r'/ .P �
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND /a ry� 0 /��jj
STATE LAWS REGULATING BUILD] G CONSTRUCTION. LATH,EXT. d I/
SIGNATURE OF 14OUSE NUMBER COR
-
PERMITTMp� G oma, v 1 RECT AND POSTED
ADDRESS •1 370' G ,c a�A -avIM,4 FINAL..
CLYDE N.DIRLAM.PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK M.O. CASHPERMIT VALIDATION CK. M.O. CASH
UlCo 3 6 5 9 OC 1 7 2 3. A 3 3.0 C) ®�
LACo3 7 3 1'r. OCT 8 1 A. 6-6.0 0 ,w
i
WORKERS'COMPENSATION DECLARATION
"I hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT
insure, or a certificate of Workers'Compensation Insurance,
or a cercigens figgt(Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
P❑olicy No--g�fifi3 Company__ R(l�� BUILDING
Certified copy is hereby furnished. I FOR APPLICANT TO FILL IN ADDRESS
® Certified copy is filed w• unty building inspec- I BUILDING
tion department. ADDRESS 5949 N PRIMROSE
1
Date 3/18/86 A plicant ITY LOCALITY
CERTIFICATE OF E EMP-T4 K OM WORKERS' I No.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. f
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK 'PAGE PARCEL
TEL. USE Z NEMAP nn nn
I certify that in the performance of the work for which this OWNER NO. NO. ! U
permit is issued, I shall not employ any person in any manner SPECIAL - O.
so as to become subject to the Workers'Compensation Laws. ADDRESS 5949 N PRIMROSE.. I CONDITIONS 0
CITY TEMPLE CITY ZIP IN
Date Applicant
NOTICE•TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT G UP TYPE FIRE PRO ED BY
ENGINEER NO. �/ CONST. / ZONE
Exemption, you should become subject to the Workers' �j �/x 93
iV/ ✓
Compensation provisions of the Labor Code, you must forth- ADDRESS �!`W V y
with comply with such provisions or this permit shall be "] STATISTICAL CLASSIFICATION APT. C DO. z
deemed revoked. CONTRAC TE 0—5 4 8—- nn ''
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSSEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code,and my license is in full force and effect. CITY ANAHEIM CLASS B BK VALIDATION
SQ.F7. NO.OF NO.OF CHECK
License Number 379503 •Li ass B SIZE STORIES FAMILIES ONE
- i VALUATION
Contra ate 3 8/86 DESCRIPTION OF WORK A D ❑❑
I am exempt under Secy i ALTER ,
B.$P.C. for this reason EAM DWELLING 38 ��REPACC[g $
USE OF
Date: EXISTING BLDG. DEMOL ;24 3'5.6 A
'Signature APPLICANT TE u INAL
OWNER-BUILDER DECLARATION PRINT AL PAC ROOFING Nib 0 0-5 4 8— , ATE # a a 0-0 o 1
I hereby affirm that I am exempt from the Contractor's License ADDRESSDUPONTDRIVE ANAHEI FINA 1 — 8-7.38
Law for the following reason (Section 7031.5, Business and
Professions Code):- PRESENT BY x
❑ BUILDING ° ° ° 8 7,3'8 5
I, as owner of the property, or my employees with ADDRESS ��
wages as their sole compensation,will do the work and o V= �� 0 10 2'-8 b
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. /
jy�jLr
with licensed contractors to construct the project (Sec- ADDRESS (iUl
tion 7044, Business and Professions Code).
SETBCK
CONSTRUCTION LENDING AGENCY SETT EQBACK YARD HWY IRED TOTAPROP .LIINEFRO 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
P.L.
Lender's Name
o LDMA Ref. #
P.C.Fee$ Permit Fee 76 .88
'
- Lender's Address
r I certify that I have read this application and state that the Issuance Fee 10 .50 kLDA P/C#
a above information is correct. I agree to comply with all County Investigation Fee ^
S
or"'
and State laws relating to building construction, Total Fee 87.38 LDMA Perm.#
u a ereby uthorize r resentatives of is County to enter
3 pan the ob ve-me ned property fa, spection purp9ses.
G / SEE REVERSE FOR EXPLANATORY LANGUAGE
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lure o App!cant o enc p eLl i i